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    v1.0.28
    OpenPayerNPI Medicare & MedicaidFrancisco Reyes Martin
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    Francisco Reyes Martin — Billing Profile & Reimbursement Data

    NPI 1235329889 · Columbia City, IN · Surgery Physician

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    Francisco Reyes Martin is a surgery physician provider located in Columbia City, Indiana. This profile covers 9 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
    OrganizationFrancisco Reyes Martin
    Address885 W Connexion Way Ste 100
    CityColumbia City
    StateIN
    ZIP46725
    TaxonomySurgery Physician
    NPI EnumeratedJuly 30, 2007

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

    Payer SourceTotal Paid
    Medicare$25.5K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    49593The provider uses any approach to perform initial repair of one or more anterior abdominal hernias with a total length of 3 cm to 10 cm. The hernias are reducible, or able to be pushed back inside…10$420$5K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk20$170$4.1K
    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…40$100$4K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…20$200$3.8K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk20$170$2.7K
    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…20$80$1.8K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…10$140$1.8K
    99203The provider sees a new 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 provider…20$70$1.2K
    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…20$60$1.2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538531437060$260$26.5K
    992149,16710,540110$80$15.5K
    G010511722030$250$10.2K
    992139,69710,82080$50$7.6K
    G012111418020$250$6.4K
    992041,8654,69030$100$4.9K
    4959311010$420$4.6K
    4537812618020$160$3.7K
    992032,5923,49030$70$3.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Anil RaoINRheumatology Physician$812.9K$0
    Jody NeerINNeurology Physician$741.1K$0
    Robert BednarekINDermatology Physician$320K$0
    Cheng DuINNeurology Physician$243.6K$0
    Rulong RenINAnatomic Pathology & Clinical Pathology Physician$101.4K$138.3K
    David ZimmermanINHematology & Oncology Physician$230.4K$0
    James StarrMIInternal Medicine Physician$210.9K$0
    Micah SmithINOrthopaedic Surgery Physician$171.3K$0
    Alan McgeeINOrthopaedic Surgery Physician$163.2K$0
    Eric PurdyINOphthalmology Physician$159.8K$0

    Nearby Providers

    Other providers in the same ZIP code as Francisco Reyes Martin, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Whitley Memorial Hospital, Inc.INGeneral Acute Care Hospital$0$9.5M
    Passages, Inc.INIntellectual Disabilities Intermediate Care Facility$0$9.1M
    James BeitzelINFamily Medicine Physician$79.6K$0
    Babatunde AdeosunINCertified Registered Nurse Anesthetist$2.1K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Indiana Distribution
    Francisco Reyes Martin — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana