Dr. Nelson A. Mata, MD

  • Edinburg, TX
  • Internist
NPI1518931377PAC ID9931198801
Medicare services, 2024
240
Medicare patients, 2024
59
Part D claims, 2024
6,928
Hospital affiliations
1
Industry payments
$1,940
Practice address
5501 South McColl, Edinburg, TX 78539
Practice phone
Call (956) 362-8677
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

DHR Health

Hospital · Edinburg, Texas

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Dr. Nelson A. Mata is an internist in Edinburg, Texas

Dr. Mata practices at DHR Health in Edinburg, Texas, part of DHR Health.

Dr. Mata's NPI, 1518931377, was assigned on February 16, 2006. Dr. Mata graduated from Universidad Autonoma de Santo Domingo in 1989. Dr. Mata's Texas license number on file is J7075.

NPI and contact details
Medicare PAC ID
9931198801
NPI enumeration date
February 16, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(956) 362-8677
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
63
Medical school graduation
1989

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Nelson A. Mata practices at DHR Health in Edinburg, Texas

Dr. Mata's primary practice is DHR Health, at 5501 South McColl, Edinburg, TX 78539 in Hidalgo County. The practice phone is (956) 362-8677.

  • DHR Health
    5501 South McColl, Edinburg, TX 78539 · Hidalgo CountyPhone(956) 362-8677

Source: Dmand AI Affiliation Data

Dr. Nelson A. Mata is affiliated with 1 site of care

Dr. Mata's primary practice is DHR Health in Edinburg, Texas, part of DHR Health.

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Nelson A. Mata's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Mata practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
DHR HealthAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Nelson A. Mata is one of 8,437 internists in Texas

Internal medicine is Dr. Mata's primary specialty in the NPI Registry, under taxonomy code 207R00000X. Dmand AI has Dr. Mata's licenses on file in 2 states: Texas and Michigan.

Specialties and state licenses

  • Internal medicine, TexasPrimaryLicense J7075 · 1994 to 2025 · taxonomy 207R00000X
  • Michigan license1994 to 1995

Clinical focus

Dmand AI lists acute kidney failure, aneurysm, atrial fibrillation and flutter, bronchitis, chronic diabetes, chronic hypertension, chronic indigestion and chronic kidney disease among the conditions Dr. Mata treats.

Internists near Dr. Mata

Counts of internists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Nelson A. Mata billed Medicare for 240 services in 2024

CMS data shows 240 Medicare services from Dr. Mata across 4 procedure codes in 2024, for 59 Medicare patients. Medicare paid $16,549 for them. Every service was in an office.

Medicare services, 2024240
Medicare patients59
Paid by Medicare$16,549
Procedure codes4

Dr. Mata's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 2562024: 20520%
Tests and treatments
2023: 342024: 1944%
Other services
2023: 02024: 16
Drugs given in the office
2023: 562024: 0100%

Dr. Mata compared with the Texas median for internists, 2024

  • Dr. Mata
  • Texas median
Medicare services
240vs 53955% below
Medicare patients
59vs 19069% below
Part D claims
6,285vs 28921.7 times

Medians across 7,794 internists in Texas with Dmand AI profiles that report each measure.

Dr. Mata's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Mata

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Nelson A. Mata treated 59 Medicare patients in 2024, average age 76

CMS counts 59 Medicare patients who saw Dr. Mata in 2024. The largest group is 75 to 84, with 21 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 37% are also on Medicaid. Their average risk score is 1.74, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Mata's median patient age at 71, with 61% women.

Medicare patients, 202459
Average age76
Average risk score1.74
Also on Medicaid37%

Dr. Mata's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Mata's Medicare patients by sex, 2024

  • Women3254%
  • Men2746%

Chronic conditions among Dr. Mata's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Diabetes39%
  4. Arthritis31%
  5. Chronic kidney disease29%
  6. Ischemic heart disease25%
  7. Depression22%
  8. COPD20%

Share of Medicare patients with each condition. A patient can have several.

Dr. Mata's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 71

Patient panel by sex, all payers

  • Women61%
  • Men38%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Nelson A. Mata wrote 6,928 Medicare Part D claims in 2024

In 2024, Dr. Mata wrote 6,928 Medicare Part D claims for 396 patients. 83% of them were for generic drugs. CMS names the drug for 6,285 of them, across 111 drugs with 11 or more claims each, at $851,521 in total drug cost. In 2023, CMS named 6,665 claims across 119 drugs.

