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    OpenPayerNPI Medicare & MedicaidMartha Bilbatua
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    Martha Bilbatua — Billing Profile & Reimbursement Data

    NPI 1548757404 · San Antonio, TX · Endocrinology, Diabetes & Metabolism Physician

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    Martha Bilbatua is a endocrinology, diabetes & metabolism physician provider located in San Antonio, Texas. This profile covers 11 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMartha Bilbatua
    Address7323 N Loop 1604 E Ste 601
    CitySan Antonio
    StateTX
    ZIP78233
    TaxonomyEndocrinology, Diabetes & Metabolism Physician
    NPI EnumeratedApril 17, 2018

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

    Payer SourceTotal Paid
    Medicare$55K
    Medicaid$0

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99215The 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…160$140$20.9K
    99205The provider sees a new 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 provider…60$170$10.4K
    99487The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…90$100$9.4K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…140$50$6.6K
    99489The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…40$50$2.3K
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…60$40$2K
    93922Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral20$60$1.4K
    95251A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service…30$30$880
    96160The provider administers a questionnaire aimed at helping to identify a specific health risk to a patient, analyzes the results, assigns a score, and documents the findings. Use this code for each…230$1$460
    92229The patient undergoes retinal imaging of one or both eyes at a point–of–care location. The imaging helps with diagnosing and monitoring retinal disease using autonomous (machine) analysis. This…10$30$410

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    994898112090$50$53.4K
    994879926050$100$28.8K
    994908531,520180$40$16.2K
    992151,0698,73040$120$9.2K
    9943950876090$40$7.4K
    992055854,32030$150$5.5K
    9525133441090$20$2.9K
    9392254687030$50$2.8K
    9222981020$30$1K
    829628943040$1$270

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Arthur GuerreroTXEndocrinology, Diabetes & Metabolism Physician$295.1K$0
    Omar NajeraTXEndocrinology, Diabetes & Metabolism Physician$192.5K$0
    Ameer KhowajaMNEndocrinology, Diabetes & Metabolism Physician$160.6K$0
    Marianna LawNCGynecology Physician$23.8K$0
    Robin WomackTXObstetrics & Gynecology Physician$21K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Center For Disease Detection LLCTXClinical Medical Laboratory$10.8K$24.8M
    Laboratory Corporation Of AmericaTXClinical Medical Laboratory$11.6K$11.7M
    Jean-denis BoucherTXProcedural Dermatology Physician$2.2M$0
    Pradeep MohanTXPlastic and Reconstructive Surgery Physician$1.9M$0
    Wendall BaumanTXSpecialist$1.6M$0
    Rohit KapoorTXHematology & Oncology Physician$1.2M$0
    Gcsa Ambulatory Surgery Center, LLCTXAmbulatory Surgical Clinic/Center$1M$0
    Navneet MittalTXHematology & Oncology Physician$715.4K$0
    Derinbhai PatelTXInternal Medicine Physician$666.3K$0
    Ismael SosaTXHospitalist Physician$422.3K$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. Texas Distribution
    Martha Bilbatua — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas