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    OpenPayerNPI Medicare & MedicaidDaniel Martin
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    Daniel Martin — Billing Profile & Reimbursement Data

    NPI 1396721817 · Morgantown, WV · Diagnostic Radiology Physician

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    Daniel Martin is a diagnostic radiology physician provider located in Morgantown, West Virginia. This profile covers 24 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
    OrganizationDaniel Martin
    Address101 Stadium Dr
    CityMorgantown
    StateWV
    ZIP26506
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedDecember 16, 2005

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

    Payer SourceTotal Paid
    Medicare$92.6K
    Medicaid$80

    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…560$80$46.2K
    78816The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…100$90$8.7K
    75574The provider uses computed tomography (CT) with instillation of contrast to examine any defect or abnormality in the heart or coronary artery or any abnormality due to an already present bypass…90$90$7.8K
    71275In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…70$60$4.4K
    74174In this procedure, the provider performs computed tomographic angiography of the abdomen and pelvis with contrast and may take noncontrast images as well. After taking the images, he uses a…50$80$4.2K
    78830The provider uses a nuclear imaging test called SPECT with concurrent CT imaging to localize a tumor, inflammatory process, or radioactive tracer distribution. Vascular flow and blood pool imaging…50$50$2.6K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.40$60$2.5K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…50$50$2.4K
    71045In 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…390$10$2.4K
    75561The provider uses cardiac magnetic resonance imaging (MRI) to examine the structure and function of heart. She initiates the procedure without administration of contrast and follows it with…20$90$1.8K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    78452559070$130$11.2K
    74177109130150$60$10K
    74176117130110$60$7.5K
    70450121130220$30$6.7K
    7881517050$80$5.4K
    712756812080$60$5.1K
    7104594140750$10$4.8K
    71250126130100$40$4.7K
    7881611040$90$4.2K
    7126011412070$40$3K

    Showing 1–10 of 24

    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
    71045In 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…20$10$80

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. West Virginia median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    71045In 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…981003,310$10$140.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    West Virginia University Medical CorporationWVFamily Medicine Physician$0$162.1M
    Radiological Physician Associates IncWVDiagnostic Radiology Physician$0$11.1M
    Inderjit MehmiCAHematology & Oncology Physician$2.3M$0
    City Hospital, Inc.WVInternal Medicine Physician$0$1.9M
    Randall J. Hill, M.d., P.L.L.C.WVSpecialist$0$1.9M
    E. Ronald Salvitti, M.d., Inc.PAAmbulatory Surgical Clinic/Center$986.7K$20.9K
    Edward KiggunduWVRadiation Oncology Physician$835.2K$0
    David WeberPASpecialist$292.8K$498.8K
    Matthew OliverioPAOtolaryngology Physician$175.2K$514.5K
    Ehab YoussefMIDiagnostic Radiology Physician$613.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    West Virginia University Hospitals, IncWVGeneral Acute Care Hospital$0$124.1M
    West Virginia University Hospitals, Inc.WVSubstance Abuse Rehabilitation Facility$0$15.4M
    West Virginia University Dental CorporationWVDentist$0$5.9M
    West Virginia University Hospitals, IncWVEmergency Medicine Physician$0$3M
    Heather BooWVNeuroradiology Physician$596.8K$0
    Arijit ChakravartyWVNephrology Physician$281K$0
    Adeem AkbarWVNephrology Physician$162.7K$0
    Robert MarshWVNeurological Surgery Physician$152.1K$0
    Mark LisleWVDiagnostic Radiology Physician$150.1K$710
    Brian HamlinWVAdult Reconstructive Orthopaedic Surgery Physician$148.2K$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. West Virginia Distribution
    Daniel Martin — 4 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia
    Medicaid Revenue by Year vs. West Virginia Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. West Virginia Distribution
    Daniel Martin — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia