Medicare Enrolled
Dr. Juan Fernandez, MD
Pulmonary Disease · El Paso, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Fernandez 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. Fernandez
Dr. Juan Fernandez is a pulmonary disease specialist in El Paso, TX, with 18 years of NPI registration. Based on federal Medicare data, Dr. Fernandez performed 4,579 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Fernandez received a total of $14,498 from 37 pharmaceutical and/or device companies across 591 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. Fernandez 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.
✓ 18 years of NPI registration
▲ Top 6% volume in TX
$14,498 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗4,579
Medicare services
Top 6% in TX for pulmonary disease
Not available
Unique patients (not deduplicated)
$43
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 |
|---|---|---|---|
| Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg | 2,200 | $1 | $2 |
| 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. |
476 | $165 | $516 |
| 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. |
470 | $93 | $303 |
| 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. |
306 | $63 | $215 |
| 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. |
143 | $26 | $84 |
| Lung volume test using sensors A test that measures the amount of air in the lungs using sensors. |
141 | $35 | $119 |
| Pulmonary gas exchange test A test to examine how well the lungs exchange gases. |
141 | $37 | $122 |
| 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. |
127 | $60 | $189 |
| 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. |
82 | $110 | $395 |
| Chest X-ray, 1 view An X-ray image of the chest taken from a single angle. This imaging test is used to visualize the structures within the chest cavity. |
81 | $19 | $62 |
| 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. |
47 | $89 | $284 |
| 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. |
43 | $25 | $81 |
| CT scan of chest, without contrast A computed tomography scan of the chest area that uses X-rays to create detailed images without the use of contrast dye. |
42 | $79 | $328 |
| Quadrivalent influenza vaccine, cell-culture derived A flu shot containing four strains of influenza virus, produced using cell culture technology rather than eggs. This formulation is free from preservatives and antibiotics. |
38 | $33 | $54 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
38 | $100 | $310 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
36 | $28 | $45 |
| 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. |
30 | $129 | $426 |
| 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. |
26 | $22 | $80 |
| Breathing device use evaluation An assessment of how a patient uses a breathing device. The provider reviews the patient's technique and device handling. |
23 | $11 | $40 |
| Lung airway sensitivity test A test used to measure the sensitivity of the airways in the lungs. |
22 | $42 | $144 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
16 | $29 | $66 |
| Bronchial irrigation and suction for cell collection This procedure uses an endoscope to flush and suction the lung airways in order to collect cells for testing. |
14 | $34 | $603 |
| Insertion of non-tunneled central venous catheter A procedure to place a central venous catheter for infusion in patients aged 5 years or older. The catheter is inserted directly into a large vein without being tunneled under the skin. |
13 | $65 | $505 |
| Ultrasound guidance for blood vessel access Use of ultrasound imaging to help locate and access a blood vessel. This guidance assists healthcare providers in performing procedures such as inserting IV lines or drawing blood. |
12 | $11 | $34 |
| 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. |
12 | $10 | $119 |
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.
0.3% high complexity
2.1% medium
97.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$14,498
Total received (2018-2024)
Avg $2,071/year across 7 years
Top 15% in TX for pulmonary disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
37
Companies
591
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
$4,129
2023
$2,076
2022
$2,794
2021
$1,169
2020
$958
2019
$1,807
2018
$1,565
Payments by company (2024)
INTUITIVE SURGICAL, INC.
$2,510
AstraZeneca Pharmaceuticals LP
$666
GENZYME CORPORATION
$212
GlaxoSmithKline, LLC.
$150
Actelion Pharmaceuticals US, Inc.
$147
Regeneron Healthcare Solutions, Inc.
$102
Mylan Specialty L.P.
$85
Insmed, Inc.
$45
Grifols USA, LLC
$38
Novartis Pharmaceuticals Corporation
$37
Amgen Inc.
$29
Bayer Healthcare Pharmaceuticals Inc.
