Active NPI 1205875721 Individual Practitioner Male Practitioner

Dr. Jose Fernado Pena , MD

Internal Medicine • Donna, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Jose Pena, MD is a certified Internal Medicine practicing in Donna, TX. With approximately 40 years of clinical experience since completing medical education in 1986, Dr. Pena delivers high-quality medical care to the local community at 307 N SALINAS BLVD.

Dr. Pena is affiliated with Donna Medical Clinic, Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, blood glucose (sugar) level, residence visit for established patient with high level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

307 N Salinas Blvd

Donna, TX 785372929

Telephone 9564642402

Fax 9564644709

Associated Practice Facility / Clinic

🏢 Donna Medical Clonic Facility NPI 1487771705

Medicare Profile & Education

Medical School

Other

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Donna, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +8.0 yrs vs City Avg

City Avg: 32.0 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

3 Specialists

Practicing in Donna, TX (9538 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

38.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pena (40 Years) 40 Yrs

Donna Specialty Average (32.0 Years) 32.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	403	167	$225.00	$120.29
82947 Blood glucose (sugar) level	326	96	$20.00	$3.65
99213 Established patient office or other outpatient visit, typically 15 minutes	283	148	$115.00	$85.37
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	200	88	$230.00	$176.90
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	156	119	$25.00	$7.47
J1100 Injection, dexamethasone sodium phosphate, 1 mg	116	14	$2.00	$0.11
87804 Detection test by immunoassay with direct visual observation for influenza virus	97	44	$45.00	$14.88
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	86	86	$140.00	$122.14
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	84	53	$35.00	$13.40
G0444 Annual depression screening, 5 to 15 minutes	75	75	$40.00	$17.84
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	73	28	$80.00	$39.70
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	70	37	$165.00	$121.22
90833 Psychotherapy with evaluation and management visit, 30 minutes	62	20	$102.00	$69.52
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	54	47	$65.00	$36.80
G0008 Administration of influenza virus vaccine	54	52	$45.00	$30.46
81003 Automated urinalysis test	54	36	$10.00	$2.16
99443 Telephone medical discussion with physician, 21-30 minutes	53	42	$190.00	$122.09
J1885 Injection, ketorolac tromethamine, per 15 mg	52	19	$15.00	$0.66
90661 Influenza vaccine, trivalent derived from cell cultures	50	50	$55.00	$36.11
99442 Telephone medical discussion with physician, 11-20 minutes	42	33	$130.00	$86.36
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	37	34	$40.00	$15.32
83036 Hemoglobin A1C level	33	28	$30.00	$9.25
36415 Insertion of needle into vein for collection of blood sample	33	27	$15.00	$8.65
99441 Telephone medical discussion with physician, 5-10 minutes	32	27	$80.00	$52.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	20	$255.00	$172.06
82570 Creatinine level to test for kidney function or muscle injury	22	22	$15.00	$4.87
82044 Urine microalbumin (protein) analysis	22	22	$15.00	$5.86
99496 Transitional care management services for problem of high complexity	20	18	$325.00	$265.66
93000 Routine ekg using at least 12 leads including interpretation and report	17	15	$50.00	$12.80
90792 Psychiatric diagnostic evaluation with medical services	14	14	$290.00	$186.52
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	11	$100.00	$50.84
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	11	11	$5.00	$1.33
77080 Dxa bone density measurement of hip, pelvis, spine	11	11	$200.00	$36.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	619	280	$225.00	$119.78
82947 Blood glucose (sugar) level	388	134	$20.00	$3.64
99213 Established patient office or other outpatient visit, typically 15 minutes	272	173	$115.00	$83.92
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	170	140	$25.00	$7.57
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	159	86	$230.00	$178.48
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	141	86	$35.00	$13.26
J0696 Injection, ceftriaxone sodium, per 250 mg	123	21	$4.00	$0.50
87804 Detection test by immunoassay with direct visual observation for influenza virus	108	50	$45.00	$14.57
36415 Insertion of needle into vein for collection of blood sample	100	89	$15.00	$8.40
81003 Automated urinalysis test	89	59	$10.00	$2.18
J1885 Injection, ketorolac tromethamine, per 15 mg	88	35	$15.00	$0.53
J1100 Injection, dexamethasone sodium phosphate, 1 mg	86	13	$2.00	$0.12
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	73	73	$50.00	$32.52
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	72	16	$10.00	$1.07
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	71	30	$80.00	$39.47
G0008 Administration of influenza virus vaccine	70	70	$37.50	$29.45
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	65	65	$140.00	$123.58
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	64	57	$65.00	$36.30
99442 Telephone medical discussion with physician, 11-20 minutes	58	50	$130.00	$86.55
G0444 Annual depression screening, 5 to 15 minutes	56	56	$40.00	$17.59
99441 Telephone medical discussion with physician, 5-10 minutes	53	35	$80.00	$53.57
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	48	43	$40.00	$14.30
