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, $557 per patient in 2015.
They performed about 9 services per patient. Here’s how this provider compares.

Number of
Patients
100
Rank: 10th
out of 12 providers in this state & specialty
Services
Performed
1,220
Rank: 7th
out of 12 providers in this state & specialty
Avg Services
Per Patient
12.2 This Provider is in the top 10%
Avg 9.2
Total Paid
by Medicare
$65.5K
Rank: 9th
out of 12 providers in this state & specialty
Avg Paid
Per Patient
$655 This Provider
Avg $557

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 41 different services in 2015
(22 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, dexamethasone sodium phosphate, 1mg

Service Code: J1100
Performed in an office
334
times performed,
27% of his services

1st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NM perform this service

37
patients got this service, 37% of his patients
1.7
average number of visits a patient made for this service
$417.50an average of $1.25 per time performed $36.74
an average of $0.11 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
170
times performed,
14% of his services

2nd 1st

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

84
patients got this service, 84% of his patients
2
average number of visits a patient made for this service
(Peers: 2.1)
$27,200.00an average of $160.00 per time performed $12,353.90
an average of $72.67 per time performed
medical
MEDICINE

Moderate sedation services by physician also performing a... +

Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 30 minutes ×

Service Code: 99144
Performed in an office
95
times performed,
8% of his services

3rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NM perform this service

48
patients got this service, 48% of his patients
2
average number of visits a patient made for this service
$16,625.00an average of $175.00 per time performed $2,278.10
an average of $23.98 per time performed
medical
PROCEDURES

Drug screen, other than chromatographic; any number of dr... +

Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter ×

Service Code: G0434
Performed in an office
77
times performed,
6% of his services

4th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NM perform this service

49
patients got this service, 49% of his patients
1.6
average number of visits a patient made for this service
$10,780.00an average of $140.00 per time performed $1,049.51
an average of $13.63 per time performed
medical
EVALUATION AND MANAGEMENT

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

Established patient office or other outpatient, visit typically 40 minutes ×

Service Code: 99215
Performed in an office
69
times performed,
6% of his services

5th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NM perform this service

48
patients got this service, 48% of his patients
1.4
average number of visits a patient made for this service
$17,250.00an average of $250.00 per time performed $5,580.03
an average of $80.87 per time performed
drug
DRUGS

Injection, betamethasone acetate 3mg and betamethasone so... +

Injection, betamethasone acetate 3mg and betamethasone sodium phosphate 3mg ×

Service Code: J0702
Performed in an office
53
times performed,
4% of his services

6th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NM perform this service

32
patients got this service, 32% of his patients
1.5
average number of visits a patient made for this service
$530.00an average of $10.00 per time performed $234.26
an average of $4.42 per time performed
medical

Aspiration and/or injection of major joint or joint capsu... +

Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance ×

Service Code: 20611
Performed in an office
40
times performed,
3% of his services

7th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NM perform this service

11
patients got this service, 11% of his patients
3.6
average number of visits a patient made for this service
$8,000.00an average of $200.00 per time performed $2,761.60
an average of $69.04 per time performed
medical
MEDICINE

Moderate sedation services by physician or health care pr... +

Moderate sedation services by physician or health care provider also performing a procedure ×

Service Code: 99145
Performed in an office
29
times performed,
2% of his services

8th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NM perform this service

16
patients got this service, 16% of his patients
1.8
average number of visits a patient made for this service
$4,350.00an average of $150.00 per time performed $178.93
an average of $6.17 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injection procedure into sacroiliac joint for anesthetic ... +

Injection procedure into sacroiliac joint for anesthetic or steroid ×

Service Code: 27096
Performed in an office
24
times performed,
2% of his services

9th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NM perform this service

19
patients got this service, 19% of his patients
1.3
average number of visits a patient made for this service
$14,880.00an average of $620.00 per time performed $3,366.96
an average of $140.29 per time performed
medical
RADIOLOGY

Imaging of organ

Service Code: 76120
Performed in an office
24
times performed,
2% of his services

10th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NM perform this service

16
patients got this service, 16% of his patients
1.5
average number of visits a patient made for this service
$3,600.00an average of $150.00 per time performed $1,526.64
an average of $63.61 per time performed
medical
NERVOUS SYSTEM

Destruction of lower or sacral spinal facet joint nerves ... +

Destruction of lower or sacral spinal facet joint nerves using imaging guidance ×

Service Code: 64635
Performed in an office
24
times performed,
2% of his services

11th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NM perform this service

15
patients got this service, 15% of his patients
1.6
average number of visits a patient made for this service
$21,600.00an average of $900.00 per time performed $6,961.20
an average of $290.05 per time performed
medical
NERVOUS SYSTEM

Destruction of lower or sacral spinal facet joint nerves ... +

Destruction of lower or sacral spinal facet joint nerves with imaging guidance ×

Service Code: 64636
Performed in an office
24
times performed,
2% of his services

12th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NM perform this service

15
patients got this service, 15% of his patients
1.6
average number of visits a patient made for this service
$9,840.00an average of $410.00 per time performed $2,905.68
an average of $121.07 per time performed
medical
MEDICINE

Testing of autonomic (sympathetic) nervous system function +

Testing of autonomic (sympathetic) nervous system function ×

Service Code: 95923
Performed in an office
22
times performed,
2% of his services

13th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NM perform this service

20
patients got this service, 20% of his patients
1.1
average number of visits a patient made for this service
$6,600.00an average of $300.00 per time performed $2,545.18
an average of $115.69 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
21
times performed,
2% of his services

14th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NM perform this service

11
patients got this service, 11% of his patients
1.9
average number of visits a patient made for this service
$3,675.00an average of $175.00 per time performed $861.84
an average of $41.04 per time performed
medical
RADIOLOGY

Fluoroscopic guidance for insertion of needle

Service Code: 77002
Performed in an office
19
times performed,
2% of his services

15th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NM perform this service

12
patients got this service, 12% of his patients
1.6
average number of visits a patient made for this service
$3,549.96an average of $186.84 per time performed $1,159.95
an average of $61.05 per time performed
medical
NERVOUS SYSTEM

Injections of substances into lower or sacral spine

Service Code: 62311
Performed in an office
17
times performed,
1% of his services

16th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NM perform this service

12
patients got this service, 12% of his patients
1.4
average number of visits a patient made for this service
$8,500.00an average of $500.00 per time performed $2,554.59
an average of $150.27 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64493
Performed in an office
12
times performed,
0.98% of his services

17th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NM perform this service

11
patients got this service, 11% of his patients
1.1
average number of visits a patient made for this service
$7,200.00an average of $600.00 per time performed $1,766.16
an average of $147.18 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64494
Performed in an office
12
times performed,
0.98% of his services

18th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NM perform this service

11
patients got this service, 11% of his patients
1.1
average number of visits a patient made for this service
$4,800.00an average of $400.00 per time performed $1,016.88
an average of $84.74 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 6... +

New patient office or other outpatient visit, typically 60 minutes ×

Service Code: 99205
Performed in an office
11
times performed,
0.9% of his services

19th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NM perform this service

11
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
$3,795.00an average of $345.00 per time performed $1,497.54
an average of $136.14 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.

Miguel A Pupiales
Average for Pain Medicine Providers in New Mexico

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.