Dr. Carlos Martinez, MD
2291 Union Rd, West Seneca, NY 14224 • +1-834-555-6905
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & West Seneca Percentiles
NPI #1366476897 • CBSA Regional • Rheumatology
Operating out of West Seneca, NY (2291 Union Rd), Rheumatology clinician Dr. Carlos Martinez, MD (accredited MD/DO training, 1998) maintains a focused low-volume boutique caseload (0th West Seneca percentile) (57.02th NY percentile; Z-score -0.37σ across 13,758 documented services) with sub-specialty concentration in 29 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 2291 Union Rd shows Dr. Carlos Martinez's primary concentration in Autoimmune Arthritis & Biologic/DMARD Safety Evaluation (code 99214: 517x/yr, 12th local percentile) alongside Large Joint Synovial Arthrocentesis or Corticosteroid Injection (20610: 236x/yr, $40–$55).
Uninsured and high-deductible cash patients visiting Dr. Carlos Martinez in West Seneca (14224) face an estimated $232.00 initial evaluation fee at 2291 Union Rd (in-person clinic visits only; 13-minute average reception wait; bedside manner 4.62/5 from 15 verified reports).
Clinical background for Dr. Martinez (MD, NPI #1366476897) includes accredited doctoral training (1998, 28 yrs in practice) and dedicated on-site consultations at 2291 Union Rd.
Compared against West Seneca, NY Rheumatology peers
13,758 annual services across 405 beneficiaries
Standard deviations from NY Rheumatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Autoimmune Arthritis & Biologic/DMARD Safety Evaluation | 517 | 12th | $50 – $69 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 236 | 12th | $40 – $55 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 169 | 12th | $69 – $95 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 112 | 12th | $52 – $72 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 90 | 12th | $69 – $95 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (29 HCPCS billing breadth) | 12,634 | 0th | $45 – $65 |
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Dr. Carlos Martinez, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Martinez National Provider Identifier | NPI #1366476897 (MD) | CMS NPPES Registry (14224) |
| Dr. Martinez West Seneca CMS Volume Rank | 0.00th Pct (13,758 CMS svcs; Z -0.374σ) | CMS Medicare Part B (NY Rheumatology) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (West Seneca, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 13 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.62/5 Listening • 4.79/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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