Treatment Tracker

The Doctors and Services in Medicare Part B

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $995 per patient in 2015.
They performed about 59 services per patient. Here’s how this provider compares.

Number of
Patients
220
Rank: 178th
out of 276 providers in this state & specialty
Services
Performed
33,065
Rank: 75th
out of 276 providers in this state & specialty
Avg Services
Per Patient
150.3 This Provider is in the top 10%
Avg 59.5
Total Paid
by Medicare
$1.11M
Rank: 26th
out of 276 providers in this state & specialty
Avg Paid
Per Patient
$5,048 This Provider is in the top 10%
Avg $995

Note: About 91% of this provider’s Medicare payments were for drugs administered in his office.
This is intended to reimburse the provider for purchasing the drugs, plus an additional percentage for overhead.

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.

This Provider's Services

This provider performed 55 different services in 2015
(35 were redacted as they were performed on less than 11 patients)

All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
drug
DRUGS

Injection, abatacept, 10 mg (code may be used for medicar... +

Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ×

Service Code: J0129
Performed in an office
10,950
times performed,
33% of his services

1st 3rd

most performed service for this provider most performed service in this state & specialty

17
patients got this service, 8% of his patients
8.5
average number of visits a patient made for this service
(Peers: 6.2)
$427,597.50an average of $39.05 per time performed $298,059.00
an average of $27.22 per time performed
drug
DRUGS

Injection infliximab, 10 mg

Service Code: J1745
Performed in an office
8,380
times performed,
25% of his services

2nd 4th

most performed service for this provider most performed service in this state & specialty

26
patients got this service, 12% of his patients
6.6
average number of visits a patient made for this service
(Peers: 4.9)
$976,102.40an average of $116.48 per time performed $503,051.40
an average of $60.03 per time performed
drug
DRUGS

Injection, denosumab, 1 mg

Service Code: J0897
Performed in an office
1,620
times performed,
5% of his services

3rd 5th

most performed service for this provider most performed service in this state & specialty

16
patients got this service, 7% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.5)
$32,400.00an average of $20.00 per time performed $18,986.40
an average of $11.72 per time performed
medical
CARDIOVASCULAR SYSTEM

Insertion of needle into vein for collection of blood sample +

Insertion of needle into vein for collection of blood sample ×

Service Code: 36415
Performed in an office
1,117
times performed,
3% of his services

4th 11th

most performed service for this provider most performed service in this state & specialty

214
patients got this service, 97% of his patients
5.2
average number of visits a patient made for this service
(Peers: 2.2)
$21,223.00an average of $19.00 per time performed $3,250.47
an average of $2.91 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
717
times performed,
2% of his services

5th 9th

most performed service for this provider most performed service in this state & specialty

211
patients got this service, 96% of his patients
3.4
average number of visits a patient made for this service
(Peers: 1.9)
$86,040.00an average of $120.00 per time performed $37,527.78
an average of $52.34 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
368
times performed,
1% of his services

6th 17th

most performed service for this provider most performed service in this state & specialty

52
patients got this service, 24% of his patients
7.1
average number of visits a patient made for this service
(Peers: 5.3)
$110,400.00an average of $300.00 per time performed $35,191.84
an average of $95.63 per time performed
drug
DRUGS

Injection, ketorolac tromethamine, per 15 mg

Service Code: J1885
Performed in an office
244
times performed,
0.74% of his services

7th 33rd

most performed service for this provider most performed service in this state & specialty

43
patients got this service, 20% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.6)
$3,660.00an average of $15.00 per time performed $119.56
an average of $0.49 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein

Service Code: 96415
Performed in an office
231
times performed,
0.7% of his services

8th 22nd

most performed service for this provider most performed service in this state & specialty

32
patients got this service, 15% of his patients
5.9
average number of visits a patient made for this service
(Peers: 4.4)
$15,015.00an average of $65.00 per time performed $4,615.38
an average of $19.98 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 25 minutes ×

Service Code: 99214
Performed in an office
131
times performed,
0.4% of his services

9th 6th

most performed service for this provider most performed service in this state & specialty

