Medicare Enrolled
Dr. Harold Pean, MD
Internal Medicine · Mission, 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. Pean 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. Pean
Dr. Harold Pean is an internal medicine specialist in Mission, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Pean performed 3,711 Medicare services across 1,474 unique beneficiaries.
Between the years covered by Open Payments, Dr. Pean received a total of $12,049 from 60 pharmaceutical and/or device companies across 773 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. 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. Pean 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
▲ Top 9% volume in TX
$12,049 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,711
Medicare services
Top 9% in TX for internal medicine
1,474
Unique beneficiaries
$49
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~195 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 |
|---|---|---|---|
| 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. |
940 | $93 | $225 |
| 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. |
359 | $64 | $115 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
210 | $31 | $80 |
| 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. |
181 | $10 | $35 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
154 | $2 | $10 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
135 | $49 | $90 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
131 | $37 | $65 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
128 | $0 | $15 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
126 | $38 | $95 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
115 | $38 | $72 |
| Remote vital sign monitoring management, each additional 20 minutes This code covers the time spent by a provider managing patient data from remote vital sign monitoring devices. It applies to each additional 20-minute increment beyond the initial monthly service period. |
111 | $31 | $58 |
| Ceftriaxone antibiotic injection This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered. |
111 | $0 | $4 |
| Blood glucose level test A test that measures the amount of sugar in your blood. |
104 | $4 | $20 |
| 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. |
101 | $33 | $50 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
100 | $29 | $33 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
97 | $66 | $130 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
76 | $0 | $2 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
73 | $16 | $47 |
| 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. |
65 | $118 | $255 |
| Annual depression screening | 63 | $18 | $40 |
| COVID-19 immunoassay detection test A laboratory test that uses an immunoassay method to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) through direct visual observation. |
45 | $41 | $65 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
45 | $125 | $140 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
39 | $5 | $15 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
39 | $10 | $50 |
| 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. |
31 | $6 | $15 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
31 | $39 | $80 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
26 | $37 | $200 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
19 | $1 | $5 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
16 | $216 | $325 |
| Injection, methylprednisolone acetate, 40 mg | 16 | $6 | $12 |
| Ultrasound of arm and leg arteries This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries. |
12 | $64 | $160 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
12 | $41 | $100 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$12,049
Total received (2018-2024)
Avg $1,721/year across 7 years
Top 7% in TX for internal medicine
60
Companies
773
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
$11,842 (98.3%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$206 (1.7%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,126
2023
$1,039
2022
$1,635
2021
$2,454
2020
$2,447
2019
$1,230
2018
$2,118
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$1,287
Janssen Pharmaceuticals, Inc
$851
PFIZER INC.
$758
Lilly USA, LLC
$714
ABBVIE INC.
$662
Amgen Inc.
$627
Takeda Pharmaceuticals U.S.A., Inc.
$625
GlaxoSmithKline, LLC.
$615
AstraZeneca Pharmaceuticals LP
$580
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$426
Mylan Specialty L.P.
$425
Astellas Pharma US Inc
$416
AbbVie Inc.
$379
ARALEZ PHARMACEUTICALS US INC.
$303
SANOFI-AVENTIS U.S. LLC
$281
E.R. Squibb & Sons, L.L.C.
$281
Amarin Pharma Inc.
$276
Novartis Pharmaceuticals Corporation
$248
Boehringer Ingelheim Pharmaceuticals, Inc.
$210
Merck Sharp & Dohme LLC
$183
Ironwood Pharmaceuticals, Inc
$137
Nestle HealthCare Nutrition Inc.
$136
Alexion Pharmaceuticals, Inc.
$100
Allergan, Inc.
$97
Teva Pharmaceuticals USA, Inc.
$95
Cardiovascular Systems Inc.
$95
Kowa Pharmaceuticals America, Inc.
$80
Shire North American Group Inc
$75
RedHill Biopharma Inc.
$69
Esperion Therapeutics, Inc.
$65
Allergan Inc.
$63
IRONWOOD PHARMACEUTICALS, INC
$63
Dexcom, Inc.
$60
Regeneron Healthcare Solutions, Inc.
$59
DEXCOM, INC.
$57
AbbVie, Inc.
$52
Otsuka America Pharmaceutical, Inc.
$44
Paratek Pharmaceuticals, Inc.
$40
Radius Health, Inc.
$38
SHIELD THERAPEUTICS INC
$38
NESTLE HEALTHCARE NUTRITION INC.
$38
Impax Laboratories, Inc.
$36
Bayer Healthcare Pharmaceuticals Inc.
$32
Eisai Inc.
$29
Phadia US Inc.
$28
Merck Sharp & Dohme Corporation
$26
AIMMUNE THERAPEUTICS, INC.
$26
UROVANT SCIENCES INC
$25
VIVUS LLC
$24
Abbott Laboratories
$18
Orthogenrx Inc.
$18
Vifor Pharma, Inc.
$18
Evofem Biosciences, Inc.
$18
Xeris Pharmaceuticals, Inc.
$17
Biohaven Pharmaceuticals, Inc.
$16
Biogen, Inc.
$16
EVOKE PHARMA, INC.
$16
Lexicon Pharmaceuticals, Inc.
$15
Biohaven Pharmaceutical Holding Company Ltd.
$14
Mannkind Corporation
$14
Top 3 companies account for 24.0% of total payments
Associated products mentioned in payments ›
ACCRUFER · AFREZZA · AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · AREXVY · AUSTEDO · Aimovig · Amitiza · Andexxa · Austedo XR · BELSOMRA · BYDUREON · CHANTIX · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · CREON · Creon · DALVANCE · DEXCOM G6 TRANSMITTER · Dayvigo · Dexcom G6 Transmitter · Dexilant · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EVENITY · FARXIGA · FORTEO · FREESTYLE LIBRE 3 · GEMTESA · GIMOTI · GVOKE PFS · GenVisc 850 · INVOKANA · ImmunoCAP · JANUVIA · JARDIANCE · Kerendia · LEQVIO · LINZESS · LIVALO · Linzess · Livalo · MOUNJARO · MYRBETRIQ · Motegrity · Movantik · NEXLETOL · NURTEC ODT · NUZYRA · Otezla · Ozempic · PRALUENT · PRALUENT ALIROCUMAB INJECTION · PREVNAR 20 · Pancreaze · Peripheral Orbital Atherectomy System · Phexxi · Prolia · QULIPTA · REXULTI · RYBELSUS · RYTARY · Repatha · Rybelsus · SEGLENTIS · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULANCE · TRULICITY · Talicia · Tresiba · Trintellix · Tymlos · UBRELVY · Uloric · VERQUVO · VIBERZI · VRAYLAR · Vascepa · Veltassa · Veozah · Victoza · XARELTO · XIFAXAN · YUPELRI · Yupelri · ZENPEP · ZONTIVITY · ZORYVE
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 (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 7% for internal medicine in TX.
Equivalent to $325 per 100 Medicare services performed
Geographic Context
Internal medicine physicians within 10 mi
168
Per 100K population
19.1
County median income
$52,281
Nearest hospital
MISSION REGIONAL MEDICAL CENTER
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. Pean is a clinical cardiology specialist, with above-average Medicare volume (top 9% in TX), with low-engagement industry engagement in the top 7% of TX peers, with 19 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. Pean experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Pean performed 940 office visit, established patient (30-39 min) 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. Pean receive payments from pharmaceutical companies?
Yes. Dr. Pean received a total of $12,049 from 60 companies across 773 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. Pean's costs compare to other internal medicine physicians in Mission?
Dr. Pean's average Medicare payment per service is $49. 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. Pean) 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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