Physician

Arturo Martinez, MD

According to 2025 Medicare claims, Arturo Martinez, MD (NPI: 1649563925) practices internal medicine in the McAllen-Edinburg-Mission, TX market, with the plurality of this provider's patient population coming from Hidalgo, TX. This provider's primary affiliated billing organization is PREMIER MEDICAL ASSOCIATES ,PLLC (NPI: 1912482167; TIN: 831983413) and primary practice location at 78501-2920.

Martinez's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 415 traditional Medicare patients, billed 11,598 HCPCS/CPT codes, and received $1,167,139 in Medicare payments. The top billing code was 99306 (Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more). Part D data shows 25,904 prescription claims across 686 beneficiaries totaling $1,874,743 in drug costs, led by Eliquis (Apixaban). DME data shows 205 claims. Open Payments data shows 24 records totaling $546. 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 sharply higher in recent years, from $110,443 to $1,167,139. Similarly, Part D prescription costs have moved sharply higher in recent years, from $43,051 to $1,874,743. In contrast, DME billing represents a smaller volume and rose steadily, from $951 to $17,183.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	505	1,519	$110,443
2016	449	1,306	$89,763
2017	656	1,362	$107,528
2018	542	1,246	$101,214
2019	599	2,049	$157,121
2020	506	2,303	$166,454
2021	445	2,339	$168,100
2022	427	2,218	$174,844
2023	454	2,021	$163,722
2024	415	11,598	$1,167,139

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	212	484	$43,051
2016	222	476	$16,134
2017	142	296	$19,569
2018	150	892	$43,027
2019	173	1,705	$84,148
2020	226	2,710	$163,324
2021	248	3,758	$274,515
2022	376	8,724	$562,365
2023	691	18,209	$1,728,141
2024	686	25,904	$1,874,743

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	38	$1,860
2017	N/R	48	$1,831
2018	N/R	28	$850
2019	N/R	94	$2,429
2020	N/R	50	$850
2021	N/R	75	$5,492
2022	N/R	34	$658
2023	N/R	182	$41,921
2024	22	205	$32,892

* / # = 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
99306	Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more	58	59	$118
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	62	315	$89
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	266	1,014	$78
99308	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more	205	1,083	$54
99497	Advance care planning, first 30 minutes	62	64	$51

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	936	13,403	$280,457
Ozempic	Semaglutide	87	3,089	$98,364
Xifaxan	Rifaximin	58	760	$85,040
Farxiga	Dapagliflozin Propanediol	172	3,160	$63,518
Trulicity	Dulaglutide	62	1,409	$51,429

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
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	25	$9,332
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	N	11	58	$8,607
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	11	46	$7,195
E1035	Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs	Y	N/R	12	$4,864
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	21	$1,826

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	24	$546	Novo Nordisk Inc
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
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 Arturo Martinez, MD?

Tedicare shows public-source Medicare data for Arturo Martinez, MD (NPI 1649563925), 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 Arturo Martinez, MD have ACO affiliation data?

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

What billing organization is linked to Arturo Martinez, MD?

Arturo Martinez, MD is linked to PREMIER MEDICAL ASSOCIATES ,PLLC (billing NPI 1912482167) in the available physician profile data.

Does Arturo Martinez, MD have Open Payments data?

Arturo Martinez, MD has 24 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.