Which insurance companies are you contracted with?
Access Health Colorado (Child Health Plan Plus only)
Aetna Medicare (SM) (HMO/Open Access HMO)
Aetna Medicare (SM) PPO
Aetna Medicare Connect Plus PPO
Anthem Blue Cross Blue Shield Blue Priority HMO
Anthem Blue Cross Blue Shield Blue Priority PPO
Anthem Blue Cross Blue Shield Commercial HMO
Anthem Blue Cross Blue Shield Commercial PPO
Anthem Blue Cross Blue Shield Pathway
Anthem Blue Cross Blue Shield Silver Pathway HMO (not Silver Pathway X HMO)
Best Health Plan
Cigna (not Cigna Connect, Cigna-HealthSpring Medicare Advantage, Cigna SureFit)
Friday Health (not Denver market / Denver or Denver suburbs address on back of card)
Humana (all plans except HMO-X)
Kaiser Permanente (Southern Colorado Provider Network only, not the purple card/Select or KP Access or CU EPO)
Medicare (with all supplements except Medicaid)
Prime Health Services
Rocky Mountain Health Plans Good Health/Vista (Statewide) Plan
Rocky Mountain Health Plans Summit Group Plans (Statewide)
Rocky Mountain Health Plans Range Exclusive
Rocky Mountain Health Plans Monument Health Network
Rocky Mountain Health Plans Child Health Plan Plus
Rocky Mountain Health Plans Medicare
Rocky Mountain Health Plans CNIC Self-Funded
UnitedHealthcare (except UnitedHealthCare Dual Complete HMO SNP and UnitedHealthCare Centura Health/Colorado Doctors Plan)
If you have an insurance company that is not in this list, we can also bill your insurance for out-of-network benefits if your plan has out-of-network benefits. You will likely be responsible for more than you would be responsible for if you chose an in-network provider.
Which insurance companies are you not contracted with?
Please call our office to see if we are contracted with your insurance plan. If we list plans we are not contracted with, then search engines may pull up our website if you search for a provider who accepts your insurance.
Will you bill my secondary insurance too?
Yes, we will bill your primary and secondary insurance companies if we are contracted with them. However, we will not bill your tertiary insurance company.
Do I need a referral to see Dr. Martin?
If your insurance company requires a referral from your primary care physician (PCP) in order for you to see a specialist, then you must obtain a referral from your PCP before scheduling an appointment with Dr. Martin. If your insurance company does not require a referral to see a specialist, then no referral is required.
Will I need to pay my copay at my appointment?
Yes, if your plan requires a copay, we will collect a copay at the time of your appointment in order to fulfill the requirements of our contract with your insurance company.
Is regenerative medicine covered by my insurance?
No, at this time, we are not aware of any insurance companies that will pay for PRF. Regenerative medicine is self-pay only. If we are contracted with your insurance company, we will bill your insurance for the initial visit with Dr. Martin. However, you will be responsible for paying for any PRF treatments before your procedure.
Will PRF treatments count towards my deductible?
Sometimes. Some insurance companies will allow for regenerative medicine treatments to count towards deductibles; some insurance companies do not. If this is a deciding factor for you, we ask that you contact your insurance company to find out before scheduling your treatment.
What does Dr. Martin treat with PRF?
Dr. Martin can usPRF to treat joints, ligaments, tendons, cartilage and the spine (facet joints).
Does Dr. Martin treat multiple sclerosis, spinal cord injuries, brain injuries, cancer, Alzheimer’s or Parkinson’s?
No, Dr. Martin cannot treat these conditions.
What levels of the spine does Dr. Martin treat/inject?
Dr. Martin treats all levels of the spine, including cervical, thoracic and lumbar. She does PRF treatments, as well as steroid injections (covered by insurance).
Does Dr. Martin implant spinal cord stimulators and intrathecal pumps?
No, Dr. Martin does not.
Does Dr. Martin do spinal cord stimulator trials?
What sets Dr. Martin apart from other physiatrists?
Dr. Martin is an expert at properly diagnosing and appropriately and effectively treating patients. She completed medical school at Texas Tech University, including clinical training in El Paso, Texas; PM&R residency at Baylor University Medical Center in Dallas; and a one-to-one fellowship with Dr. Lawrence Frank, an expert in the diagnosis and treatment of back, neck and joint conditions, as well as muscle and peripheral nerve injuries.
Do you guarantee regenerative medicine treatment?
No guarantee is made or implied that healing, reduced pain or improved function will definitely occur with PRF. While Dr. Martin thoroughly evaluates each patient and suggests considering regenerative medicine treatments only if she truly believes the treatment will significantly improve the patient’s outcome, no medical treatment, including regenerative medicine, is ever guaranteed to cure a patient’s ailment. Despite Dr. Martin’s best attempts at selecting only individuals for regenerative medicine who have a strong chance of success with PRF, we cannot guarantee that treatment will have the results that we desire. Furthermore, Dr. Martin will not treat a patient with regenerative medicine if a joint is unstable or if she believes a patient needs surgery.
Does the BMA procedure hurt?
