Physician

Mario A Martinez, M.D.

According to 2025 Medicare claims, Mario Martinez, M.D. (NPI: 1861401739) practices internal medicine in the Corpus Christi, TX market, with the plurality of this provider's patient population coming from Nueces, TX. This provider's primary affiliated billing organization is PRIMARY & DIAGNOSTIC MEDICAL CENTERS OF TEXAS (NPI: 1073627071) and primary practice location at 78415-5814. Martinez is affiliated with the Main Street Rural Health Cottonwood ACO LLC (ACO ID: A5439), participating under the MSSP model.

Martinez's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 444 traditional Medicare patients, billed 5,133 HCPCS/CPT codes, and received $382,085 in Medicare payments. The top billing code was 93306 (Ultrasound of heart with color-depicted blood flow, rate, direction and valve function). Part D data shows 5,277 prescription claims across 559 beneficiaries totaling $510,482 in drug costs, led by Ozempic (Semaglutide). DME data shows 223 claims. Open Payments data shows 2 records totaling $48. 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 from a higher plateau to a lower plateau, from $1,086,975 to $510,482. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $31,177 and ending at $16,828.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	774	17,904	$800,141
2016	864	28,338	$1,060,673
2017	748	14,050	$693,078
2018	659	11,308	$621,305
2019	624	14,743	$729,357
2020	603	14,907	$729,525
2021	605	13,472	$842,552
2022	592	21,221	$956,837
2023	512	6,715	$480,307
2024	444	5,133	$382,085

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	748	13,013	$1,086,975
2016	867	15,340	$1,573,570
2017	794	9,489	$1,110,834
2018	748	7,785	$945,705
2019	661	6,249	$805,289
2020	598	4,993	$563,685
2021	682	5,863	$710,693
2022	613	5,372	$657,479
2023	504	4,469	$536,023
2024	559	5,277	$510,482

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	455	1,222	$42,108
2016	431	1,319	$32,016
2017	345	981	$25,690
2018	243	826	$20,816
2019	264	903	$26,003
2020	142	687	$22,560
2021	109	489	$21,677
2022	84	403	$20,103
2023	67	352	$18,278
2024	25	223	$10,272

* / # = 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
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	233	238	$128
93880	Ultrasound of both sides of head and neck blood flow	245	252	$121
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	325	746	$86
76536	Ultrasound scan of head and neck soft tissue	217	267	$69
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	348	972	$50

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	75	3,538	$113,699
Mounjaro	Tirzepatide	37	1,558	$55,476
Eliquis	Apixaban	35	1,964	$33,899
Rybelsus	Semaglutide	18	1,020	$28,245
Jardiance	Empagliflozin	21	990	$19,625

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
A7031	Face mask interface, replacement for full face mask, each	N	N/R	20	$1,941
K0825	Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds	Y	N/R	11	$1,855
A7030	Full face mask used with positive airway pressure device, each	N	N/R	20	$1,537
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	21	$1,340
E0601	Continuous positive airway pressure (cpap) device	Y	N/R	37	$950

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$48	Alexion Pharmaceuticals, 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 Mario A. Martinez, M.D.?

Tedicare shows public-source Medicare data for Mario A. Martinez, M.D. (NPI 1861401739), 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 Mario A. Martinez, M.D. have ACO affiliation data?

Mario A. Martinez, M.D. is shown with ACO affiliation data for Main Street Rural Health Cottonwood ACO LLC (MSSP, ACO ID A5439).

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

Mario A. Martinez, M.D. is linked to PRIMARY & DIAGNOSTIC MEDICAL CENTERS OF TEXAS (billing NPI 1073627071) in the available physician profile data.

Does Mario A. Martinez, M.D. have Open Payments data?

Mario A. Martinez, M.D. 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.