Medicare Enrolled

Dr. Raul Pena, MD

Ophthalmology · McAllen, TX
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Low-engagement
1400 E RIDGE RD STE 10, McAllen, TX 78503
9566618733
In practice since 2006 (19 years)
NPI: 1164456943 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 Dr. Pena 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 →
Are you Dr. Pena? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Pena

Dr. Raul Pena is an ophthalmology in McAllen, TX, with 19 years in practice. Based on federal Medicare data, Dr. Pena performed 991 Medicare services across 736 unique beneficiaries.

Between the years covered by Open Payments, Dr. Pena received a total of $9,422 from 24 pharmaceutical and/or device companies across 140 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in ophthalmology. 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. Pena 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.

✓ 19 years in practice▲ 991 Medicare services$ $9,422 industry payments

Medicare Practice Summary

Medicare Utilization ↗
991
Medicare services
Bottom 31% in TX for ophthalmology
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
736
Unique beneficiaries
$149
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~52 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.

ProcedureVolumeAvg. paidAvg. submitted
Eye exam, established patient, focused180$65$106
Removal of recurring cataract in lens capsule using a laser163$241$1,200
Cataract surgery with lens implant148$388$2,500
Corneal topography and eye depth measurement144$33$100
Comprehensive eye exam, established patient74$79$166
New patient office visit (45-59 min)66$98$250
Ct scan of cornea49$25$300
Imaging of front third of eye using a special microscope45$30$200
Release of scar tissue between lens and retina using a laser25$299$1,200
Retinal imaging (OCT scan)23$27$200
Visual field test, extended19$40$200
Optic nerve imaging (OCT scan)19$21$200
Complex removal of cataract with insertion of prosthetic lens18$541$2,500
Retinal photography (fundus photo)18$26$300
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.
14.9% high complexity
13.7% medium
71.3% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$9,422
Total received (2018-2024)
Avg $1,346/year across 7 years
Top 13% in TX for ophthalmology
24
Companies
140
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
$7,220 (76.6%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$2,202 (23.4%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$564
2023
$3,439
2022
$1,585
2021
$1,075
2020
$675
2019
$1,140
2018
$944

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
RxSight Inc
$2,553
Bausch & Lomb Americas Inc.
$1,576
Bausch & Lomb, a division of Bausch Health US, LLC
$1,494
Johnson & Johnson Surgical Vision, Inc.
$1,098
Alcon Vision LLC
$572
Sight Sciences, Inc.
$499
Carl Zeiss Meditec, Inc.
$239
Glaukos Corporation
$221
Oyster Point Pharma, Inc.
$137
Alcon Laboratories Inc
$134
Beaver-Visitec International, Inc.
$115
Carl Zeiss Meditec USA, Inc.
$113
Genentech USA, Inc.
$111
Eyevance Pharmaceuticals LLC
$104
Bausch Health US, LLC
$102
ABBVIE INC.
$74
Sun Pharmaceutical Industries Inc.
$59
Tarsus Pharmaceuticals, Inc.
$41
TissueTech, Inc.
$40
Shire North American Group Inc
$37
Kala Pharmaceuticals, Inc.
$35
Allergan, Inc.
$31
Novartis Pharmaceuticals Corporation
$26
Aerie Pharmaceuticals, Inc.
$12
Top 3 companies account for 59.7% of total payments
Associated products mentioned in payments ›
ARGOS · AcrySof IQ PanOptix · CATALYS SYSTEM · CEQUA · CIRRUS HD-OCT · CRYSTALENS · Catalys Laser System · DURYSTA · ENVISTA · Esbriet · Flarex · IC-8 Apthera IOL · IFS ADVANCED FEMTOSEC LASER · ILUX · INVELTYS · ISTENT TRABECULAR MICRO-BYPASS STENT SYSTEM · KXL System · LIGHT ADJUSTABLE LENS (LAL) AND LIGHT DELIVERY DEVICE (LDD) · LOTEMAX · LOTEMAX GEL · LOTEMAX SM · LUMERA 700 · LenSx · Luxor · OMNI SURGICAL SYSTEM · OMNI(R) SURGICAL SYSTEM (US) · ORA · One Series Ultra · One Series Ultra IOL Delivery System · PROLENSA · Prokera · RESTASIS · RXSIGHT CONTACT LENS · ReSTOR · Rocklatan · STELLARIS · TYRVAYA · Tecnis Multifocal Family of 1-piece IOLS · Tecnis Symfony IOL · VITESSE · VisuMax · Wavelight · Wavelight Refractive Suite · XDEMVY · XIIDRA · enVista MX60 IOL · iStent inject W · rhopressa
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 (77%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $951 per 100 Medicare services performed
Looking for a ophthalmology in McAllen?
Compare ophthalmologys in the McAllen area by procedure volume, costs, and industry payment transparency.
Browse ophthalmologys nearby

Geographic Context

Ophthalmologys within 10 mi
32
Per 100K population
3.6
County median income
$52,281
Nearest hospital
RIO GRANDE REGIONAL HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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. Pena is a mixed practice specialist, with moderate Medicare volume, and high industry engagement (low-engagement, top 13%), with 19 years of practice experience.

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. Pena experienced with eye exam, established patient, focused?
Based on Medicare claims data, Dr. Pena performed 180 eye exam, established patient, focused 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. Pena receive payments from pharmaceutical companies?
Yes. Dr. Pena received a total of $9,422 from 24 companies across 140 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. Pena's costs compare to other ophthalmologys in McAllen?
Dr. Pena's average Medicare payment per service is $149. 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. Pena) 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 →