SERGIO MARTINEZ
Pulmonary Disease Physician · JACKSON HEIGHTS, NY
Individual Active NPI 1336171040
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 233 | 1,522 | $219,337 | $118,143 | $89,922 |
| 2023 | 265 | 1,710 | $250,709 | $145,055 | $109,811 |
| 2022 | 261 | 2,145 | $309,349 | $175,774 | $133,934 |
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 | 473 | $84 | $66 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 148 | $100 | $70 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 101 | $139 | $102 |
| 94640 | Inhalation treatment for airway obstruction or sputum production | 68 | $8 | $6 |
| 94729 | Test to examine how well the lungs exchange gases | 68 | $56 | $42 |
| 94726 | Test to determine lung volumes using sensors | 68 | $55 | $44 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 68 | $38 | $30 |
| 94621 | Test for exercise-induced heart and lung stress | 68 | $151 | $120 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 66 | $143 | $98 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 47 | $53 | $40 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 22 | $140 | $140 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 21 | $139 | $91 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 181742 | NY |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in New York
- NPI 1205173531
- NPI 1386605566
- NPI 1588957658
- NPI 1932119898
- NPI 1225748494
- NPI 1720329949
- NPI 1902918394
- NPI 1477700425
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.