Medicare Enrolled

Dr. Carlos Martinez, M.D.

Rheumatology · West Seneca, NY
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
2291 UNION RD, West Seneca, NY 14224
7166686146
Registered in NPPES since 2006
NPI: 1366476897 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Martinez from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Martinez

Dr. Carlos Martinez is a rheumatology specialist in West Seneca, NY, with 20 years of NPI registration. Based on federal Medicare data, Dr. Martinez performed 2,067 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Martinez received a total of $41,699 from 64 pharmaceutical and/or device companies across 1086 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Martinez is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years of NPI registration ▲ Top 36% volume in NY $41,699 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
2,067
Medicare services
Top 36% in NY for rheumatology
Not available
Unique patients (not deduplicated)
$44
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Denosumab injection (Prolia/Xgeva) 1,080 $17 $28
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
610 $84 $150
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
135 $54 $125
Normal saline infusion, 250 cc
Administration of 250 cubic centimeters of normal saline solution into a vein. This procedure involves the intravenous delivery of a sterile saltwater fluid.
72 $1 $15
Flu vaccine, high-dose
High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe.
30 $70 $80
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
29 $24 $25
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
28 $126 $182
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
26 $112 $225
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
24 $124 $195
Non-hormonal chemotherapy injection
This procedure involves administering non-hormonal anti-neoplastic chemotherapy medication via injection into the skin or muscle tissue.
18 $50 $100
Hemoglobin A1c test (diabetes monitoring)
A blood test that measures your average blood sugar levels over the past two to three months.
15 $10 $20
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
3.5% high complexity
53.1% medium
43.4% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$41,699
Total received (2018-2024)
Avg $5,957/year across 7 years
Top 12% in NY for rheumatology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
64
Companies
1,086
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,890
2023
$2,371
2022
$1,748
2021
$10,087
2020
$9,516
2019
$10,869
2018
$4,218

Payments by company (2024)

