CARLOS DURAN-MARTINEZ, M.D
Nephrology Physician · FORT LAUDERDALE, FL
Individual Active NPI 1013229707
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 586 | 3,136 | $591,313 | $302,840 | $233,510 |
| 2023 | 629 | 2,603 | $569,100 | $285,894 | $219,559 |
| 2022 | 568 | 2,328 | $549,301 | $267,674 | $202,256 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1,064 | $79 | $62 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 459 | $17 | $13 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 262 | $183 | $136 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 250 | $119 | $94 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 186 | $129 | $89 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 156 | $174 | $135 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 98 | $63 | $50 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 97 | $353 | $281 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 90 | $133 | $100 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 75 | $48 | $38 |
| 36415 | Insertion of needle into vein for collection of blood sample | 38 | $6 | $6 |
| 80069 | Kidney function blood test panel | 36 | $9 | $9 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | ME119578 | FL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Nephrology Physician providers in Florida
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- NPI 1184726978
- NPI 1720002363
- NPI 1619073087
- NPI 1619547262
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.