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	43	30	$165.00	$122.46
83036 Hemoglobin A1C level	29	25	$30.00	$9.52
99443 Telephone medical discussion with physician, 21-30 minutes	27	24	$190.00	$121.86
82570 Creatinine level to test for kidney function or muscle injury	24	21	$15.00	$4.89
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	24	18	$5.00	$1.65
93000 Routine ekg using at least 12 leads including interpretation and report	23	21	$50.00	$13.28
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	22	21	$100.00	$49.97
99496 Transitional care management services for problem of high complexity	21	21	$325.00	$264.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	17	$255.00	$171.60
82044 Urine microalbumin (protein) analysis	21	20	$15.00	$5.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$250.00	$160.01
77080 Dxa bone density measurement of hip, pelvis, spine	14	14	$200.00	$33.59
90792 Psychiatric diagnostic evaluation with medical services	12	11	$290.00	$189.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$175.00	$108.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	649	344	$225.00	$122.29
82947 Blood glucose (sugar) level	518	194	$20.00	$3.75
99213 Established patient office or other outpatient visit, typically 15 minutes	501	280	$115.00	$86.85
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	264	202	$25.00	$7.58
36415 Insertion of needle into vein for collection of blood sample	185	129	$15.00	$2.96
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	176	116	$35.00	$13.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	158	158	$140.00	$125.90
G0444 Annual depression screening, 5 to 15 minutes	152	152	$40.00	$17.70
G0008 Administration of influenza virus vaccine	144	140	$30.00	$28.46
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	135	71	$230.00	$169.39
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	130	128	$50.00	$31.09
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	129	28	$10.00	$1.14
J1885 Injection, ketorolac tromethamine, per 15 mg	120	40	$15.00	$0.58
81003 Automated urinalysis test	118	87	$10.00	$2.22
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	110	101	$65.00	$40.49
87804 Detection test by immunoassay with direct visual observation for influenza virus	107	51	$45.00	$16.29
J0696 Injection, ceftriaxone sodium, per 250 mg	82	20	$4.00	$0.49
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	65	32	$165.00	$122.53
83036 Hemoglobin A1C level	55	48	$30.00	$9.26
99442 Telephone medical discussion with physician, 11-20 minutes	50	45	$130.00	$84.53
99441 Telephone medical discussion with physician, 5-10 minutes	48	43	$80.00	$54.03
82570 Creatinine level to test for kidney function or muscle injury	42	40	$15.00	$4.91
82044 Urine microalbumin (protein) analysis	42	40	$15.00	$5.91
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	41	20	$80.00	$39.39
99443 Telephone medical discussion with physician, 21-30 minutes	41	32	$190.00	$123.88
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	39	38	$40.00	$15.94
93000 Routine ekg using at least 12 leads including interpretation and report	36	36	$50.00	$13.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	31	$255.00	$174.56
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	27	22	$5.00	$1.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$250.00	$161.35
99496 Transitional care management services for problem of high complexity	26	22	$325.00	$268.33
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	23	17	$65.00	$61.15
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	22	21	$100.00	$51.16
90756 Vaccine for influenza for injection into muscle	17	17	$55.00	$28.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$175.00	$108.36
G0442 Annual alcohol misuse screening, 5 to 15 minutes	14	14	$40.00	$18.04
93922 Ultrasound study of arm and leg arteries	13	13	$240.00	$79.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
82947 Blood glucose (sugar) level	646	224	$20.00	$3.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	603	315	$213.88	$124.49
99213 Established patient office or other outpatient visit, typically 15 minutes	600	341	$115.00	$87.29
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	229	134	$35.00	$13.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	196	196	$140.00	$128.96
G0444 Annual depression screening, 5 to 15 minutes	194	194	$40.00	$18.06
J1885 Injection, ketorolac tromethamine, per 15 mg	173	56	$15.00	$0.46
G0008 Administration of influenza virus vaccine	151	150	$30.00	$16.34
81003 Automated urinalysis test	143	95	$10.00	$2.23
90756 Vaccine for influenza for injection into muscle	139	139	$55.00	$27.96
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	128	117	$25.00	$7.77
J0696 Injection, ceftriaxone sodium, per 250 mg	125	20	$4.00	$0.55
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	108	22	$10.00	$1.28
36415 Insertion of needle into vein for collection of blood sample	92	82	$15.00	$2.93
J1100 Injection, dexamethasone sodium phosphate, 1 mg	84	12	$2.00	$0.15
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	67	26	$80.00	$38.06
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	50	26	$65.00	$39.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	48	$237.04	$176.26
82570 Creatinine level to test for kidney function or muscle injury	47	46	$15.00	$4.97
83036 Hemoglobin A1C level	47	43	$30.00	$9.32
82044 Urine microalbumin (protein) analysis	47	46	$15.00	$5.98
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	37	22	$5.00	$1.94
93000 Routine ekg using at least 12 leads including interpretation and report	33	31	$50.00	$14.34
