Active NPI 1992007165 Individual Practitioner Male Practitioner

Dr. Jose Joaquin Marte-Santana , MD

Internal Medicine • Dover, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jose Marte-Santana, MD is a certified Internal Medicine practicing in Dover, DE. With approximately 25 years of clinical experience since completing medical education in 2001, Dr. Marte-Santana delivers high-quality medical care to the local community at 640 S STATE ST.

Dr. Marte-Santana maintains professional affiliations with Apogee Medical Group Delaware Inc, First Docs Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

640 S State St

Dover, DE 199013530

Telephone 3024305175

Fax 3024305060

Associated Practice Facility / Clinic

🏢 Bayhealth Medical Center / Kent General Hospital Facility NPI 1962495838

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Dover, DE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +1.1 yrs vs City Avg

City Avg: 23.9 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

47 Specialists

Practicing in Dover, DE (625 Statewide)

Telehealth Adoption Rate

17.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Marte-Santana (25 Years) 25 Yrs

Dover Specialty Average (23.9 Years) 23.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	391	184	$156.82	$77.94
99239 Hospital discharge day management, more than 30 minutes	116	115	$221.56	$113.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	114	68	$170.52	$116.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	100	99	$247.63	$169.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$444.16	$134.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	297	153	$102.22	$79.87
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	144	81	$146.26	$119.77
99239 Hospital discharge day management, more than 30 minutes	118	117	$142.57	$115.51
99231 Follow-up hospital inpatient care per day, typically 15 minutes	67	28	$56.00	$49.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	64	64	$220.20	$174.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	475	186	$114.09	$71.84
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	228	107	$133.99	$102.89
99239 Hospital discharge day management, more than 30 minutes	115	114	$154.28	$106.08
99231 Follow-up hospital inpatient care per day, typically 15 minutes	50	19	$50.62	$38.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	33	$199.80	$195.32
99226 Subsequent observation care, typically 35 minutes per day	33	31	$112.91	$102.11
99220 Hospital observation care, typically 70 minutes	25	25	$300.98	$180.91
99217 Hospital observation care on day of discharge	22	22	$114.29	$72.35
99238 Hospital discharge day management, 30 minutes or less	11	11	$120.58	$72.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	163	83	$107.38	$105.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	148	79	$74.14	$73.31
99239 Hospital discharge day management, more than 30 minutes	59	59	$112.71	$108.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	53	52	$288.04	$202.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	14	$39.98	$39.16
99220 Hospital observation care, typically 70 minutes	25	25	$219.88	$184.60
99217 Hospital observation care on day of discharge	21	21	$77.39	$73.75
99226 Subsequent observation care, typically 35 minutes per day	16	15	$106.47	$105.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	467	243	$75.40	$74.43
99239 Hospital discharge day management, more than 30 minutes	132	132	$113.69	$109.59
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	93	68	$113.02	$107.12
99231 Follow-up hospital inpatient care per day, typically 15 minutes	80	34	$40.55	$40.78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	60	59	$208.43	$210.06
99217 Hospital observation care on day of discharge	47	47	$82.25	$75.33
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	37	11	$100.00	$71.05
99220 Hospital observation care, typically 70 minutes	37	37	$236.51	$191.85
99225 Subsequent observation care, typically 25 minutes per day	31	22	$75.25	$74.90
99306 Initial nursing facility visit, typically 45 minutes per day	31	30	$180.00	$171.29
99226 Subsequent observation care, typically 35 minutes per day	19	18	$107.63	$109.14
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	15	11	$150.00	$138.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$141.60	$142.13
99291 Critical care, first 30-74 minutes	14	12	$245.51	$231.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	780	374	$76.40	$74.48
99239 Hospital discharge day management, more than 30 minutes	213	210	$113.30	$109.49
99231 Follow-up hospital inpatient care per day, typically 15 minutes	126	56	$41.62	$40.43
99306 Initial nursing facility visit, typically 45 minutes per day	87	74	$180.00	$171.23
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	67	53	$111.12	$103.96
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	64	40	$150.00	$139.24
99316 Nursing facility discharge management, more than 30 minutes	60	56	$130.00	$108.65
99220 Hospital observation care, typically 70 minutes	59	59	$226.46	$190.45
99217 Hospital observation care on day of discharge	59	59	$82.96	$75.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	56	$141.59	$140.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	52	51	$213.24	$204.18
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	45	32	$100.00	$70.73
99225 Subsequent observation care, typically 25 minutes per day	34	28	$75.49	$75.01
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	13	11	$100.00	$94.09
99291 Critical care, first 30-74 minutes	12	11	$230.13	$228.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	589	278	$149.59	$74.14
99239 Hospital discharge day management, more than 30 minutes	167	165	$220.98	$109.75
99231 Follow-up hospital inpatient care per day, typically 15 minutes	126	49	$79.46	$39.97
99306 Initial nursing facility visit, typically 45 minutes per day	78	66	$180.00	$169.75
99217 Hospital observation care on day of discharge	35	35	$151.41	$74.57
99225 Subsequent observation care, typically 25 minutes per day	28	23	$143.67	$74.45
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	24	23	$140.00	$132.73
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	16	$202.68	$106.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	716	317	$93.54	$73.12
99239 Hospital discharge day management, more than 30 minutes	209	203	$145.83	$108.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	87	85	$143.00	$139.32
99231 Follow-up hospital inpatient care per day, typically 15 minutes	78	34	$51.16	$39.94
99217 Hospital observation care on day of discharge	53	53	$99.64	$74.08
99220 Hospital observation care, typically 70 minutes	40	40	$191.43	$188.48
99225 Subsequent observation care, typically 25 minutes per day	31	29	$95.83	$74.06
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	29	25	$135.33	$105.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$216.25	$202.65
99291 Critical care, first 30-74 minutes	19	14	$230.85	$227.33
99238 Hospital discharge day management, 30 minutes or less	13	13	$87.33	$73.66

