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PROVIDER PROFILE · NPI 1093825259

Kenneth MartinezM.D.

NeurologyAliso Viejo, CAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (6)

CCN 058341
Home health agency
CCN 059256
Home health agency
CCN 559093
Home health agency
CCN 050224
Hospital
CCN 050567
Hospital
CCN 050603
Hospital
REFERRAL NETWORK

Where Kenneth Martinez's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 14 inbound referrers · 31 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Unilab Corporation
Clinical Laboratory · West Hills, CA
166508
SADDLEBACK MEMORIAL MEDICAL CENTER84195
Steven Sorenson
Diagnostic Radiology · Redlands, CA
2852
HARRIS HISTOLOGY SERVICES2333
HERREN ENTERPRISES INC1935
Christopher Duma
Neurosurgery · Newport Beach, CA
1893
Navid Jahed
Diagnostic Radiology · Mission Viejo, CA
1858
Jeffrey Dym
Diagnostic Radiology · Laguna Niguel, CA
1834
ESPINA, SHEILA17124
MAIOLFI, CAROL1375
Talal Beydoun
Diagnostic Radiology · Mission Viejo, CA
1314
Elliott Fankuchen
Diagnostic Radiology · Laguna Beach, CA
1218
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Unilab Corporation
Clinical Laboratory · West Hills, CA
177603
MISSION HOSPITAL REGIONAL MEDICAL CENTER100185
Laboratory Corporation Of America
Clinical Laboratory · San Diego, CA
80171
SADDLEBACK MEMORIAL MEDICAL CENTER77200
Geoffrey Sigmund
Diagnostic Radiology · Orange, CA
5081
HOAG MEMORIAL HOSPITAL PRESBYTERIAN29122
Steven Sorenson
Diagnostic Radiology · Redlands, CA
2954
UNIVERSITY OF CALIFORNIA IRVINE2896
ESPINA, SHEILA21161
Navid Jahed
Diagnostic Radiology · Mission Viejo, CA
2141
HERREN ENTERPRISES INC2029
Christopher Duma
Neurosurgery · Newport Beach, CA
2085
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
4,442
Unique beneficiaries
—
Total services
196,195
Distinct HCPCS
37
Medicare payment
$1.8M
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,670 Neurology providers in CA — top quintile (cohort median 581).
PRESCRIBING · PART D · 2024
Total Rx claims
2,535
Beneficiaries
—
Total drug cost
$1.7M
Distinct drugs
57
Brand share
34.8%
Top prescribed drugs
Carbidopa/Levodopa219 claims
Donepezil Hcl135 claims
Memantine Hcl121 claims
Gabapentin113 claims
Duloxetine Hcl109 claims
QUALITY · MIPS · 2024
Final MIPS score
22.7
Quality
0.0
Cost
75.7
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
-6.27%
Individual
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$41K
Payment records
361
By payment type
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$24K
Food and Beverage$9K
Consulting Fee$6K
Travel and Lodging$3K