87804 Detection test by immunoassay with direct visual observation for influenza virus	28	13	$45.00	$16.55
99441 Telephone medical discussion with physician, 5-10 minutes	23	21	$73.48	$54.77
99442 Telephone medical discussion with physician, 11-20 minutes	23	21	$111.74	$88.71
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	21	15	$165.00	$112.58
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	19	$100.00	$51.39
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	20	17	$230.00	$172.92
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	17	16	$65.00	$41.38
93922 Ultrasound study of arm and leg arteries	16	16	$217.50	$77.86
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	14	14	$50.00	$29.28
99443 Telephone medical discussion with physician, 21-30 minutes	14	12	$185.43	$119.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$250.00	$163.39
G0442 Annual alcohol misuse screening, 5 to 15 minutes	11	11	$40.00	$18.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,032	481	$180.00	$103.98
82947 Blood glucose (sugar) level	940	303	$20.00	$3.76
99213 Established patient office or other outpatient visit, typically 15 minutes	741	422	$115.00	$71.91
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	476	229	$35.00	$13.36
J0696 Injection, ceftriaxone sodium, per 250 mg	370	56	$4.00	$0.57
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	310	92	$65.00	$39.95
J1885 Injection, ketorolac tromethamine, per 15 mg	293	86	$15.00	$0.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	262	262	$140.00	$112.07
G0444 Annual depression screening, 5 to 15 minutes	259	259	$40.00	$17.59
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	257	246	$50.00	$28.44
G0008 Administration of influenza virus vaccine	254	243	$30.00	$16.05
81003 Automated urinalysis test	202	147	$10.00	$2.22
99442 Telephone medical discussion with physician, 11-20 minutes	201	144	$95.00	$72.86
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	185	37	$10.00	$1.38
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	162	132	$25.00	$7.56
J1100 Injection, dexamethasone sodium phosphate, 1 mg	148	25	$2.00	$0.12
87804 Detection test by immunoassay with direct visual observation for influenza virus	130	61	$46.54	$16.09
82570 Creatinine level to test for kidney function or muscle injury	102	99	$15.00	$4.99
82044 Urine microalbumin (protein) analysis	102	99	$15.00	$6.00
83036 Hemoglobin A1C level	81	68	$30.00	$9.38
36415 Insertion of needle into vein for collection of blood sample	81	72	$15.00	$2.97
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	76	33	$80.00	$38.60
99441 Telephone medical discussion with physician, 5-10 minutes	75	65	$65.00	$43.60
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	70	37	$5.00	$1.94
93000 Routine ekg using at least 12 leads including interpretation and report	68	64	$50.00	$16.41
J2405 Injection, ondansetron hydrochloride, per 1 mg	65	12	$10.00	$0.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	58	50	$175.00	$142.14
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	45	42	$40.00	$15.22
G0442 Annual alcohol misuse screening, 5 to 15 minutes	44	44	$40.00	$17.66
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	31	29	$100.00	$51.40
99443 Telephone medical discussion with physician, 21-30 minutes	31	26	$126.00	$106.38
94640 Inhalation treatment for airway obstruction or sputum production	30	24	$50.00	$16.24
93922 Ultrasound study of arm and leg arteries	28	28	$235.71	$81.94
J3490 Unclassified drugs	23	20	$10.00	$1.57
77080 Dxa bone density measurement of hip, pelvis, spine	20	20	$200.00	$38.02
69209 Removal of impacted ear wax by washing	20	19	$49.50	$15.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$65.25	$43.84
J7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg	19	11	$4.89	$0.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$250.00	$160.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$175.00	$104.39
71046 X-ray of chest, 2 views	12	11	$60.00	$31.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,684	697	$163.22	$103.57
82947 Blood glucose (sugar) level	1,652	403	$20.00	$4.17
99213 Established patient office or other outpatient visit, typically 15 minutes	1,509	675	$104.79	$70.77
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	739	337	$35.04	$15.81
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	507	126	$65.00	$40.01
J1885 Injection, ketorolac tromethamine, per 15 mg	389	115	$14.95	$0.51
G0444 Annual depression screening, 5 to 15 minutes	386	386	$40.00	$17.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	384	384	$140.00	$111.18
J0696 Injection, ceftriaxone sodium, per 250 mg	382	67	$4.00	$0.57
81003 Automated urinalysis test	355	220	$10.00	$2.42
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	355	77	$10.00	$1.62
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	329	320	$50.00	$26.94
G0008 Administration of influenza virus vaccine	327	318	$30.00	$15.80
J1100 Injection, dexamethasone sodium phosphate, 1 mg	321	45	$2.00	$0.11
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	310	266	$25.00	$8.38
36415 Insertion of needle into vein for collection of blood sample	194	178	$15.00	$2.91
82044 Urine microalbumin (protein) analysis	150	137	$15.00	$6.00
87804 Detection test by immunoassay with direct visual observation for influenza virus	145	66	$45.00	$15.38
82570 Creatinine level to test for kidney function or muscle injury	144	131	$15.00	$5.52
J2405 Injection, ondansetron hydrochloride, per 1 mg	128	22	$9.53	$0.12
83036 Hemoglobin A1C level	125	98	$30.00	$9.98
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	117	43	$80.00	$39.44
