Active NPI 1679910087 Individual Practitioner Female Practitioner

Dr. Sonia Martinez , DO

Internal Medicine • Harlingen, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sonia Martinez, DO is a certified Internal Medicine practicing in Harlingen, TX. With approximately 13 years of clinical experience since completing medical education in 2013, Dr. Martinez delivers high-quality medical care to the local community at 2101 PEASE ST.

Dr. Martinez is affiliated with Bhs Physicians Network, Inc 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

2101 Pease St
Suite 1g

Harlingen, TX 785508307

Telephone 9563896565

Fax 9563896567

Associated Practice Facility / Clinic

🏢 Valley Emergency Physicians Facility NPI 1699769513

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Harlingen, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -7.2 yrs vs City Avg

City Avg: 20.2 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

74 Specialists

Practicing in Harlingen, TX (9538 Statewide)

Telehealth Adoption Rate

9.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Martinez (13 Years) 13 Yrs

Harlingen Specialty Average (20.2 Years) 20.2 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	202	73	$289.00	$111.82
99239 Hospital discharge day management, more than 30 minutes	55	52	$299.00	$100.95

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	378	124	$289.00	$113.50
99239 Hospital discharge day management, more than 30 minutes	78	76	$299.00	$107.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	34	$562.00	$166.96

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	501	148	$273.80	$97.85
99239 Hospital discharge day management, more than 30 minutes	83	81	$284.54	$100.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	42	$532.00	$185.56

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	466	157	$266.00	$99.81
99239 Hospital discharge day management, more than 30 minutes	107	103	$275.00	$101.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	56	$517.00	$193.71

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	507	190	$266.00	$102.54
99239 Hospital discharge day management, more than 30 minutes	108	102	$275.00	$105.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	71	68	$517.00	$199.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	17	$186.00	$71.24
99226 Subsequent observation care, typically 35 minutes per day	20	11	$268.00	$102.11
99220 Hospital observation care, typically 70 minutes	15	15	$475.00	$181.15

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	542	221	$266.00	$101.82
99239 Hospital discharge day management, more than 30 minutes	113	109	$275.00	$102.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	89	87	$517.00	$198.40
99220 Hospital observation care, typically 70 minutes	29	28	$475.00	$182.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	13	$186.00	$71.33
99291 Critical care, first 30-74 minutes	14	14	$567.00	$188.86
99217 Hospital observation care on day of discharge	12	12	$187.00	$71.49

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	495	211	$246.00	$101.59
99239 Hospital discharge day management, more than 30 minutes	109	104	$254.00	$104.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	86	84	$481.00	$196.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	16	$171.00	$71.00
99220 Hospital observation care, typically 70 minutes	18	18	$564.00	$181.67
99291 Critical care, first 30-74 minutes	14	12	$825.00	$217.42

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	503	203	$267.71	$100.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	104	103	$535.01	$193.49
99239 Hospital discharge day management, more than 30 minutes	102	101	$275.58	$102.05
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	34	$193.53	$70.03
99291 Critical care, first 30-74 minutes	14	14	$825.00	$217.18

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX Q6231

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

364300901 (TX)

Hospital & Practice Group Affiliations

Bhs Physicians Network, Inc

2101 Pease St, Harlingen, TX 785508307

Phone: 9563896565

Practice Associates & Co-Workers

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

31 Associated Practitioners

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Pathology - Anatomic Pathology & Clinical Pathology

NPI 1023545605

Doctor of Medicine (M.D.)

Dr. Javier Cabello Garza , MD

Internal Medicine - Critical Care Medicine

NPI 1073710984

Doctor of Medicine (M.D.)

Dr. Zachary Keatts , MD

Internal Medicine

NPI 1124524582

Doctor of Medicine (M.D.)

Dr. Carlos Ramos , MD

Internal Medicine

NPI 1154769701

Doctor of Medicine (M.D.)

Dr. Jacqueline Luevano , MD

Internal Medicine

NPI 1184361602

Doctor of Medicine (M.D.)

Dr. Niru Cepeda-Iruegas , MD

Internal Medicine

NPI 1184945875

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active April 03, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 03, 2017

Registered at 2101 PEASE ST, SUITE 1G, HARLINGEN, TX 785508307 (Tel: 9563896565)

📍

Updated Business Mailing Address April 03, 2017

Registered at 2101 PEASE ST, SUITE 1G, HARLINGEN, TX 785508307 (Tel: 9563896565)

👤

Provider Name / Credentials Updated April 03, 2017

Recorded as SONIA MARTINEZ, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2017

Internal Medicine (License #Q6231 in TX)

✅

NPI Profile Active May 24, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 24, 2013

Registered at 2101 PEASE ST, HARLINGEN, TX 785508307 (Tel: 9563891100)

📍

Updated Business Mailing Address May 24, 2013

Registered at 2101 PEASE ST, HARLINGEN, TX 785508307

👤

Provider Name / Credentials Updated May 24, 2013

Recorded as SONIA MARTINEZ, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2013

Internal Medicine (License #B P 1 0 0 4 5 9 0 7 in TX)

🟢

Initial NPI Registration & Enumeration May 24, 2013

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: 1679910087

Entity Type:

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

Enumeration Date: May 24, 2013

Last Update: April 03, 2017

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2101 Pease St, Suite 1g

Harlingen, TX 785508307

Phone: 9563896565

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.