CARLOS MARTINEZ, M.D.
Nephrology Physician · MACON, GA
Individual Active NPI 1841368933
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 672 | 4,525 | $604,019 | $528,117 | $402,268 |
| 2023 | 608 | 3,227 | $664,868 | $569,749 | $443,135 |
| 2022 | 660 | 3,454 | $715,287 | $625,261 | $476,986 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 711 | $109 | $72 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 692 | $116 | $92 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 563 | $78 | $54 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 478 | $49 | $39 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 367 | $350 | $276 |
| 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 | 319 | $16 | $13 |
| 99291 | Critical care, first 30-74 minutes | 306 | $209 | $167 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 175 | $78 | $63 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 120 | $290 | $228 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 81 | $169 | $120 |
| 90966 | Home dialysis services per month (20 years or older) | 51 | $291 | $220 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 45 | $129 | $104 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | 031793 | GA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Nephrology Physician providers in Georgia
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.