Active NPI 1740212042 Individual Practitioner Male Practitioner

Dr. Cesar A Martinez , MD

Internal Medicine • Mcallen, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Cesar Martinez, MD is a certified Internal Medicine practicing in Mcallen, TX. With approximately 33 years of clinical experience since graduating from New York Medical College in 1993, Dr. Martinez delivers high-quality medical care to the local community at 101 E. SAVANNAH AVENUE.

Dr. Martinez maintains professional affiliations with Andrew Levine Md Pa, Md Hospitalists Pllc 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, dialysis services, dialysis services, 2-3 physician visits per month (20 years or older). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

101 E. Savannah Avenue
Bldg B Suite 203

Mcallen, TX 785031241

Telephone 9566867611

Fax 9566183164

Associated Practice Facility / Clinic

🏢 Humberto Nunez Md Pa Facility NPI 1245667138

Medicare Profile & Education

Medical School

New York Medical College

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Mcallen, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +11.1 yrs vs City Avg

City Avg: 21.9 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

52 Specialists

Practicing in Mcallen, TX (9538 Statewide)

Telehealth Adoption Rate

19.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Martinez (33 Years) 33 Yrs

Mcallen Specialty Average (21.9 Years) 21.9 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	161	62	$230.00	$74.98
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	64	18	$600.00	$334.31
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	63	15	$500.00	$279.37
99238 Hospital discharge day management, 30 minutes or less	50	46	$185.00	$76.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	39	24	$350.00	$112.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	34	$500.00	$164.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	125	32	$600.00	$338.53
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	123	35	$256.87	$114.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	101	41	$196.54	$76.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	41	$500.00	$166.77
99239 Hospital discharge day management, more than 30 minutes	31	31	$255.16	$109.89
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	28	18	$500.00	$281.40
99238 Hospital discharge day management, 30 minutes or less	17	17	$183.59	$77.53

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	239	64	$250.00	$98.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	83	80	$496.99	$190.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	70	33	$175.00	$68.09
99239 Hospital discharge day management, more than 30 minutes	43	43	$250.00	$100.92
90970 Dialysis services, per day, less than full month service (20 years or older)	23	12	$78.26	$9.34

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	440	147	$175.17	$69.53
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	397	113	$250.00	$99.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	146	128	$500.00	$193.71
99239 Hospital discharge day management, more than 30 minutes	104	96	$250.00	$102.94
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	77	46	$600.00	$351.42
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	20	17	$500.00	$290.97

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	822	212	$175.09	$70.87
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	338	104	$250.00	$102.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	195	173	$500.00	$197.84
99238 Hospital discharge day management, 30 minutes or less	85	73	$150.00	$71.08
99239 Hospital discharge day management, more than 30 minutes	70	66	$250.00	$105.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$347.88	$134.49
99217 Hospital observation care on day of discharge	15	15	$200.00	$71.07
99220 Hospital observation care, typically 70 minutes	12	12	$470.00	$180.96

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	1,176	354	$144.26	$70.66
99238 Hospital discharge day management, 30 minutes or less	175	170	$146.03	$70.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	151	139	$423.72	$196.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	70	51	$208.60	$101.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	35	$283.08	$133.12
99225 Subsequent observation care, typically 25 minutes per day	18	18	$148.17	$71.09
99239 Hospital discharge day management, more than 30 minutes	16	16	$213.13	$104.27
99219 Hospital observation care, typically 50 minutes	13	13	$277.00	$132.20

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	1,198	468	$140.87	$71.00
99238 Hospital discharge day management, 30 minutes or less	157	155	$140.73	$71.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	118	116	$386.75	$197.76
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	105	42	$212.89	$100.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	57	51	$268.84	$133.26
99220 Hospital observation care, typically 70 minutes	20	20	$367.65	$181.67
99239 Hospital discharge day management, more than 30 minutes	11	11	$212.73	$104.91

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	149	59	$182.00	$66.85
99238 Hospital discharge day management, 30 minutes or less	26	25	$183.00	$66.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$511.00	$187.50

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX M0165

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.

Internal Medicine - Nephrology

NUCC Taxonomy Code: 207RN0300X

State License TX M0165

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

170703602 (TX)

Medicaid State Provider ID

170703610 (TX)

Commercial Insurance / Payer ID Medicare Ptan

509645YTMP (TX)

Hospital & Practice Group Affiliations

Md Hospitalists Pllc

110 E Savannah Ave, Mcallen, TX 785031241

Andrew Levine Md Pa

2302 S Sunshine Strip, Harlingen, TX 78550

Phone: 9564280022

Md Hospitalists Pllc

110 E Savannah Ave Blg B, Mcallen, TX 785031241

Md Hospitalists Pllc

110 E Savannah Ave, Mcallen, TX 785031241

Phone: 9566867611

Practice Associates & Co-Workers

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

14 Associated Practitioners

Mamta Sharma , FNP

Nurse Practitioner - Family

NPI 1144748054

Family Nurse Practitioner

Dr. Nadir Baluch , MD

Family Medicine

NPI 1184009573

Doctor of Medicine (M.D.)

Dr. Juan Rojas , MD

Internal Medicine

NPI 1437644267

Doctor of Medicine (M.D.)

Dr. Andrea Ramirez , MD

Family Medicine

NPI 1447690367

Doctor of Medicine (M.D.)

Werwin Labrador , NP

Nurse Practitioner - Family

NPI 1508395153

Nurse Practitioner

Librado Cavazos , FNP-BC

Nurse Practitioner - Family

NPI 1528573169

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location February 13, 2019

Registered at 101 E. SAVANNAH AVENUE, BLDG B SUITE 203, MCALLEN, TX 785031241 (Tel: 9566867611)

📍

Updated Business Mailing Address February 13, 2019

Registered at 110 E SAVANNAH AVE STE 203, MCALLEN, TX 785031241 (Tel: 9566867611)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2019

Internal Medicine (License #M0165 in TX)

✅

NPI Profile Active August 22, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 22, 2017

Registered at 3001 N 23RD ST STE 6, MCALLEN, TX 785016179 (Tel: 9565985733)

📍

Updated Business Mailing Address August 22, 2017

Registered at 3001 N 23RD ST STE 6, MCALLEN, TX 785016179 (Tel: (956) 598-5733)

👤

Provider Name / Credentials Updated August 22, 2017

Recorded as CESAR MARTINEZ, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2017

Internal Medicine (License #M0165 in TX)

✅

NPI Profile Active July 29, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 29, 2016

Registered at 4717 S SUGAR RD, SUITE H, EDINBURG, TX 785397212 (Tel: 9563834041)

📍

Updated Business Mailing Address July 29, 2016

Registered at 4717 S SUGAR RD, SUITE H, EDINBURG, TX 785397212 (Tel: 9563834041)

👤

Provider Name / Credentials Updated July 29, 2016

Recorded as CESAR MARTINEZ, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2016

Specialist (License #M0165 in TX)

🟢

Initial NPI Registration & Enumeration July 07, 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: 1740212042

Entity Type:

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

Enumeration Date: July 07, 2006

Last Update: February 13, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

110 E Savannah Ave Ste 203

Mcallen, TX 785031241

Phone: 9566867611

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.