Dr. Martin numbs the area prior to retrieving bone marrow. Additionally, Dr. Martin is very gentle with all of her treatments. Most patients experience very little discomfort, describing the sensation as a “pressure.”
Does the PRF injection hurt?
Before injecting, Dr. Martin numbs the area to be injected with a topical “freezing” menthol agent in order to reduce discomfort. The injection usually does not hurt patients at all until the area of injury is reached with the needle and PRF is injected into the region. At this point, there is sometimes some pain in the region, usually described as being similar to the regular level of pain in the area on a moderately painful day. After approximately 5-20 minutes, the pain usually returns to the pre-injection pain level. Our patients usually report a significant decrease in pain over the course of the next 7-14 days, with many patients reporting 50% or greater improvement in pain level. However, in one case of severe long-term pain and repeated injury, it took six weeks for healing and complete dissolution of pain to occur.
How much time does Dr. Martin spend with patients?
Dr. Martin spends approximately 30-40 minutes with patients during new patient visits and 20-25 minutes with patients during follow-up appointments. Dr. Martin believes that it is important to spend enough time with patients to fully understand each patient’s situation and pain-generator in order to properly diagnose patients. Dr. Martin also takes the time to educate patients about their conditions and options.
How early should I arrive for my appointment?
If you are a new patient, please either print and fill out the new patient paperwork ahead of time or arrive 20-30 minutes before your scheduled appointment to fill out the paperwork in the clinic. If you are an established patient, please arrive 5-10 minutes before your scheduled appointment to review any changes.
What are your prices for the top 15 codes you bill for?
Established Office Visit Level 4 / CPT 99214 $131.06
New Patient Office Visit Level 4 / CPT 99204 $200.87
Transforaminal Epidural Steroid Injection Lumbar or Sacral / CPT 64483 $269.46
Radiofrequency Neurotomy Lumbar or Sacral / CPT 64635 $508.96
Epidurography / CPT 72275 $140.99
Facet Joint Injection Single Level Lumbar or Sacral / CPT 64493 $212.30
Radiofrequency Neurotomy Cervical or Thoracic / CPT 64633 $513.26
Facet Joint Injection Single Level Cervical or Thoracic / CPT 64490 $234.40
Moderate Sedation 15 minutes / CPT 99152 $63.26
Radiofrequency Neurotomy Additional Level Lumbar or Sacral / CPT 64636 $209.70
Established Patient Office Visit Level 5 / CPT 99215 $176.96
Injection Procedure for Sacroiliac Joint In-Office / CPT 27096 $197.51
New Patient Office Visit Level 5 / CPT 99205 $252.38
EMG/NCS (5 or more muscles 3 or more nerves) / CPT 95886 $111.22
Facet Joint Injection Second Level Lumbar or Sacral / CPT 64494 $106.98
What is the timeline for regenerative medicine?
We require an initial consultation and a two-week waiting period, then regenerative medicine treatment can be performed. After treatment, we require a six-week follow-up appointment. If additional questions arise following your initial consultation, please contact the office to schedule a follow-up appointment with the provider. (The initial consultation and follow-up appointments are typically covered under insurance.)
Since I know what I want, can I have my regenerative medicine treatment at the same time as my consult?
We require a consultation, followed by at least two weeks for patients to consider treatment options. Regenerative medicine treatments can be scheduled to occur two weeks after the consultation.
Since I am coming from out of town/out of state, can I schedule my consultation and regenerative medicine treatment to occur on the same day?
We require all patients to be seen for an initial consultation, followed by a 2-week period.
Since I am coming from out of town/out of state, can I have a phone consultation?
An in-person consultation, evaluation and examination of all patients must be performed to adequately assess injuries. This is for patient safety, for liability reasons and to ensure that Dr. Martin can present the best options for your unique situation.
If I have additional questions after my consultation and before my procedure, can I speak with the doctor over the phone?
If you have additional questions after your consultation, we will schedule a follow-up appointment for you to go over your questions and concerns with Dr. Martin before your treatment is scheduled. (This appointment is typically covered under insurance.)
If I have additional questions after my procedure, can I speak with the doctor over the phone?
If you have additional questions after your procedure, we will schedule a follow-up appointment for you to go over your questions and concerns with Dr. Martin. (This appointment is typically covered under insurance.)
I was told that my insurance company will cover PRP. Will you bill my insurance company for treatment and/or obtain preauthorization for treatment?
Unfortunately, no insurance company in the United States will cover these treatments at this time.
Why doesn’t insurance cover regenerative medicine treatments?
This is a complex issue. The general explanation for why regenerative medicine treatments are not covered by insurance is because these treatments have not been studied in the United States quite as extensively as those treatments that are covered by insurance and are therefore considered experimental by insurance companies.
What is your pricing for regenerative medicine treatments?
Pricing is dependent on which regenerative medicine product is chosen and the areas to be injected. We will provide you with a quote at your consultation.
What are the protocols that I need to follow after my treatment is complete?
You will be provided with a detailed list of protocols that outline activity restrictions, as well as safe activities, following your treatment.
Should any specific medications be discontinued before or after the treatment?
You will be provided with a list of medications to discontinue both prior to and following your treatment.