Physician

Mark L Martinez, MD

According to 2025 Medicare claims, Mark Martinez, MD (NPI: 1508861964) practices internal medicine in the Salt Lake City-Murray, UT market, with the plurality of this provider's patient population coming from Salt Lake, UT. This provider's primary affiliated billing organization is SCENIC WAY LLC (NPI: 1952175127; TIN: 93-3695369) and primary practice location at 84065-4022. Martinez is affiliated with the Castell Accountable Care, LLC (ACO ID: D0136), participating under the REACH model.

Martinez's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 231 traditional Medicare patients, billed 4,092 HCPCS/CPT codes, and received $346,945 in Medicare payments. The top billing code was 99310 (Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes). Part D data shows 8,643 prescription claims across 344 beneficiaries totaling $693,472 in drug costs, led by Eliquis (Apixaban). DME data shows 755 claims. Open Payments data shows 2 records totaling $7,626. 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 has moved up and down with repeated peaks and valleys, starting at $242,086 and ending at $346,945. Concurrently, Part D prescription costs have risen steadily, from $155,033 to $693,472. For DME billing, reported payments rose steadily, from $23,573 to $206,131.

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$190K$380K2015 Medicare payment: $242,086 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $236,800 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $285,870 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $295,177 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $307,571 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $379,812 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $298,138 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $184,896 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $159,336 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $346,945 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152543,222$242,086
20162923,386$236,800
20173403,921$285,870
20182563,849$295,177
20192343,940$307,571
20203924,931$379,812
20214224,208$298,138
20224752,708$184,896
20232562,084$159,336
20242314,092$346,945

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$502K$1.0M2015 Drug cost: $155,033 (USD; Tot_Drug_Cst)2016 Drug cost: $210,717 (USD; Tot_Drug_Cst)2017 Drug cost: $303,690 (USD; Tot_Drug_Cst)2018 Drug cost: $151,572 (USD; Tot_Drug_Cst)2019 Drug cost: $75,802 (USD; Tot_Drug_Cst)2020 Drug cost: $130,767 (USD; Tot_Drug_Cst)2021 Drug cost: $430,330 (USD; Tot_Drug_Cst)2022 Drug cost: $927,484 (USD; Tot_Drug_Cst)2023 Drug cost: $1,004,772 (USD; Tot_Drug_Cst)2024 Drug cost: $693,472 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015492,186$155,033
2016912,562$210,717
20171504,224$303,690
20181131,922$151,572
2019671,237$75,802
20201571,989$130,767
20211734,649$430,330
202238911,786$927,484
202339913,371$1,004,772
20243448,643$693,472

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$128K$255K2015 Medicare payment: $21,888 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $51,455 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $84,326 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $96,237 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $92,613 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $40,859 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $54,390 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $96,648 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $229,846 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $255,258 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R152$21,888
201635356$51,455
201760612$84,326
201867832$96,237
201950645$92,613
202011291$40,859
202154447$54,390
2022131923$96,648
20231191,287$229,846
202472755$255,258

* / # = 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
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes951,834$105
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes40188$81
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes931,383$74
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes40258$53
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month58226$42

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban2924,036$88,071
Norditropin FlexproSomatropin12300$66,975
Sevelamer CarbonateSevelamer Carbonate35725$24,006
BudesonideBudesonide1181,833$19,582
Potassium ChloridePotassium Chloride2145,064$18,598

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E0467Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all accessories, components and supplies for all functionsY25174$179,012
A4629Tracheostomy care kit for established tracheostomyN18144$19,950
A7526Tracheostomy tube collar/holder, eachN18147$15,858
A4623Tracheostomy, inner cannulaNN/R35$12,004
B4035Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tapeN1144$6,761

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.0$0N/R
Research PaymentsReported research-related payment or transfer-of-value amount.2$7,626AstraZeneca Pharmaceuticals LP
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Mark L. Martinez, MD?

Tedicare shows public-source Medicare data for Mark L. Martinez, MD (NPI 1508861964), 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 Mark L. Martinez, MD have ACO affiliation data?

Mark L. Martinez, MD is shown with ACO affiliation data for Castell Accountable Care, LLC (REACH, ACO ID D0136).

What billing organization is linked to Mark L. Martinez, MD?

Mark L. Martinez, MD is linked to SCENIC WAY LLC (billing NPI 1952175127) in the available physician profile data.

Does Mark L. Martinez, MD have Open Payments data?

Mark L. Martinez, MD has 2 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.