Dr. Ramiro Villena, MD
What this data tells you about Dr. Villena
Dr. Ramiro Villena is an internal medicine specialist in Tyler, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Villena performed 8,467 Medicare services across 4,129 unique beneficiaries.
Between the years covered by Open Payments, Dr. Villena received a total of $7,356 from 43 pharmaceutical and/or device companies across 430 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. Villena 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.
Medicare Practice Summary
Medicare Utilization ↗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 |
|---|---|---|---|
| Chronic care management, first 20 min/month | 1,112 | $44 | $70 |
| Blood draw (venipuncture) | 587 | $8 | $10 |
| Comprehensive metabolic blood panel | 532 | $10 | $38 |
| Complete blood count (CBC) with differential | 526 | $8 | $28 |
| Manual urinalysis test with examination using microscope, non-automated | 506 | $4 | $15 |
| Free thyroxine (T4) test | 498 | $9 | $26 |
| Lipid panel (cholesterol and triglycerides) | 493 | $13 | $33 |
| Thyroid stimulating hormone (TSH) test | 491 | $16 | $44 |
| Office visit, established patient (30-39 min) | 462 | $80 | $190 |
| Hemoglobin A1c test (diabetes monitoring) | 361 | $9 | $27 |
| Office visit, established patient (20-29 min) | 252 | $62 | $135 |
| Dexamethasone injection (steroid) | 244 | $0 | $2 |
| Steroid injection (triamcinolone) | 184 | $1 | $8 |
| Urine microalbumin test (kidney screening) | 168 | $6 | $20 |
| Annual wellness visit, follow-up | 161 | $124 | $160 |
| Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | 158 | $101 | $150 |
| Vitamin D level test | 148 | $29 | $75 |
| Echocardiogram, transthoracic | 140 | $136 | $485 |
| Ultrasound of both sides of head and neck blood flow | 137 | $132 | $476 |
| Regadenoson injection (Lexiscan) for heart stress test | 104 | $43 | $75 |
| Ceftriaxone antibiotic injection | 88 | $0 | $6 |
| Injection, ketorolac tromethamine, per 15 mg | 84 | $0 | $2 |
| Vitamin B-12 level test | 81 | $15 | $36 |
| Prostate cancer screening; prostate specific antigen test (psa) | 72 | $19 | $52 |
| Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 71 | $45 | $70 |
| Flu vaccine administration | 69 | $30 | $35 |
| Flu vaccine, quadrivalent | 68 | $76 | $100 |
| Chest X-ray, 2 views | 58 | $21 | $48 |
| Electrocardiogram (EKG), 12-lead | 57 | $9 | $42 |
| Nuclear medicine studies of heart muscle at rest and with stress and spect | 50 | $311 | $665 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | 50 | $47 | $194 |
| Technetium tc-99m tetrofosmin, diagnostic, per study dose | 49 | $133 | $402 |
| Uric acid level test | 46 | $4 | $18 |
| Placement of skin electrodes and measurement of stimulated sites on arms and legs | 36 | $268 | $634 |
| Testosterone (hormone) level, total | 34 | $25 | $56 |
| Office visit, established patient (10-19 min) | 33 | $38 | $80 |
| Bone density scan (DEXA) | 30 | $36 | $180 |
| Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 23 | $41 | $75 |
| PSA test (prostate cancer screening) | 20 | $18 | $52 |
| Iron level test | 18 | $6 | $21 |
| Iron binding capacity test | 18 | $9 | $25 |
| 3D screening mammography (tomosynthesis) | 16 | $51 | $150 |
| Screening mammography | 16 | $122 | $230 |
| Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | 16 | $18 | $28 |
| Red blood cell sedimentation rate, to detect inflammation, non-automated | 15 | $4 | $16 |
| Natriuretic peptide (heart and blood vessel protein) level | 14 | $38 | $70 |
| Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 14 | $158 | $175 |
| Mri scan of brain without contrast | 12 | $156 | $789 |
| Ferritin level test (iron stores) | 12 | $13 | $35 |
| Mri scan of lower spinal canal without contrast | 11 | $152 | $773 |
| Amylase (enzyme) level | 11 | $6 | $21 |
| Lipase (fat enzyme) level | 11 | $7 | $24 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
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. Villena is a clinical cardiology specialist, with above-average Medicare volume (top 4% in TX), with low-engagement industry engagement in the top 12% of TX peers, with 20 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
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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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