Physician

Carlos O Martinez, M.D.

According to 2025 Medicare claims, Carlos Martinez, M.D. (NPI: 1841368933) practices nephrology in the Warner Robins, GA market, with the plurality of this provider's patient population coming from Houston, GA. This provider's primary affiliated billing organization is RENAL PHYSICIANS OF GEORGIA PC (NPI: 1851392476; TIN: 582518112) and primary practice location at 31093-3423. Martinez is affiliated with the TC2, LLC (ACO ID: A3365), participating under the MSSP model.

Martinez's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 672 traditional Medicare patients, billed 4,525 HCPCS/CPT codes, and received $402,268 in Medicare payments. The top billing code was 99233 (Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes). Part D data shows 7,749 prescription claims across 761 beneficiaries totaling $382,705 in drug costs, led by Velphoro (Sucroferric Oxyhydroxide). DME data shows 101 claims. Open Payments data shows 34 records totaling $735. 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 started with an early spike, then settled into a lower baseline, moving from $1,391,626 to $382,705. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $18,213 to $2,901.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	828	60,339	$606,476
2016	849	28,325	$604,530
2017	787	4,803	$495,787
2018	834	5,019	$557,143
2019	999	8,005	$768,696
2020	870	7,569	$714,408
2021	965	5,818	$629,316
2022	660	3,454	$476,986
2023	608	3,227	$443,135
2024	672	4,525	$402,268

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	632	12,221	$1,391,626
2016	659	12,915	$1,821,302
2017	672	11,694	$1,771,140
2018	712	11,063	$800,537
2019	827	11,137	$639,081
2020	766	10,768	$594,734
2021	662	7,694	$366,532
2022	575	5,926	$330,564
2023	624	5,840	$321,070
2024	761	7,749	$382,705

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	63	259	$15,234
2016	48	177	$8,881
2017	14	96	$21,700
2018	N/R	176	$8,823
2019	12	200	$5,686
2020	N/R	126	$6,246
2021	N/R	N/R	N/R
2022	N/R	97	$3,382
2023	N/R	151	$2,769
2024	N/R	101	$1,703

* / # = 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
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	160	692	$92
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	357	711	$72
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	330	563	$54
99231	Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	137	478	$39
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	252	319	$13

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Velphoro	Sucroferric Oxyhydroxide	25	802	$68,855
Xphozah	Tenapanor Hcl	13	450	$43,735
Eliquis	Apixaban	45	1,299	$25,466
Lokelma	Sodium Zirconium Cyclosilicate	42	1,492	$21,453
Procrit	Epoetin Alfa	19	542	$20,204

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
J7507	Tacrolimus, immediate release, oral, 1 mg	N	N/R	28	$961
Q0512	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period	N	N/R	33	$389
Q0511	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period	N	N/R	19	$339
J7512	Prednisone, immediate release or delayed release, oral, 1 mg	N	N/R	21	$15

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	34	$735	Mallinckrodt Hospital Products 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 Carlos O. Martinez, M.D.?

Tedicare shows public-source Medicare data for Carlos O. Martinez, M.D. (NPI 1841368933), 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 Carlos O. Martinez, M.D. have ACO affiliation data?

Carlos O. Martinez, M.D. is shown with ACO affiliation data for TC2, LLC (MSSP, ACO ID A3365).

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

Carlos O. Martinez, M.D. is linked to RENAL PHYSICIANS OF GEORGIA PC (billing NPI 1851392476) in the available physician profile data.

Does Carlos O. Martinez, M.D. have Open Payments data?

Carlos O. Martinez, M.D. has 34 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.