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

Why is the Medicaid comparison limited to Unspecified Location 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. Unspecified Location (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.

Daniel Martens (NPI 1730493313)

Field	Value
Entity Type	Individual
Organization	Daniel Martens
Address	Us Army Medical Department Activity
City	Na
State	XX (Unspecified Location)
ZIP	96205
Taxonomy	Physician Assistant
NPI Enumerated	August 5, 2010

Payer Source	Total Paid
Medicare	$18.8K
Medicaid	$0

Key Findings

Revenue is highly concentrated in office E/M visits: the precomputed top-3 Medicare codes (99213, 99203, 99214) account for 92.9% of this provider's total Medicare revenue, with 99213 contributing $13K (69.1% of Medicare revenue), 99203 contributing $3.7K (19.8%), and 99214 contributing $737 (3.9%). This concentration indicates the provider’s Medicare earnings are driven almost entirely by routine evaluation-and-management encounters rather than procedures or ancillary services.

The CPT mix—dominated by 99213 and 99203—suggests an ambulatory, office-based practice model focused on new and established patient visits: 99213 shows 265 claims at $49 avg paid/claim and 99203 shows 69 claims at $54 avg paid/claim. Secondary codes (87804 influenza immunoassay, 71046 chest x-ray, 96372 injections) appear episodically and point to on-site point-of-care testing and basic procedural capability consistent with primary care or urgent-care workflows.

This provider is effectively single-payer in the dataset: total Medicare revenue is $18.8K while there is no Medicaid billing on file. The absence of Medicaid billing means payers and network analysts should treat this profile as Medicare-dominant when assessing payer mix, access, and reimbursement exposure.

Competitive standing is modest despite some above-average activity for specific E/M codes: 99213 ranks #70372 of 457151 providers nationally (85th percentile; typical, unremarkable volume for this code) and 99203 ranks #35172 of 161519 (78th percentile; typical, unremarkable volume for this code). At the same time, 99214 ranks #475988 of 479517 (0th percentile; typical, unremarkable volume for this code), and the provider’s lifetime Medicare revenue of $18.8K is small in absolute terms, indicating this clinician is not a major national revenue generator.

Tenure on file is long: NPI enumerated 2010-08-05 (~16 years ago). Long enumeration with limited lifetime Medicare revenue suggests either part-time clinical activity, work predominantly outside Medicare populations, billing under another taxonomy or group, or intermittent Medicare participation over the provider’s career.

A few codes show negligible or zero payments that merit operational note: J1885 lists 21 claims with $0 avg paid/claim and $0 revenue and ranks #8176 of 8635 providers nationally (4th percentile; typical, unremarkable volume for this code). Zero-paid claim lines of this type may reflect billing entries that did not result in reimbursement or services paid by another payer, and they should be interpreted cautiously in utilization reviews.

Procedure-level detail supports a low-complexity ambulatory footprint: 93005 EKGs (48 claims, $4 avg paid/claim, $192 revenue) and basic urinalysis codes 81003 and 81002 appear at small volumes, indicating some office diagnostic capability but limited revenue contribution from diagnostics or interventions. For contracting or network-design decisions, the provider’s value-add appears concentrated in visit capacity rather than procedural throughput.

From a risk or network-sufficiency perspective, this profile is best characterized as a longstanding Physician Assistant with focused Medicare office-visit activity and minimal ancillary revenue; payers should view the provider as a modest-volume E/M clinician rather than a procedural or high-revenue specialty when evaluating contracting, referral patterns, or local capacity needs.

Medicare: Complete Services Breakdown

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

10 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…	270	$50	$13K
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…	70	$50	$3.7K
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…	10	$70	$740
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	30	$20	$450
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	30	$10	$330
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	30	$10	$240
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	50	$1	$190
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	40	$1	$80
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	20	$1	$50
J1885	Injection, ketorolac tromethamine, per 15 mg	20	$0	$0

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Unspecified Location Distribution

Daniel Martens — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Unspecified Location

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	1	10	140	$60	$18.8K
99214	20	10	80	$90	$15.8K
99203	1	10	140	$90	$12.2K
96372	2	10	400	$10	$4.1K
71046	1	10	170	$10	$1.2K
81002	1	10	40	$1	$140
81003	2	0	N/A	$N/A	$N/A
87804	1	0	N/A	$N/A	$N/A
93005	1	0	N/A	$N/A	$N/A
J1885	2	0	N/A	$N/A	$N/A

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Firsthealth Of The Carolinas, Inc.	NC	General Acute Care Hospital	$0	$61.5M
Daniel Williams	NC	Orthopaedic Surgery of the Spine Physician	$1.2M	$0
Kishore Rasamallu	GA	Internal Medicine Physician	$1M	$0
Christopher Tracy	NC	Rheumatology Physician	$485.7K	$0
Robert Deucher	NC	Internal Medicine Physician	$323.7K	$0
Eric Frizzell	NC	Gastroenterology Physician	$247.3K	$0
Mustafa Al Lami	CA	Internal Medicine Physician	$217.1K	$0
Adam Belanger	NC	Pulmonary Disease Physician	$105K	$0
John Ray	NC	Family Medicine Physician	$104.8K	$0
Saul Salvador	NC	Specialist	$98.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Britton Birtcher	AP (Armed Forces Pacific)	Dentist	$0	$285.8K
Jiyoon Kim	AP (Armed Forces Pacific)	Diagnostic Radiology Physician	$191.9K	$0
Adam Ash	AP (Armed Forces Pacific)	Emergency Medicine Physician	$104.2K	$23.7K
Jeremy Rich	AP (Armed Forces Pacific)	Otolaryngology Physician	$44K	$0
Christopher Metcalf	AP (Armed Forces Pacific)	Physician Assistant	$17.6K	$0
Harry Aubin	AP (Armed Forces Pacific)	Surgery Physician	$13K	$0
Beatriz Meza-valencia	AP (Armed Forces Pacific)	Pediatrics Physician	$0	$3K
Yanghoe Koo	AP (Armed Forces Pacific)	General Practice Dentistry	$0	$470

Daniel Martens — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References