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License VA 0101252775

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Apogee Medical Group Delaware Inc

640 S State St, Dover, DE 199013530

Phone: 3026744700

First Docs Pc

5651 Limestone Rd, Wilmington, DE 198081217

Phone: 3126350973

Apogee Medical Group Delaware Inc

100 Wellness Way, Milford, DE 199634364

Phone: 3024305175

Apogee Medical Group Delaware Inc

801 Middleford Rd, Seaford, DE 199733636

Phone: 3026296611

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Deepak Kumar

Internal Medicine

NPI 1104478940

Dr. Muhammad Syed , MD

Hospitalist

NPI 1336378330

Doctor of Medicine (M.D.)

Dr. Muhammad Umair , MD

Internal Medicine

NPI 1396231577

Doctor of Medicine (M.D.)

Megan Wentling , AGACNP

Nurse Practitioner - Acute Care

NPI 1467274787

Adult-Gerontology Acute Care Nurse Practitioner

Dr. Nana Yaw Darkwa , MD

Hospitalist

NPI 1770607376

Doctor of Medicine (M.D.)

Dr. Immad Attique , MD

Internal Medicine

NPI 1780246728

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location May 10, 2019

Registered at 640 S STATE ST, DOVER, DE 199013530 (Tel: 3024305175)

📍

Updated Business Mailing Address May 10, 2019

Registered at 640 S STATE ST, DOVER, DE 199013530 (Tel: 3024305175)

✅

NPI Profile Active May 17, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 17, 2013

Registered at 760 BROADWAY, BROOKLYN, NY 112065317 (Tel: 7189638000)

📍

Updated Business Mailing Address May 17, 2013

Registered at 125 BUENA VISTA CIR, SOUTH HILL, VA 239701431 (Tel: 4344473151)

👤

Provider Name / Credentials Updated May 17, 2013

Recorded as JOSE MARTE-SANTANA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2013

Internal Medicine (License #0101252775 in VA)

🟢

Initial NPI Registration & Enumeration November 22, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1992007165

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 22, 2010

Last Update: May 10, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

640 S State St

Dover, DE 199013530

Phone: 3024305175

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.