Part D claims, 20246,928
Drugs named by CMS111
Total drug cost$851,521
Part D patients396

Dr. Mata's Part D claims by kind of drug, 2024

  • Generic5,741 claims83%
  • Brand-name1,057 claims15%
  • Other130 claims2%

Dr. Mata's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Mata's Part D claims, 2024

  • Opioids1%88 of 6,928 claims
  • Antibiotics2%149 of 6,928 claims
  • Antipsychotics, patients 65 and over0%32 of 6,928 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 6,6652024: 6,2856%

Drugs named by CMS: 111 in 2024, 119 in 2023.

See all prescribing by Dr. Mata

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

How Dr. Nelson A. Mata takes part in Medicare

Dr. Mata accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

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Dr. Nelson A. Mata received $1,940 in industry payments from 2016 to 2024

CMS Open Payments shows 30 general payments to Dr. Mata from 12 drug and device companies from 2016 to 2024. Food and beverage make up the largest share, 100% of the total. Janssen Pharmaceuticals, Inc paid the most, $1,244.

General payments to Dr. Mata by program year, 2016 to 2024

Companies that paid Dr. Mata the most, 2016 to 2024

Share is of all general payments to this clinician.

See all payments to Dr. Mata

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Nelson A. Mata graduated from Universidad Autonoma de Santo Domingo

Dr. Mata graduated from Universidad Autonoma de Santo Domingo in 1989.

  1. Medical schoolUniversidad Autonoma de Santo Domingo

Source: Dmand AI Professional Profile Data

Dr. Nelson A. Mata accepts plans from 23 insurance carriers

Dr. Mata is in network with 23 carriers, including Aetna, Elevance and Excellus BlueCross BlueShield. PPO plans come from the most carriers, 14. Check the plan with the practice before a visit.

Plan types Dr. Mata accepts, by number of carriers

  1. PPO14
  2. HMO13
  3. Medicare11
  4. POS7
  5. EPO5
  6. Medicaid1

Source: Dmand AI Insurance Network Data

Sources for Dr. Nelson A. Mata's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Nelson A. Mata

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Nelson A. Mata's NPI number?

Dr. Nelson A. Mata's NPI number is 1518931377. It was assigned on February 16, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Nelson A. Mata?

Dr. Nelson A. Mata is an internist in Edinburg, Texas. The primary specialty in the NPI Registry is Internal Medicine Physician (taxonomy code 207R00000X).

Where does Dr. Nelson A. Mata practice?

Dr. Mata practices at 5501 South McColl, Edinburg, TX 78539. Dr. Mata's primary practice is DHR Health in Edinburg, Texas, part of DHR Health.

What is Dr. Nelson A. Mata's office phone number?

The practice phone on file for Dr. Mata is (956) 362-8677.

What is Dr. Nelson A. Mata's medical license number?

Dr. Mata's Texas license number on file is J7075, one of the licenses on file in 2 states.

Which states has Dr. Nelson A. Mata been licensed in?

Dmand AI has state licenses on file for Dr. Mata in Texas (1994 to 2025) and Michigan (1994 to 1995).

Which hospitals is Dr. Nelson A. Mata affiliated with?

Dr. Mata practices at DHR Health in Edinburg, Texas.

Does Dr. Nelson A. Mata accept Medicare?

Yes. CMS data shows Dr. Mata billed Medicare for 240 services in 2024, and Dr. Mata accepts Medicare assignment.

How many Medicare patients does Dr. Nelson A. Mata see?

CMS counts 59 Medicare patients who saw Dr. Mata in 2024, with an average age of 76.

What services does Dr. Nelson A. Mata bill to Medicare?

In 2024, Dr. Mata's most billed Medicare services were office visit, established patient (99214), office visit, established patient (99213) and vaccine or vaccine administration (90661).

Show 5 more questionsShow fewer questions

Where did Dr. Nelson A. Mata go to medical school?

Dr. Mata graduated from Universidad Autonoma de Santo Domingo in 1989.

What drugs does Dr. Nelson A. Mata prescribe most?

In 2024 Medicare Part D data, Dr. Mata's most prescribed drugs by claims were Atorvastatin Calcium, Levothyroxine Sodium and Metoprolol Succinate.

Has Dr. Nelson A. Mata received payments from drug or device companies?

CMS Open Payments shows $1,940 in general payments to Dr. Mata from 12 companies from 2016 to 2024. The largest total came from Janssen Pharmaceuticals, Inc.

How long has Dr. Nelson A. Mata been practicing?

Dr. Mata graduated from medical school in 1989, 37 years ago.

What insurance does Dr. Nelson A. Mata accept?

Dr. Mata is in network with 23 carriers, including Aetna, Elevance and Excellus BlueCross BlueShield. PPO plans come from the most carriers, 14. Check the plan with the practice before a visit.

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