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

Why is the Medicaid comparison limited to Texas 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. Texas (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.

Matthew Martinez (NPI 1649648759)

Field	Value
Entity Type	Individual
Organization	Matthew Martinez
Address	533 Pecan Blvd
City	Mcallen
State	TX
ZIP	78501
Taxonomy	Medical Physician Assistant
NPI Enumerated	September 4, 2015

Payer Source	Total Paid
Medicare	$1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 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…	10	$40	$600
49905	The provider repositions a flap of omentum, a fatty membrane in the abdominal cavity, to fill a defect during an abdominal surgery. He rotates the flap into place, without disrupting its vascular…	10	$40	$440

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Matthew Martinez — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	28,270	29,790	70	$60	$8.4K
49905	8	10	10	$250	$3.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carlos Torres	TX	Anatomic Pathology & Clinical Pathology Physician	$580.7K	$0
Allan Coates	MI	Gastroenterology Physician	$175.4K	$0
Janis Mays	TX	Certified Registered Nurse Anesthetist	$127.9K	$0
Owen Maat	TX	Gastroenterology Physician	$94.7K	$0
Alberto Pena	TX	Colon & Rectal Surgery Physician	$89.5K	$0
Marla Hadeler	TX	Certified Registered Nurse Anesthetist	$47.7K	$0
Michael Martinez	TX	Surgery Physician	$23.6K	$0
Dustin Luebbers	TX	Colon & Rectal Surgery Physician	$18.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Health Care Unlimited, Inc	TX	Home Health Agency	$0	$67.8M
Hjc Home Health Care Services, Inc.	TX	Home Health Agency	$0	$36.8M
Legacy Home Care Services, Inc.	TX	Home Health Agency	$0	$30.6M
El Jardin Provider Services, LLC.	TX	Personal Care Attendant	$0	$28M
Easter Seals Rio Grande Valley	TX	Developmental Disabilities Clinic/Center	$0	$25.1M
Iph Primary Home Care, Inc.	TX	Home Health Agency	$0	$23.8M
Cielo Azul Provider Services, LLC.	TX	Personal Care Attendant	$0	$22M
With Open Arms Healthcare, LLC	TX	Home Health Agency	$0	$20.2M
Fuera Investment Group LLC	TX	Personal Care Attendant	$0	$19.4M
Regency Ihs Hospice Services LLC	TX	Community Based Hospice Care Agency	$0	$15.9M

Matthew Martinez — Billing Profile & Reimbursement Data

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Matthew 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