102
patients got this service, 46% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2.4)
$22,925.00an average of $175.00 per time performed $9,134.63
an average of $69.73 per time performed
medical
MEDICINE

Injection beneath the skin or into muscle for therapy, di... +

Injection beneath the skin or into muscle for therapy, diagnosis, or prevention ×

Service Code: 96372
Performed in an office
114
times performed,
0.34% of his services

10th 23rd

most performed service for this provider most performed service in this state & specialty

46
patients got this service, 21% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.7)
$5,700.00an average of $50.00 per time performed $1,996.14
an average of $17.51 per time performed
medical
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
78
times performed,
0.24% of his services

11th 44th

most performed service for this provider most performed service in this state & specialty

78
patients got this service, 35% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$17,550.00an average of $225.00 per time performed $2,904.72
an average of $37.24 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
65
times performed,
0.2% of his services

12th 58th

most performed service for this provider most performed service in this state & specialty

65
patients got this service, 30% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,950.00an average of $30.00 per time performed $1,524.25
an average of $23.45 per time performed
drug
TEMPORARY CODES

Influenza virus vaccine, split virus, when administered t... +

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ×

Service Code: Q2038
Performed in an office
63
times performed,
0.19% of his services

13th 174th

most performed service for this provider most performed service in this state & specialty

63
patients got this service, 29% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,890.00an average of $30.00 per time performed $743.40
an average of $11.80 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
57
times performed,
0.17% of his services

14th 27th

most performed service for this provider most performed service in this state & specialty

40
patients got this service, 18% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$1,140.00an average of $20.00 per time performed $156.18
an average of $2.74 per time performed
medical
MEDICINE

Injection of different drug or substance into a vein for ... +

Injection of different drug or substance into a vein for therapy, diagnosis, or prevention ×

Service Code: 96375
Performed in an office
51
times performed,
0.15% of his services

15th 62nd

most performed service for this provider most performed service in this state & specialty

14
patients got this service, 6% of his patients
3.6
average number of visits a patient made for this service
(Peers: 3.9)
$6,375.00an average of $125.00 per time performed $797.64
an average of $15.64 per time performed
drug
MEDICINE

Pneumococcal vaccine for injection into muscle

Service Code: 90670
Performed in an office
46
times performed,
0.14% of his services

16th 156th

most performed service for this provider most performed service in this state & specialty

46
patients got this service, 21% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$9,250.14an average of $201.09 per time performed $7,617.14
an average of $165.59 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
46
times performed,
0.14% of his services

17th 136th

most performed service for this provider most performed service in this state & specialty

46
patients got this service, 21% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,300.00an average of $50.00 per time performed $1,055.24
an average of $22.94 per time performed
medical
RADIOLOGY

X-ray of hand, 2 views

Service Code: 73120
Performed in an office
29
times performed,
0.09% of his services

18th 64th

most performed service for this provider most performed service in this state & specialty

13
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1)
$1,769.00an average of $61.00 per time performed $518.81
an average of $17.89 per time performed
medical
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of large joint or joint capsule +

Aspiration and/or injection of large joint or joint capsule ×

Service Code: 20610
Performed in an office
28
times performed,
0.08% of his services

19th 19th

most performed service for this provider most performed service in this state & specialty

12
patients got this service, 5% of his patients
2.3
average number of visits a patient made for this service
(Peers: 1.9)
$3,780.00an average of $135.00 per time performed $1,235.36
an average of $44.12 per time performed
medical
MEDICINE

Injection of drug or substance into a vein for therapy, d... +

Injection of drug or substance into a vein for therapy, diagnosis, or prevention ×

Service Code: 96374
Performed in an office
25
times performed,
0.08% of his services

20th 137th

most performed service for this provider most performed service in this state & specialty

15
patients got this service, 7% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.1)
$3,125.00an average of $125.00 per time performed $1,001.00
an average of $40.04 per time performed

Office Visits

Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

Richard Charles Pena
Average for Rheumatology Providers in Texas

Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected]. Here's a link to Medicare's data on this provider.

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2015 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

Read our methodology.