Medicare Enrolled

Dr. Raul Pena, MD

Ophthalmology · Mcallen, TX
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
1400 E RIDGE RD STE 10, Mcallen, TX 78503
9566618733
Registered in NPPES since 2006
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 →
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What this data tells you about Dr. Pena

Dr. Raul Pena is an ophthalmology specialist in Mcallen, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Pena performed 991 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Pena received a total of $9,422 from 24 pharmaceutical and/or device companies across 140 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. Pena 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.

✓ 20 years of NPI registration ▲ 991 Medicare services $9,422 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
991
Medicare services
Bottom 30% in TX for ophthalmology
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
Not available
Unique patients (not deduplicated)
$149
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
Eye exam, established patient, focused
A limited examination of the visual system for an existing patient. The provider focuses on a specific eye-related concern or symptom.
180 $65 $106
Laser removal of recurring cataract
A laser procedure to remove a recurring cataract within the lens capsule.
163 $241 $1,200
Cataract surgery with lens implant
Surgical removal of the clouded natural lens of the eye and replacement with an artificial prosthetic lens to restore vision.
148 $388 $2,500
Corneal topography and eye depth measurement
This procedure measures the curvature and depth of the cornea, the clear front surface of the eye.
144 $33 $100
Comprehensive eye exam, established patient
A comprehensive examination of the visual system performed for a patient who has previously been seen by the provider.
74 $79 $166
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.
66 $98 $250
CT scan of cornea
A computed tomography scan used to create detailed images of the cornea, the clear front part of the eye.
49 $25 $300
Slit lamp examination of the eye
This procedure uses a specialized microscope to examine the front portion of the eye.
45 $30 $200
Laser release of scar tissue between lens and retina
A laser procedure used to remove scar tissue located between the lens and the retina of the eye.
25 $299 $1,200
Retinal imaging (OCT scan)
This procedure involves imaging the retina to visualize its structure. It is used to examine the back of the eye.
23 $27 $200
Visual field test, extended
A test that maps your complete field of vision to detect blind spots or peripheral vision loss. Extended testing provides a more detailed assessment than a standard visual field exam.
19 $40 $200
Optic nerve imaging (OCT scan)
Imaging of the optic nerve.
19 $21 $200
Complex cataract removal with lens implant
A surgical procedure to remove a cataract from the eye and insert an artificial lens to restore vision.
18 $541 $2,500
Retinal photography (fundus photo)
This procedure involves taking photographs of the retina, the light-sensitive tissue at the back of the eye. It is used to document the condition of the eye's interior structures.
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. These counts do not measure clinical quality or years of experience.
14.9% high complexity
9.2% medium
75.9% 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
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
24
Companies
140
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
$564
2023
$3,439
2022
$1,585
2021
$1,075
2020
$675
2019
$1,140
2018
$944

Payments by company (2024)

Bausch & Lomb Americas Inc.
$206
Alcon Vision LLC
$157
Sight Sciences, Inc.
$63
ABBVIE INC.
$56
Tarsus Pharmaceuticals, Inc.
$41
RxSight Inc
$41
Top 3 companies account for 75.5% of 2024 payments
All-time payments by company (2018-2024) ›
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 all-time 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? 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 an ophthalmology specialist in Mcallen?
Compare ophthalmologists in the Mcallen area by procedure volume, costs, and industry payment transparency.
Browse ophthalmologists nearby

Geographic Context

Ophthalmologists in nearby ZIP areas
32
County median income
$52,281
Nearest hospital to ZIP centroid (approximate)
RIO GRANDE REGIONAL HOSPITAL
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. Pena is a mixed practice specialist, with moderate Medicare volume, with 20 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. Pena experienced with eye exam, established patient, focused?
Based on Medicare claims data, Dr. Pena performed 180 eye exam, established patient, focused 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. Pena receive payments from pharmaceutical companies?
Yes. Dr. Pena received a total of $9,422 from 24 companies across 140 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. Pena's costs compare to other ophthalmologists 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 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 →