Medicare Enrolled

Dr. Roxanne Perales, APRN-FNP

Nurse Practitioner - Family · Pharr, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
1701 S CAGE BLVD STE 116, Pharr, TX 78577
9567027054
In practice since 2018 (7 years)
NPI: 1821573783 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. Perales 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. Perales? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Perales

Dr. Roxanne Perales is a nurse practitioner - family in Pharr, TX, with 7 years in practice. Based on federal Medicare data, Dr. Perales performed 39 Medicare services across 27 unique beneficiaries.

Between the years covered by Open Payments, Dr. Perales received a total of $2,912 from 21 pharmaceutical and/or device companies across 96 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. Perales 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.

✓ 7 years in practice▲ 39 Medicare services$ $2,912 industry payments

Medicare Practice Summary

Medicare Utilization ↗
39
Medicare services
Bottom 13% in TX for nurse practitioner - family
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
27
Unique beneficiaries
$55
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~6 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
Office visit, established patient (20-29 min)25$53$132
Office visit, established patient (30-39 min)14$58$187
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 ↗
$2,912
Total received (2021-2024)
Avg $728/year across 4 years
Top 10% in TX for nurse practitioner - family
21
Companies
96
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
$2,857 (98.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$56 (1.9%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$370
2023
$661
2022
$1,347
2021
$535

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$492
Lilly USA, LLC
$454
GlaxoSmithKline, LLC.
$385
Janssen Pharmaceuticals, Inc
$231
AstraZeneca Pharmaceuticals LP
$171
ABBVIE INC.
$143
Vifor Pharma, Inc.
$125
Esperion Therapeutics, Inc.
$124
Kowa Pharmaceuticals America, Inc.
$121
Bayer Healthcare Pharmaceuticals Inc.
$115
Horizon Therapeutics plc
$106
Amgen Inc.
$72
AbbVie Inc.
$71
RedHill Biopharma Inc.
$60
PFIZER INC.
$41
Merck Sharp & Dohme LLC
$37
Electromed, Inc.
$36
Biogen, Inc.
$35
Astellas Pharma US Inc
$33
Boehringer Ingelheim Pharmaceuticals, Inc.
$30
Novartis Pharmaceuticals Corporation
$30
Top 3 companies account for 45.7% of total payments
Associated products mentioned in payments ›
ADUHELM · BELSOMRA · BREZTRI · ELIQUIS · EMGALITY · ENTRESTO · FARXIGA · JARDIANCE · KRYSTEXXA · Kerendia · LINZESS · Livalo · MOUNJARO · MYRBETRIQ · Movantik · Myrbetriq · NEXLIZET · Ozempic · QULIPTA · RYBELSUS · Repatha · Rybelsus · SMARTVEST · Seglentis · TRELEGY ELLIPTA · TRULICITY · Talicia · UBRELVY · VRAYLAR · Veltassa · Wegovy · XARELTO
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 10% for nurse practitioner - family in TX.

Equivalent to $7,468 per 100 Medicare services performed
Looking for a nurse practitioner - family in Pharr?
Compare nurse practitioner - familys in the Pharr area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Nurse Practitioner - Familys within 10 mi
528
Per 100K population
59.9
County median income
$52,281
Nearest hospital
RIO GRANDE REGIONAL HOSPITAL
3.4 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. Perales is a clinical cardiology specialist, with moderate Medicare volume, and high industry engagement (low-engagement, top 10%).

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. Perales experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Perales performed 25 office visit, established patient (20-29 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. Perales receive payments from pharmaceutical companies?
Yes. Dr. Perales received a total of $2,912 from 21 companies across 96 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. Perales's costs compare to other nurse practitioner - familys in Pharr?
Dr. Perales's average Medicare payment per service is $55. 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. Perales) 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 →