Active NPI 1285748996 Individual Practitioner Male Practitioner

Dr. Jorge Luis Kutugata , MD

Pediatrics • Weslaco, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jorge Kutugata, MD is a certified Pediatrics practicing in Weslaco, TX. With approximately 47 years of clinical experience since completing medical education in 1979, Dr. Kutugata delivers high-quality medical care to the local community at 902 S AIRPORT DR STE 1.

Dr. Kutugata accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

902 S Airport Dr Ste 1

Weslaco, TX 785966649

Telephone 9569692904

Fax 9569691650

Associated Practice Facility / Clinic

🏢 Rainbow Pediatric Clinic Facility NPI 1689755274

Medicare Profile & Education

Medical School

Other

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Weslaco, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs Matches City Avg

City Avg: 47.0 Yrs

State Avg: 22.0 Yrs

Regional Practice Density

19 Specialists

Practicing in Weslaco, TX (5841 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

22.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kutugata (47 Years) 47 Yrs

Weslaco Specialty Average (47.0 Years) 47.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	192	30	$94.89	$86.12
36415 Insertion of needle into vein for collection of blood sample	43	22	$13.91	$8.15
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	28	16	$35.00	$7.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	14	$55.42	$52.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	198	35	$95.00	$84.43
36415 Insertion of needle into vein for collection of blood sample	45	27	$15.00	$8.40
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	32	21	$35.00	$7.61
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	24	16	$150.00	$40.55
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	17	12	$60.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	297	44	$94.85	$82.93
36415 Insertion of needle into vein for collection of blood sample	55	35	$15.00	$2.97
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	42	24	$35.00	$7.67
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	39	23	$152.56	$40.75
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	22	14	$60.00	$16.28
81003 Automated urinalysis test	15	14	$15.00	$2.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$118.18	$98.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	364	44	$94.70	$79.09
36415 Insertion of needle into vein for collection of blood sample	56	29	$15.00	$3.00
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	52	26	$35.00	$7.77
81003 Automated urinalysis test	25	13	$15.00	$2.25
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	14	12	$60.00	$16.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	365	50	$94.94	$67.29
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	64	29	$35.00	$7.71
36415 Insertion of needle into vein for collection of blood sample	63	37	$15.00	$2.98
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	36	13	$25.28	$13.83
81003 Automated urinalysis test	28	18	$15.00	$2.23
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	20	15	$60.00	$16.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	249	48	$95.00	$71.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	39	$120.00	$105.01
36415 Insertion of needle into vein for collection of blood sample	69	33	$15.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	56	26	$35.00	$8.46
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	37	19	$25.00	$15.99
J1885 Injection, ketorolac tromethamine, per 15 mg	37	14	$35.00	$0.54
81003 Automated urinalysis test	18	13	$15.00	$2.44
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	13	$35.00	$21.74

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	229	47	$115.90	$98.10
99213 Established patient office or other outpatient visit, typically 15 minutes	168	50	$87.74	$66.64
36415 Insertion of needle into vein for collection of blood sample	89	41	$15.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	71	35	$35.00	$9.40
J1885 Injection, ketorolac tromethamine, per 15 mg	46	12	$35.00	$0.59
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	37	22	$35.00	$19.50
81003 Automated urinalysis test	29	14	$15.00	$2.71
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	16	$25.00	$18.59
83036 Hemoglobin A1C level	22	13	$35.00	$11.75
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	20	12	$60.00	$16.20
99497 Advance care planning, first 30 minutes	17	16	$97.65	$76.56
G0009 Administration of pneumococcal vaccine	16	16	$31.56	$19.51
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$106.73	$94.06
G0442 Annual alcohol misuse screening, 5 to 15 minutes	11	11	$100.00	$16.51

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	293	61	$109.69	$96.60
99213 Established patient office or other outpatient visit, typically 15 minutes	100	44	$84.63	$65.41
36415 Insertion of needle into vein for collection of blood sample	81	45	$15.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	56	31	$35.00	$10.45
81003 Automated urinalysis test	31	20	$15.00	$3.02
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	28	19	$60.00	$16.11
87804 Detection test by immunoassay with direct visual observation for influenza virus	24	11	$45.00	$16.11
83036 Hemoglobin A1C level	24	15	$35.00	$13.05
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	13	$25.68	$22.50
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	20	16	$35.00	$18.02

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX G9139

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License TX G9139

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Superior Health Plans

117052 (TX)

Commercial Insurance / Payer ID Bc/bs Of Texas

85M551 (TX)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Jill Bomar , FNP-BC

Nurse Practitioner

NPI 1629965066

Family Nurse Practitioner (Board Certified)

Sandy Hernandez , PA-C

Physician Assistant

NPI 1710220256

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 September 07, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location September 07, 2007

Registered at 902 S AIRPORT DR STE 1, WESLACO, TX 785966649 (Tel: 9569692904)

📍

Updated Business Mailing Address September 07, 2007

Registered at 902 S AIRPORT DR STE 1, WESLACO, TX 785966649 (Tel: 9569692904)

👤

Provider Name / Credentials Updated September 07, 2007

Recorded as JORGE KUTUGATA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2007

Family Medicine (License #G9139 in TX)

🟢

Initial NPI Registration & Enumeration August 18, 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: 1285748996

Entity Type:

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

Enumeration Date: August 18, 2006

Last Update: September 07, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

902 S Airport Dr Ste 1

Weslaco, TX 785966649

Phone: 9569692904

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.