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    OpenPayerNPI Medicare & MedicaidJesus Martinez
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    Jesus Martinez — Billing Profile & Reimbursement Data

    NPI 1902933286 · Rockville, MD · Ophthalmology Physician

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    Jesus Martinez is a ophthalmology physician provider located in Rockville, Maryland. This profile covers 26 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJesus Martinez
    Address11300 Rockville Pike
    CityRockville
    StateMD
    ZIP20852
    TaxonomyOphthalmology Physician
    NPI EnumeratedFebruary 27, 2007

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

    Payer SourceTotal Paid
    Medicare$443K
    Medicaid$14.6K

    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…250$460$116K
    65778The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens.60$1,260$69.3K
    99214The 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…500$100$49.7K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.80$300$23.8K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…30$610$18.9K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…610$30$18.9K
    65820The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma.20$750$15.8K
    99204The provider sees a new 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 provider…120$120$14.9K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…220$60$13.8K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.380$30$12.4K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6698469250130$630$172.5K
    6577841040$1,250$61.1K
    65820354030$1,150$53.9K
    92014495620210$90$44K
    669825213030$710$34.3K
    992141,74310,270150$90$24.1K
    92134130490110$30$17.3K
    668216122050$250$16.8K
    92012104360100$70$14.4K
    992134,1459,280100$60$12.5K

    Showing 1–10 of 26

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92340Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal320$20$7.6K
    99213The 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…90$70$6K
    99203The 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…10$90$1.2K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Maryland median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99213The 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…2,5503,280610$80$296.1K
    99203The 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…666730110$70$81.9K
    92340Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal2790170$10$7.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Visionary Ophthalmology LLCMDOphthalmology Physician$0$5.2M
    Thomas JohnsonVARetina Specialist (Ophthalmology) Physician$3.6M$0
    Travis PeckMDOphthalmology Physician$2.5M$0
    Joshua LevinsonMDRetina Specialist (Ophthalmology) Physician$2.4M$0
    William PhillipsMDRetina Specialist (Ophthalmology) Physician$2.4M$0
    Sneha PadidamMDRetina Specialist (Ophthalmology) Physician$1.6M$0
    Brian DoMDRetina Specialist (Ophthalmology) Physician$1.2M$0
    Mariam MathaiMDRetina Specialist (Ophthalmology) Physician$1.1M$4.2K
    Musa AbdelazizTXRetina Specialist (Ophthalmology) Physician$693.1K$0
    Michael SummerfieldMDOphthalmology Physician$648.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mid Atlantic Pemanente Medical GroupMDHealth Maintenance Organization$0$317.3M
    Adult Day Health, Inc.MDAdult Day Care Clinic/Center$0$17.5M
    Montgomery County Maryland GovernmentMDLocal Education Agency (LEA)$0$12.6M
    Reginald S Lourie Center For Infants & Young ChildrenMDClinic/Center$0$6.5M
    Harcart Health Holdings, LLCMDEmergency Medicine Physician$0$5.5M
    Jewish Social Service AgencyMDCommunity Based Hospice Care Agency$0$4.5M
    Rockville Pediatric Dental LLCMDPediatric Dentistry$0$4.4M
    Behavioral Framework, LLCMDCommunity/Behavioral Health Agency$0$4.3M
    Vinay DesaiMDRetina Specialist (Ophthalmology) Physician$2.5M$0
    James XuMDHematology & Oncology Physician$1.6M$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. Maryland Distribution
    Jesus Martinez — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland
    Medicaid Revenue by Year vs. Maryland Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maryland Distribution
    Jesus Martinez — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland