Dr. Raul Pena, MD
1400 E Ridge Rd Ste 10, Mcallen, TX 78503 • +1-764-555-4943
Medical Education: Accredited U.S. Medical School (Class of 1996)
What This Doctor Actually Performs: CMS Medicare Utilization & Mcallen Percentiles
NPI #1164456943 • CBSA Regional • Ophthalmology
Operating out of Mcallen, TX (1400 E Ridge Rd Ste 10), Ophthalmology clinician Dr. Raul Pena, MD (accredited MD/DO training, 1996) maintains a focused low-volume boutique caseload (7.69th Mcallen percentile) (9.7th TX percentile; Z-score -0.19σ across 906 documented services) with sub-specialty concentration in 23 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1164456943 highlights 335 annual claims for 92014 (12th Mcallen percentile; $384–$526 self-pay corridor) plus 236 encounters under 92134 and 154 under 92083.
Uninsured and high-deductible cash patients visiting Dr. Raul Pena in Mcallen (78503) face an estimated $209.00 initial evaluation fee at 1400 E Ridge Rd Ste 10 (hybrid in-clinic and telehealth video consults; 19-minute average reception wait; bedside manner 4.87/5 from 25 verified reports).
Credentialed as an MD specialist with 30 years post-graduation experience since completing medical school at an LCME/COCA institution (1996), Dr. Pena coordinates 23 Active CMS HCPCS Codes workups from 1400 E Ridge Rd Ste 10 (+1-764-555-4943).
Compared against Mcallen, TX Ophthalmology peers
906 annual services across 290 beneficiaries
Standard deviations from TX Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 335 | 12th | $384 – $526 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 236 | 12th | $211 – $290 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 154 | 12th | $254 – $347 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 109 | 12th | $462 – $633 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 72 | 12th | $1690 – $2316 |
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Dr. Raul Pena, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pena National Provider Identifier | NPI #1164456943 (MD) | CMS NPPES Registry (78503) |
| Dr. Pena Mcallen CMS Volume Rank | 7.69th Pct (906 CMS svcs; Z -0.189σ) | CMS Medicare Part B (TX Ophthalmology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Mcallen, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.87/5 Listening • 4.68/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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