Active NPI 1477525384 Individual Practitioner Male Practitioner

Dr. Maximiliano E Hernandez , MD

Internal Medicine • Pharr, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Maximiliano Hernandez, MD is a certified Internal Medicine practicing in Pharr, TX. With approximately 37 years of clinical experience since completing medical education in 1989, Dr. Hernandez delivers high-quality medical care to the local community at 502 S CAGE BLVD.

Dr. Hernandez 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, injection, dexamethasone sodium phosphate, 1 mg, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

502 S Cage Blvd

Pharr, TX 78577

Telephone 9567021013

Fax 9567815579

Associated Practice Facility / Clinic

🏢 Manuel J Mercado Md Pa Facility NPI 1427020676

Medicare Profile & Education

Medical School

Other

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Pharr, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs -1.3 yrs vs City Avg

City Avg: 38.3 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

5 Specialists

Practicing in Pharr, TX (9538 Statewide)

Telehealth Adoption Rate

60.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

56.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hernandez (37 Years) 37 Yrs

Pharr Specialty Average (38.3 Years) 38.3 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	284	103	$209.52	$120.79
J1100 Injection, dexamethasone sodium phosphate, 1 mg	134	21	$4.85	$0.11
99213 Established patient office or other outpatient visit, typically 15 minutes	115	51	$145.00	$83.65
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	75	25	$67.00	$13.06
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	60	$313.00	$123.56
99442 Telephone medical discussion with physician, 11-20 minutes	56	37	$152.30	$63.49
J0696 Injection, ceftriaxone sodium, per 250 mg	39	13	$20.00	$0.46
90658 Influenza vaccine, trivalent, 0.5 ml dosage	38	38	$20.40	$19.99
J1885 Injection, ketorolac tromethamine, per 15 mg	38	12	$5.00	$0.69
G0008 Administration of influenza virus vaccine	33	33	$55.00	$31.03
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	29	13	$117.00	$39.62
93000 Routine ekg using at least 12 leads including interpretation and report	23	22	$57.00	$13.63
82044 Urine microalbumin (protein) analysis	22	18	$15.00	$6.11
81003 Automated urinalysis test	22	18	$10.00	$2.20
82570 Creatinine level to test for kidney function or muscle injury	21	17	$20.00	$5.08

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	335	115	$210.00	$122.44
99213 Established patient office or other outpatient visit, typically 15 minutes	175	82	$145.00	$85.70
J1100 Injection, dexamethasone sodium phosphate, 1 mg	151	23	$5.00	$0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	97	27	$67.00	$13.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	84	84	$313.00	$123.58
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	80	11	$90.00	$46.44
J1885 Injection, ketorolac tromethamine, per 15 mg	72	17	$5.00	$0.54
99442 Telephone medical discussion with physician, 11-20 minutes	56	29	$152.30	$63.39
90756 Vaccine for influenza for injection into muscle	55	54	$46.00	$31.05
G0008 Administration of influenza virus vaccine	52	51	$55.00	$29.51
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	52	18	$117.00	$39.46
J0696 Injection, ceftriaxone sodium, per 250 mg	37	14	$20.00	$0.51
93000 Routine ekg using at least 12 leads including interpretation and report	30	30	$57.00	$13.83
82570 Creatinine level to test for kidney function or muscle injury	25	20	$20.00	$5.08
82044 Urine microalbumin (protein) analysis	25	20	$15.00	$6.11
81003 Automated urinalysis test	25	20	$10.00	$2.20
99496 Transitional care management services for problem of high complexity	12	11	$450.00	$264.80

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	518	153	$210.00	$123.97
J1100 Injection, dexamethasone sodium phosphate, 1 mg	178	36	$6.10	$0.12
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	165	19	$90.00	$47.89
99091 Collection and interpretation of physical parameters stored in computers minimum of 30 minutes	163	19	$114.00	$53.90
99213 Established patient office or other outpatient visit, typically 15 minutes	155	74	$145.00	$87.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	105	105	$313.00	$126.77
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	104	46	$67.00	$13.89
99442 Telephone medical discussion with physician, 11-20 minutes	83	48	$152.30	$64.47
J1885 Injection, ketorolac tromethamine, per 15 mg	66	30	$5.00	$0.54
G0008 Administration of influenza virus vaccine	61	61	$55.00	$28.38
90756 Vaccine for influenza for injection into muscle	58	58	$46.00	$29.97
J0696 Injection, ceftriaxone sodium, per 250 mg	44	17	$19.09	$0.50
93000 Routine ekg using at least 12 leads including interpretation and report	42	38	$57.00	$13.74
81003 Automated urinalysis test	38	30	$10.00	$2.22
82570 Creatinine level to test for kidney function or muscle injury	38	30	$20.00	$5.12
82044 Urine microalbumin (protein) analysis	38	30	$15.00	$6.15
99441 Telephone medical discussion with physician, 5-10 minutes	28	25	$92.38	$34.44
93922 Ultrasound study of arm and leg arteries	24	23	$314.00	$79.95
90471 Administration of 1 vaccine	21	21	$50.00	$16.07
99443 Telephone medical discussion with physician, 21-30 minutes	16	12	$220.86	$94.86

