Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Martinez
    Ask Trek AI about this page

    Michael Martinez — Billing Profile & Reimbursement Data

    NPI 1215017876 · Sandusky, OH · Physical Therapist

    Customize your policy alerts

    Sign up for Michael Martinez — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Michael Martinez is a physical therapist provider located in Sandusky, Ohio. This profile covers 7 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMichael Martinez
    Address2500 W Strub Rd Ste 150
    CitySandusky
    StateOH
    ZIP44870
    TaxonomyPhysical Therapist
    NPI EnumeratedOctober 17, 2006

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

    Payer SourceTotal Paid
    Medicare$33.8K
    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…920$20$14.7K
    97112Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…380$20$8.8K
    97162The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…80$70$5.3K
    95992The provider moves the patient through a series of positions to treat benign paroxysmal positional vertigo. The position changes move canalith particles from parts of the inner ear where they cause…90$30$2.9K
    97161The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…20$80$1.5K
    97140Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…40$10$530
    G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care30$10$210

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    971104341,680500$20$12.3K
    971125481,390290$20$9K
    971401,1251,180180$10$5.2K
    9716158578030$70$3K
    971626071030$70$2.5K
    G0283205220120$10$1.5K
    9599223040$30$1.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Northern Ohio Medical Specialists LLCOHInternal Medicine Physician$0$16.4M
    Jonathan ZahlerOHOphthalmology Physician$456.3K$0
    Chase ScarbroughOHDermatology Physician$416.6K$0
    Michael PowersOHOrthopaedic Surgery Physician$364K$0
    Todd RambasekOHAllergy & Immunology Physician$358.9K$0
    Steven BenedictOHNeurology Physician$347.4K$0
    Emily PetittiOHDermatology Physician$324.7K$0
    Michael ShaughnessyOHOphthalmology Physician$269.6K$0
    Saba SheikOHInternal Medicine Physician$249.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Firelands Regional Medical CenterOHGeneral Acute Care Hospital$0$37.5M
    Cambridge Home Health Care, Inc.OHHome Health Agency$0$19.4M
    Firelands Regional Medical CenterOHMulti-Specialty Clinic/Center$0$17.5M
    Stein Hospice Services, IncOHCommunity Based Hospice Care Agency$0$11.1M
    Erie County Office Of AuditorOHFederally Qualified Health Center (FQHC)$0$7.5M
    Erie County Office Of AuditorOHSubstance Use Disorder Rehabilitation Hospital Unit$0$7M
    Family Health Services Of Erie CountyOHFederally Qualified Health Center (FQHC)$0$6.9M
    Brian MurphyOHHematology & Oncology Physician$2.8M$0
    Sandusky City Office Of TreasurerOHLand Ambulance$345.9K$1.1M
    Surgery Center Of Sandusky LLCOHAmbulatory Surgical Clinic/Center$974.7K$0

    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. Ohio Distribution
    Michael Martinez — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio