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.

Orvil Martinez (NPI 1861649709)

Field	Value
Entity Type	Individual
Organization	Orvil Martinez
Address	Hc 1 Box 4042
City	Utuado
State	PR
ZIP	00641
Taxonomy	General Practice Physician
NPI Enumerated	August 21, 2008

Payer Source	Total Paid
Medicare	$5K
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
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…	60	$50	$2.8K
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…	50	$30	$1.5K
99443	N/A	40	$20	$720

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

Orvil Martinez — 0 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	188	470	50	$80	$6.6K
99213	770	1,530	50	$60	$4.2K
99443	3	10	20	$80	$2.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hector Rodriguez Miranda	PR	Physical Therapist	$0	$1.1M
Laboratorio Clinico El Vivi	PR	Clinical Medical Laboratory	$0	$974K
Eva Henao	PR	General Practice Dentistry	$0	$791.7K
Ruth Velez	PR	Speech-Language Pathologist	$0	$681.7K
Laboratorio Clinico Otoao LLC	PR	Clinical Medical Laboratory	$0	$677.2K
Laboratorio Clinico Bacteriologico Santiago Inc	PR	Clinical Medical Laboratory	$2K	$666.6K
Walgreen Co	PR	Pharmacy	$44.8K	$0

Orvil Martinez — Billing Profile & Reimbursement Data

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Orvil 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

Nearby Providers

Frequently Asked Questions

References