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    OpenPayerNPI Medicare & MedicaidSergio Martinez
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    Sergio Martinez — Billing Profile & Reimbursement Data

    NPI 1982972345 · Orlando, FL · Orthopaedic Surgery Physician

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    Sergio Martinez is a orthopaedic surgery physician provider located in Orlando, Florida. This profile covers 11 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSergio Martinez
    Address5979 Vineland Rd Ste 101
    CityOrlando
    StateFL
    ZIP32819
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedDecember 13, 2011

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

    Payer SourceTotal Paid
    Medicare$356.5K
    Medicaid$0

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…130$1,030$134K
    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…810$70$53.7K
    27457In this procedure, the provider surgically removes a portion of the tibia bone near the knee and a portion of the fibula bone to assist with function and correcting deformities of the leg. Typically,…130$390$49.7K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.1,280$30$37.1K
    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…310$120$36.5K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…370$50$16.8K
    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…130$80$10.5K
    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…110$90$10.1K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…170$40$5.8K
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,540$1$1.5K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274474279030$1,230$58.9K
    27457410100$230$30K
    9921417,88632,760140$90$25K
    992131,33230,01080$60$12K
    2061155362060$80$9K
    206102682,83060$50$7K
    9920424519,04040$110$7K
    992031,31811,72040$70$4.4K
    7356221,72040$20$2K
    735022272,26050$20$1.9K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nam DinhFLOrthopaedic Surgery Physician$550.6K$0
    Vuong NguyenFLOrthopaedic Trauma Physician$393.9K$0
    Amit VarmaFLSports Medicine (Orthopaedic Surgery) Physician$169.9K$0
    Matthew WelshFLOrthopaedic Hand Surgery Physician$104.4K$0
    Marilyne EtienneFLPhysician Assistant$92.6K$0
    Amanda RoganFLSurgical Physician Assistant$83.8K$0
    Kelsey CalamaroFLPhysician Assistant$59.2K$0
    Dylan PapaFLPhysician Assistant$2.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    At Home Care Solutions Inc.FLHome Health Agency$0$31.7M
    Tlc Pediatric Therapies Inc.FLClinic/Center$0$11.8M
    Growing Together Pediatrics, LLCFLPrimary Care Clinic/Center$0$10.4M
    Wound Technology Network IncFLInfectious Disease Physician$0$10.1M
    Advanced Surgery Center Of Orlando LLCFLAmbulatory Surgical Clinic/Center$3.8M$0
    Erica MaillerFLMOHS-Micrographic Surgery Physician$919.8K$0
    Charles GarnetteFLVascular Surgery Physician$867.7K$0
    John MeisenheimerFLMOHS-Micrographic Surgery Physician$857.7K$0
    Sand Lake Surgicenter LLCFLAmbulatory Surgical Clinic/Center$713.3K$0
    Amr El ToukhyFLNephrology Physician$415.6K$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. Florida Distribution
    Sergio Martinez — 3 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida