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NPI 1104920859 · Weslaco, TX · Internal Medicine Physician
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Pedro Penalo is a internal medicine physician provider located in Weslaco, Texas. This profile covers 34 Medicare and 25 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Pedro Penalo |
| Address | 906 S Bridge Ave |
| City | Weslaco |
| State | TX |
| ZIP | 78596 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | September 12, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $251.6K |
| Medicaid | $144.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
34 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 880 | $80 | $74.2K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,220 | $60 | $67.2K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 250 | $120 | $30.9K |
| 99496 | The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact… | 100 | $200 | $20K |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 270 | $70 | $19.8K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 50 | $130 | $6.8K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 630 | $10 | $5.1K |
| 90674 | This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL… | 140 | $30 | $4.5K |
| G0008 | Administration of influenza virus vaccine | 130 | $30 | $3.9K |
| 87426 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,… | 100 | $40 | $3.4K |
Showing 1–10 of 34
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
34 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 1,089 | 32,500 | 110 | $80 | $17.6K |
| 99490 | 1,469 | 1,520 | 180 | $40 | $16.2K |
| 80061 | 1,153 | 1,790 | 90 | $10 | $11.6K |
| G0439 | 426 | 7,110 | 60 | $120 | $10.6K |
| 99215 | 3,341 | 8,730 | 40 | $120 | $9.2K |
| 99213 | 197 | 29,790 | 70 | $60 | $8.4K |
| 96130 | 76 | 120 | 30 | $90 | $8.2K |
| 90833 | 474 | 480 | 70 | $50 | $6.6K |
| 99496 | 32 | 950 | 20 | $190 | $6.1K |
| 99348 | 598 | 780 | 60 | $50 | $6K |
Showing 1–10 of 34
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
25 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 2,230 | $40 | $82.3K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 2,010 | $30 | $52.3K |
| 90674 | This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL… | 110 | $20 | $2.1K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 150 | $10 | $1.5K |
| 90756 | This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into… | 70 | $20 | $1.2K |
| 99395 | The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39. | 30 | $40 | $1.1K |
| 87426 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,… | 30 | $30 | $920 |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 50 | $10 | $680 |
| 96130 | The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a… | 210 | $1 | $630 |
| 99396 | The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64. | 20 | $30 | $540 |
Showing 1–10 of 25
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
25 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 2,048 | 6,040 | 710 | $40 | $232.8K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 1,413 | 5,810 | 540 | $50 | $155.5K |
| 87426 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,… | 1,159 | 1,350 | 320 | $30 | $101.2K |
| 96130 | The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a… | 140 | 260 | 240 | $70 | $67.1K |
| 99395 | The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39. | 533 | 680 | 100 | $70 | $29K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 776 | 1,410 | 200 | $10 | $14.2K |
| 99396 | The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64. | 108 | 150 | 40 | $70 | $10.2K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 1,040 | 1,390 | 230 | $10 | $8.7K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 296 | 580 | 200 | $1 | $3.8K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 734 | 1,430 | 390 | $1 | $2.5K |
Showing 1–10 of 25
Other providers in the same ZIP code as Pedro Penalo, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Pas Home Care, LLC | TX | Home Health Agency | $0 | $55M |
| Adl Services, Inc. | TX | Personal Care Attendant | $0 | $23.9M |
| Odp Management LLC | TX | Personal Care Attendant | $0 | $17.2M |
| Idea Public Schools, Inc. | TX | Local Education Agency (LEA) | $0 | $16M |
| Rio Grande Valley Adult & Internal Medicine Specialists PLLC | TX | Internal Medicine Physician | $0 | $15.8M |
| Life Home Health Care, Inc. | TX | Home Health Agency | $0 | $15.1M |
| P.a.c.e. Health Care, Inc. | TX | Home Health Agency | $0 | $14.6M |
| Rodeo Weslaco Dental & Orthodontics | TX | Dentist | $0 | $14M |
| Santa Fe Phc, LLC | TX | Personal Care Attendant | $0 | $12.2M |
| Promesa Home Health, Inc. | TX | Home Health Agency | $0 | $11.9M |
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