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    OpenPayerNPI Medicare & MedicaidBenjamin Martino
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    Benjamin Martino — Billing Profile & Reimbursement Data

    NPI 1114218195 · Mckinney, TX · Otolaryngology Physician

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    Benjamin Martino is a otolaryngology physician provider located in Mckinney, Texas. This profile covers 17 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBenjamin Martino
    Address5220 W University Dr
    CityMckinney
    StateTX
    ZIP75071
    TaxonomyOtolaryngology Physician
    NPI EnumeratedApril 26, 2011

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$68K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…150$90$13.5K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.80$140$10.6K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…90$110$9.6K
    10005Under ultrasound guidance, the provider performs a fine needle aspiration (FNA), a diagnostic procedure that involves collecting a specimen from tissue, a cyst, or mass using a specialized needle and…70$100$6.6K
    31579The provider uses a flexible or rigid laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. He also performs stroboscopy, which is a method of examination…40$150$5.9K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…110$50$5.5K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.50$80$3.9K
    95165In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.280$10$3.1K
    70486The provider uses computed tomography, or CT, to examine the maxillofacial area, such as the upper jaw or face structures. The provider does not administer contrast for this exam.20$100$1.6K
    95024The provider introduces allergenic extracts into the skin to determine if the patient has an immediate allergic response, interprets the results and writes a report specifying the number of tests.250$10$1.5K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    95165342390940$10$18.9K
    9921413,20932,500110$80$17.6K
    31579336050$140$17K
    3123114045050$130$10.2K
    9921311,42029,79070$60$8.4K
    992042,63816,38030$110$5.6K
    95117299420320$10$4.3K
    95024172200490$10$3.8K
    992036,93310,82030$70$3.4K
    765363421,01030$50$2.9K

    Showing 1–10 of 17

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Benjamin Martino, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Laura DominguezTXOtolaryngology Physician$100.1K$0
    Cherie BoothTXOtology & Neurotology Physician$97.5K$0
    Nimish PatelTXOtolaryngology Physician$90.1K$0
    Thomas BramhallTXOtolaryngology Physician$86.5K$0
    Joshua CaldwellTXAudiologist$37.4K$0
    Elizabeth WootenTXAudiologist$22.7K$0
    Naileen MominTXAudiologist$18.1K$0
    Julie CorderTXAudiologist-Hearing Aid Fitter$6.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Benjamin Martino, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    A N D Home Healthcare LLCTXHome Health Agency$0$44.7M
    Kruti DajeeTXRetina Specialist (Ophthalmology) Physician$1.6M$0
    Wellness Ambulatory Surgery Center, LLCTXAmbulatory Surgical Clinic/Center$1.3M$0
    Akbar RizviTXHematology & Oncology Physician$1.1M$0
    Matthew BarrowsTXDermatology Physician$1M$0
    Wael Abo-audaTXCardiovascular Disease Physician$929.8K$2.6K
    M.a AtharTXHematology & Oncology Physician$835.7K$0
    Health Imaging Partners LLCTXPhysiological Laboratory$565K$430
    Btdi Jv LLPTXPhysiological Laboratory$500K$0
    Neuline Health Management LLCTXPhysiological Laboratory$404K$64.4K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Benjamin Martino — 1 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas