Active NPI 1194762427 Individual Practitioner Male Practitioner

Dr. Agustin Martinez , MD

General Practice • Hialeah, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Agustin Martinez, MD is a certified General Practice practicing in Hialeah, FL. With approximately 44 years of clinical experience since completing medical education in 1982, Dr. Martinez delivers high-quality medical care to the local community at 250 E 49TH ST.

Dr. Martinez is affiliated with Agustin Martinez M D P A and accepts Medicare assignment.

Frequently performed procedures and clinical services include chronic care management services, first, subsequent hospital care with moderate levelof medical decision making, if using time, at least, residence visit for established patient with moderate level of medical decision making, per day, 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

250 E 49th St

Hialeah, FL 330131855

Telephone 3058226885

Fax 3058259965

Associated Practice Facility / Clinic

🏢 Agustin Martinez M D P A Facility NPI 1992892558

Medicare Profile & Education

Medical School

Other

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Hialeah, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs +8.3 yrs vs City Avg

City Avg: 35.7 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

115 Specialists

Practicing in Hialeah, FL (2490 Statewide)

Telehealth Adoption Rate

12.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Martinez (44 Years) 44 Yrs

Hialeah Specialty Average (35.7 Years) 35.7 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
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,267	218	$70.00	$66.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	797	118	$225.00	$84.31
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	264	100	$400.00	$135.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	212	115	$450.00	$141.23
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	146	75	$270.00	$80.35
99213 Established patient office or other outpatient visit, typically 15 minutes	101	42	$200.00	$96.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	42	$301.11	$135.98
99238 Hospital discharge day management, 30 minutes or less	75	58	$225.00	$86.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	62	62	$250.00	$138.24
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	50	44	$100.00	$50.77
97550 Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or community, initial 30 minutes	26	24	$60.00	$54.96
82962 Blood glucose (sugar) test performed by hand-held instrument	20	12	$25.00	$3.21
99496 Transitional care management services for problem of high complexity	19	18	$235.00	$235.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,943	263	$70.00	$66.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	809	139	$225.00	$84.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	234	135	$450.00	$140.77
99213 Established patient office or other outpatient visit, typically 15 minutes	194	76	$200.36	$95.75
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	124	95	$100.00	$49.34
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	118	62	$269.41	$79.74
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	111	61	$400.00	$135.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	78	78	$250.00	$135.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	43	$298.72	$135.17
99238 Hospital discharge day management, 30 minutes or less	64	52	$225.00	$86.11
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	36	15	$225.00	$79.27
82962 Blood glucose (sugar) test performed by hand-held instrument	31	18	$25.00	$3.21
99496 Transitional care management services for problem of high complexity	20	17	$235.00	$231.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	2,112	272	$70.00	$68.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,894	221	$225.00	$77.32
99335 Established patient assisted living visit, typically 25 minutes	440	161	$300.00	$101.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	354	184	$450.00	$148.37
99213 Established patient office or other outpatient visit, typically 15 minutes	260	91	$200.00	$98.47
99238 Hospital discharge day management, 30 minutes or less	145	104	$225.00	$77.53
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	112	44	$225.00	$74.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	109	109	$250.00	$140.44
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	99	74	$100.00	$51.79
82962 Blood glucose (sugar) test performed by hand-held instrument	25	15	$25.00	$3.22
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	25	13	$325.00	$110.78
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	24	24	$300.00	$180.25
99496 Transitional care management services for problem of high complexity	22	21	$235.00	$234.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	13	$300.00	$137.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	2,280	297	$70.00	$44.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,748	219	$224.66	$78.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	318	196	$450.00	$150.28
99213 Established patient office or other outpatient visit, typically 15 minutes	297	108	$200.00	$99.39
99335 Established patient assisted living visit, typically 25 minutes	237	146	$300.00	$102.82
99238 Hospital discharge day management, 30 minutes or less	149	102	$225.00	$78.64
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	147	57	$225.00	$75.48
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	121	101	$55.00	$40.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	110	110	$250.00	$143.91
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	76	32	$225.00	$75.48
82962 Blood glucose (sugar) test performed by hand-held instrument	28	20	$25.00	$3.28
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$300.00	$181.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$300.00	$141.84