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	717	188	$210.00	$126.50
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	649	106	$100.00	$39.76
J1100 Injection, dexamethasone sodium phosphate, 1 mg	337	53	$5.00	$0.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	212	71	$67.00	$13.80
99213 Established patient office or other outpatient visit, typically 15 minutes	194	95	$145.00	$89.05
J1885 Injection, ketorolac tromethamine, per 15 mg	160	53	$5.00	$0.47
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	155	19	$90.00	$49.09
99091 Collection and interpretation of physical parameters stored in computers minimum of 30 minutes	125	18	$114.00	$55.27
99442 Telephone medical discussion with physician, 11-20 minutes	123	66	$152.30	$65.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	107	107	$313.00	$128.96
90756 Vaccine for influenza for injection into muscle	99	95	$46.00	$28.32
G0008 Administration of influenza virus vaccine	99	95	$55.00	$16.45
J0696 Injection, ceftriaxone sodium, per 250 mg	91	33	$20.00	$0.54
99441 Telephone medical discussion with physician, 5-10 minutes	88	58	$92.38	$35.11
G0444 Annual depression screening, 5 to 15 minutes	65	65	$35.00	$18.15
81003 Automated urinalysis test	62	43	$10.00	$2.25
82044 Urine microalbumin (protein) analysis	61	43	$15.00	$6.23
82570 Creatinine level to test for kidney function or muscle injury	53	37	$20.00	$5.18
93000 Routine ekg using at least 12 leads including interpretation and report	43	38	$57.00	$14.34
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	34	34	$118.67	$25.85
93922 Ultrasound study of arm and leg arteries	33	33	$314.00	$83.05
99443 Telephone medical discussion with physician, 21-30 minutes	31	23	$220.86	$97.38
99496 Transitional care management services for problem of high complexity	12	11	$450.00	$265.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	948	100	$100.00	$40.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	819	224	$210.00	$106.06
J1100 Injection, dexamethasone sodium phosphate, 1 mg	579	80	$5.00	$0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	354	98	$67.00	$13.84
99443 Telephone medical discussion with physician, 21-30 minutes	313	148	$220.54	$78.57
99213 Established patient office or other outpatient visit, typically 15 minutes	302	129	$145.00	$72.63
J1885 Injection, ketorolac tromethamine, per 15 mg	258	67	$5.00	$0.58
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	179	20	$90.00	$49.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	145	145	$313.00	$112.42
J0696 Injection, ceftriaxone sodium, per 250 mg	145	52	$20.00	$0.57
90756 Vaccine for influenza for injection into muscle	122	119	$46.00	$27.69
G0008 Administration of influenza virus vaccine	120	117	$55.00	$16.22
99442 Telephone medical discussion with physician, 11-20 minutes	97	58	$152.30	$50.64
81003 Automated urinalysis test	97	83	$10.00	$2.23
82044 Urine microalbumin (protein) analysis	96	83	$15.00	$6.18
82570 Creatinine level to test for kidney function or muscle injury	91	77	$20.00	$5.14
93922 Ultrasound study of arm and leg arteries	88	81	$314.00	$81.91
93000 Routine ekg using at least 12 leads including interpretation and report	77	66	$57.00	$16.29
94060 Test to measure expiratory airflow and volume changes before and after medication administration	32	30	$175.00	$57.11
99497 Advance care planning, first 30 minutes	27	25	$240.00	$83.80
G0444 Annual depression screening, 5 to 15 minutes	19	19	$35.00	$17.55
99496 Transitional care management services for problem of high complexity	17	15	$450.00	$237.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$462.00	$160.12
G0442 Annual alcohol misuse screening, 5 to 15 minutes	12	12	$56.00	$17.33
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	11	11	$118.67	$25.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,092	127	$5.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	979	227	$145.00	$72.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	846	261	$210.00	$106.10
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	593	147	$67.00	$16.19
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	376	64	$100.00	$40.64
J1885 Injection, ketorolac tromethamine, per 15 mg	354	80	$5.00	$0.53
J0696 Injection, ceftriaxone sodium, per 250 mg	342	102	$20.00	$0.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	192	192	$313.00	$113.45
90756 Vaccine for influenza for injection into muscle	183	164	$46.00	$25.51
G0008 Administration of influenza virus vaccine	181	163	$55.00	$15.90
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	123	18	$90.00	$49.40
93922 Ultrasound study of arm and leg arteries	114	103	$314.00	$82.69
93000 Routine ekg using at least 12 leads including interpretation and report	87	73	$57.00	$16.29
82570 Creatinine level to test for kidney function or muscle injury	84	60	$20.00	$5.63
81003 Automated urinalysis test	84	60	$10.00	$2.44
82044 Urine microalbumin (protein) analysis	82	60	$15.00	$6.11
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	26	15	$117.00	$40.01
99497 Advance care planning, first 30 minutes	25	24	$240.00	$83.83
94640 Inhalation treatment for airway obstruction or sputum production	22	17	$50.00	$17.16
J2550 Injection, promethazine hcl, up to 50 mg	20	13	$5.00	$2.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$462.00	$160.64
94060 Test to measure expiratory airflow and volume changes before and after medication administration	17	17	$175.00	$57.20
G0442 Annual alcohol misuse screening, 5 to 15 minutes	17	17	$56.00	$17.55
G0444 Annual depression screening, 5 to 15 minutes	15	15	$35.00	$17.55
69210 Removal of impacted ear wax	12	12	$100.00	$46.23
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	11	11	$154.00	$51.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,477	316	$145.00	$77.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,102	153	$5.00	$0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	622	169	$67.00	$21.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	602	283	$210.00	$113.72
J1885 Injection, ketorolac tromethamine, per 15 mg	381	103	$5.00	$0.57
99497 Advance care planning, first 30 minutes	293	283	$240.00	$90.37
J0696 Injection, ceftriaxone sodium, per 250 mg	285	105	$20.00	$0.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	193	193	$313.00	$127.20
82570 Creatinine level to test for kidney function or muscle injury	162	124	$20.00	$6.26
81003 Automated urinalysis test	161	123	$10.00	$2.71
82044 Urine microalbumin (protein) analysis	160	124	$15.00	$6.11
90756 Vaccine for influenza for injection into muscle	146	143	$46.00	$22.33
G0008 Administration of influenza virus vaccine	146	143	$55.00	$19.51
93922 Ultrasound study of arm and leg arteries	127	119	$314.00	$92.26
93000 Routine ekg using at least 12 leads including interpretation and report	108	95	$57.00	$17.73
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	39	18	$117.00	$44.01
94060 Test to measure expiratory airflow and volume changes before and after medication administration	37	37	$175.00	$63.47
69210 Removal of impacted ear wax	25	19	$100.00	$49.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$462.00	$172.35
94640 Inhalation treatment for airway obstruction or sputum production	15	13	$50.00	$19.32
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	15	14	$154.00	$57.20
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$470.00	$187.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,536	360	$164.80	$85.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	982	336	$249.67	$124.17
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	694	188	$55.09	$29.37
J1100 Injection, dexamethasone sodium phosphate, 1 mg	303	165	$5.00	$0.12
81003 Automated urinalysis test	272	179	$10.00	$3.02
82570 Creatinine level to test for kidney function or muscle injury	268	177	$20.00	$6.96
82044 Urine microalbumin (protein) analysis	268	178	$15.00	$6.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	222	222	$251.14	$144.70
J1885 Injection, ketorolac tromethamine, per 15 mg	221	109	$5.00	$0.66
J0696 Injection, ceftriaxone sodium, per 250 mg	183	124	$20.00	$0.66
93000 Routine ekg using at least 12 leads including interpretation and report	173	149	$45.00	$19.69
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	154	152	$52.66	$17.34
G0008 Administration of influenza virus vaccine	153	151	$55.00	$23.91
93922 Ultrasound study of arm and leg arteries	148	143	$240.50	$101.68
94060 Test to measure expiratory airflow and volume changes before and after medication administration	72	69	$140.00	$69.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	71	$100.30	$51.47
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	56	25	$101.21	$48.78
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	42	29	$126.38	$63.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$380.00	$188.89
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	22	22	$330.00	$214.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$250.00	$120.81
69210 Removal of impacted ear wax	18	17	$123.61	$58.39
94640 Inhalation treatment for airway obstruction or sputum production	14	14	$40.00	$20.93
99495 Transitional care management services for problem of at least moderate complexity	12	12	$390.00	$194.45

