Physician

Hector R Mena, MD

According to 2025 Medicare claims, Hector Mena, MD (NPI: 1801817572) practices rheumatology in the Baton Rouge, LA market, with the plurality of this provider's patient population coming from E. Baton Rouge, LA. This provider's primary affiliated billing organization is BATON ROUGE CLINIC, A MEDICAL CORPORATION (NPI: 1871546911; TIN: 721111417) and primary practice location at 70808-4326. Mena is affiliated with the On Belay Health Solutions (ACO ID: A5260) and Humana Direct Contracting Entity, Inc. (ACO ID: D0203), participating under both the MSSP and REACH models.

Mena's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 212 traditional Medicare patients, billed 15,660 HCPCS/CPT codes, and received $235,800 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 2,951 prescription claims across 413 beneficiaries totaling $1,503,255 in drug costs, led by Humira(Cf) Pen (Adalimumab). 2022 DME data shows 18 claims. Open Payments data shows 107 records totaling $2,903. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have risen steadily, from $1,114,026 to $1,503,255. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $844 to $1,137.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$172K$345K2015 Medicare payment: $265,943 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $295,350 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $305,844 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $344,633 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $329,376 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $278,559 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $276,607 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $256,863 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $201,425 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $235,800 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201538911,985$265,943
20163499,117$295,350
20173088,756$305,844
201833110,493$344,633
20193709,488$329,376
20202717,992$278,559
20212788,320$276,607
202223713,265$256,863
202321511,272$201,425
202421215,660$235,800

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$888K$1.8M2015 Drug cost: $1,114,026 (USD; Tot_Drug_Cst)2016 Drug cost: $1,057,891 (USD; Tot_Drug_Cst)2017 Drug cost: $1,096,900 (USD; Tot_Drug_Cst)2018 Drug cost: $1,148,781 (USD; Tot_Drug_Cst)2019 Drug cost: $1,146,334 (USD; Tot_Drug_Cst)2020 Drug cost: $1,120,849 (USD; Tot_Drug_Cst)2021 Drug cost: $1,040,545 (USD; Tot_Drug_Cst)2022 Drug cost: $1,674,415 (USD; Tot_Drug_Cst)2023 Drug cost: $1,775,189 (USD; Tot_Drug_Cst)2024 Drug cost: $1,503,255 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154054,627$1,114,026
20163864,274$1,057,891
20173863,979$1,096,900
20184743,820$1,148,781
20195203,798$1,146,334
20204343,382$1,120,849
20214453,258$1,040,545
20224383,228$1,674,415
20234383,076$1,775,189
20244132,951$1,503,255

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$1.8K$3.6K2015 Medicare payment: $171 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $207 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $2,329 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $3,565 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R16$171
2016N/RN/RN/R
2017N/RN/RN/R
2018N/R14$207
2019N/RN/RN/R
2020N/RN/RN/R
2021N/R12$2,329
2022N/R18$3,565
2023N/RN/RN/R
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more5858$111
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more111236$83
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more86165$54
36415Insertion of needle into vein for collection of blood sample124207$9
86140Measurement c-reactive protein for detection of infection or inflammation6191$5

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab34952$288,199
EnbrelEtanercept23813$173,712
Enbrel SureclickEtanercept19728$139,023
XeljanzTofacitinib Citrate29870$78,799
Hydroxychloroquine SulfateHydroxychloroquine Sulfate1248,580$5,825

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.107$2,903Amgen Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Hector R. Mena, MD?

Tedicare shows public-source Medicare data for Hector R. Mena, MD (NPI 1801817572), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Hector R. Mena, MD have ACO affiliation data?

Hector R. Mena, MD is shown with ACO affiliation data for On Belay Health Solutions (MSSP, ACO ID A5260) and Humana Direct Contracting Entity, Inc. (REACH, ACO ID D0203).

What billing organization is linked to Hector R. Mena, MD?

Hector R. Mena, MD is linked to BATON ROUGE CLINIC, A MEDICAL CORPORATION (billing NPI 1871546911) in the available physician profile data.

Does Hector R. Mena, MD have Open Payments data?

Hector R. Mena, MD has 107 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.