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.

Case Martin (NPI 1720434814)

Field	Value
Entity Type	Individual
Organization	Case Martin
Address	4502 Medical Dr
City	San Antonio
State	TX
ZIP	78229
Taxonomy	Orthopaedic Trauma Physician
NPI Enumerated	May 9, 2016

Payer Source	Total Paid
Medicare	$60.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27245	In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the…	30	$950	$26.7K
27236	In this procedure, the provider performs an open treatment of a femur neck fracture, or a fracture in the upper end of the femur. He uses internal fixation implants such as pins, wires, or screws to…	10	$930	$12.1K
27506	In this procedure, the provider performs an open reduction of the femoral shaft fracture with insertion of intramedullary fixation, with or without external fixation. The main goal of the procedure…	10	$1,010	$11.1K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	30	$140	$4.6K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	40	$100	$3.6K
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…	20	$60	$1.3K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	20	$60	$1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Case Martin — 0 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27245	28	180	20	$800	$15.2K
27236	81	130	10	$790	$13.4K
27506	3	10	10	$1,010	$13.1K
99223	5,905	9,990	40	$130	$9.5K
99213	25,374	29,790	70	$60	$8.4K
99222	3,139	7,910	30	$100	$4.9K
99221	667	1,130	20	$60	$2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Vincent Hospital	NM	General Acute Care Hospital	$0	$46.5M
University Of Texas Health Science Center At San Antonio	TX	Internal Medicine Physician	$0	$35.5M
Mercy Health System Corporation	WI	Multi-Specialty Clinic/Center	$0	$13.2M
St. Vincent Hospital	NM	Pediatrics Physician	$0	$4.7M
St. Vincent Hospital	NM	Pediatrics Physician	$0	$4.4M
St. Vincent Hospital	NM	Urgent Care Clinic/Center	$0	$3.2M
Sean Sumsion	CA	Ophthalmology Physician	$2.3M	$0
St. Vincent Hospital	NM	Hospitalist Physician	$0	$2M
Jennifer Gallagher	TX	Ophthalmology Physician	$1.3M	$0
Hamzah Khalaf	TX	Ophthalmology Physician	$915.1K	$0

Case Martin — Billing Profile & Reimbursement Data

Sign up for Case Martin — Billing Profile & Reimbursement Data policy alerts

Case Martin — Billing Profile & Reimbursement Data

Sign up for Case Martin — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References