Internal Medicine, Pulmonary Disease · Jackson Heights, NY
NPI
1336171040
Since 2006
Specialty
Internal Medicine, Pulmonary Disease
Code 207RP1001X
Group practices
3
Medicare group memberships
Hospitals
1
Hospital affiliations
3711 88th St
Jackson Heights, NY, 11372
Phone (718) 446-4544
Groups this clinician bills Medicare through
Medicare paid, 2024
$90K
1,522 services
Medicare patients, 2024
233
Average age 78
Drug cost, 2024
$4.8M
19,537 prescriptions
Company payments, 2025
$1,718
From 13 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by Sergio Martinez was code 99232 (hospital e&m - subsequent), 473 times for 69 patients. In total Sergio Martinez billed 1,522 services in 28 codes, and Medicare paid $90K.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2007-11-20.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| 99232 Hospital E&M - Subsequent | Facility | 473 | 69 | $65.78 | $31K |
| 99213 Office E&M - Established | Office | 148 | 64 | $69.82 | $10K |
| 99222 Hospital E&M - Initial | Facility | 101 | 75 | $102.47 | $10K |
| 94640 Treatment - Miscellaneous | Office | 68 | 65 | $6.14 | $417 |
| 94729 Pulmonary Function Testing | Office | 68 | 65 | $41.99 | $2,855 |
| 94726 Pulmonary Function Testing | Office | 68 | 65 | $43.58 | $2,963 |
| 94060 Pulmonary Function Testing | Office | 68 | 65 | $29.96 | $2,037 |
| 94621 Pulmonary Function Testing | Office | 68 | 65 | $120.12 | $8,168 |
| 99305 SNF E&M | Facility | 66 | 51 | $97.58 | $6,440 |
| 99231 Hospital E&M - Subsequent | Facility | 47 | 38 | $39.93 | $1,877 |
| G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Office | 22 | 22 | $139.86 | $3,077 |
| 99214 Office E&M - Established | Office | 21 | 20 | $90.56 | $1,902 |
| 94664 E&M - Miscellaneous | Office | 17 | 13 | $16.34 | $278 |
| 36415 Venipuncture Blood Collection | Office | 17 | 14 | $8.65 | $147 |
By year: 2022 $134K for 2,145 services; 2023 $110K for 1,710 services; 2024 $90K for 1,522 services.
Lab tests billed to Medicare, 2024
| Test code | Tests | Patients | Paid per test | Medicare paid |
|---|---|---|---|---|
| 36415 Venipuncture Blood Collection | 17 | 14 | $8.65 | $147 |
Medicare prescription drug claims, 2024
In 2024, the drug Sergio Martinez prescribed most often to Medicare patients was Albuterol Sulfate Hfa (Albuterol Sulfate), with 2,124 prescriptions and refills. In total Sergio Martinez wrote 19,537 Medicare prescriptions that cost $4.8M.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 2,124 | 2,455 | 607 | $70K |
| Montelukast Sodium Generic | 1,463 | 2,731 | 438 | $13K |
| Breo Ellipta Fluticasone/Vilanterol | 693 | 737 | 180 | $277K |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 693 | 767 | 155 | $467K |
| Atorvastatin Calcium Generic | 640 | 1,414 | 263 | $5,942 |
| Prednisone Generic | 449 | 451 | 266 | $618 |
| Amlodipine Besylate Generic | 442 | 1,010 | 182 | $2,301 |
| Omeprazole Generic | 426 | 666 | 159 | $3,974 |
| Metformin Hcl Generic | 370 | 795 | 135 | $2,168 |
| Losartan Potassium Generic | 327 | 657 | 113 | $2,606 |
| Alendronate Sodium Generic | 282 | 486 | 78 | $1,480 |
| Levothyroxine Sodium Generic | 276 | 618 | 93 | $4,001 |
| Fluticasone Propionate Generic | 264 | 416 | 120 | $2,074 |
| Tacrolimus Generic | 246 | 476 | 74 | $182K |
| Famotidine Generic | 243 | 472 | 91 | $20K |
Brand drugs: 6,342 claims; generic drugs: 13,035 claims.
Money and other things of value reported by the companies
In 2025, drug and medical device companies paid Sergio Martinez $1,718 ($1,718 in general payments such as food, travel and fees) from 13 companies. The largest payer was AstraZeneca Pharmaceuticals LP with $637.
| Company | Payments | Amount |
|---|---|---|
| AstraZeneca Pharmaceuticals LP AZN | 13 | $637 |
| Abbvie Inc. ABBV | 3 | $269 |
| Novo Nordisk Inc NVO | 3 | $168 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 1 | $125 |
| Bayer Healthcare Pharmaceuticals Inc. BAYN.DE | 4 | $124 |
| Inspire Medical Systems, Inc. INSP | 1 | $112 |
| Insmed, Inc. INSM | 4 | $82.3 |
| Viatris Specialty LLC | 2 | $71.92 |
| Otsuka America Pharmaceutical, Inc. 4578.T | 2 | $57.65 |
| Neurocrine BioSciences, Inc. NBIX | 1 | $19.93 |
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.