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    OpenPayerNPI Medicare & MedicaidAnthony Martyniak
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    Anthony Martyniak — Billing Profile & Reimbursement Data

    NPI 1396703799 · Winchester, MA · Anatomic Pathology & Clinical Pathology Physician

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    Anthony Martyniak is a anatomic pathology & clinical pathology physician provider located in Winchester, Massachusetts. This profile covers 15 Medicare and 1 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)

    FieldValue
    Entity TypeIndividual
    OrganizationAnthony Martyniak
    Address41 Highland Ave
    CityWinchester
    StateMA
    ZIP01890
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedMay 3, 2006

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

    Payer SourceTotal Paid
    Medicare$148.1K
    Medicaid$3.7K

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…1,990$30$57.8K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…1,000$30$29.9K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…520$30$16K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…150$70$10.3K
    88344The lab analyst applies a single multiplex antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…210$30$6.6K
    88312The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…280$20$6.2K
    88313The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,…440$10$4.3K
    88360The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist, evaluates the…120$40$4.2K
    88189The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers.40$70$3K
    88323A qualified provider, typically a pathologist, provides consultation and a report on referred material, such as a tissue block, and prepares and stains slides. A unit of service is the surgical case…40$80$2.8K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8830559520530$40$53.4K
    883122224040$70$11.3K
    883419430210$30$9K
    8834218470120$40$8.3K
    883077335080$70$7.5K
    88189426070$70$7.3K
    883605626060$40$5.1K
    88344611030$60$3.6K
    8832331040$80$3.6K
    883131027060$20$2.8K

    Showing 1–10 of 15

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…60$60$3.7K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Massachusetts median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…266350380$30$118.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sheva KhalafbeigiMAAnatomic Pathology & Clinical Pathology Physician$1M$10K
    Nils BeckerMAAnatomic Pathology & Clinical Pathology Physician$730.1K$9.4K
    Lisa CohenMADermatopathology (Pathology) Physician$678.2K$2.5K
    Yanlong ZhangMAAnatomic Pathology & Clinical Pathology Physician$479.2K$0
    May AzarMACytopathology Physician$303.5K$146.8K
    Hong WuMAAnatomic Pathology Physician$372.3K$3.6K
    Laura HarrisMAAnatomic Pathology & Clinical Pathology Physician$86.6K$102.3K
    Elizabeth LesterMADermatology Physician$184.9K$0
    Mark ZuckermanMACytopathology Physician$110.4K$0
    Sumita GokhaleMAAnatomic Pathology & Clinical Pathology Physician$104.4K$1.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Winchester HospitalMAGeneral Acute Care Hospital$0$30.2M
    Michael KimMAEmergency Medicine Physician$1M$0
    Robert O'brienMADermatology Physician$711.2K$40.6K
    Joshua ShofnerMADermatology Physician$613.9K$1.2K
    Mohammed JaleelMAInternal Medicine Physician$449.5K$0
    Christopher KareoresMAUndersea and Hyperbaric Medicine (Emergency Medicine) Physician$78.4K$193.8K
    Kathleen GrecoMAProcedural Dermatology Physician$266.6K$0
    Jyotirmay ChandaMAInternal Medicine Physician$214.3K$0
    Winchester Hospital - Shields Mri LLCMAMagnetic Resonance Imaging (MRI) Clinic/Center$175.8K$10.1K
    William BreckwoldtMAVascular Surgery Physician$105.9K$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. Massachusetts Distribution
    Anthony Martyniak — 4 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts
    Medicaid Revenue by Year vs. Massachusetts Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    Anthony Martyniak — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts