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PROVIDER PROFILE · NPI 1366476897

Carlos MartinezM.D.

PRACTICECARLOS L MARTINEZ MD PCSee all providers at this practice →
RheumatologyWest Seneca, NYI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
92.7
Quality
77.1
Cost
98.7
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.75%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
1,172
Beneficiaries
—
Total drug cost
$138K
Distinct drugs
27
Brand share
29.9%
Top prescribed drugs
Prednisone193 claims
Methotrexate Sodium158 claims
Hydrocodone/Acetaminophen119 claims
Celecoxib112 claims
Leflunomide86 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
589
Unique beneficiaries
—
Total services
2,073
Distinct HCPCS
9
Medicare payment
$105K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 402 Rheumatology providers in NY — top quintile (cohort median 1,221).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$3K
Payment records
111
By payment type
Food and Beverage$3K
Top paying entities
Food and Beverage$3K
REFERRAL NETWORK

Where Carlos 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). 4 inbound referrers · 7 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SISTERS OF CHARITY HOSPITAL2246
MERCY HOSPITAL OF BUFFALO2026
KALEIDA HEALTH1217
ERIE COUNTY MEDICAL CENTER CORPORATION1119
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Quest Diagnostics Of Pennsylvania, Inc.
Clinical Laboratory · Pittsburgh, PA
91228
SISTERS OF CHARITY HOSPITAL OF BUFFALO NEW YORK47116
Steven Hodkin
Physician Assistant · West Seneca, NY
3254
MERCY HOSPITAL OF BUFFALO1923
SISTERS OF CHARITY HOSPITAL1648
KALEIDA HEALTH1357
ERIE COUNTY MEDICAL CENTER CORPORATION1122
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.