Physician

Agustin Martinez, M.D.

According to 2025 Medicare claims, Agustin Martinez, M.D. (NPI: 1194762427) practices general practice in the Miami-Miami Beach-Kendall, FL market, with the plurality of this provider's patient population coming from Miami-Dade, FL. This provider's primary affiliated billing organization is AGUSTIN MARTINEZ M D P A (NPI: 1992892558; TIN: 651095564) and primary practice location at 33013-1855.

Martinez's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 389 traditional Medicare patients, billed 3,227 HCPCS/CPT codes, and received $226,482 in Medicare payments. The top billing code was 99222 (Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes). Part D data shows 26,139 prescription claims across 647 beneficiaries totaling $1,687,897 in drug costs, led by Eliquis (Apixaban). DME data shows 712 claims. Open Payments data shows 111 records totaling $300,884. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and rose steadily, from $8,414 to $28,119.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	630	5,272	$328,131
2016	767	4,289	$266,513
2017	676	4,963	$300,102
2018	553	7,171	$400,798
2019	604	6,199	$359,184
2020	591	6,127	$363,565
2021	571	5,604	$325,948
2022	515	5,695	$382,312
2023	431	3,950	$259,596
2024	389	3,227	$226,482

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	536	21,842	$1,152,150
2016	503	21,868	$1,138,164
2017	585	24,548	$1,202,586
2018	581	26,062	$1,275,140
2019	681	26,527	$1,402,628
2020	584	23,499	$1,385,197
2021	576	22,629	$1,334,718
2022	567	19,643	$1,332,493
2023	591	23,278	$1,590,415
2024	647	26,139	$1,687,897

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	23	201	$10,558
2016	42	298	$10,234
2017	86	522	$25,089
2018	213	1,057	$47,790
2019	318	1,488	$61,216
2020	229	1,479	$64,549
2021	157	1,340	$39,373
2022	123	1,009	$47,828
2023	83	669	$37,528
2024	64	712	$37,621

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	115	212	$113
99349	Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	100	264	$106
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	118	797	$67
99348	Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	75	146	$63
99490	Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	218	1,267	$53

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	526	10,501	$214,695
Linzess	Linaclotide	191	5,738	$107,056
Xarelto	Rivaroxaban	120	2,828	$54,179
Triumeq	Abacavir/Dolutegravir/Lamivudi	12	360	$46,435
Januvia	Sitagliptin Phosphate	135	2,120	$43,012

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	77	$10,719
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	N	N/R	52	$6,600
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	24	$4,441
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	12	67	$3,403
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	N	N/R	39	$3,362

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	5	$108	Salix Pharmaceuticals, a division of Bausch Health US, LLC
Research Payments	Reported research-related payment or transfer-of-value amount.	106	$300,776	Bausch Health US, LLC
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Agustin Martinez, M.D.?

Tedicare shows public-source Medicare data for Agustin Martinez, M.D. (NPI 1194762427), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Agustin Martinez, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Agustin Martinez, M.D.?

Agustin Martinez, M.D. is linked to AGUSTIN MARTINEZ M D P A (billing NPI 1992892558) in the available physician profile data.

Does Agustin Martinez, M.D. have Open Payments data?

Agustin Martinez, M.D. has 111 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.