David Martinez
McKinney, TX 75071
Fax: 844-222-8246
David Martinez has more than 35 years of experience in medical billing, reimbursement analysis, and the evaluation of Usual, Customary, and Reasonable (UCR) medical charges. He provides expert witness services in matters involving UCR determinations, fair market value of medical services, medical reimbursement disputes, health insurance claims, ERISA, healthcare billing practices, coding, auditing, insurance fraud investigations, HIPAA compliance, and healthcare revenue cycle operations.
Mr. Martinez has analyzed medical charges, reimbursement methodologies, and billing practices across a broad range of healthcare specialties and settings. His opinions are based on industry standards, reimbursement data, accepted billing practices, and objective analysis. He has assisted attorneys, healthcare providers, insurers, and other stakeholders in evaluating the reasonableness of medical charges and reimbursement issues in complex healthcare disputes.
- Auditing
- Electronic Health Records (EHRs)
- ERISA
- Health Care Economics
- Insurance Customs & Practices
- Insurance Fraud
- Managed Care & HMOs
- Medical Billing
- Medical Fraud
- Personal Injury
- Q: Please list your professional accreditations, degrees, licenses, and certificates granted:
- A: Certified Professional Coder (CPC); Certified Medical Reimbursement Specialist (CMRS); Certified Medical Claims Examiner (CMCE); Certified Claims Auditor; Certified Medical Biller (CMB); Certified HIPAA Professional (CHP); Certified Compliance Officer (CCO); Certified Continuing Education Instructor (California Board of Chiropractic Examiners); plus additional certifications in medical billing, coding, reimbursement analysis, healthcare compliance, auditing, and revenue cycle management.
- Q: Please list your affiliations or memberships in any professional and/or industry organizations:
- A: Professional memberships and affiliations include the American Medical Billing Association (AMBA), Healthcare Business Management Association (HBMA), Medical Group Management Association (MGMA), AAPC (formerly the American Academy of Professional Coders), California Chiropractic Association (CCA), International Chiropractic Association of California (ICAC), San Bernardino County Medical Society (SBCMS), Los Angeles County Podiatric Medical Society (LACPMS), Business Network International (BNI), and the Rancho Cucamonga Chamber of Commerce.
- Q: Please list any teaching or speaking experience you have had, including subject matter:
- A: **Teaching, Speaking Engagements, and Professional Presentations**
**Northwest College**
* "Proper Usage of Modifiers"
**International Chiropractic Association of California (ICAC)**
* "Continuing Education Units: Proper and Ethical Billing" (Presented 16 seminars during 2015)
* "Are You Tired of the Tricks Insurance Companies Play?"
* "How to Fight and Win Against Insurance Companies"
* "How to Appeal and Where to Appeal"
**California Chiropractic Association (CCA) – San Gabriel Chapter**
* "Proper Chiropractic Billing and Strapping Procedures"
**California Chiropractic Association (CCA) – Riverside Chapter**
* "History of Insurance and Medicare Billing"
**International Chiropractic Association of California (ICAC) Annual Conference**
* "Is What the Insurance Company Is Doing Even Legal?"
**Southern California University of Health Sciences**
* "The ICD-10 Train Is Coming: Will You Be On It or Under It?"
- Q: Have any of your accreditations ever been investigated, suspended or removed? (if yes, explain)
- A: No. None of my professional accreditations, certifications, or credentials have ever been investigated, suspended, revoked, or otherwise subject to disciplinary action.
- Q: On how many occasions have you been retained as an expert?
- A: Retained as an expert in more than 50 matters involving medical billing, reimbursement analysis, UCR (Usual, Customary, and Reasonable) charges, healthcare claims, and related healthcare financial issues.
- Q: For what area(s) of expertise have you been retained as an expert?
- A: Medical billing and coding, reimbursement analysis, UCR (Usual, Customary, and Reasonable) medical charges, and healthcare claims.
- Q: In what percentage of your cases were you retained by the plaintiff?
- A: 50
- Q: In what percentage of your cases were you retained by the defendant?
- A: 50
- Q: On how many occasions have you had your deposition taken?
- A: 9
- Q: When was the last time you had your deposition taken?
- A: May 2026
- Q: On how many occasions have you been qualified by a court to give expert testimony?
- A: 5
- Q: On how many occasions have you testified as an expert in court or before an arbitrator?
- A: 5
- Q: For how many years have you worked with the legal industry as an expert?
- A: Approximately 8 years providing expert witness and litigation support services involving medical billing, coding, reimbursement analysis, and UCR (Usual, Customary, and Reasonable) medical charges.
- Q: What services do you offer? (E.g.: consulting, testing, reports, site inspections etc.)
- A: Services include case review and consultation, medical billing and coding analysis, UCR (Usual, Customary, and Reasonable) charge evaluations, reimbursement analysis, healthcare claims review, insurance billing audits, medical record review, expert reports, rebuttal reports, deposition testimony, trial testimony, litigation support, document analysis, damages assessment related to medical billing and reimbursement issues, and consultation regarding healthcare billing practices, compliance, and healthcare financial matters.
- Q: What is your hourly rate to consult with an attorney?
- A: $350.00
- Q: What is your hourly rate to review documents?
- A: $350.00
- Q: What is your hourly rate to provide deposition testimony?
- A: $1500.00 Flat
- Q: What is your hourly rate to provide testimony at trial?
- A: $1500.00 Flat
- Q: Please list any fees other than those stated above (E.g.: travel expenses, copy fees, etc.)
- A: Additional fees include travel time billed at $65.00 per hour (portal-to-portal), plus reasonable travel-related expenses such as airfare, rental cars, lodging, meals, mileage, parking, tolls, copying, shipping, courier services, and other necessary out-of-pocket expenses incurred in connection with the engagement. A non-refundable retainer of $1,500.00 is required for all engagements.
Available Upon Request