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	2,621	256	$224.71	$79.96
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,997	284	$70.00	$45.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	419	219	$450.00	$155.21
99213 Established patient office or other outpatient visit, typically 15 minutes	274	118	$200.00	$63.13
99335 Established patient assisted living visit, typically 25 minutes	173	130	$300.00	$103.87
99238 Hospital discharge day management, 30 minutes or less	171	119	$225.00	$80.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	97	97	$250.00	$124.68
90756 Vaccine for influenza for injection into muscle	70	69	$55.00	$26.13
G0008 Administration of influenza virus vaccine	65	64	$49.74	$17.45
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	53	35	$225.00	$76.17
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	50	32	$225.00	$76.56
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	44	32	$325.00	$115.60
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	24	21	$30.00	$15.03
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$300.00	$182.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	2,360	314	$70.00	$44.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	2,011	262	$225.04	$80.00
99213 Established patient office or other outpatient visit, typically 15 minutes	401	133	$200.00	$80.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	348	210	$450.14	$151.86
99238 Hospital discharge day management, 30 minutes or less	225	145	$225.00	$79.94
99335 Established patient assisted living visit, typically 25 minutes	169	92	$300.00	$103.38
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	155	53	$221.13	$75.06
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	95	95	$250.00	$125.37
82962 Blood glucose (sugar) test performed by hand-held instrument	74	40	$25.00	$3.21
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	69	48	$325.00	$114.18
99496 Transitional care management services for problem of high complexity	30	27	$235.00	$230.67
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	28	28	$300.00	$185.51
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	28	27	$100.00	$97.83
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	24	20	$225.00	$75.06
G0008 Administration of influenza virus vaccine	20	20	$50.00	$17.45
90756 Vaccine for influenza for injection into muscle	20	20	$55.00	$24.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	2,197	320	$70.00	$43.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,534	195	$225.00	$76.73
99213 Established patient office or other outpatient visit, typically 15 minutes	800	208	$200.19	$75.60
99335 Established patient assisted living visit, typically 25 minutes	474	162	$300.00	$98.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	327	188	$450.00	$145.33
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	284	44	$225.00	$72.40
82962 Blood glucose (sugar) test performed by hand-held instrument	213	64	$25.00	$3.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	166	166	$250.90	$120.25
G0008 Administration of influenza virus vaccine	146	146	$50.00	$21.41
99238 Hospital discharge day management, 30 minutes or less	145	101	$225.00	$76.66
90756 Vaccine for influenza for injection into muscle	143	143	$54.86	$22.33
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	113	29	$225.00	$72.44
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	81	81	$300.62	$177.50
99496 Transitional care management services for problem of high complexity	69	51	$235.00	$231.24
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	45	40	$100.00	$95.16
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	33	21	$100.00	$42.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	30	$299.22	$111.38
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	31	31	$150.00	$55.71
J1885 Injection, ketorolac tromethamine, per 15 mg	29	13	$19.66	$0.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	18	$29.83	$20.87
99326 New patient assisted living visit, typically 45 minutes	26	26	$450.00	$145.89
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	26	21	$195.00	$62.78
99495 Transitional care management services for problem of at least moderate complexity	18	16	$200.00	$168.81
99336 Established patient assisted living visit, typically 40 minutes	18	18	$425.00	$141.95
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	11	$325.00	$109.71
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	12	12	$150.00	$65.68

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	1,192	283	$225.00	$75.19
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	702	267	$73.40	$43.43
99213 Established patient office or other outpatient visit, typically 15 minutes	675	200	$200.00	$75.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	338	258	$450.00	$144.69
99335 Established patient assisted living visit, typically 25 minutes	307	148	$300.00	$98.52
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	233	33	$225.00	$71.78
82962 Blood glucose (sugar) test performed by hand-held instrument	212	68	$25.00	$3.15
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	192	191	$151.82	$65.08
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	156	156	$321.31	$175.33
99238 Hospital discharge day management, 30 minutes or less	147	120	$225.00	$75.15
G0008 Administration of influenza virus vaccine	81	80	$50.00	$26.40
Q2039 Influenza virus vaccine, not otherwise specified	76	76	$55.39	$22.33
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	76	21	$225.00	$71.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	53	$300.00	$110.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	52	52	$271.63	$118.89
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	37	25	$100.00	$42.38
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	30	27	$150.00	$55.53
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	24	23	$325.00	$109.24
99326 New patient assisted living visit, typically 45 minutes	24	24	$450.00	$145.17
99496 Transitional care management services for problem of high complexity	22	21	$235.00	$231.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	13	$30.00	$25.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$525.00	$172.22
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	16	16	$114.06	$94.19
99495 Transitional care management services for problem of at least moderate complexity	15	15	$200.00	$167.23
G0444 Annual depression screening, 5 to 15 minutes	13	13	$258.46	$18.26
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$375.00	$170.40
99325 New patient assisted living visit, typically 30 minutes	12	12	$275.00	$83.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$365.91	$114.07

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ME82266

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License FL ME82266

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Hospital & Practice Group Affiliations

Agustin Martinez M D P A

250 E 49th St, Hialeah, FL 330131855

Phone: 3058226885

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 01, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location April 01, 2013

Registered at 250 E 49TH ST, HIALEAH, FL 330131855 (Tel: 3058226885)

📍

Updated Business Mailing Address April 01, 2013

Registered at 1324 SW 143RD AVE, MIAMI, FL 331843223 (Tel: 3058226885)

👤

Provider Name / Credentials Updated April 01, 2013

Recorded as AGUSTIN MARTINEZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2013

Family Medicine (License #ME82266 in FL)

🟢

Initial NPI Registration & Enumeration June 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194762427

Entity Type:

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

Enumeration Date: June 02, 2006

Last Update: April 01, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1324 Sw 143rd Ave

Miami, FL 331843223

Phone: 3058226885

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.