ALBERTO PENA, M.D.
Colon & Rectal Surgery Physician · MCALLEN, TX
Individual Active NPI 1467407601
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 187 | 426 | $368,316 | $99,636 | $74,825 |
| 2023 | 306 | 855 | $575,515 | $162,734 | $124,834 |
| 2022 | 306 | 967 | $670,487 | $190,538 | $147,261 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 115 | $118 | $79 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 55 | $85 | $52 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 41 | $152 | $101 |
| 46600 | Diagnostic exam of anus using an endoscope | 36 | $108 | $71 |
| 46221 | Removal of external hemorrhoids by rubber banding | 13 | $262 | $201 |
| 49905 | Repair of abdomen using abdominal lining graft | 12 | $308 | $245 |
| 45331 | Biopsy of lower large bowel using a flexible endoscope | 12 | $58 | $42 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | ✓ | M2444 | TX |
| Surgery Physician | 208600000X | M2444 | TX |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.