Active NPI 1861554180 Individual Practitioner Male Practitioner

Dr. Rafael Martinez , MD

Anesthesiology • Scranton, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Rafael Martinez, MD is a certified Anesthesiology practicing in Scranton, PA. With approximately 23 years of clinical experience since completing medical education in 2003, Dr. Martinez delivers high-quality medical care to the local community at 1800 MULBERRY ST.

Dr. Martinez maintains professional affiliations with Clinical Care Associates Of The University Of Pennsylvania Health., United Anesthesia Services Pc, Geisinger Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for x-ray or radiation therapy, anesthesia for procedure on large bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1800 Mulberry St

Scranton, PA 185102369

Telephone 5707038259

Fax 5707037250

Associated Practice Facility / Clinic

🏢 Community Medical Center Facility NPI 1366444507

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Scranton, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs -4.6 yrs vs City Avg

City Avg: 27.6 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

33 Specialists

Practicing in Scranton, PA (2600 Statewide)

Telehealth Adoption Rate

3.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

88.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Martinez (23 Years) 23 Yrs

Scranton Specialty Average (27.6 Years) 27.6 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
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	31	31	$765.15	$73.40
01922 Anesthesia for x-ray or radiation therapy	17	17	$1070.38	$107.72
00811 Anesthesia for procedure on large bowel using an endoscope	15	15	$727.30	$69.85
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	13	13	$180.00	$53.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	32	32	$180.00	$61.90
01402 Anesthesia for procedure for total knee joint replacement	26	26	$1900.50	$187.96
01230 Anesthesia for open procedure on upper two-thirds of thigh bone	19	19	$1300.89	$128.04
64450 Injection of anesthetic agent, other peripheral nerve or branch	13	13	$180.00	$40.92
01214 Anesthesia for total hip replacement	13	13	$1948.15	$192.98
01922 Anesthesia for x-ray or radiation therapy	13	13	$1143.69	$112.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	19	19	$743.29	$72.91
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	16	16	$180.00	$52.36
01402 Anesthesia for procedure for total knee joint replacement	13	13	$1775.31	$179.36
00410 Anesthesia for procedure to correct abnormal heart rhythm	13	13	$616.27	$61.77
01922 Anesthesia for x-ray or radiation therapy	12	12	$1049.13	$106.14
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope	11	11	$1916.73	$257.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	25	25	$753.90	$75.81
00811 Anesthesia for procedure on large bowel using an endoscope	17	17	$735.00	$73.86
00813 Anesthesia for procedure on small and large bowel using an endoscope	15	15	$865.20	$87.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
01402 Anesthesia for procedure for total knee joint replacement	41	41	$1536.07	$158.40
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	40	40	$735.00	$52.46
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	38	37	$158.00	$31.98
00811 Anesthesia for procedure on large bowel using an endoscope	23	23	$685.70	$70.81
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	19	19	$783.29	$80.00
00400 Anesthesia for procedure on skin of arms, legs, or trunk	18	18	$872.67	$90.25
01214 Anesthesia for total hip replacement	18	18	$1654.33	$172.02
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope	16	16	$1800.75	$187.02
00142 Anesthesia for lens surgery	13	13	$718.85	$74.60
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	13	13	$840.00	$64.96
00910 Anesthesia for other procedure on urinary system through urethra	12	12	$793.13	$81.28
01922 Anesthesia for x-ray or radiation therapy	12	12	$1086.75	$113.17
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	12	12	$1949.50	$201.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	48	48	$798.88	$82.52
00811 Anesthesia for procedure on large bowel using an endoscope	43	43	$641.23	$66.49
00400 Anesthesia for procedure on skin of arms, legs, or trunk	32	32	$984.70	$102.07
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	27	27	$840.00	$65.94
01922 Anesthesia for x-ray or radiation therapy	24	24	$1153.25	$119.54
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope	21	21	$1794.50	$185.03
01402 Anesthesia for procedure for total knee joint replacement	19	19	$1547.37	$160.39
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	18	18	$735.00	$67.31
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	16	16	$648.38	$67.21
00530 Anesthesia for insertion of permanent heart pacemaker	14	14	$1153.50	$115.45
00630 Anesthesia for other procedure on lower spine	13	13	$2020.04	$209.39
00300 Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back	11	11	$1151.18	$119.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	40	40	$158.00	$31.52
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	26	26	$743.48	$73.77
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	26	26	$904.62	$62.80
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	25	24	$1947.12	$196.74
00400 Anesthesia for procedure on skin of arms, legs, or trunk	25	25	$1037.40	$103.74
01402 Anesthesia for procedure for total knee joint replacement	21	21	$1610.50	$162.28
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	19	18	$734.45	$72.84
00910 Anesthesia for other procedure on urinary system through urethra	18	18	$827.75	$82.61
01214 Anesthesia for total hip replacement	17	16	$1804.15	$182.44
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope	16	16	$2057.34	$209.07
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	15	15	$840.00	$65.77
00811 Anesthesia for procedure on large bowel using an endoscope	14	14	$670.50	$66.91
00918 Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope	13	13	$1071.81	$105.63
01830 Anesthesia for open or endoscopic procedure on bones of forearm, wrist, or hand	12	12	$973.88	$98.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00810 Anesthesia for procedure on lower intestine using an endoscope	49	49	$792.86	$72.01
00740 Anesthesia for procedure on gastrointestinal tract using an endoscope	42	40	$802.61	$71.95
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	33	33	$158.00	$30.34
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	21	21	$735.00	$55.56
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	18	18	$1860.83	$175.92
01402 Anesthesia for procedure for total knee joint replacement	18	18	$1499.17	$141.34
00400 Anesthesia for procedure on skin of arms, legs, or trunk	14	13	$975.00	$89.62
01230 Anesthesia for open procedure on upper two-thirds of thigh bone	14	14	$1402.50	$130.71
00300 Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back	14	13	$1027.50	$96.21
01996 Daily hospital management of continuous spinal drug administration	13	11	$289.00	$64.44
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope	12	12	$1793.75	$169.98
01214 Anesthesia for total hip replacement	11	11	$1718.18	$162.56
01922 Anesthesia for x-ray or radiation therapy	11	11	$1183.64	$110.68

Medical Specialties & State Licenses

CMS Verified: 2025-06-05

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License PA MD431183

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1018097010001 (PA)

Commercial Insurance / Payer ID Keystone Mercy

30042529 (PA)

Commercial Insurance / Payer ID Amerihealth Mercy

20062974 (PA)

Commercial Insurance / Payer ID Capital Advantage

50070419 (PA)

Commercial Insurance / Payer ID 1st Health Priority

821628 (PA)

Commercial Insurance / Payer ID Unison

000000213116 (PA)

Commercial Insurance / Payer ID Ibc

2849065000 (PA)

Commercial Insurance / Payer ID Highmark

1957631 (PA)

Hospital & Practice Group Affiliations

United Anesthesia Services Pc

1203 Langhorne Newtown Rd, Langhorne, PA 190471209

Phone: 2157411452

Geisinger Clinic

1800 Mulberry St, Scranton, PA 185102369

Phone: 5709697355

Clinical Care Associates Of The University Of Pennsylvania Health.

701 E Marshall St, West Chester, PA 193804412

Phone: 6104315472

Secondary Practice Locations

130 S Bryn Mawr Ave

Bryn Mawr, PA 190103121

Phone: 4843373000