Carlie Martinez, NP
Nurse Practitioner · San Francisco
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 3
- 1 carrier
- Offices
- 3
- Since medical school
- 9 years
- Graduated 2017
Offices
3 locations · University of California San Francisco · 1,780 clinicians in this group
Looking this up.
Hospitals listed: UCSF Medical Center. That is not proof they admit you there this week.
Plans that list them
3 plans · 1 carrier
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Carlie Martinez’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
| Imperial Courage Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Dynamic Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Senior Value (HMO C-SNP) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
Hospitals they work in
1 hospital
These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.
- UCSF Medical CenterSan Francisco, CAAcute Care Hospital · Voluntary non-profit - Other · Has an emergency department · Birthing-friendlyPart of University of California Health, which runs 12 hospitalsHome of UCSF Helen Diller Family Comprehensive Cancer Center, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 81% would definitely recommend itOverall rating: 4 of 5 starsWorse than the national rate — Perioperative pulmonary embolism or deep vein thrombosis rate: 4.9 (3.79 to 6.02) · 7,590 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 12.8 (11.3 to 14.4) · 2,019 cases, Jan 2024 – Dec 2024Better than the national rate — Death rate among surgical inpatients with serious treatable complications: 139.4 (110.22 to 168.58) · 452 cases, Jul 2022 – Jun 2024Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.622, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.626, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.491, Oct 2024 – Sep 2025Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.8 (0.7 to 1) · 2,336 cases, Jan 2024 – Dec 2024
See every measure and the patient survey for UCSF Medical Center
Behind the star rating — Deaths: 5 better, 3 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 3 better, 5 the same, 3 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 4.9 (3.79 to 6.02) · 7,590 cases | Worse | Jul 2022 – Jun 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 12.8 (11.3 to 14.4) · 2,019 cases | Worse | Jan 2024 – Dec 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 139.4 (110.22 to 168.58) · 452 cases | Better | Jul 2022 – Jun 2024 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.622 | Better | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.626 | Better | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.491 | Better | Oct 2024 – Sep 2025 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 0.8 (0.7 to 1) · 2,336 cases | Better | Jan 2024 – Dec 2024 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.24 (0.58 to 1.9) · 4,689 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.05 (0.89 to 1.2) | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 1.9 · 89 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 7.5 · 85 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 10.1 · 132 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 6.6 · 454 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 10.3 · 618 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 9.6 · 380 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 2.7 · 5,000 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.22 (0.06 to 0.38) · 15,965 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.2 (0.05 to 0.35) · 17,859 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 0.85 (0 to 1.83) · 4,184 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2 (1.1 to 2.9) · 6,516 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 7.35 (4.49 to 10.21) · 3,989 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 5 (3.22 to 6.77) · 4,087 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.95 (0.74 to 3.15) · 2,034 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.95 (0.63 to 1.28) · 15,431 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 4 · 399 cases | None | Apr 2023 – Mar 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.899 | No different | Oct 2024 – Sep 2025 |
| SSI - Abdominal HysterectomyInfections | 0.689 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 1.224 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 16 · 156 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 20 · 564 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 60.3 · 160 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | -9.7 · 550 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 44.1 · 660 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 16.8 · 667 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.7 (4.8 to 6.7) · 2,019 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 6 · 421 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 10.5 · 53 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 20 · 107 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 13.9 (11.3 to 17.1) · 3,247 cases | No different | Jan 2022 – Dec 2024 |
