Not Medicare Enrolled

Dr. Humberto Maldonado, MD

Optician · Austin, TX
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
1004 W 32ND ST STE 400, Austin, TX 78705
5124545171
In practice since 2006 (20 years)
NPI: 1598745259 verify on NPPES ↗
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) 455 $8 $16
Lactate dehydrogenase (enzyme) level 403 $6 $25
Uric acid level test 400 $4 $22
Comprehensive metabolic blood panel 399 $10 $54
Glutamyltransferase (liver enzyme) level 391 $7 $30
Lipid panel (cholesterol and triglycerides) 383 $13 $73
Complete blood count (CBC) with differential 282 $8 $36
Thyroid stimulating hormone (TSH) test 261 $16 $98
Creatine kinase (cardiac enzyme) level, total 230 $6 $32
Vitamin D level test 225 $29 $120
Automated urinalysis 212 $2 $19
Chest X-ray, 2 views 210 $15 $43
Office visit, established patient (30-39 min) 196 $85 $175
Electrocardiogram (EKG), 12-lead 189 $9 $78
Hemoglobin A1c test (diabetes monitoring) 180 $10 $42
Annual depression screening 164 $19 $30
Free thyroxine (T4) test 135 $9 $39
Office visit, established patient (20-29 min) 122 $56 $140
Annual wellness visit, follow-up 118 $130 $200
Vitamin B-12 level test 93 $15 $100
Flu vaccine administration 84 $31 $35
Flu vaccine, high-dose 83 $71 $73
PSA test (prostate cancer screening) 78 $18 $85
Magnesium level test 74 $7 $40
Thyroxine (thyroid chemical), total 50 $7 $35
Chronic care management, additional 20 min/month 50 $38 $50
Prostate cancer screening; prostate specific antigen test (psa) 43 $19 $85
Pneumonia vaccine administration 42 $31 $35
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 38 $282 $325
Basic metabolic blood panel 33 $8 $50
Urine microalbumin test (kidney screening) 32 $6 $46
Creatinine test (kidney function) 32 $5 $23
Chronic care management, first 20 min/month 29 $48 $100
Bone density scan (DEXA) 26 $39 $150
Face-to-face behavioral counseling for obesity, 15 minutes 24 $25 $35
Adm sarscv2 bvl 50mcg/.5ml a 19 $41 $50
Urinalysis with microscopic exam 18 $3 $23
Sarscov2 vac bvl 50mcg/0.5ml 18 $0 $0
Ferritin level test (iron stores) 16 $13 $85
Administration of vaccine 13 $11 $35
Thyroid hormone, t3 measurement, free 11 $17 $39
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment 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
Looking for an optician specialist in Austin?
Compare opticians in the Austin area by procedure volume, costs, and industry payment transparency.
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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

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 →
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.

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. Payments from industry are legal and do not indicate wrongdoing. 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 →