Medicare Enrolled
Dr. Jose Villarreal, M.D.
Interventional Pain Medicine Physician · El Paso, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Villarreal 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. Villarreal
Dr. Jose Villarreal is an interventional pain medicine physician in El Paso, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Villarreal performed 6,284 Medicare services across 1,777 unique beneficiaries.
Between the years covered by Open Payments, Dr. Villarreal received a total of $30,670 from 40 pharmaceutical and/or device companies across 718 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in interventional pain medicine physician. 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. Villarreal 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
$30,670 industry payments
Medicare Practice Summary
Medicare Utilization ↗6,284
Medicare services
Top 12% in TX for interventional pain medicine physician
1,777
Unique beneficiaries
$48
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~314 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 |
|---|---|---|---|
| Injection, fentanyl citrate, 0.1 mg | 3,400 | $1 | $1 |
| 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. |
1,144 | $59 | $120 |
| 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. |
463 | $88 | $180 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
245 | $229 | $788 |
| Midazolam injection, per 1 mg Administration of midazolam hydrochloride, a sedative medication, measured in 1 mg increments. |
144 | $0 | $25 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
100 | $84 | $520 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
75 | $41 | $75 |
| 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. |
74 | $122 | $294 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
72 | $38 | $195 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
64 | $192 | $584 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
64 | $102 | $401 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
60 | $198 | $581 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
52 | $481 | $850 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
51 | $268 | $813 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
48 | $142 | $584 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
37 | $70 | $183 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
36 | $117 | $232 |
| Ultrasound-guided large joint aspiration or injection This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint. |
29 | $75 | $259 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
24 | $195 | $656 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
23 | $41 | $215 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
21 | $105 | $468 |
| Peripheral nerve neurostimulator electrode insertion A procedure to place an electrode through the skin into a peripheral nerve. This electrode is part of a neurostimulator system used to deliver electrical impulses. |
19 | $225 | $4,680 |
| Spinal scar tissue removal, multiple sessions A procedure to remove scar tissue within the spinal canal, performed in multiple sessions during a single day. |
14 | $188 | $776 |
| Facet joint nerve destruction, single joint This procedure uses imaging guidance to destroy the nerves supplying a single upper or middle spinal facet joint. It is performed to interrupt pain signals from that specific joint. |
13 | $462 | $1,027 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional upper or middle spinal facet joint. |
12 | $272 | $550 |
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 ↗$30,670
Total received (2018-2024)
Avg $4,381/year across 7 years
Top 10% in TX for interventional pain medicine physician
40
Companies
718
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
$28,674 (93.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$1,996 (6.5%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,329
2023
$4,276
2022
$3,697
2021
$5,680
2020
$2,690
2019
$3,720
2018
$8,277
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$9,853
Nevro Corp.
$4,170
Boston Scientific Corporation
$3,218
BOSTON SCIENTIFIC CORPORATION
$2,478
Duchesnay USA Incorporated
$1,962
Nalu Medical, Inc.
$1,793
Relievant Medsystems, Inc.
$1,584
Daiichi Sankyo Inc.
$900
Spinal Simplicity, LLC
$819
SPR Therapeutics, Inc
$737
PFIZER INC.
$406
Medtronic, Inc.
$353
BioDelivery Sciences International, Inc.
$221
ARBOR PHARMACEUTICALS, INC.
$207
IDORSIA PHARMACEUTICALS US INC
$201
Scilex Pharmaceuticals Inc.
$164
AstraZeneca Pharmaceuticals LP
$155
US WorldMeds, LLC
$153
Medtronic USA, Inc.
$140
SCILEX PHARMACEUTICALS INC.
$122
Inspire Medical Systems, Inc.
$119
Saluda Medical Americas, Inc.
$115
Merck Sharp & Dohme Corporation
$85
Stryker Corporation
$74
Flexion Therapeutics, Inc.
$65
Purdue Pharma L.P.
$65
SI-BONE, INC.
$61
DePuy Synthes Sales Inc.
$56
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$51
Takeda Pharmaceuticals U.S.A., Inc.
$48
Vertos Medical, Inc.
$46
Horizon Therapeutics plc
$44
Arbor Pharmaceuticals, Inc.
$39
AKRIMAX PHARMACEUTICALS, LLC
$36
AMAG Pharmaceuticals, Inc.
$33
Assertio Therapeutics, Inc.
$26
Bayer HealthCare Pharmaceuticals Inc.
$24
Pacira Pharmaceuticals Incorporated
$17
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$14
Merck Sharp & Dohme LLC
$14
Top 3 companies account for 56.2% of total payments
Associated products mentioned in payments ›
ASCENDA · AXIUM · Axium INS DRG IPG · Axium Sheath Braided DRG · BELBUCA · BELSOMRA · BUNAVAIL 2.1 mg 30-count box · Bonjesta · DRG IPGs · ELIQUIS · EMBEDA · ETERNA · EXPAREL · Edarbyclor · Evoke · FREELINK · GENERAL PAIN MANAGEMENT · HA MINUTEMAN G3-R · Horizant · INTELLIS ADAPTIVESTIM · INTRAROSA · IVS - DEKOMPRESSOR · Inspire Upper Airway Stimulation System · Intracept · KYPHON Balloon Kyphoplasty · Kerendia · LYRICA · Lucemyra/Lofexidine · MAKO · MONOVISC · MOVANTIK · Morphabond ER · NT1100 NT2000iX Simplicity · NT2000IX · Nalu Neurostimulation System · Neuromodulation Dspsbls and Accs · Nucynta · OCTRODE · Octrode SCS Leads · Omnia · PENNSAID · PROCLAIM · Penta SCS Leads · Primlev · Proclaim Family of SCS IPGs · Proclaim IPG · Prodigy Family of SCS IPGs · Protege Family of SCS IPGs · QUVIVIQ · RESTORE · Radiofrequency Therapy · SCS IPGs · SCS leads · SPECTRA WAVEWRITER · SPRINT PNS System · SUPERION · SYMPROIC · SYNCHROMED · Senza · Senza II · Senza Spinal Cord Stimulation System · SlimTip lead DRG Lead · Spectra WaveWriter · Superion · Superion Indirect Decompression System · Trintellix · VERTIFLEX SUPERION · WAVEWRITER ALPHA · WaveWriter Alpha Prime 16 · XIFAXANIBSD · ZIPSOR · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zilretta · mild Device Kit
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 (94%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 10% for interventional pain medicine physician in TX.
Equivalent to $488 per 100 Medicare services performed
Geographic Context
Interventional pain medicine physicians within 10 mi
3
Per 100K population
0.3
County median income
$58,859
Nearest hospital
RIO VISTA BEHAVIORAL HEALTH
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 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. Villarreal is a clinical cardiology specialist, with above-average Medicare volume (top 12% in TX), with low-engagement industry engagement in the top 10% of TX peers, 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. Villarreal experienced with injection, fentanyl citrate, 0.1 mg?
Based on Medicare claims data, Dr. Villarreal performed 3,400 injection, fentanyl citrate, 0.1 mg 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. Villarreal receive payments from pharmaceutical companies?
Yes. Dr. Villarreal received a total of $30,670 from 40 companies across 718 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. Villarreal's costs compare to other interventional pain medicine physicians in El Paso?
Dr. Villarreal's average Medicare payment per service is $48. 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. Villarreal) 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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