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX K1471

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

029437301 (TX)

Medicaid State Provider ID

029437302 (TX)

Commercial Insurance / Payer ID Bcbs

8CQ990 (TX)

Commercial Insurance / Payer ID Medicare

TXB100690 (TX)

Commercial Insurance / Payer ID Blue Cross Blue Shield

0003AM (TX)

Commercial Insurance / Payer ID Railroad Medicare

P00848543 (TX)

Commercial Insurance / Payer ID Railroad Medicare

110217993 (TX)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Manuel Mercado , MD

Internal Medicine

NPI 1316919228

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location June 04, 2018

Registered at 502 S CAGE BLVD, PHARR, TX 78577 (Tel: 9567021013)

✅

NPI Profile Active January 27, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location January 27, 2012

Registered at 502 S CAGE BLVD, PHARR, TX 785775449 (Tel: 9567021013)

📍

Updated Business Mailing Address January 27, 2012

Registered at PO BOX 644, PHARR, TX 785771612 (Tel: 9567021013)

👤

Provider Name / Credentials Updated January 27, 2012

Recorded as MAXIMILIANO HERNANDEZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2012

Internal Medicine (License #K1471 in TX)

🟢

Initial NPI Registration & Enumeration February 03, 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: 1477525384

Entity Type:

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

Enumeration Date: February 03, 2006

Last Update: June 04, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 644

Pharr, TX 785771612

Phone: 9567021013

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.