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 Puerto Rico for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Puerto Rico 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. Puerto Rico (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.

Francisco Martinez (NPI 1497745665)

Field	Value
Entity Type	Individual
Organization	Francisco Martinez
Address	Ave El Buen Samaritano
City	Guaynabo
State	PR
ZIP	00966
Taxonomy	Family Medicine Physician
NPI Enumerated	October 27, 2005

Payer Source	Total Paid
Medicare	$31.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	420	$60	$25.7K
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…	50	$70	$3.6K
99203	The 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…	20	$70	$1.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Francisco Martinez — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Puerto Rico

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	219	470	50	$80	$6.6K
99213	9	1,530	50	$60	$4.2K
99203	173	480	20	$70	$1.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dla Imaging LLC	PR	Diagnostic Radiology Physician	$0	$2.7M
Ponce Neuroradiological Services, Psc	PR	Diagnostic Neuroimaging (Radiology) Physician	$0	$1.6M
Ithamar Castro	PR	Pediatric Dentistry	$0	$1.3M
David Bernier	PR	Dentist	$0	$822.5K
Jose Baez Cordova	PR	Physical Medicine & Rehabilitation Physician	$15.6K	$97.3K
Alejandro Perez	PR	Physical Medicine & Rehabilitation Physician	$69K	$0
Rocio Mandry-pagan	PR	Dermatology Physician	$40.1K	$0
Caribe Pharmacy Management LLC	PR	Community/Retail Pharmacy	$36.1K	$0
Artemio Torres-martinez	PR	Sports Medicine (Orthopaedic Surgery) Physician	$7K	$15.9K
Angela Mendez De Guzman	PR	Diagnostic Radiology Physician	$10.6K	$0

Francisco Martinez — Billing Profile & Reimbursement Data

Sign up for Francisco Martinez — Billing Profile & Reimbursement Data policy alerts

Francisco Martinez — Billing Profile & Reimbursement Data

Sign up for Francisco Martinez — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References