ABBVIE INC.
$474
UCB, Inc.
$377
Amgen Inc.
$361
Novo Nordisk Inc
$223
Lilly USA, LLC
$189
Janssen Biotech, Inc.
$149
PFIZER INC.
$141
AstraZeneca Pharmaceuticals LP
$137
Sandoz Inc.
$86
Mallinckrodt Hospital Products Inc.
$82
Kiniksa Pharmaceuticals International, plc
$80
Boehringer Ingelheim Pharmaceuticals, Inc.
$79
E.R. Squibb & Sons, L.L.C.
$76
Novartis Pharmaceuticals Corporation
$63
GlaxoSmithKline, LLC.
$60
Genentech USA, Inc.
$57
Aurinia Pharma U.S., Inc.
$53
Alexion Pharmaceuticals, Inc.
$48
Phathom Pharmaceuticals, Inc.
$46
Kyowa Kirin, Inc.
$43
Radius Health, Inc.
$30
Teva Pharmaceuticals USA, Inc.
$19
Fidia Pharma USA Inc.
$18
Top 3 companies account for 41.9% of 2024 payments
All-time payments by company (2018-2024) ›
PFIZER INC.
$14,587
Ultragenyx Pharmaceutical Inc.
$9,244
Amgen Inc.
$2,529
UCB, Inc.
$1,456
AstraZeneca Pharmaceuticals LP
$1,227
Lilly USA, LLC
$956
Janssen Biotech, Inc.
$924
Boehringer Ingelheim Pharmaceuticals, Inc.
$891
ABBVIE INC.
$866
Janssen Scientific Affairs, LLC
$866
Genentech USA, Inc.
$703
Novo Nordisk Inc
$678
GlaxoSmithKline, LLC.
$648
Mallinckrodt Hospital Products Inc.
$464
AbbVie, Inc.
$422
Novartis Pharmaceuticals Corporation
$418
Celgene Corporation
$414
E.R. Squibb & Sons, L.L.C.
$342
Horizon Therapeutics plc
$315
Mallinckrodt Enterprises LLC
$312
GENZYME CORPORATION
$305
Aurinia Pharma U.S., Inc.
$289
AbbVie Inc.
$277
Amarin Pharma Inc.
$239
Gilead Sciences, Inc.
$235
Merck Sharp & Dohme Corporation
$182
Antares Pharma, Inc.
$171
Sobi, Inc
$162
Ferring Pharmaceuticals Inc.
$143
Alexion Pharmaceuticals, Inc.
$132
Sandoz Inc.
$120
Mallinckrodt LLC
$120
Takeda Pharmaceuticals U.S.A., Inc.
$110
Kiniksa Pharmaceuticals International, plc
$80
Radius Health, Inc.
$79
Flexion Therapeutics, Inc.
$59
ASSERTIO THERAPEUTICS, Inc.
$58
Mission Pharmacal Company
$57
Teva Pharmaceuticals USA, Inc.
$52
Fidia Pharma USA Inc.
$50
Phathom Pharmaceuticals, Inc.
$46
Kyowa Kirin, Inc.
$43
Organon LLC
$38
Bioventus LLC
$38
Ironwood Pharmaceuticals, Inc
$37
ABIOMED
$28
Egalet US Inc
$26
Daiichi Sankyo Inc.
$24
Assertio Therapeutics, Inc.
$22
DePuy Synthes Sales Inc.
$20
Kiniksa Pharmaceuticals, Ltd.
$19
SOBI, INC
$19
Horizon Pharma plc
$18
Exeltis, USA Inc.
$18
Pacira Therapeutics, Inc.
$18
Biohaven Pharmaceutical Holding Company Ltd.
$16
Hikma Pharmaceuticals USA
$16
SANOFI PASTEUR INC.
$16
SANOFI-AVENTIS U.S. LLC
$14
IBSA Pharma Inc.
$14
MEDAC PHARMA, INC.
$11
Allergan Inc.
$11
PFIZER PHARMACEUTICALS LLC
$4
Janssen Pharmaceuticals, Inc
$3
Top 3 companies account for 63.2% of all-time payments
Associated products mentioned in payments ›
ACTHAR · AIRSUPRA · AMJEVITA · Actemra · Aimovig · Aquoral · Arcalyst · BENLYSTA · BYSTOLIC · Bimzelx · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · COSENTYX · CYLTEZO · Cambia · Cimzia · Crysvita · Cryvista · DUEXIS · DUZALLO · Durolane · ELIQUIS · EUFLEXXA · EVENITY · Enbrel · FARXIGA · FLUZONE QUADRIVALENT · FORTEO · Gralise · HADLIMA · HUMIRA · HYMOVIS · HYRIMOZ · Humira · INFLECTRA · INJECTAFER · INVOKANA · Impella · JANUVIA · JARDIANCE · KEVZARA · KINERET · KRYSTEXXA · Kineret · LINZESS · LUPKYNIS · LYRICA · Letairis · Licart · MONOVISC · Mitigare · NURTEC ODT · OCTAGAM IMMUNE GLOBULIN (HUMAN) · OFEV · ORENCIA · Otezla · Otrexup · Ozempic · PENNSAID · PREVNAR 20 · PURIFIED CORTROPHIN GEL · Prolia · RAYOS · REMICADE · RENFLEXIS · RHEUMATOID ARTHRITIS DISEASE · RINVOQ · Rasuvo · Rinvoq · Rituxan · Rybelsus · SAPHNELO · SHINGRIX · SIMPONI · SIMPONI ARIA · SKYRIZI · SPRIX · STELARA · STRENSIQ · SYNVISC-ONE · Strensiq · Supartz · TALTZ · TAVNEOS · TREMFYA · TRULICITY · Tresiba · Trintellix · Truxima · Tymlos · UBRELVY · Uloric · VIMOVO · VOQUEZNA · Vascepa · Victoza · Wegovy · XELJANZ · XYOSTED · Zilretta · Zipsor
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Looking for a rheumatology specialist in West Seneca?
Compare rheumatologists in the West Seneca area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Rheumatologists in nearby ZIP areas
22
County median income
$71,175
Nearest hospital to ZIP centroid (approximate)
WESTERN NY CHILDRENS PSYCHIATRIC CENTER
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Martinez is a clinical cardiology specialist, with moderate Medicare volume, with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Martinez experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Dr. Martinez performed 1,080 denosumab injection (prolia/xgeva) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Martinez receive payments from pharmaceutical companies?
Yes. Dr. Martinez received a total of $41,699 from 64 companies across 1,086 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Martinez's costs compare to other rheumatologists in West Seneca?
Dr. Martinez's average Medicare payment per service is $44. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Martinez) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →