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    OpenPayerNPI Medicare & MedicaidMatthew Martinson
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    Matthew Martinson — Billing Profile & Reimbursement Data

    NPI 1245559749 · Lexington, KY · Physician Assistant

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    Matthew Martinson is a physician assistant provider located in Lexington, Kentucky. 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
    OrganizationMatthew Martinson
    Address1868 Plaudit Pl
    CityLexington
    StateKY
    ZIP40509
    TaxonomyPhysician Assistant
    NPI EnumeratedMay 24, 2010

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

    Payer SourceTotal Paid
    Medicare$91.8K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…410$40$15.2K
    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…300$50$14.7K
    J7327Hyaluronan or derivative, monovisc, for intra-articular injection, per dose20$560$12.3K
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…90$130$12.2K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.430$30$11.3K
    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…120$60$6.7K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…40$130$5.2K
    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…30$80$2.8K
    73501In this diagnostic procedure, the provider takes an X–ray image of one hip, either left or right, from a single projection (direction or angle) to check for  fracture, swelling, or other reason for…140$20$2.4K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…80$30$2.3K

    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
    2744641020$2,080$56.1K
    274471416030$1,090$45.7K
    27130189020$1,090$32.6K
    J7327223040$550$22.4K
    992145,8997,230110$70$14.1K
    992139017,25080$50$7.7K
    206104764080$40$6.6K
    992041,5413,20030$100$4.8K
    992031652,38030$70$2.9K
    992122701,52030$30$1.9K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Andrzej JasekILRheumatology Physician$1.6M$4.9K
    Saad TariqILRheumatology Physician$1.2M$13.6K
    Osmanuddin AhmedILVascular & Interventional Radiology Physician$1M$38.8K
    Zhe LiangMIRheumatology Physician$1M$14.6K
    John NicklessILSports Medicine (Family Medicine) Physician$700K$0
    Vasili KarasILAdult Reconstructive Orthopaedic Surgery Physician$666.5K$24.7K
    Sarah ChoxiNYAnesthesiology Physician$652.9K$0
    Julia BrueneILFamily Medicine Physician$489.1K$136.4K
    Frank BohnenkampILOrthopaedic Surgery Physician$602K$0
    Amritpal AnandILRheumatology Physician$590.1K$7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Saint Joseph Health System, IncKYGeneral Acute Care Hospital$0$67.4M
    Scott-wilson, Inc.KYHome Infusion Therapy Pharmacy$0$24.5M
    Labtox, LLCKYClinical Medical Laboratory$43.5K$21.8M
    Phi Health, LLCKYAir Ambulance$2M$13.2M
    Retina And Vitreous Associates Of Kentucky PLLCKYRetina Specialist (Ophthalmology) Physician$0$13.3M
    Key Assets Kentucky, Inc.KYCommunity/Behavioral Health Agency$0$10.8M
    Grace Place Adult Day Center LLCKYAdult Day Care Clinic/Center$0$9.7M
    Uhs Of Ridge LLCKYPsychiatric Hospital$0$9.1M
    United Seating And Mobility LLCKYDurable Medical Equipment & Medical Supplies$0$8.6M
    Ridge Outpatient Counseling, LLCKYPsychiatric Hospital Unit$0$5.2M

    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. Kentucky Distribution
    Matthew Martinson — 1 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky