Medicare Enrolled
Dr. Ramiro Villena, MD
Internal Medicine · Tyler, 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. Villena 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. 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.
✓ 20 years in practice
▲ Top 4% volume in TX
$7,356 industry payments
Medicare Practice Summary
Medicare Utilization ↗8,467
Medicare services
Top 4% in TX for internal medicine
4,129
Unique beneficiaries
$34
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~423 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 |
|---|---|---|---|
| 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. |
1,112 | $44 | $70 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
587 | $8 | $10 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
532 | $10 | $38 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
526 | $8 | $28 |
| Manual urinalysis with microscopic examination A urine test performed manually without automated equipment. The sample is examined under a microscope to check for abnormalities. |
506 | $4 | $15 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
498 | $9 | $26 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
493 | $13 | $33 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
491 | $16 | $44 |
| 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. |
462 | $80 | $190 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
361 | $9 | $27 |
| 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. |
252 | $62 | $135 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
244 | $0 | $2 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
184 | $1 | $8 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
168 | $6 | $20 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
161 | $124 | $160 |
| Complex chronic care management, first 60 minutes This service involves clinical staff time directed by a healthcare professional to manage two or more chronic conditions over a calendar month. It covers the first 60 minutes of this coordinated care effort. |
158 | $101 | $150 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
148 | $29 | $75 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
140 | $136 | $485 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
137 | $132 | $476 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
104 | $43 | $75 |
| 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. |
88 | $0 | $6 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
84 | $0 | $2 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
81 | $15 | $36 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
72 | $19 | $52 |
| Chronic care management services Comprehensive assessment and care planning for patients requiring ongoing chronic care management. |
71 | $45 | $70 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
69 | $30 | $35 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
68 | $76 | $100 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
58 | $21 | $48 |
| 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. |
57 | $9 | $42 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
50 | $311 | $665 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review. |
50 | $47 | $194 |
| Technetium Tc-99m tetrofosmin diagnostic injection A diagnostic injection of Technetium Tc-99m tetrofosmin used for imaging studies. |
49 | $133 | $402 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
46 | $4 | $18 |
| Placement of skin electrodes and measurement of stimulated sites on arms and legs This procedure involves placing skin electrodes and measuring stimulated sites on the arms and legs. |
36 | $268 | $634 |
| Total testosterone level test A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women. |
34 | $25 | $56 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
33 | $38 | $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. |
30 | $36 | $180 |
| 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. |
23 | $41 | $75 |
| PSA test (prostate cancer screening) | 20 | $18 | $52 |
| Iron level test | 18 | $6 | $21 |
| Iron binding capacity test A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron. |
18 | $9 | $25 |
| 3D screening mammography (tomosynthesis) A screening imaging test of the breast using 3D technology to detect potential abnormalities. |
16 | $51 | $150 |
| Screening mammography An X-ray of the breast used to detect breast cancer in women who have no signs or symptoms of the disease. |
16 | $122 | $230 |
| Fecal immunochemical test (FIT), 1-3 simultaneous A screening test that uses a stool sample to detect hidden blood in the feces, helping to identify potential colorectal cancer. |
16 | $18 | $28 |
| Erythrocyte sedimentation rate (ESR) test A blood test that measures how quickly red blood cells settle in a test tube to detect inflammation in the body. This specific method is performed manually rather than using an automated machine. |
15 | $4 | $16 |
| Natriuretic peptide level test A blood test that measures the level of natriuretic peptide, a protein produced by the heart and blood vessels. |
14 | $38 | $70 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
14 | $158 | $175 |
| MRI scan of brain, without contrast A magnetic resonance imaging test of the brain that does not use contrast dye. This procedure creates detailed images of the brain's structure using magnetic fields and radio waves. |
12 | $156 | $789 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
12 | $13 | $35 |
| MRI of lower spine, without contrast A magnetic resonance imaging scan of the lower spinal canal that does not use contrast dye to create detailed images of the spine. |
11 | $152 | $773 |
| Amylase enzyme level test A blood test that measures the amount of amylase, an enzyme produced by the pancreas and salivary glands, to help evaluate pancreatic health. |
11 | $6 | $21 |
| Lipase level test A blood test that measures the amount of lipase, a fat-digesting enzyme, in your body. |
11 | $7 | $24 |
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.
1.7% high complexity
12.0% medium
86.4% routine
Industry Payment Transparency
Open Payments through 2024 ↗$7,356
Total received (2018-2024)
Avg $1,051/year across 7 years
Top 12% in TX for internal medicine
43
Companies
430
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
$7,356 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$933
2023
$921
2022
$546
2021
$1,194
2020
$492
2019
$2,140
2018
$1,130
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Amgen Inc.
$833
GlaxoSmithKline, LLC.
$806
Novo Nordisk Inc
$748
AbbVie Inc.
$713
Merck Sharp & Dohme Corporation
$666
PFIZER INC.
$362
AstraZeneca Pharmaceuticals LP
$313
ABBVIE INC.
$305
Astellas Pharma US Inc
$267
Merck Sharp & Dohme LLC
$261
Janssen Pharmaceuticals, Inc
$236
Ironshore Pharmaceuticals Inc.
$175
AbbVie, Inc.
$164
Sunovion Pharmaceuticals Inc.
$151
Allergan Inc.
$149
Genentech USA, Inc.
$124
IDORSIA PHARMACEUTICALS US INC
$122
Bayer HealthCare Pharmaceuticals Inc.
$101
Otsuka America Pharmaceutical, Inc.
$99
JAZZ PHARMACEUTICALS INC.
$93
Lundbeck LLC
$65
Novartis Pharmaceuticals Corporation
$61
Boehringer Ingelheim Pharmaceuticals, Inc.
$60
Horizon Therapeutics plc
$55
Abbott Laboratories
$55
Amarin Pharma Inc.
$40
Sumitomo Pharma America, Inc.
$37
Nevro Corp.
$32
Takeda Pharmaceuticals U.S.A., Inc.
$31
SANOFI-AVENTIS U.S. LLC
$26
Bayer Healthcare Pharmaceuticals Inc.
$23
Esperion Therapeutics, Inc.
$22
Bioventus LLC
$20
Daiichi Sankyo Inc.
$17
Allergan, Inc.
$17
ASSERTIO THERAPEUTICS, Inc.
$16
Eisai Inc.
$15
Biohaven Pharmaceutical Holding Company Ltd.
$15
Exact Sciences Corporation
$14
VIVUS LLC
$13
Teva Pharmaceuticals USA, Inc.
$12
Corium, LLC
$12
Vertiflex, Inc.
$9
Top 3 companies account for 32.4% of total payments
Associated products mentioned in payments ›
AJOVY · ANORO · AREXVY · Aimovig · Azstarys · BELSOMRA · CHANTIX · CREON · Cologuard Collection Kit · Corlanor · Creon · Dayvigo · Durolane · ELIQUIS · ENTRESTO · EVENITY · Esbriet · FARXIGA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · GEMTESA · INJECTAFER · INVOKANA · JANUMET XR · JANUVIA · JARDIANCE · Jornay PM 20mg capsules (Bottle of 100) · KRYSTEXXA · Kerendia · LANTUS · LEQVIO · LINZESS · LONHALA MAGNAIR · LYRICA · MYRBETRIQ · NEXLETOL · NUCALA · NURTEC ODT · Otezla · Ozempic · PNEUMOVAX 23 · PREVNAR 20 · Prolia · QSYMIA · QULIPTA · QUVIVIQ · REXULTI · RYBELSUS · Repatha · SOLIQUA · STEGLATRO · Saxenda · Senza · Superion ISS · Synthroid · TEPEZZA · TRELEGY ELLIPTA · Tresiba · Trintellix · UBRELVY · Utibron · VIBERZI · VRAYLAR · VYEPTI · Vascepa · Victoza · Wegovy · XARELTO · XYREM · Zipsor
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.
Equivalent to $87 per 100 Medicare services performed
Geographic Context
Internal medicine physicians within 10 mi
172
Per 100K population
72.3
County median income
$71,923
Nearest hospital
UT HEALTH EAST TEXAS TYLER REGIONAL HOSPITAL
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. 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
Is Dr. Villena experienced with chronic care management, first 20 min/month?
Based on Medicare claims data, Dr. Villena performed 1,112 chronic care management, first 20 min/month 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. Villena receive payments from pharmaceutical companies?
Yes. Dr. Villena received a total of $7,356 from 43 companies across 430 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. Villena's costs compare to other internal medicine physicians in Tyler?
Dr. Villena's average Medicare payment per service is $34. 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. Villena) 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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