Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Georgia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Georgia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Georgia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Alfonso Martinez (NPI 1316920952)

Field	Value
Entity Type	Individual
Organization	Alfonso Martinez
Address	6000 Shakerag Hl
City	Peachtree City
State	GA
ZIP	30269
Taxonomy	Clinical Neuropsychologist
NPI Enumerated	November 29, 2005

Payer Source	Total Paid
Medicare	$101.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
96133	The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…	400	$80	$30.8K
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	260	$100	$26.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	170	$130	$21.5K
96139	A technician administers two or more psychological or neuropsychological tests and scores them requiring an additional 30 minutes beyond the initial 30 minutes.	730	$30	$19.7K
96138	A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.	150	$30	$3.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Alfonso Martinez — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96133	3	40	100	$70	$12K
96139	3	30	180	$30	$6.9K
96132	4	80	40	$100	$6.2K
90791	10	240	20	$110	$4.9K
96138	9	90	40	$20	$1.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lee Memorial Health System	FL	General Acute Care Hospital	$0	$97.7M
Lee Memorial Health System	FL	Internal Medicine Physician	$0	$15.1M
Lee Memorial Health System	FL	General Acute Care Hospital	$0	$11.1M
Ronald Goodwich	FL	Nuclear Medicine Physician	$5.7M	$0
Juan Bustillo	FL	Rheumatology Physician	$1.5M	$0
Stuart Bobman	FL	Diagnostic Radiology Physician	$879.1K	$0
Haris Turalic	FL	Cardiovascular Disease Physician	$868.1K	$0
David Greschler	FL	Pain Medicine (Anesthesiology) Physician	$861.6K	$0
Eric Pressman	FL	Cardiovascular Disease Physician	$795.2K	$0
Lee Memorial Health System	FL	Ambulatory Surgical Clinic/Center	$692.1K	$83.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
In Charge Medical Professionals LLC	GA	Internal Medicine Physician	$0	$2.9M
Sarah Wilson	GA	MOHS-Micrographic Surgery Physician	$648.4K	$0
Impact Physician Group Indiana Pulmonary Services LLC	GA	Pulmonary Disease Physician	$0	$488.2K
Aslam Khan	GA	Clinical Cardiac Electrophysiology Physician	$378.6K	$0
City Of Peachtree City	GA	Land Ambulance	$335.6K	$0
Melina Diaz-cardenas	GA	Infectious Disease Physician	$323K	$0
Alzirene Faubion	GA	Counselor	$0	$307K
Kelli Shelton	GA	Professional Counselor	$0	$274.6K
Harry Snapperman	GA	Family Medicine Physician	$262K	$0
Mary Brooks	GA	Clinical Social Worker	$223.1K	$0

Alfonso Martinez — Billing Profile & Reimbursement Data

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Alfonso Martinez — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References