Physician
Penalo, Pedro
Penalo, Pedro was paid $145K by Medicaid between May 2020 and Dec 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoPENALO, PEDRO
WESLACO, TX 78596
WESLACO, TX 78596
33aNPI1104920859assigned 09/12/2006
33bProvider typeInternal Medicine Physician
28Total paid$145K
24GClaims16,238
24DCodes billed25
24AFirst – last monthMay 2020 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#176 of 1,028
Median peer was paid$10K
This provider vs. median14×
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 | |
|---|---|---|---|
| 2020 | 1,168 | $4K | |
| 2021 | 4,452 | $40K | |
| 2022 | 5,080 | $44K | |
| 2023 | 3,582 | $34K | |
| 2024incomplete | 1,956 | $21K |
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 | 57% | 2,225 | 1,907 | $82K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 2,010 | 1,751 | $53K |
| 90674 | 1.4% | 108 | 106 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.0% | 149 | 144 | $2K |
| 90756 | <1% | 65 | 63 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 25 | 25 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 34 | 32 | $904.60 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 52 | 49 | $654.82 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 18 | 13 | $534.59 |
| 96130 | <1% | 211 | 194 | $529.26 | |
| 90661 | <1% | 26 | 26 | $495.90 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 374 | 365 | $0.00 |
13 more codes
| 1126F | 0% | 136 | $0.00 | |
| 1101F | 0% | 295 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 187 | $0.00 |
| 1170F | 0% | 335 | $0.00 | |
| 1111F | 0% | 27 | $0.00 | |
| 4037F | 0% | 12 | $0.00 | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 0% | 17 | $0.00 |
| 1159F | 0% | 4,271 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,044 | $0.00 |
| 1160F | 0% | 4,239 | $0.00 | |
| 1158F | 0% | 103 | $0.00 | |
| 99497 | 0% | 163 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 112 | $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.