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PROVIDER PROFILE · NPI 1780638445

Michael MartinezMD, FACS

PRACTICECARBON SURGICAL ASSOCIATES, PCSee all providers at this practice →
General SurgeryPalmerton, PAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PricingContactPrivacyTerms
QUALITY · MIPS · 2024
Final MIPS score
97.1
Quality
82.3
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.93%
APM Entity
PRESCRIBING · PART D · 2024
Total Rx claims
22
Beneficiaries
—
Total drug cost
$1K
Distinct drugs
2
Brand share
0.0%
Top prescribed drugs
Sucralfate11 claims
Ursodiol11 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
412
Unique beneficiaries
—
Total services
466
Distinct HCPCS
10
Medicare payment
$50K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,055 General Surgery providers in PA — top quintile (cohort median 277).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Michael 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). 39 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ST LUKE'S HOSPITAL230991
ST LUKES HOSPITAL53121
ZACHER, JOSEPH41119
Cheryl Lipson
Internal Medicine · Palmerton, PA
38131
Frank Romascavage
General Practice · Brodheadsville, PA
3090
Mian Shahid
Internal Medicine · Palmerton, PA
30132
Lehighton Ambulance Association Inc
Ambulance Service Provider · Lehighton, PA
2775
NPI 13664441762673
FISHER, ROBERT2661
PIRO, FRANK2553
SAYLOR, RANDALL2545
LEHIGH VALLEY HOSPITAL2357
Refers patients to
Outbound — where patients go next
No outbound pairs above the suppression threshold.
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.