Not Medicare Enrolled
Dr. Humberto Maldonado, MD
Optician · Austin, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
Very High
DATA COVERAGE
Data in 3 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. Maldonado 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. Maldonado
Dr. Humberto Maldonado is an optician specialist in Austin, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Maldonado performed 5,872 Medicare services across 4,329 unique beneficiaries.
Between the years covered by Open Payments, Dr. Maldonado received a total of $4,542 from 27 pharmaceutical and/or device companies across 304 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Maldonado is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years in practice
▲ Top 12% volume in TX
$4,542 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,872
Medicare services
Top 12% in TX for optician
4,329
Unique beneficiaries
$20
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~294 Medicare services per year of practice
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 |
|---|---|---|---|
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
455 | $8 | $16 |
| Lactate dehydrogenase (LDH) level test A blood test that measures the amount of lactate dehydrogenase, an enzyme found in many body tissues. It helps assess tissue damage or disease. |
403 | $6 | $25 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
400 | $4 | $22 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
399 | $10 | $54 |
| Glutamyltransferase (GGT) level test A blood test that measures the level of the liver enzyme glutamyltransferase (GGT) to help evaluate liver health. |
391 | $7 | $30 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
383 | $13 | $73 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
282 | $8 | $36 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
261 | $16 | $98 |
| Cardiac enzyme level (CK-MB) test A blood test that measures the total level of creatine kinase, specifically the cardiac enzyme fraction, to help evaluate heart muscle damage. |
230 | $6 | $32 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
225 | $29 | $120 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
212 | $2 | $19 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
210 | $15 | $43 |
| 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. |
196 | $85 | $175 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
189 | $9 | $78 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
180 | $10 | $42 |
| Annual depression screening | 164 | $19 | $30 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
135 | $9 | $39 |
| 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. |
122 | $56 | $140 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
118 | $130 | $200 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
93 | $15 | $100 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
84 | $31 | $35 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
83 | $71 | $73 |
| PSA test (prostate cancer screening) | 78 | $18 | $85 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
74 | $7 | $40 |
| Thyroxine (T4) level test A blood test that measures the total amount of thyroxine, a thyroid hormone, in your body. |
50 | $7 | $35 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
50 | $38 | $50 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
43 | $19 | $85 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
42 | $31 | $35 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
38 | $282 | $325 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
33 | $8 | $50 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
32 | $6 | $46 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
32 | $5 | $23 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
29 | $48 | $100 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
26 | $39 | $150 |
| Obesity behavioral counseling, 15 minutes A 15-minute face-to-face session focused on behavioral counseling to help manage obesity. |
24 | $25 | $35 |
| Adm sarscv2 bvl 50mcg/.5ml a | 19 | $41 | $50 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
18 | $3 | $23 |
| SARS-CoV-2 vaccine, 50 mcg/0.5 mL Administration of a SARS-CoV-2 vaccine containing 50 micrograms of antigen in a 0.5 milliliter dose. |
18 | $0 | $0 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
16 | $13 | $85 |
| Vaccine administration The process of giving a vaccine to a patient. This code covers the administration service only and does not include the cost of the vaccine itself. |
13 | $11 | $35 |
| Free T3 thyroid hormone test A blood test that measures the level of free triiodothyronine (T3) hormone in your body. This helps assess how well your thyroid gland is functioning. |
11 | $17 | $39 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
11 | $166 | $395 |
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. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$4,542
Total received (2018-2024)
Avg $649/year across 7 years
Top 29% in TX for optician
27
Companies
304
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$4,530 (99.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$12 (0.3%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$757
2023
$917
2022
$678
2021
$143
2020
$167
2019
$734
2018
$1,148
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
GlaxoSmithKline, LLC.
$1,391
Novo Nordisk Inc
$501
Amgen Inc.
$428
Lilly USA, LLC
$360
Abbott Laboratories
$344
Boehringer Ingelheim Pharmaceuticals, Inc.
$285
Astellas Pharma US Inc
$221
AstraZeneca Pharmaceuticals LP
$207
Merck Sharp & Dohme Corporation
$150
AbbVie, Inc.
$146
PFIZER INC.
$93
Genentech USA, Inc.
$59
ABBVIE INC.
$46
Gilead Sciences, Inc.
$44
IDORSIA PHARMACEUTICALS US INC
$43
Kowa Pharmaceuticals America, Inc.
$35
Novartis Pharmaceuticals Corporation
$26
Teva Pharmaceuticals USA, Inc.
$25
Althera Pharmaceuticals LLC
$21
Daiichi Sankyo Inc.
$18
Phathom Pharmaceuticals, Inc.
$18
Exact Sciences Corporation
$17
Corium, LLC
$16
Radius Health, Inc.
$13
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$12
Janssen Pharmaceuticals, Inc
$12
SI-BONE, Inc.
$12
Top 3 companies account for 51.1% of total payments
Associated products mentioned in payments ›
ADLARITY · AJOVY · ANORO · ANORO ELLIPTA · AREXVY · Aimovig · Androgel · BASAGLAR · BEXSERO · BREO · BREZTRI · Cologuard Collection Kit · Creon · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · FARXIGA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · INJECTAFER · JANUVIA · JARDIANCE · Livalo · MOUNJARO · MYRBETRIQ · Ozempic · PAXLOVID · PNEUMOVAX 23 · PREVNAR 20 · PROCLAIM · Prolia · QUVIVIQ · Repatha · Roszet · Rybelsus · SHINGRIX · SPIRIVA RESPIMAT · SYMBICORT · Saxenda · Synthroid · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · Tymlos · UBRELVY · VOQUEZNA · VRAYLAR · Veozah · Wegovy · XARELTO · XIFAXAN · Xofluza · Xolair · iFuse Implant
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. 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 →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $77 per 100 Medicare services performed
Geographic Context
Opticians within 10 mi
156
Per 100K population
11.9
County median income
$97,169
Nearest hospital
ASCENSION SETON MEDICAL CENTER AUSTIN
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | — Not enrolled | N/A |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 3 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Maldonado is a mixed practice specialist, with above-average Medicare volume (top 12% in TX), with low-engagement industry engagement, with 20 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Maldonado experienced with blood draw (venipuncture)?
Based on Medicare claims data, Dr. Maldonado performed 455 blood draw (venipuncture) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Maldonado receive payments from pharmaceutical companies?
Yes. Dr. Maldonado received a total of $4,542 from 27 companies across 304 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. 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. Maldonado's costs compare to other opticians in Austin?
Dr. Maldonado's average Medicare payment per service is $20. 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. Maldonado) 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 a long track record of practice, Medicare participation, and industry disclosure. 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?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): 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. The Transparency Score measures 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.
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