Medicare Enrolled

Dr. Luis Pena-Hernandez, M.D.

Critical Care Medicine · Atlantis, FL
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
5401 S CONGRESS AVE STE 204, Atlantis, FL 33462
5619674118
Registered in NPPES since 2007
NPI: 1457562159 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Pena-Hernandez from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Pena-Hernandez

Dr. Luis Pena-Hernandez is a critical care medicine specialist in Atlantis, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Pena-Hernandez performed 3,795 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Pena-Hernandez received a total of $154,214 from 33 pharmaceutical and/or device companies across 554 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Pena-Hernandez is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years of NPI registration ▲ Top 7% volume in FL $154,214 industry payments

Florida License Status

FL DOH · MQA
1
Active license
None
Board action on record
0
Recent admin complaints
Profession License # Status Expires Board Action
Medical Doctor 117319 Clear January 31, 2028
Data from Florida Department of Health Medical Quality Assurance. License records are public under Chapter 119, Florida Statutes. Verify directly on FL DOH →

Medicare Practice Summary — 2023

Medicare Utilization ↗
3,795
Medicare services
Top 7% in FL for critical care medicine
Not available
Unique patients (not deduplicated)
$77
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
1,615 $64 $154
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
648 $96 $226
Hospital follow-up visit, high complexity
Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter.
545 $97 $222
Initial hospital admission, high complexity
Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter.
180 $140 $432
Spirometry test before and after medication
A test that measures the amount of air you can exhale and the speed of your breathing before and after taking a medication.
174 $29 $127
Pulmonary gas exchange test
A test to examine how well the lungs exchange gases.
169 $43 $114
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
132 $127 $350
Lung volume test using gas dilution or washout
A test that measures the amount of air in your lungs by using a gas dilution or washout method.
103 $34 $92
Exercise-induced lung stress test
A test performed to evaluate how the lungs function during physical exertion. It helps identify breathing difficulties or lung conditions that occur specifically when exercising.
80 $26 $72
Critical care, first 30-74 min
Emergency medical care for a critically ill or injured patient lasting between 30 and 74 minutes. This service involves direct patient care and medical decision making to stabilize the patient.
46 $177 $583
Lung volume test using sensors
A test that measures the amount of air in the lungs using sensors.
36 $40 $115
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
27 $69 $154
Breathing device use evaluation
An assessment of how a patient uses a breathing device. The provider reviews the patient's technique and device handling.
21 $12 $37
Exercise stress test
A test that monitors the heart and lungs while the patient exercises to evaluate their function under physical stress.
19 $52 $345
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$154,214
Total received (2018-2024)
Avg $22,031/year across 7 years
Top 3% in FL for critical care medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
33
Companies
554
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$45,707
2023
$77,304
2022
$4,557
2021
$13,095
2020
$12,226
2019
$652
2018
$673

Payments by company (2024)

GlaxoSmithKline, LLC.
$40,141
INTUITIVE SURGICAL, INC.
$3,451
AstraZeneca Pharmaceuticals LP
$417
Takeda Pharmaceuticals U.S.A., Inc.
$258
Actelion Pharmaceuticals US, Inc.
$223
GENZYME CORPORATION
$208
Boehringer Ingelheim Pharmaceuticals, Inc.
$171
ANI Pharmaceuticals, Inc.
$156
INOGEN, INC.
$137
United Therapeutics Corporation
$120
Regeneron Healthcare Solutions, Inc.
$94
Grifols USA, LLC
$78
Mylan Specialty L.P.
$78
Amgen Inc.
$36
Vifor Pharma, Inc.
$34
Axsome Therapeutics, Inc.
$25
Mallinckrodt Hospital Products Inc.
$24
ABBVIE INC.
$23
Inspire Medical Systems, Inc.
$17
Insmed, Inc.
$17
Top 3 companies account for 96.3% of 2024 payments
All-time payments by company (2018-2024) ›
GlaxoSmithKline, LLC.
$143,025
INTUITIVE SURGICAL, INC.
$3,451
AstraZeneca Pharmaceuticals LP
$1,982
Boehringer Ingelheim Pharmaceuticals, Inc.
$943
Inogen, Inc.
$824
United Therapeutics Corporation
$480
Takeda Pharmaceuticals U.S.A., Inc.
$453
Actelion Pharmaceuticals US, Inc.
$426
Grifols USA, LLC
$400
GENZYME CORPORATION
$382
Mylan Specialty L.P.
$343
ANI Pharmaceuticals, Inc.
$211
SANOFI-AVENTIS U.S. LLC
$180
Insmed, Inc.
$145
Regeneron Healthcare Solutions, Inc.
$138
INOGEN, INC.
$137
PFIZER INC.
$121
Mallinckrodt Hospital Products Inc.
$117
Amgen Inc.
$97
Horizon Therapeutics plc
$54
Teva Pharmaceuticals USA, Inc.
$43
Vifor Pharma, Inc.
$34
Resmed Corp
$30
Axsome Therapeutics, Inc.
$25
JAZZ PHARMACEUTICALS INC.
$25
Mallinckrodt LLC
$25
ABBVIE INC.
$23
OptiNose US, Inc.
$19
Apria Healthcare LLC
$17
Inspire Medical Systems, Inc.
$17
Ethicon Inc.
$17
Merck Sharp & Dohme Corporation
$15
Philips Electronics North America Corporation
$13
Top 3 companies account for 96.3% of all-time payments
Associated products mentioned in payments ›
(8874) inCourage · ACTHAR · AIRSENSE · AIRSUPRA · ANORO · AREXVY · AVYCAZ · AirDuo Digihaler · Arikayce · BEVESPI AEROSPHERE · BREZTRI · BREZTRI AEROSPHERE · CHANTIX · DUPIXENT · Da Vinci Surgical System · FARXIGA · FASENRA · GLASSIA · INOGEN ONE G5 OXYGEN CONCENTRATOR - BLUETOOTH · INSPIRE · InogenOne · Medela · Monarch Platform · NUCALA · OFEV · OPSUMIT · ORENITRAM · PENNSAID · PURIFIED CORTROPHIN GEL · ProAir Digihaler · Prolastin-C · Prolastin-C Liquid · RAYOS · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · Sunosi · TAGRISSO · TEZSPIRE · TRELEGY ELLIPTA · TYVASO · UPTRAVI · XYWAV · Xembify · Xhance · YUPELRI · Yupelri · Zemaira
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Looking for a critical care medicine specialist in Atlantis?
Compare critical care medicines in the Atlantis area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Critical care medicines in nearby ZIP areas
26
County median income
$81,115
Nearest hospital to ZIP centroid (approximate)
HCA FLORIDA JFK HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Pena-Hernandez is a clinical cardiology specialist, with above-average Medicare volume (top 7% in FL), with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Pena-Hernandez experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Pena-Hernandez performed 1,615 hospital follow-up visit, moderate complexity services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Pena-Hernandez receive payments from pharmaceutical companies?
Yes. Dr. Pena-Hernandez received a total of $154,214 from 33 companies across 554 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Pena-Hernandez's costs compare to other critical care medicines in Atlantis?
Dr. Pena-Hernandez's average Medicare payment per service is $77. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Pena-Hernandez) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →