Physician

Lainie P Martin, M.D.

According to 2025 Medicare claims, Lainie Martin, M.D. (NPI: 1316970239) practices hematopoietic cell transplantation and cellular therapy in the Philadelphia, PA market, with the plurality of this provider's patient population coming from Philadelphia, PA. This provider's primary affiliated billing organization is UNIVERSITY OF PENN-MEDICAL GROUP (NPI: 1679677975; TIN: 232743545) and primary practice location at 19104-5127.

Martin's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 138 traditional Medicare patients, billed 619 HCPCS/CPT codes, and received $43,594 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 146 prescription claims across 44 beneficiaries totaling $73,608 in drug costs, led by Eliquis (Apixaban). Open Payments data shows 44 records totaling $66,564. 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 moved up and down with repeated peaks and valleys, starting at $124,561 and ending at $73,608. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$22K$44K2015 Medicare payment: $34,535 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $35,407 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $27,234 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $14,655 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $20,873 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $34,949 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $29,982 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $29,811 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $34,304 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $43,594 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015130510$34,535
2016129493$35,407
2017116383$27,234
201897191$14,655
201984238$20,873
2020116377$34,949
202186276$29,982
2022104319$29,811
2023112347$34,304
2024138619$43,594

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$258K$516K2015 Drug cost: $124,561 (USD; Tot_Drug_Cst)2016 Drug cost: $139,716 (USD; Tot_Drug_Cst)2017 Drug cost: $75,736 (USD; Tot_Drug_Cst)2018 Drug cost: $29,094 (USD; Tot_Drug_Cst)2019 Drug cost: $236,575 (USD; Tot_Drug_Cst)2020 Drug cost: $515,535 (USD; Tot_Drug_Cst)2021 Drug cost: $380,043 (USD; Tot_Drug_Cst)2022 Drug cost: $159,536 (USD; Tot_Drug_Cst)2023 Drug cost: $339,356 (USD; Tot_Drug_Cst)2024 Drug cost: $73,608 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201538146$124,561
201650162$139,716
201743131$75,736
201845148$29,094
201943164$236,575
202053239$515,535
202145177$380,043
202254157$159,536
202347154$339,356
202444146$73,608

DME Billing Trend

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

No connected DME records

No connected DME records

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more4848$147
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more66201$113
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more4059$71
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1951$61
G2211Visit 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's75187$13

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban12360$6,987
Prochlorperazine MaleateProchlorperazine Maleate11123$114
Ondansetron HclOndansetron Hcl14131$83

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.9$16,708Genmab U.S., Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.35$49,855Hospital Of The Univ Of Penna
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Lainie P. Martin, M.D.?

Tedicare shows public-source Medicare data for Lainie P. Martin, M.D. (NPI 1316970239), 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 Lainie P. Martin, 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 Lainie P. Martin, M.D.?

Lainie P. Martin, M.D. is linked to UNIVERSITY OF PENN-MEDICAL GROUP (billing NPI 1679677975) in the available physician profile data.

Does Lainie P. Martin, M.D. have Open Payments data?

Lainie P. Martin, M.D. has 44 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.