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NPI 1285641704 · Edinburg, TX · Cardiovascular Disease Physician
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Raul Martinez is a cardiovascular disease physician provider located in Edinburg, Texas. This profile covers 10 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Raul Martinez |
| Address | 1120 S Closner Blvd |
| City | Edinburg |
| State | TX |
| ZIP | 78539 |
| Taxonomy | Cardiovascular Disease Physician |
| NPI Enumerated | August 1, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $133.4K |
| Medicare | $62.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 410 | $90 | $37.3K |
| 99443 | N/A | 180 | $90 | $15.9K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 20 | $140 | $3.1K |
| 93307 | The provider uses transducers to obtain a two–dimensional (2D) echocardiogram of the heart structures through the chest wall. This study includes visualization of heart chambers, valves, blood flow,… | 30 | $100 | $2.9K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 20 | $120 | $2.1K |
| 71045 | In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby… | 50 | $20 | $920 |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 40 | $10 | $460 |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 40 | $10 | $350 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 20 | $1 | $20 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 110 | $0 | $0 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
10 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 93306 | 1,739 | 1,900 | 210 | $90 | $23.1K |
| 99214 | 4,872 | 32,500 | 110 | $80 | $17.6K |
| 99215 | 7,102 | 8,730 | 40 | $120 | $9.2K |
| 99443 | 32 | 740 | 20 | $80 | $4.2K |
| 71045 | 1,555 | 1,870 | 370 | $10 | $3.8K |
| 93000 | 2,665 | 4,790 | 50 | $10 | $1.6K |
| 93307 | 8 | 30 | 20 | $40 | $1.6K |
| 96372 | 3,177 | 6,020 | 50 | $10 | $810 |
| J3420 | 472 | 490 | 40 | $1 | $80 |
| J1100 | 2,207 | 3,060 | 210 | $1 | $50 |
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99423 | Using online communication technologies, a physician or other qualified healthcare professional discusses a health issue and possible treatment or management with an established patient. This code… | 1,620 | $40 | $61.4K |
| 99214 | The 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… | 3,600 | $10 | $36K |
| 99444 | N/A | 400 | $60 | $21.8K |
| 99443 | N/A | 1,170 | $10 | $12.9K |
| 99091 | The provider interprets medical information, such as ECG recordings, blood pressure records, and home glucose monitoring results, received in digital form from a patient or his caregiver requiring at… | 40 | $10 | $530 |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 50 | $1 | $140 |
| 93307 | The provider uses transducers to obtain a two–dimensional (2D) echocardiogram of the heart structures through the chest wall. This study includes visualization of heart chambers, valves, blood flow,… | 100 | $1 | $100 |
| 99213 | The 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… | 50 | $1 | $50 |
| 90674 | This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL… | 40 | $0 | $0 |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 20 | $0 | $0 |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 5,115 | 6,040 | 710 | $40 | $232.8K |
| 99214 | The 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… | 994 | 5,810 | 540 | $50 | $155.5K |
| 99444 | N/A | 161 | 210 | 1,220 | $50 | $121.2K |
| 99423 | Using online communication technologies, a physician or other qualified healthcare professional discusses a health issue and possible treatment or management with an established patient. This code… | 41 | 160 | 780 | $40 | $69.8K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 1,386 | 1,460 | 410 | $30 | $61K |
| 99091 | The provider interprets medical information, such as ECG recordings, blood pressure records, and home glucose monitoring results, received in digital form from a patient or his caregiver requiring at… | 157 | 190 | 250 | $110 | $60.6K |
| 93307 | The provider uses transducers to obtain a two–dimensional (2D) echocardiogram of the heart structures through the chest wall. This study includes visualization of heart chambers, valves, blood flow,… | 3 | 10 | 300 | $180 | $51.3K |
| 99422 | Using online communication technologies, a physician or other qualified healthcare professional discusses a health issue and possible treatment or management with an established patient. This code… | 62 | 90 | 330 | $20 | $13.6K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 1,056 | 1,390 | 230 | $10 | $8.7K |
| 99443 | N/A | 6 | 160 | 70 | $20 | $7K |
Showing 1–10 of 12
Other providers in the same ZIP code as Raul Martinez, ranked by combined Medicare and Medicaid revenue.
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