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	116	64	$5.00	$1.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	116	91	$175.00	$137.19
93000 Routine ekg using at least 12 leads including interpretation and report	115	103	$50.00	$15.90
93922 Ultrasound study of arm and leg arteries	96	94	$220.94	$80.65
85610 Blood test, clotting time	73	20	$15.00	$4.28
94640 Inhalation treatment for airway obstruction or sputum production	68	56	$50.00	$16.93
77080 Dxa bone density measurement of hip, pelvis, spine	63	61	$200.00	$37.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$175.00	$103.43
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	54	53	$40.00	$16.20
J3490 Unclassified drugs	49	38	$10.61	$1.85
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	43	40	$100.00	$51.12
G0250 Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent	41	16	$15.00	$9.03
93925 Ultrasound of leg arteries or artery grafts	38	38	$325.00	$242.48
G0009 Administration of pneumococcal vaccine	34	34	$30.00	$15.90
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	34	34	$128.38	$109.51
J0690 Injection, cefazolin sodium, 500 mg	29	14	$4.00	$0.72
J7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg	28	16	$5.00	$0.06
69210 Removal of impacted ear wax	24	18	$65.00	$45.62
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	23	18	$21.00	$14.34
96127 Assessment of emotional or behavioral problems	22	22	$15.00	$4.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$250.00	$159.13
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	19	17	$5.00	$0.14
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$200.00	$146.00
92250 Photography of the retina	18	18	$90.00	$48.53
69209 Removal of impacted ear wax by washing	17	16	$45.00	$15.20
99496 Transitional care management services for problem of high complexity	17	16	$250.00	$222.58
71046 X-ray of chest, 2 views	17	17	$60.00	$29.99
G0442 Annual alcohol misuse screening, 5 to 15 minutes	15	15	$40.00	$17.24
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	15	11	$164.67	$125.54
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$125.00	$68.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,853	915	$149.89	$103.27
82947 Blood glucose (sugar) level	2,245	520	$20.00	$4.71
99213 Established patient office or other outpatient visit, typically 15 minutes	1,801	828	$94.79	$70.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	1,033	472	$34.93	$19.44
J1885 Injection, ketorolac tromethamine, per 15 mg	598	170	$14.95	$0.57
J1100 Injection, dexamethasone sodium phosphate, 1 mg	589	91	$2.00	$0.12
J0696 Injection, ceftriaxone sodium, per 250 mg	585	125	$4.00	$0.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	535	535	$138.95	$111.08
G0444 Annual depression screening, 5 to 15 minutes	476	476	$39.92	$17.18
81003 Automated urinalysis test	455	281	$9.98	$2.69
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	417	121	$65.00	$40.47
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	378	322	$24.80	$9.30
G0008 Administration of influenza virus vaccine	362	342	$29.50	$19.19
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	324	315	$49.07	$23.06
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	267	56	$15.99	$1.82
36415 Insertion of needle into vein for collection of blood sample	221	195	$14.80	$2.89
87804 Detection test by immunoassay with direct visual observation for influenza virus	210	105	$45.00	$16.07
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	204	93	$5.00	$1.95
G0442 Annual alcohol misuse screening, 5 to 15 minutes	177	177	$40.00	$17.55
93922 Ultrasound study of arm and leg arteries	167	165	$271.26	$83.75
93000 Routine ekg using at least 12 leads including interpretation and report	166	144	$50.00	$16.19
83036 Hemoglobin A1C level	153	128	$30.00	$11.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	149	124	$175.67	$137.88
J2405 Injection, ondansetron hydrochloride, per 1 mg	140	31	$9.71	$0.08
82044 Urine microalbumin (protein) analysis	135	132	$15.00	$6.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	118	118	$173.52	$103.58
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	118	109	$40.00	$15.67
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	110	42	$165.00	$125.32
82570 Creatinine level to test for kidney function or muscle injury	107	104	$15.00	$6.26
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	100	42	$80.00	$40.06
94640 Inhalation treatment for airway obstruction or sputum production	91	74	$50.00	$17.59
85610 Blood test, clotting time	89	26	$15.00	$4.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$250.00	$159.55
77080 Dxa bone density measurement of hip, pelvis, spine	56	55	$194.64	$39.72
G0250 Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent	51	22	$15.00	$9.02
J0690 Injection, cefazolin sodium, 500 mg	43	21	$4.00	$0.83
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	39	39	$109.10	$100.18
J3490 Unclassified drugs	39	37	$10.00	$2.10
69210 Removal of impacted ear wax	38	34	$68.42	$46.94
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	37	35	$100.00	$51.73
G0009 Administration of pneumococcal vaccine	35	35	$29.14	$18.95
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	33	33	$50.00	$24.99
93925 Ultrasound of leg arteries or artery grafts	33	33	$325.00	$248.83
J7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg	30	21	$5.00	$0.07
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	28	28	$44.64	$16.84
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	23	17	$230.00	$157.39
92250 Photography of the retina	22	22	$90.00	$52.12