$27
Baxter Healthcare
$21
Eurofins Viracor, LLC
$17
INOGEN, INC.
$16
Philips North America LLC
$14
Gilead Sciences, Inc.
$13
Top 3 companies account for 82.1% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$3,383
INTUITIVE SURGICAL, INC.
$2,510
GlaxoSmithKline, LLC.
$1,590
Surmodics, Inc.
$1,336
Boehringer Ingelheim Pharmaceuticals, Inc.
$1,033
Mylan Specialty L.P.
$710
GENZYME CORPORATION
$470
Novartis Pharmaceuticals Corporation
$434
Actelion Pharmaceuticals US, Inc.
$407
Regeneron Healthcare Solutions, Inc.
$385
Sunovion Pharmaceuticals Inc.
$360
Grifols USA, LLC
$304
Electromed, Inc.
$241
Allergan Inc.
$237
Insmed, Inc.
$155
Philips Electronics North America Corporation
$144
Genentech USA, Inc.
$83
ABBVIE INC.
$75
Gilead Sciences, Inc.
$72
SANOFI-AVENTIS U.S. LLC
$63
Inogen, Inc.
$57
Pulmonx Corporation
$53
Circassia Pharmaceuticals Inc
$50
United Therapeutics Corporation
$50
Amgen Inc.
$46
Baxter Healthcare
$36
UCB, Inc.
$31
PFIZER INC.
$28
Bayer Healthcare Pharmaceuticals Inc.
$27
Merck Sharp & Dohme LLC
$24
Mallinckrodt Enterprises LLC
$23
Eurofins Viracor, LLC
$17
Horizon Therapeutics plc
$17
INOGEN, INC.
$16
Philips North America LLC
$14
Merck Sharp & Dohme Corporation
$12
Ceribell, Inc.
$9
Top 3 companies account for 51.6% of all-time payments
Associated products mentioned in payments ›
(AK6) Vest Therapy · ACTHAR · AIRSUPRA · ANORO · ANORO ELLIPTA · AVAGE · AVYCAZ · Adempas · Arikayce · BEVESPI AEROSPHERE · BREO · BREZTRI · BROVANA · Briviact · CHARTIS CATHETER · Ceribell Rapid Response EEG · DUPIXENT · Da Vinci Surgical System · Dymista · ELIQUIS · ENTRESTO · Esbriet · FARXIGA · FASENRA · Hillrom - Vest System Model 105 Home Care · INOGEN ONE G5 OXYGEN CONCENTRATOR - BLUETOOTH · InogenOne · LINZESS · LONHALA MAGNAIR · NUCALA · OFEV · OPSUMIT · PREVNAR 20 · Prolastin-C · Prolastin-C Liquid · RAYOS · SMARTVEST · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SYMBICORT · Sublime 014 Rx PTA Balloon Dilatation Catheter · TAGRISSO · TAVNEOS · TEFLARO · TEZSPIRE · TRELEGY ELLIPTA · TUDORZA PRESSAIR · TYVASO · UPTRAVI · UTIBRON · Utibron · Wellcentive Undiv · XOLAIR · Xolair · YUPELRI · Yupelri · ZERBAXA · inCourage
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 →
Geographic Context
Pulmonary diseases in nearby ZIP areas
13
County median income
$58,859
Nearest hospital to ZIP centroid (approximate)
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS
0.0 mi
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. Fernandez is a clinical cardiology specialist, with above-average Medicare volume (top 6% in TX), with 18 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. Fernandez experienced with methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg?
Based on Medicare claims data, Dr. Fernandez performed 2,200 methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg 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. Fernandez receive payments from pharmaceutical companies?
Yes. Dr. Fernandez received a total of $14,498 from 37 companies across 591 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. Fernandez's costs compare to other pulmonary diseases in El Paso?
Dr. Fernandez's average Medicare payment per service is $43. 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. Fernandez) 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 →
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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.
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