Medicare Enrolled

Dr. Paloma Perez

Nurse Practitioner - Family · Onalaska, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
14290 US HIGHWAY 190 W STE B, Onalaska, TX 77360
9366491200
In practice since 2022 (4 years)
NPI: 1174275614 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. Perez 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. Perez

Dr. Paloma Perez is a nurse practitioner - family in Onalaska, TX, with 4 years of NPI registration. Based on federal Medicare data, Dr. Perez performed 4,682 Medicare services across 1,355 unique beneficiaries.

Between the years covered by Open Payments, Dr. Perez received a total of $4,609 from 14 pharmaceutical and/or device companies across 204 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in nurse practitioner - family. 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. Perez 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.

✓ 4 years in practice ▲ Top 2% volume in TX $4,609 industry payments

Medicare Practice Summary

Medicare Utilization ↗
4,682
Medicare services
Top 2% in TX for nurse practitioner - family
1,355
Unique beneficiaries
$22
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~1,170 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
Dexamethasone injection (steroid) 1,499 $0 $5
Ceftriaxone antibiotic injection 742 $0 $5
Office visit, established patient (30-39 min) 718 $76 $200
Drug injection, under skin or into muscle 321 $9 $49
Office visit, established patient (20-29 min) 254 $47 $150
Detection test by immunoassay with direct visual observation for influenza virus 195 $16 $40
Injection, ketorolac tromethamine, per 15 mg 137 $0 $6
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 98 $34 $150
Electrocardiogram (EKG), 12-lead 82 $7 $60
Office visit, established patient, complex (40-54 min) 81 $94 $250
Annual wellness visit, follow-up 74 $104 $225
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 63 $0 $21
Inhalation treatment for airway obstruction or sputum production 61 $5 $35
Infusion, normal saline solution , 1000 cc 56 $2 $100
Automated urinalysis 51 $2 $25
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 48 $40 $150
New patient office visit (30-44 min) 47 $55 $200
Injection, methylprednisolone acetate, 80 mg 33 $9 $100
New patient office visit (45-59 min) 23 $89 $300
Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free 22 $29 $30
Flu vaccine administration 22 $29 $30
Removal of impacted ear wax 20 $26 $100
Hemoglobin a1c level, by device for home use 19 $10 $30
Infusion into a vein for hydration, 31-60 minutes 16 $21 $125
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.
2.6% high complexity
58.4% medium
39.1% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$4,609
Total received (2022-2024)
Avg $1,536/year across 3 years
Top 5% in TX for nurse practitioner - family
14
Companies
204
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
$4,609 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,938
2023
$2,086
2022
$585

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$2,314
Bayer Healthcare Pharmaceuticals Inc.
$612
Kowa Pharmaceuticals America, Inc.
$332
ABBVIE INC.
$330
GlaxoSmithKline, LLC.
$317
Lilly USA, LLC
$241
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$149
Amgen Inc.
$92
Stryker Corporation
$86
Bayer HealthCare Pharmaceuticals Inc.
$41
Esperion Therapeutics, Inc.
$32
Sumitomo Pharma America, Inc.
$27
Novo Nordisk Inc
$23
Biogen, Inc.
$13
Top 3 companies account for 70.7% of total payments
Associated products mentioned in payments ›
AIRSUPRA · AREXVY · BREZTRI · EVENITY · FARXIGA · GEMTESA · JARDIANCE · Kerendia · LATERA · LIVALO · MOUNJARO · NEXLETOL · Otezla · Ozempic · QULIPTA · Repatha · SEGLENTIS · SPINRAZA · Seglentis · TRELEGY ELLIPTA · UBRELVY · VRAYLAR · XIFAXAN · 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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 5% for nurse practitioner - family in TX.

Equivalent to $98 per 100 Medicare services performed
Looking for a nurse practitioner - family in Onalaska?
Compare family nurse practitioners in the Onalaska area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family nurse practitioners within 10 mi
21
Per 100K population
40.6
County median income
$59,066
Nearest hospital
MID COAST MEDICAL CENTER-TRINITY
14.8 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. Perez is a clinical cardiology specialist, with above-average Medicare volume (top 2% in TX), with low-engagement industry engagement in the top 5% of TX peers.

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. Perez experienced with dexamethasone injection (steroid)?
Based on Medicare claims data, Dr. Perez performed 1,499 dexamethasone injection (steroid) 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. Perez receive payments from pharmaceutical companies?
Yes. Dr. Perez received a total of $4,609 from 14 companies across 204 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. Perez's costs compare to other family nurse practitioners in Onalaska?
Dr. Perez's average Medicare payment per service is $22. 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. Perez) 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 →