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	22	20	$21.00	$13.99
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	22	14	$115.00	$82.02
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	21	21	$5.00	$0.05
96127 Assessment of emotional or behavioral problems	19	19	$15.00	$5.40
71046 X-ray of chest, 2 views	19	18	$59.21	$28.98
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$178.95	$142.31
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$275.00	$200.63
99496 Transitional care management services for problem of high complexity	17	16	$250.00	$224.00
77085 Bone density measurement using dedicated x-ray machine	17	17	$250.00	$54.09
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg	17	15	$20.00	$12.00
97597 Removal of tissue from wound, 20.0 sq cm or less	16	12	$100.00	$65.78
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$125.00	$72.90
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$200.00	$165.67
99497 Advance care planning, first 30 minutes	12	12	$100.00	$82.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,419	873	$150.00	$113.28
99213 Established patient office or other outpatient visit, typically 15 minutes	2,317	892	$95.00	$77.03
82947 Blood glucose (sugar) level	1,851	437	$20.00	$5.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	872	411	$35.00	$26.46
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	839	600	$25.00	$10.38
J0696 Injection, ceftriaxone sodium, per 250 mg	683	135	$4.00	$0.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	560	560	$143.64	$126.08
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	543	124	$74.78	$44.97
J1885 Injection, ketorolac tromethamine, per 15 mg	453	145	$15.00	$0.64
G0444 Annual depression screening, 5 to 15 minutes	434	434	$40.00	$19.67
G0008 Administration of influenza virus vaccine	427	412	$30.00	$23.91
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	394	389	$49.85	$23.39
81003 Automated urinalysis test	378	248	$10.00	$2.99
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	267	222	$40.00	$28.69
J1100 Injection, dexamethasone sodium phosphate, 1 mg	250	43	$6.73	$0.11
36415 Insertion of needle into vein for collection of blood sample	245	218	$15.00	$2.93
G0442 Annual alcohol misuse screening, 5 to 15 minutes	238	238	$40.00	$19.72
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	203	46	$10.00	$1.80
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	197	88	$5.00	$2.86
87804 Detection test by immunoassay with direct visual observation for influenza virus	195	98	$45.00	$16.05
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	195	195	$50.00	$28.69
93000 Routine ekg using at least 12 leads including interpretation and report	161	145	$50.00	$17.89
J2405 Injection, ondansetron hydrochloride, per 1 mg	147	32	$10.00	$0.08
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	111	103	$40.00	$15.67
94640 Inhalation treatment for airway obstruction or sputum production	108	85	$50.00	$18.28
83036 Hemoglobin A1C level	106	95	$39.34	$12.93
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	105	51	$165.00	$138.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$175.00	$112.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	99	90	$175.00	$154.95
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	98	47	$80.00	$43.95
96127 Assessment of emotional or behavioral problems	91	89	$15.00	$5.51
77080 Dxa bone density measurement of hip, pelvis, spine	88	87	$200.00	$44.25
82044 Urine microalbumin (protein) analysis	78	75	$15.00	$6.15
82570 Creatinine level to test for kidney function or muscle injury	74	71	$15.00	$6.96
93922 Ultrasound study of arm and leg arteries	70	68	$289.29	$91.52
85610 Blood test, clotting time	63	30	$15.00	$5.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$250.00	$171.71
G0009 Administration of pneumococcal vaccine	61	60	$30.00	$23.52
71020 X-ray of chest, 2 views, front and side	51	47	$65.00	$29.51
93925 Ultrasound of leg arteries or artery grafts	43	43	$325.00	$271.03
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	43	40	$100.00	$57.41
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	38	38	$115.00	$92.94
J7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg	36	22	$5.00	$0.06
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg	35	27	$20.00	$9.44
G0250 Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent	35	22	$15.00	$10.01
J0690 Injection, cefazolin sodium, 500 mg	33	12	$4.00	$0.81
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	28	28	$206.43	$185.32
77085 Bone density measurement using dedicated x-ray machine	28	28	$250.00	$55.38
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	26	26	$50.00	$15.95
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	25	25	$200.00	$179.35
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	24	19	$230.00	$193.19
90670 Pneumococcal vaccine for injection into muscle	24	24	$200.00	$188.79
69210 Removal of impacted ear wax	22	22	$71.36	$52.15
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	22	14	$125.00	$97.97
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	21	20	$21.00	$16.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$60.00	$46.07
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	17	17	$40.00	$21.38
97597 Removal of tissue from wound, 20.0 sq cm or less	16	11	$100.00	$79.84
J3490 Unclassified drugs	15	12	$12.67	$2.20
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$275.00	$221.59
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	12	12	$50.00	$17.07
92250 Photography of the retina	12	12	$105.00	$67.86
69209 Removal of impacted ear wax by washing	11	11	$45.28	$14.31

