Physician
Pedro J. Penalo, M.D., PLLC
Pedro J. Penalo, M.D., PLLC was paid $314K by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoPEDRO J. PENALO, M.D., PLLC
WESLACO, TX 78596
WESLACO, TX 78596
33aNPI1043515166assigned 01/20/2011
33bProvider typeInternal Medicine Physician
28Total paid$314K
24GClaims41,348
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#90 of 1,028
Median peer was paid$10K
This provider vs. median30×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,508 | $42K | |
| 2019 | 7,481 | $49K | |
| 2020 | 8,235 | $58K | |
| 2021 | 7,028 | $52K | |
| 2022 | 4,952 | $44K | |
| 2023 | 3,005 | $39K | |
| 2024incomplete | 2,139 | $30K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 48% | 8,041 | 6,781 | $151K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 5,869 | 5,019 | $100K |
| 99421 | 6.4% | 1,205 | 282 | $20K | |
| 99444 | 5.2% | 288 | 75 | $16K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.9% | 927 | 811 | $6K |
| 96101 | 1.0% | 306 | 303 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.0% | 945 | 817 | $3K |
| 99490 | Ccm add 20min | <1% | 1,540 | 1,538 | $3K |
| 90674 | <1% | 792 | 784 | $2K | |
| 99349 | <1% | 19 | 15 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 67 | 62 | $1K |
| 96130 | <1% | 809 | 782 | $1K |
42 more codes
| 90756 | <1% | 169 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 132 | $998.52 |
| 99497 | <1% | 368 | $651.32 | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 14 | $534.88 |
| 90661 | <1% | 46 | $469.80 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 59 | $420.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 25 | $403.10 |
| 93000 | <1% | 118 | $282.66 | |
| 93922 | <1% | 238 | $249.83 | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 50 | $146.32 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 15 | $116.99 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 853 | $63.97 |
| 96127 | <1% | 175 | $51.59 | |
| 81003 | <1% | 208 | $38.91 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 211 | $34.92 |
| G0008 | Administration of influenza virus vaccine | <1% | 815 | $16.47 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 14 | $16.29 |
| 82043 | <1% | 154 | $6.42 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 910 | $0.20 |
| 1159F | 0% | 2,864 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 413 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 3,243 | $0.00 |
| 80061 | Lipid panel | 0% | 126 | $0.00 |
| 1160F | 0% | 2,847 | $0.00 | |
| 3288F | 0% | 13 | $0.00 | |
| 77080 | 0% | 76 | $0.00 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 103 | $0.00 |
| 82948 | 0% | 13 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 27 | $0.00 |
| 1158F | 0% | 12 | $0.00 | |
| 4040F | 0% | 13 | $0.00 | |
| 1101F | 0% | 1,222 | $0.00 | |
| 1111F | 0% | 387 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,484 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 193 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 1,096 | $0.00 |
| 1126F | 0% | 600 | $0.00 | |
| 1170F | 0% | 1,095 | $0.00 | |
| 1125F | 0% | 46 | $0.00 | |
| 99000 | 0% | 60 | $0.00 | |
| 91301 | 0% | 19 | $0.00 | |
| J8540 | Dexamethasone, oral, 0.25 mg | 0% | 14 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialPENALO, PEDRO (PHYSICIAN/OWNER)