Medicare Enrolled

Ramiro De Leon, APRN, FNP-BC

Nurse Practitioner - Family · Mcallen, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
5128 N 10TH ST, Mcallen, TX 78504
9566313831
Registered in NPPES since 2011
NPI: 1467736868 verify on NPPES ↗
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 De Leon 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 De Leon

Ramiro De Leon is a nurse practitioner - family in Mcallen, TX, with 14 years of NPI registration. Based on federal Medicare data, De Leon performed 555 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, De Leon received a total of $3,973 from 34 pharmaceutical and/or device companies across 247 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 De Leon 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.

✓ 14 years of NPI registration ▲ Top 28% volume in TX $3,973 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
555
Medicare services
Top 28% in TX for nurse practitioner - family
Not available
Unique patients (not deduplicated)
$34
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
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.
177 $49 $149
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
100 $8 $12
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.
85 $63 $207
Urine microalbumin test
A laboratory test that measures the amount of a specific protein called microalbumin in a urine sample. This analysis helps assess kidney function.
32 $6 $29
Creatinine test (kidney function)
A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury.
32 $5 $19
Manual urinalysis with microscopic examination
A urine test performed manually without automated equipment. The sample is examined under a microscope to check for abnormalities.
30 $4 $20
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.
25 $8 $24
Hemoglobin A1c test (diabetes monitoring)
A blood test that measures your average blood sugar levels over the past two to three months.
22 $10 $35
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
21 $105 $215
Drug injection, under skin or into muscle
A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle.
18 $8 $29
Advance care planning consultation, first 30 min
A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion.
13 $66 $170
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.

Industry Payment Transparency

Open Payments through 2024 ↗
$3,973
Total received (2021-2024)
Avg $993/year across 4 years
Top 6% in TX for nurse practitioner - family
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
34
Companies
247
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
$947
2023
$1,302
2022
$832
2021
$892

Payments by company (2024)

Novo Nordisk Inc
$199
ABBVIE INC.
$156
Corcept Therapeutics
$84
Lilly USA, LLC
$77
AstraZeneca Pharmaceuticals LP
$67
Phathom Pharmaceuticals, Inc.
$59
Amgen Inc.
$58
Dexcom, Inc.
$35
Phadia US Inc.
$24
Averitas Pharma Inc.
$23
Sumitomo Pharma America, Inc.
$23
Boehringer Ingelheim Pharmaceuticals, Inc.
$21
Janssen Pharmaceuticals, Inc
$20
Bayer Healthcare Pharmaceuticals Inc.
$19
Exact Sciences Corporation
$18
Antares Pharma, Inc.
$17
Astellas Pharma US Inc
$16
PFIZER INC.
$15
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$14
Top 3 companies account for 46.4% of 2024 payments
All-time payments by company (2021-2024) ›
Novo Nordisk Inc
$847
Lilly USA, LLC
$845
ABBVIE INC.
$363
AstraZeneca Pharmaceuticals LP
$162
Takeda Pharmaceuticals U.S.A., Inc.
$157
Amgen Inc.
$138
Janssen Pharmaceuticals, Inc
$127
OptiNose US, Inc.
$125
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$119
AbbVie Inc.
$115
PFIZER INC.
$109
Dexcom, Inc.
$89
Bayer Healthcare Pharmaceuticals Inc.
$86
Corcept Therapeutics
$84
Amarin Pharma Inc.
$68
Phathom Pharmaceuticals, Inc.
$59
Boehringer Ingelheim Pharmaceuticals, Inc.
$57
DEXCOM, INC.
$55
Xeris Pharmaceuticals, Inc.
$48
Phadia US Inc.
$39
GlaxoSmithKline, LLC.
$32
SANOFI-AVENTIS U.S. LLC
$32
SANOFI PASTEUR INC.
$26
Biohaven Pharmaceutical Holding Company Ltd.
$23
Averitas Pharma Inc.
$23
Sumitomo Pharma America, Inc.
$23
Otsuka America Pharmaceutical, Inc.
$22
Exact Sciences Corporation
$18
Antares Pharma, Inc.
$17
Astellas Pharma US Inc
$16
Kowa Pharmaceuticals America, Inc.
$14
Esperion Therapeutics, Inc.
$13
Paratek Pharmaceuticals, Inc.
$13
Genentech USA, Inc.
$8
Top 3 companies account for 51.7% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · Cologuard Collection Kit · DEXCOM G6 TRANSMITTER · Dexcom G6 Transmitter · EMGALITY · FARXIGA · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · GEMTESA · GVOKE HYPOPEN · GVOKE PFS · ImmunoCAP · JARDIANCE · Kerendia · Korlym · LINZESS · Livalo · MOUNJARO · NEXLETOL · NURTEC ODT · NUZYRA · OFEV · Otezla · Ozempic · PAXLOVID · PREMARIN · QULIPTA · QUTENZA · REXULTI · RYBELSUS · Rybelsus · SHINGRIX · SOLIQUA 100/33 · TOUJEO · TRELEGY ELLIPTA · TRINTELLIX · TRULANCE · TRULICITY · UBRELVY · VOQUEZNA · VRAYLAR · Vascepa · Veozah · Wegovy · XARELTO · XIFAXAN · XYOSTED · Xhance · Xofluza
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 →
Looking for a nurse practitioner - family in Mcallen?
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Geographic Context

Family nurse practitioners in nearby ZIP areas
524
County median income
$52,281
Nearest hospital to ZIP centroid (approximate)
SOUTH TEXAS HEALTH SYSTEM
3.4 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

De Leon is a clinical cardiology specialist, with above-average Medicare volume (top 28% in TX).

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is De Leon experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, De Leon performed 177 office visit, established patient (20-29 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does De Leon receive payments from pharmaceutical companies?
Yes. De Leon received a total of $3,973 from 34 companies across 247 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 De Leon's costs compare to other family nurse practitioners in Mcallen?
De Leon's average Medicare payment per service is $34. 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 De Leon) 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 →
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.

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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →