Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PEDRO J. PENALO, M.D., PLLC

NPI: 1043515166 · WESLACO, TX 78596 · Internal Medicine Physician · NPI assigned 01/20/2011

$314K
Total Medicaid Paid
41,348
Total Claims
35,763
Beneficiaries
54
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPENALO, PEDRO (PHYSICIAN/OWNER)
NPI Enumeration Date01/20/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 2,139 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,041 6,781 $151K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,869 5,019 $100K
99421 1,205 282 $20K
99444 288 75 $16K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 927 811 $6K
96101 306 303 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 945 817 $3K
99490 Ccm add 20min 1,540 1,538 $3K
90674 792 784 $2K
99349 19 15 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 67 62 $1K
96130 809 782 $1K
90756 169 161 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 132 127 $998.52
99497 368 357 $651.32
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 14 14 $534.88
90661 46 46 $469.80
99215 Prolong outpt/office vis 59 56 $420.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 25 25 $403.10
93000 118 118 $282.66
93922 238 118 $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) 50 50 $146.32
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 15 13 $116.99
83036 Hemoglobin; glycosylated (A1C) 853 844 $63.97
96127 175 166 $51.59
81003 208 202 $38.91
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 211 206 $34.92
G0008 Administration of influenza virus vaccine 815 803 $16.47
J0696 Injection, ceftriaxone sodium, per 250 mg 14 13 $16.29
82043 154 153 $6.42
G8510 Screening for depression is documented as negative, a follow-up plan is not required 910 885 $0.20
1159F 2,864 2,278 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 413 403 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,243 2,867 $0.00
80061 Lipid panel 126 125 $0.00
1160F 2,847 2,267 $0.00
3288F 13 12 $0.00
77080 76 38 $0.00
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 103 94 $0.00
82948 13 13 $0.00
G0444 Annual depression screening, 5 to 15 minutes 27 26 $0.00
1158F 12 12 $0.00
4040F 13 13 $0.00
1101F 1,222 1,178 $0.00
1111F 387 363 $0.00
36415 Collection of venous blood by venipuncture 1,484 1,413 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 193 188 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 1,096 1,086 $0.00
1126F 600 577 $0.00
1170F 1,095 1,053 $0.00
1125F 46 43 $0.00
99000 60 60 $0.00
91301 19 15 $0.00
J8540 Dexamethasone, oral, 0.25 mg 14 13 $0.00