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX J9264

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

154255701 (TX)

Hospital & Practice Group Affiliations

Donna Medical Clinic, Pllc

909 S Airport Dr, Weslaco, TX 785966651

Phone: 9569680560

Donna Medical Clinic, Pllc

307 N D Salinas Ave, Donna, TX 785372929

Donna Medical Clinic, Pllc

202 2nd St, Port Isabel, TX 785784100

Phone: 9569431774

Donna Medical Clinic, Pllc

909 S Airport Dr, Weslaco, TX 785966651

Donna Medical Clinic, Pllc

307 N D Salinas Blvd, Donna, TX 785372929

Phone: 9564642402

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners

Melinda Barrera , FNP

Nurse Practitioner

NPI 1073946620

Family Nurse Practitioner

Jessica Ramos , FNP-BC

Nurse Practitioner - Family

NPI 1124844717

Family Nurse Practitioner (Board Certified)

Bertha Holleypa-C , PA-C

Physician Assistant

NPI 1215154315

Physician Assistant (Certified)

Jesus Hernandez , PA-C

Physician Assistant - Medical

NPI 1255063426

Physician Assistant (Certified)

Dorothy Maddox , NP

Nurse Practitioner - Family

NPI 1265082440

Nurse Practitioner

Dr. Natalia Valle Marin , MD

Family Medicine - Geriatric Medicine

NPI 1295327609

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 16, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 16, 2014

Registered at 307 N SALINAS BLVD, DONNA, TX 785372929 (Tel: 9564642402)

📍

Updated Business Mailing Address January 16, 2014

Registered at 307 N SALINAS BLVD, DONNA, TX 785372929 (Tel: 9564642402)

👤

Provider Name / Credentials Updated January 16, 2014

Recorded as JOSE PENA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2014

Internal Medicine (License #J9264 in TX)

🟢

Initial NPI Registration & Enumeration June 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205875721

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 06, 2006

Last Update: January 16, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

307 N Salinas Blvd

Donna, TX 785372929

Phone: 9564642402

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.