Agustin Martinez, M.D.
NPI 1194762427ActiveIndividual· General Practice· Hialeah, FL
General Practice (M.D.) with Agustin Martinez M D P A, practicing in Hialeah, Florida. Their prescriptions cost Medicare Part D more than their services did: $1,687,897 for 26,139 claims, against $226,482 paid for services in 2024. Kowa Pharmaceuticals America, Inc. was the largest of 2 companies reporting payments in 2025, $35.74 in all, mostly food and beverage. Lists Keralty Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1194762427 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jun 2, 2006 |
| Last updated in NPPES | Apr 1, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | ME82266 | FL |
| Family Medicine | 207Q00000X | ME82266 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Practice (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 389 |
|---|---|
| Services billed | 3,227 across 23 procedure codes |
| Paid by Medicare | $226,482 |
Part D prescriptions in 2024
| Prescriptions (claims) | 26,139 · 28,597 30-day fills |
|---|---|
| Patients | 647 |
| Total drug cost | $1,687,897 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 1982 |
|---|---|
| Medicare specialty | General Practice |
Medical group
- Agustin Martinez M D P AHialeah, FL · 3 clinicians
Hospital affiliations
- Keralty HospitalMiami, FL
- Larkin Community Hospital Palm Springs CampusHialeah, FL
Other facilities
- Ace Home Health Services CorpHome health agency · Sweetwater, FL
- Care Force IncHome health agency · Miami Lakes, FL
- Quali-Care Home Health Agency, Inc.Home health agency · Palmetto Bay, FL
- Vida Home Health Services LLCHome health agency · Miami Lakes, FL
- Your Healthpartners Home Health Agency, IncHome health agency · Miami, FL
- GentivaHospice · Miami, FL
- Medcare HospiceHospice · Miami, FL
- West Gables Rehabilitation HospitalInpatient rehabilitation facility · Miami, FL
- Select Specialty Hospital-MiamiLong-term care hospital · Miami, FL
- Kendall Lakes Healthcare and Rehab CenterNursing home · Miami, FL
- Ponce Health and Rehabilitation CenterNursing home · Miami, FL
- South Dade Nursing and Rehabilitation CenterNursing home · Miami, FL
- Treasure Isle Care CenterNursing home · North Bay Village, FL
- Victoria Nursing & Rehabilitation Center, Inc.Nursing home · Miami, FL
Industry payments (Open Payments)
- 2025$35.74 · 2 payments from 2 companies
- 2024$107.88 · 5 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Kowa Pharmaceuticals America, Inc. | $20.00 | 1 |
| Lilly USA, LLC | $15.74 | 1 |
What the 2025 payments were for
- Food and Beverage$35.74 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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