Medicare Enrolled
Dr. Elvira Tolentino, M.D.
Family Medicine · Wichita Falls, 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. Tolentino 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. Tolentino
Dr. Elvira Tolentino is a family medicine specialist in Wichita Falls, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Tolentino performed 3,822 Medicare services across 2,921 unique beneficiaries.
Between the years covered by Open Payments, Dr. Tolentino received a total of $9,687 from 35 pharmaceutical and/or device companies across 622 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family 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. Tolentino 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 6% volume in TX
$9,687 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,822
Medicare services
Top 6% in TX for family medicine
2,921
Unique beneficiaries
$35
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~191 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. |
541 | $90 | $255 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
342 | $8 | $16 |
| 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. |
239 | $62 | $169 |
| 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. |
234 | $8 | $27 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
225 | $8 | $58 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
211 | $13 | $92 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
197 | $1 | $10 |
| Liver function blood test panel | 169 | $8 | $56 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
150 | $125 | $130 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
132 | $9 | $64 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
124 | $16 | $114 |
| Cardiac enzyme level (CK-MB) test A blood test that measures the total level of creatine kinase, specifically the cardiac enzyme fraction, to help evaluate heart muscle damage. |
120 | $6 | $45 |
| 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. |
111 | $10 | $54 |
| 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. |
86 | $31 | $122 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
79 | $9 | $62 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
63 | $3 | $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. |
61 | $6 | $40 |
| 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. |
61 | $0 | $22 |
| 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. |
58 | $39 | $162 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
56 | $0 | $21 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
55 | $16 | $81 |
| 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. |
48 | $126 | $346 |
| 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. |
43 | $210 | $658 |
| 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. |
42 | $18 | $67 |
| 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. |
39 | $33 | $104 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
31 | $9 | $93 |
| 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. |
30 | $4 | $33 |
| Iron level test | 29 | $6 | $41 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
29 | $157 | $466 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
27 | $19 | $102 |
| Vaccine administration The process of giving a vaccine to a patient. This code covers the administration service only and does not include the cost of the vaccine itself. |
19 | $15 | $54 |
| 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. |
18 | $2 | $16 |
| Respiratory virus nucleic acid test, 3-5 targets A laboratory test that uses nucleic acid detection to identify multiple types or subtypes of respiratory viruses. The test analyzes 3 to 5 specific viral targets. |
17 | $140 | $357 |
| Complete blood count (CBC), automated An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood. |
16 | $6 | $54 |
| Pneumococcal vaccine, 23-valent A vaccine that protects against 23 types of pneumococcal bacteria. It is used to prevent infections caused by these bacteria. |
16 | $131 | $244 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
16 | $30 | $35 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
14 | $13 | $94 |
| Ear wax removal by washing This procedure involves the removal of impacted ear wax using a washing technique. |
13 | $13 | $46 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
13 | $72 | $154 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
13 | $30 | $35 |
| Annual alcohol misuse screening, 5 to 15 minutes | 12 | $18 | $50 |
| Annual depression screening | 12 | $18 | $38 |
| 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. |
11 | $8 | $60 |
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 ↗$9,687
Total received (2018-2024)
Avg $1,384/year across 7 years
Top 5% in TX for family medicine
35
Companies
622
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
$9,592 (99.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$94 (1.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,605
2023
$1,455
2022
$1,447
2021
$1,272
2020
$1,464
2019
$1,265
2018
$1,180
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$1,988
Lilly USA, LLC
$1,712
AstraZeneca Pharmaceuticals LP
$1,565
SANOFI-AVENTIS U.S. LLC
$901
Boehringer Ingelheim Pharmaceuticals, Inc.
$503
Merck Sharp & Dohme Corporation
$360
GlaxoSmithKline, LLC.
$353
Amgen Inc.
$313
PFIZER INC.
$293
Bayer Healthcare Pharmaceuticals Inc.
$243
AbbVie Inc.
$177
Bayer HealthCare Pharmaceuticals Inc.
$146
Astellas Pharma US Inc
$109
Eisai Inc.
$105
Exact Sciences Corporation
$96
Merck Sharp & Dohme LLC
$82
Novartis Pharmaceuticals Corporation
$82
Genentech USA, Inc.
$78
Allergan, Inc.
$68
Janssen Pharmaceuticals, Inc
$65
ABBVIE INC.
$64
Biohaven Pharmaceutical Holding Company Ltd.
$54
Takeda Pharmaceuticals U.S.A., Inc.
$47
Phathom Pharmaceuticals, Inc.
$41
Allergan Inc.
$37
Amarin Pharma Inc.
$34
Boston Scientific Corporation
$29
Dexcom, Inc.
$26
Biohaven Pharmaceuticals, Inc.
$23
Inspire Medical Systems, Inc.
$19
Avion Pharmaceuticals
$19
Abbott Laboratories
$16
Currax Pharmaceuticals LLC
$13
Horizon Therapeutics plc
$13
Zyla Life Sciences
$12
Top 3 companies account for 54.4% of total payments
Associated products mentioned in payments ›
AIRSUPRA · Aimovig · Amitiza · BASAGLAR · BELSOMRA · BREZTRI · BYSTOLIC · Balcoltra · CHANTIX · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · CONTRAVE · Cologuard Collection Kit · Dayvigo · Dexcom G6 Transmitter · EMGALITY · ENTRESTO · EVENITY · FARXIGA · FREESTYLE LIBRE 3 · INSPIRE · INVOKANA · JANUVIA · JARDIANCE · Kerendia · LINZESS · MOUNJARO · MYRBETRIQ · NURTEC ODT · OFEV · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · PREMARIN · PREVNAR - 13 · PREVNAR 13 · Prolia · QULIPTA · Repatha · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · STEGLATRO · STIOLTO RESPIMAT · Saxenda · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · Tresiba · Trintellix · UBRELVY · VESICARE · VOQUEZNA · VRAYLAR · Vascepa · Victoza · WATCHMAN Access System · Wegovy · XARELTO · Xofluza · ZEPBOUND · ZORVOLEX
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 (99%) 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 family medicine in TX.
Equivalent to $253 per 100 Medicare services performed
Geographic Context
Family medicine physicians within 10 mi
96
Per 100K population
73.9
County median income
$62,168
Nearest hospital
UNITED REGIONAL HEALTH CARE SYSTEM
2.7 mi
2.7 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. Tolentino is a clinical cardiology specialist, with above-average Medicare volume (top 6% in TX), with low-engagement industry engagement in the top 5% 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. Tolentino experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Tolentino performed 541 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. Tolentino receive payments from pharmaceutical companies?
Yes. Dr. Tolentino received a total of $9,687 from 35 companies across 622 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. Tolentino's costs compare to other family medicine physicians in Wichita Falls?
Dr. Tolentino's average Medicare payment per service is $35. 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. Tolentino) 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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