Active NPI 1205026648 Individual Practitioner Female Practitioner

Dr. Maria Juliana Roca Martinez , MD

Internal Medicine • Duluth, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Maria Roca Martinez, MD is a certified Internal Medicine practicing in Duluth, GA. With approximately 19 years of clinical experience since completing medical education in 2007, Dr. Roca Martinez delivers high-quality medical care to the local community at 3215 MCCLURE BRIDGE RD.

Dr. Roca Martinez accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

3215 Mcclure Bridge Rd

Duluth, GA 300963223

Telephone 6783126000

Fax 6783126015

Associated Practice Facility / Clinic

🏢 Northside Hospital, Inc. Facility NPI 1134168016

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Duluth, GA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -7.2 yrs vs City Avg

City Avg: 26.2 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

40 Specialists

Practicing in Duluth, GA (4065 Statewide)

Telehealth Adoption Rate

27.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

35.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roca Martinez (19 Years) 19 Yrs

Duluth Specialty Average (26.2 Years) 26.2 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	1,901	534	$130.02	$76.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,239	503	$150.00	$115.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	428	401	$300.00	$168.18
99239 Hospital discharge day management, more than 30 minutes	177	173	$150.00	$110.65

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	2,087	520	$130.00	$77.90
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,476	550	$150.00	$117.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	419	398	$300.00	$171.20
99239 Hospital discharge day management, more than 30 minutes	195	189	$150.00	$113.08

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	1,587	357	$130.00	$70.17
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,532	371	$150.00	$100.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	369	348	$300.00	$194.69
99358 Prolonged patient service without direct patient contact first hour	252	239	$150.00	$109.07
99239 Hospital discharge day management, more than 30 minutes	230	220	$150.00	$103.63
99306 Initial nursing facility visit, typically 45 minutes per day	18	18	$300.00	$163.96

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	1,288	247	$177.14	$71.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	660	209	$215.27	$102.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	225	212	$363.77	$198.72
99306 Initial nursing facility visit, typically 45 minutes per day	170	163	$303.35	$165.66
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	118	85	$232.63	$134.44
99239 Hospital discharge day management, more than 30 minutes	68	68	$155.12	$105.54
99358 Prolonged patient service without direct patient contact first hour	44	43	$150.00	$111.09
0012A Adm sarscov2 100mcg/0.5ml2nd	12	12	$60.00	$27.85
0011A Adm sarscov2 100mcg/0.5ml1st	11	11	$30.00	$18.33

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	632	115	$174.99	$72.01
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	217	93	$268.35	$105.02
99306 Initial nursing facility visit, typically 45 minutes per day	131	127	$300.00	$169.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	113	108	$397.70	$202.48
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	92	64	$150.00	$136.43

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	1,700	242	$150.00	$72.97
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	284	158	$215.00	$104.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	254	239	$395.00	$202.91
99306 Initial nursing facility visit, typically 45 minutes per day	148	143	$300.00	$166.79

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	1,996	267	$127.00	$71.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	467	215	$190.00	$102.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	276	262	$315.00	$199.98
99306 Initial nursing facility visit, typically 45 minutes per day	161	156	$300.00	$162.97
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	27	24	$150.00	$132.92

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	1,709	265	$127.00	$72.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	468	217	$190.00	$104.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	274	269	$315.00	$202.58
99306 Initial nursing facility visit, typically 45 minutes per day	169	168	$299.59	$166.58
99239 Hospital discharge day management, more than 30 minutes	14	14	$196.00	$107.46

Medical Specialties & State Licenses

CMS Verified: 2022-04-07

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 059750

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

792207484A (GA)

Commercial Insurance / Payer ID Wellcare

406605 (GA)

Commercial Insurance / Payer ID Aetna

9064068 (GA)

Commercial Insurance / Payer ID Amerigroup

10077959 (GA)

Commercial Insurance / Payer ID Bcbs

52206174 (GA)

Commercial Insurance / Payer ID Cigna

6488815 (GA)

Commercial Insurance / Payer ID Uhc

2815522 (GA)

Commercial Insurance / Payer ID Peach State

792207484A (GA)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Hammad Aslam , MD

Physical Medicine & Rehabilitation

NPI 1366858995

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 April 13, 2022

Registered at 3215 MCCLURE BRIDGE RD, DULUTH, GA 300963223 (Tel: 6783126000)

📍

Updated Business Mailing Address April 13, 2022

Registered at 1856 THOMPSON BRIDGE RD STE 5, GAINESVILLE, GA 305011663 (Tel: 7705393374)

✅

NPI Profile Active June 13, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 13, 2016

Registered at 743 SPRING ST NE, GAINESVILLE, GA 305013715 (Tel: 7705336645)

📍

Updated Business Mailing Address June 13, 2016

Registered at 3215 MCCLURE BRIDGE RD, DULUTH, GA 300963223 (Tel: 6785846786)

👤

Provider Name / Credentials Updated June 13, 2016

Recorded as MARIA ROCA MARTINEZ, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2016

Internal Medicine (License #059750 in GA)

🟢

Initial NPI Registration & Enumeration August 01, 2007

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: 1205026648

Entity Type:

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

Enumeration Date: August 01, 2007

Last Update: April 13, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1856 Thompson Bridge Rd Ste 5

Gainesville, GA 305011663

Phone: 7705393374

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.