What patients said (3,181 patients answered, 25% of those asked)
| Cleanliness | 4 |
| Nurse communication | 4 |
| Doctor communication | 4 |
| Communication about medicines | 3 |
| Discharge information | 4 |
| Overall hospital rating | 4 |
| Quietness | 2 |
| Recommend hospital | 5 |
| Room was "always" clean | 71% |
| Nurses "always" communicated well | 80% |
| Doctors "always" communicated well | 80% |
| Staff "always" explained | 61% |
| Yes, staff "did" give patients this information | 88% |
| Yes, staff "did" give patients information about help after discharge | 87% |
| Doctors "always" explained things so they could understand | 74% |
| Doctors "always" listened carefully | 78% |
| Doctors "always" treated them with courtesy and respect | 86% |
| Patients who gave a rating of "9" or "10" (high) | 76% |
| Staff "always" explained new medications | 75% |
| Nurses "always" explained things so they could understand | 77% |
| Nurses "always" listened carefully | 78% |
| Nurses "always" treated them with courtesy and respect | 86% |
| "Always" quiet at night | 50% |
| "YES", patients would definitely recommend the hospital | 81% |
| Staff "always" explained possible side effects | 46% |
| Yes, staff "did" give patients information about possible symptoms | 90% |
Original Medicare doctor bills
$24,421
Medicare paid this office $24,421 for 264 people. Most of that is long return visits and Botox.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Long return visit (40+ min) | 113 | $12,370 | $101 |
| Return visit (30+ min) | 70 | $5,076 | $63 |
| Short return visit (20+ min) | 63 | $3,209 | $46 |
| New patient visit (30+ min) | 26 | $1,123 | $43 |
| New patient visit (45+ min) | 13 | $1,035 | $80 |
See all 7 services
| Long return visit (40+ min) | 113 | $12,370 | $101 |
| Return visit (30+ min) | 70 | $5,076 | $63 |
| Short return visit (20+ min) | 63 | $3,209 | $46 |
| New patient visit (30+ min) | 26 | $1,123 | $43 |
| New patient visit (45+ min) | 13 | $1,035 | $80 |
| Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 11 | $451 | $24 |
| Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 17 | $215 | $12 |
Who their Medicare patients are
264 Original Medicare patients in 2024. Average age 73 · Under 65 12% · 85 and older 11% · Women 60% · Also on Medicaid 41% · Health risk score 1.42. At or below the middle of the specialty; the typical nurse practitioner clinician is at 1.42.
Conditions among them: High blood pressure 65% · Chronic kidney disease 30% · Depression 30% · Diabetes 23% · Cancer 20% · Coronary heart disease 19% · COPD 14% · Atrial fibrillation 14% · Heart failure 12% · Dementia 9% · Stroke 7%.
The office billed $203,449, Medicare allowed $34,347 and paid $24,421; for 363 services of 14 kinds.
Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.
Year by year
| 2024 | 264 | 363 | 73 | 1.42 | $203,449 | $24,421 |
| 2023 | 325 | 390 | 73 | 1.30 | $243,036 | $28,894 |
| 2022 | 234 | 262 | 70 | 1.48 | $153,450 | $22,025 |
| 2021 | 105 | 108 | 63 | 1.29 | $19,974 | $6,624 |
| 2020 | 76 | 81 | 64 | 1.53 | $12,966 | $3,166 |
| 2019 | 22 | 23 | 64 | 1.04 | $4,501 | $1,109 |
Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.
See the services billed each year
2023: 7 services
| Long return visit (40+ min) | 113 | $12,458 | $102 |
| Return visit (30+ min) | 111 | $7,895 | $65 |
| New patient visit (30+ min) | 36 | $1,799 | $50 |
| Long return visit (40+ min) | 13 | $1,523 | $117 |
| Short return visit (20+ min) | 36 | $1,491 | $38 |
| New patient visit (45+ min) | 16 | $1,404 | $88 |
| Return visit (30+ min) | 14 | $1,125 | $80 |
2022: 7 services
| Long return visit (40+ min) | 49 | $6,880 | $123 |
| Return visit (30+ min) | 75 | $5,998 | $79 |
| Long return visit (40+ min) | 15 | $1,978 | $116 |
| Return visit (30+ min) | 23 | $1,872 | $78 |
| Short return visit (20+ min) | 27 | $1,450 | $54 |
| Short return visit (20+ min) | 26 | $1,332 | $49 |
| New patient visit (30+ min) | 14 | $917 | $66 |
2021: 1 service
| Short return visit (20+ min) | 98 | $6,119 | $61 |
2020: 4 services
| Short return visit (20+ min) | 28 | $1,101 | $38 |
| Return visit (30+ min) | 20 | $812 | $41 |
| Telephone medical discussion with physician, 21-30 minutes | 11 | $707 | $59 |
| Telephone medical discussion with physician, 5-10 minutes | 12 | $227 | $19 |
2019: 1 service
| Return visit (30+ min) | 14 | $768 | $51 |
Medicaid work
$4,240 in 2022
Medicaid paid $4,240 for 100 billed services this clinician did in 2022, up to 100 people in a month for one service.
Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.
| Short return visit (20+ min) | 100 | $4,240 |
| 2022 | 100 | 1 | 100 | $4,240 |
| 2021 | 536 | 2 | 119 | $22,119 |
| 2020 | 187 | 3 | 71 | $6,938 |
See the largest Medicaid services in earlier years
2021
| Short return visit (20+ min) | 519 | $21,256 |
| Return visit (30+ min) | 17 | $863 |
2020
| Short return visit (20+ min) | 112 | $3,787 |
| Return visit (30+ min) | 58 | $2,850 |
| OFFICE/OUTPATIENT VISIT NEW | 17 | $301 |
Drugs they prescribed that Part D paid
$31,263
Pharmacies billed $31,263 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
294 generic and fewer than 11 brand-name prescriptions · $31,263 in drug cost · 80 antibiotic prescriptions to 64 people.
Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.
| Diclofenac | 13 | $649 | $36 |
| Albuterol Sulfate Hfa | 18 | $646 | $29 |
| Fluticasone Propionate | 31 | $451 | $11 |
| Amoxicillin-Clavulanate Potass | 22 | $141 | $6 |
| Doxycycline Monohydrate | 16 | $113 | $7 |
See all 6 drugs
| Diclofenac | 13 | $649 | $36 |
| Albuterol Sulfate Hfa | 18 | $646 | $29 |
| Fluticasone Propionate | 31 | $451 | $11 |
| Amoxicillin-Clavulanate Potass | 22 | $141 | $6 |
| Doxycycline Monohydrate | 16 | $113 | $7 |
| Paxlovid | 18 | $0 | $0 |
Year by year
| 2024 | 388 | 226 | None | None | $31,263 |
| 2023 | 260 | 163 | None | 9% | $10,483 |
| 2022 | 151 | 98 | 0% (0) | 17% | $8,580 |
| 2021 | 62 | 22 | 0% (0) | 18% | $10,926 |
| 2020 | 118 | 34 | None | None | $8,877 |
| 2019 | 17 | None | 0% (0) | None | $333 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 6 drugs
| Diclofenac | 21 | $577 | $27 |
| Albuterol Sulfate Hfa | 14 | $388 | $28 |
| Fluticasone Propionate | 19 | $287 | $15 |
| Amoxicillin-Clavulanate Potass | 14 | $152 | $11 |
| Paxlovid (Eua) | 14 | $144 | $10 |
| Doxycycline Monohydrate | 16 | $88 | $6 |
2022: 3 drugs
| Fluticasone Propionate | 13 | $268 | $21 |
| Amoxicillin-Clavulanate Potass | 17 | $212 | $12 |
| Paxlovid (Eua) | 19 | $204 | $11 |
2021: 1 drug
| Fluticasone Propionate | 12 | $210 | $17 |
2020: 2 drugs
| Fluticasone Propionate | 23 | $535 | $23 |
| Furosemide | 11 | $98 | $9 |
Money from drug and device companies
$115 in 2023
A payment is not proof that care is biased.
| Abbott Laboratories | Id Now Instrument | $115 | 1 payment
|
See the published payment
| Abbott Laboratories | Meals · 2023-03-13 | Id Now Instrument | $115 |
Professional record
- NPI
- 1598283335
- Licence
- MA RN2329868
- Video visits
- Lists video visits
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 363LG0600X (363LG0600X)
- Mailing address
- 1701 Divisadero St, San Francisco, CA, 94115
- NPI first listed
- 2017-08-31
- NPI last updated
- 2024-11-07
- NPI record certified
- 2024-11-07
This is when the NPI record was last certified, not a medical board exam.