Medicare Enrolled
Dr. Juan Fernandez, MD
Pulmonary Disease · 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. 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 4,541 Medicare services across 1,625 unique beneficiaries.
Between the years covered by Open Payments, Dr. Fernandez received a total of $14,498 from 37 pharmaceutical and/or device companies across 591 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pulmonary disease. 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. Fernandez 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.
✓ 18 years in practice
▲ Top 5% volume in TX
$14,498 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,541
Medicare services
Top 5% in TX for pulmonary disease
1,625
Unique beneficiaries
$43
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~252 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 |
|---|---|---|---|
| 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. |
130 | $27 | $90 |
| Lung volume test using sensors A test that measures the amount of air in the lungs using sensors. |
129 | $37 | $127 |
| Pulmonary gas exchange test A test to examine how well the lungs exchange gases. |
128 | $40 | $133 |
| 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. A higher procedure volume generally indicates more experience with that procedure.
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
37
Companies
591
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
$11,687 (80.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$2,810 (19.4%)
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)
Consulting
Speaking
Meals & Travel
Research
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 total 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? 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 (81%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $319 per 100 Medicare services performed
Geographic Context
Pulmonary diseases within 10 mi
13
Per 100K population
1.5
County median income
$58,859
Nearest hospital
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS
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. Fernandez is a clinical cardiology specialist, with above-average Medicare volume (top 5% in TX), with low-engagement industry engagement in the top 15% of TX peers, with 18 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. 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. 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. Fernandez receive payments from pharmaceutical companies?
Yes. Dr. Fernandez received a total of $14,498 from 37 companies across 591 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. 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 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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