Active NPI 1609152065 Individual Practitioner Female Practitioner

Lira R Martinez , PA-C

Physician Assistant • Appleton, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lira Martinez, PA-C is a certified Physician Assistant practicing in Appleton, WI. With approximately 15 years of clinical experience since graduating from University Of Wisconsin School Of Medicine in 2011, Lira Martinez delivers high-quality medical care to the local community at 1501 S MADISON ST.

Lira Martinez is affiliated with Ear Nose And Throat Specialists Of Wisconsin Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of impacted ear wax, established patient outpatient office visit, professional service for multiple injections of allergen. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1501 S Madison St

Appleton, WI 549151846

Telephone 9207304443

Associated Practice Facility / Clinic

🏢 Ascension Medical Group-Fox Valley Wisconsin, Inc Facility NPI 1821194283

Medicare Profile & Education

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Appleton, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs +3.5 yrs vs City Avg

City Avg: 11.5 Yrs

State Avg: 14.1 Yrs

Regional Practice Density

108 Specialists

Practicing in Appleton, WI (3517 Statewide)

Telehealth Adoption Rate

6.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Martinez (15 Years) 15 Yrs

Appleton Specialty Average (11.5 Years) 11.5 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
69210 Removal of impacted ear wax	154	91	$267.99	$37.47
99213 Established patient office or other outpatient visit, typically 15 minutes	99	76	$235.86	$72.08
95117 Professional service for multiple injections of allergen	75	17	$59.00	$9.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$333.25	$87.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	29	$331.06	$102.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$510.50	$132.62
92504 Exam of ear using a microscope	22	13	$120.00	$23.22
31575 Diagnostic exam of voice box using a flexible endoscope	15	15	$589.00	$98.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$147.46	$45.09
31231 Diagnostic examination of nasal passages using an endoscope	13	13	$980.77	$147.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
69210 Removal of impacted ear wax	118	76	$273.78	$37.77
99213 Established patient office or other outpatient visit, typically 15 minutes	106	86	$212.00	$71.87
95117 Professional service for multiple injections of allergen	77	16	$59.00	$9.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$315.00	$89.13
92504 Exam of ear using a microscope	33	23	$120.00	$23.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	28	$315.00	$99.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$481.00	$132.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
69210 Removal of impacted ear wax	145	95	$271.03	$37.31
99213 Established patient office or other outpatient visit, typically 15 minutes	75	58	$212.00	$71.59
95117 Professional service for multiple injections of allergen	42	11	$59.00	$9.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$315.00	$89.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	22	$135.00	$44.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	15	$315.00	$104.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$481.00	$134.22
92504 Exam of ear using a microscope	13	12	$120.00	$23.65
31231 Diagnostic examination of nasal passages using an endoscope	12	12	$878.48	$149.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
69210 Removal of impacted ear wax	128	85	$273.88	$37.71
99213 Established patient office or other outpatient visit, typically 15 minutes	64	47	$212.00	$73.61
95117 Professional service for multiple injections of allergen	40	14	$59.00	$9.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	27	$315.00	$105.67
92504 Exam of ear using a microscope	20	17	$120.00	$22.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$315.00	$88.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	13	$135.00	$45.79
31231 Diagnostic examination of nasal passages using an endoscope	14	12	$888.90	$156.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$481.00	$136.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
69210 Removal of impacted ear wax	80	61	$273.20	$39.17
99213 Established patient office or other outpatient visit, typically 15 minutes	53	46	$212.00	$60.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$315.00	$84.38
92504 Exam of ear using a microscope	16	11	$120.00	$23.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$135.00	$34.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$315.00	$90.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	117	84	$193.00	$60.81
69210 Removal of impacted ear wax	95	65	$272.73	$38.59
95115 Injection of incremental dosages of allergen	41	11	$40.00	$7.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$290.00	$87.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	31	$283.18	$88.12
92504 Exam of ear using a microscope	31	24	$120.00	$24.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	23	$135.00	$37.05
31231 Diagnostic examination of nasal passages using an endoscope	17	13	$799.13	$151.25
31575 Diagnostic exam of voice box using a flexible endoscope	15	14	$589.00	$89.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$427.00	$134.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	98	75	$173.49	$58.65
69210 Removal of impacted ear wax	62	46	$217.40	$39.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	53	$256.93	$87.75
92504 Exam of ear using a microscope	32	20	$99.50	$24.00
95117 Professional service for multiple injections of allergen	29	13	$39.31	$8.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	18	$117.40	$35.63
31231 Diagnostic examination of nasal passages using an endoscope	24	19	$817.42	$170.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$258.33	$86.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	92	68	$170.00	$59.43
69210 Removal of impacted ear wax	55	38	$213.00	$39.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	34	$253.00	$87.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	12	$115.00	$35.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$253.00	$87.32

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 2850

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Ear Nose And Throat Specialists Of Wisconsin Sc

444 N Westhill Blvd, Appleton, WI 549145715

Phone: 9209691768

Ear Nose And Throat Specialists Of Wisconsin Sc

119 E Bell St, Neenah, WI 549564993

Phone: 9209691768

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Todd Meyer , DO

Otolaryngology - Otolaryngology/Facial Plastic Surgery

NPI 1306863014

Doctor of Osteopathic Medicine (D.O.)

Dr. Amy Rietz , AuD

Audiologist-Hearing Aid Fitter

NPI 1336135664

Doctor of Audiology

Dr. Debra Engebos , AuD

Audiologist

NPI 1457348112

Doctor of Audiology

Dr. Gregory Swanson , MD

Otolaryngology

NPI 1710971783

Doctor of Medicine (M.D.)

Lisa Esser , AUDIOLOGIST

Audiologist

NPI 1851331755

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 15, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 15, 2012

Registered at 1501 S MADISON ST, APPLETON, WI 549151846 (Tel: 9207304443)

📍

Updated Business Mailing Address September 15, 2012

Registered at PO BOX 1047, NEENAH, WI 549571047

👤

Provider Name / Credentials Updated September 15, 2012

Recorded as LIRA MARTINEZ, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2012

Physician Assistant (License #2850 in WI)

🟢

Initial NPI Registration & Enumeration October 31, 2011

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: 1609152065

Entity Type:

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

Enumeration Date: October 31, 2011

Last Update: September 15, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1047

Neenah, WI 549571047

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.