Active NPI 1376994426 Individual Practitioner Female Practitioner

Imelda Pena Rios , NP

Nurse Practitioner • San Antonio, TX

Professional Overview & Biography Verified Profile Summary

Imelda Rios, NP is a registered healthcare professional specializing in Nurse Practitioner in San Antonio, TX. Practice services are available at 903 W MARTIN ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, telephone medical discussion with physician, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

903 W Martin St

San Antonio, TX 782070903

Telephone 2103583555

Fax 2103585945

Associated Practice Facility / Clinic

🏢 Bexar County Hospital District Facility NPI 1235240979

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in San Antonio, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 7.9 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

394 Specialists

Practicing in San Antonio, TX (4894 Statewide)

Telehealth Adoption Rate

9.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

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	35	27	$196.37	$83.08

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	88	67	$195.00	$66.90
99442 Telephone medical discussion with physician, 11-20 minutes	28	22	$194.14	$43.16
99443 Telephone medical discussion with physician, 21-30 minutes	20	19	$275.00	$67.08

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	120	75	$187.67	$65.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	32	32	$341.66	$95.52
99213 Established patient office or other outpatient visit, typically 15 minutes	30	26	$120.17	$42.54

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	73	54	$155.00	$65.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	62	62	$341.35	$95.47
99213 Established patient office or other outpatient visit, typically 15 minutes	49	36	$101.43	$44.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	73	38	$106.88	$59.37
36415 Insertion of needle into vein for collection of blood sample	23	17	$5.00	$2.94

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX AP131249

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

361477802 (TX)

Commercial Insurance / Payer ID Cshcn

361477803 (TX)

Commercial Insurance / Payer ID Wellmed Medicare

524216YLPS (TX)

Secondary Practice Locations

8101 Roughrider Dr

Windcrest, TX 782392428

Phone: 2106538085

8101 Roughrider Dr

Windcrest, TX 782392428

Phone: 2106538085