Active NPI 1881997138 Individual Practitioner Female Practitioner

Alma Delia Cadena , PA

Physician Assistant • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Alma Cadena, PA is a certified Physician Assistant practicing in Tyler, TX. With approximately 18 years of clinical experience since completing medical education in 2008, Alma Cadena delivers high-quality medical care to the local community at 5414 S BROADWAY AVE.

Alma Cadena is affiliated with Texas Spine And Joint Hospital Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5414 S Broadway Ave

Tyler, TX 757031335

Telephone 9035811601

Associated Practice Facility / Clinic

🏢 Mother Frances Hospital Facility NPI 1649226879

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tyler, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs +0.9 yrs vs City Avg

City Avg: 17.1 Yrs

State Avg: 13.9 Yrs

Regional Practice Density

99 Specialists

Practicing in Tyler, TX (11140 Statewide)

Telehealth Adoption Rate

6.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cadena (18 Years) 18 Yrs

Tyler Specialty Average (17.1 Years) 17.1 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	112	112	$464.89	$88.50
99213 Established patient office or other outpatient visit, typically 15 minutes	102	91	$348.63	$71.51
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	37	37	$469.24	$48.60
87502 Detection test by nucleic acid for multiple types influenza virus	25	24	$180.20	$90.41
81003 Automated urinalysis test	22	20	$40.91	$2.20
72100 X-ray of lower and sacral spine, 2-3 views	14	14	$180.43	$26.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	112	105	$338.63	$69.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$446.69	$84.92
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	30	30	$453.47	$49.43
81003 Automated urinalysis test	29	27	$38.97	$2.20
71046 X-ray of chest, 2 views	21	20	$173.57	$19.42
87502 Detection test by nucleic acid for multiple types influenza virus	14	14	$175.71	$87.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	119	119	$429.25	$91.80
99213 Established patient office or other outpatient visit, typically 15 minutes	99	87	$325.08	$73.19
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	47	45	$440.51	$50.44
81003 Automated urinalysis test	31	27	$38.52	$2.21
87502 Detection test by nucleic acid for multiple types influenza virus	18	18	$168.72	$94.15
72100 X-ray of lower and sacral spine, 2-3 views	12	12	$168.50	$28.24
73560 X-ray of knee, 1-2 views	11	11	$166.45	$24.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	117	117	$388.44	$92.32
99213 Established patient office or other outpatient visit, typically 15 minutes	74	67	$288.14	$74.90
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	28	28	$412.00	$51.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$346.85	$88.47
99213 Established patient office or other outpatient visit, typically 15 minutes	58	57	$225.09	$54.81
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	13	13	$476.92	$51.31
73630 X-ray of foot, minimum of 3 views	11	11	$145.00	$23.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$342.82	$88.52
99213 Established patient office or other outpatient visit, typically 15 minutes	59	54	$253.20	$58.89
72100 X-ray of lower and sacral spine, 2-3 views	16	16	$98.75	$23.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	78	75	$227.45	$52.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$280.56	$85.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	55	$324.45	$74.21
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	13	$64.27	$16.42
73560 X-ray of knee, 1-2 views	12	11	$77.17	$21.82

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	135	129	$395.58	$73.20
99213 Established patient office or other outpatient visit, typically 15 minutes	108	106	$315.80	$48.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$521.22	$122.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$295.54	$70.35

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA05940

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

220471101 (TX)

Medicaid State Provider ID

220471102 (TX)

Medicaid State Provider ID

220471104 (TX)

Medicaid State Provider ID

220471103 (TX)

Commercial Insurance / Payer ID Bcbs

8811NF (TX)

Commercial Insurance / Payer ID Tricare

75-0218167-044 (TX)

Commercial Insurance / Payer ID Bcbs Blue

8282ND (TX)

Commercial Insurance / Payer ID Bcbs

835N38 (TX)

Commercial Insurance / Payer ID Rail Road

P01276466 (TX)

Commercial Insurance / Payer ID Tricare

TIN PLUS 022 (TX)

Hospital & Practice Group Affiliations

Texas Spine And Joint Hospital Llc

2211 S Loop, Palestine, TX 758014701

Phone: 9037290970

Texas Spine And Joint Hospital Llc

1814 Roseland Blvd, Tyler, TX 757014234

Phone: 9035253333

Practice Associates & Co-Workers

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

20 Associated Practitioners

Jeremy Troyer , FNP

Nurse Practitioner

NPI 1013483361

Family Nurse Practitioner

Dr. Michelle Parker , MD

Emergency Medicine

NPI 1093153645

Doctor of Medicine (M.D.)

Dr. Deborah Boyd , DO

Family Medicine

NPI 1205875929

Doctor of Osteopathic Medicine (D.O.)

Maryellen Smith , PA

Physician Assistant

NPI 1275648834

Physician Assistant

Cynthia Shepherd , PA-C

Physician Assistant

NPI 1346349297

Physician Assistant (Certified)

Scott Stegall , PA-C

Physician Assistant - Medical

NPI 1356323034

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 10, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 10, 2014

Registered at 5414 S BROADWAY AVE, TYLER, TX 757031335 (Tel: 9035811601)

📍

Updated Business Mailing Address October 10, 2014

Registered at PO BOX 841656, DALLAS, TX 752841656 (Tel: 9035315000)

👤

Provider Name / Credentials Updated October 10, 2014

Recorded as ALMA CADENA, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2014

Physician Assistant (License #PA05940 in TX)

🟢

Initial NPI Registration & Enumeration December 08, 2010

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: 1881997138

Entity Type:

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

Enumeration Date: December 08, 2010

Last Update: October 10, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 841656

Dallas, TX 752841656

Phone: 9035315000

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.