AGUSTIN MARTINEZ, M.D.
General Practice Physician · HIALEAH, FL
Individual Active NPI 1194762427
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 389 | 3,227 | $625,765 | $284,599 | $226,482 |
| 2023 | 431 | 3,950 | $649,875 | $324,577 | $259,596 |
| 2022 | 515 | 5,695 | $1,058,360 | $476,467 | $382,312 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,267 | $67 | $53 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 797 | $84 | $67 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 264 | $135 | $106 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 212 | $141 | $113 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 146 | $80 | $63 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 101 | $97 | $72 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 90 | $136 | $101 |
| 99238 | Hospital discharge day management, 30 minutes or less | 75 | $86 | $69 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 62 | $138 | $138 |
| 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 | 50 | $51 | $40 |
| 97550 | Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community, initial 30 minutes | 26 | $55 | $44 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 20 | $3 | $3 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ✓ | ME82266 | FL |
| Family Medicine Physician | 207Q00000X | ME82266 | FL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other General Practice Physician providers in Florida
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- NPI 1184600637
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.