Medicare Enrolled
Dr. Roman Nation, MD
Family Medicine · Panama City, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Consulting-driven
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. Nation 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. Nation
Dr. Roman Nation is a family medicine specialist in Panama City, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Nation performed 13,458 Medicare services across 5,085 unique beneficiaries.
Between the years covered by Open Payments, Dr. Nation received a total of $57,465 from 44 pharmaceutical and/or device companies across 366 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Nation 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.
✓ 19 years in practice
▲ Top 1% volume in FL
$57,465 industry payments
Medicare Practice Summary
Medicare Utilization ↗13,458
Medicare services
Top 1% in FL for family medicine
5,085
Unique beneficiaries
$40
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~708 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. |
2,264 | $90 | $155 |
| 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. |
2,165 | $47 | $125 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
1,648 | $0 | $2 |
| Denosumab injection (Prolia/Xgeva) | 1,620 | $18 | $25 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
513 | $14 | $45 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
481 | $36 | $95 |
| 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. |
445 | $10 | $36 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
441 | $1 | $3 |
| Annual alcohol misuse screening, 5 to 15 minutes | 396 | $18 | $25 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
385 | $127 | $140 |
| Annual depression screening | 381 | $18 | $25 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
330 | $0 | $15 |
| Annual intensive behavioral therapy for cardiovascular disease, 15 minutes A yearly, in-person session focused on intensive behavioral therapy to help manage cardiovascular disease. The session lasts for 15 minutes and is conducted with the patient individually. |
321 | $26 | $30 |
| 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. |
313 | $59 | $100 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
279 | $70 | $150 |
| Respiratory virus detection test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus and influenza viruses. |
187 | $55 | $100 |
| 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. |
167 | $0 | $4 |
| Psychotherapy session, 1 hour A one-hour psychotherapy session involving talk therapy to address mental health concerns. |
123 | $111 | $240 |
| 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. |
114 | $2 | $11 |
| Obesity behavioral counseling, 15 minutes A 15-minute face-to-face session focused on behavioral counseling to help manage obesity. |
113 | $26 | $35 |
| 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. |
108 | $132 | $180 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
85 | $16 | $20 |
| Drug test with direct observation A drug screening test performed under direct observation to ensure the sample is provided correctly. This method is used to verify the integrity of the specimen collection process. |
71 | $12 | $30 |
| 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. |
67 | $24 | $92 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
41 | $95 | $210 |
| 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. |
36 | $10 | $31 |
| Online digital evaluation for established patient, 5-10 minutes This service involves an online digital evaluation and management visit for an established patient. It covers a total time of 5 to 10 minutes over a period of up to 7 days. |
32 | $11 | $74 |
| Knee X-ray, 1-2 views An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures. |
28 | $20 | $41 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
26 | $26 | $60 |
| X-ray of lower and sacral spine, minimum of 4 views An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints. |
24 | $28 | $73 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
22 | $35 | $70 |
| Complete ultrasound of abdomen A diagnostic imaging test that uses sound waves to create detailed pictures of the organs and structures within the abdomen. |
21 | $74 | $182 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
21 | $15 | $25 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
20 | $68 | $180 |
| Inhalation treatment for airway obstruction or sputum production A treatment involving the inhalation of medication to help clear airway obstructions or reduce sputum production. |
19 | $6 | $25 |
| Inhaled albuterol and ipratropium bromide via DME Administration of FDA-approved albuterol and ipratropium bromide medication through durable medical equipment. |
19 | $0 | $1 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
17 | $22 | $41 |
| Ultrasound of head and neck soft tissue This procedure uses sound waves to create images of the soft tissues in the head and neck area. It allows for the visualization of structures beneath the skin without using radiation. |
16 | $81 | $153 |
| 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. |
16 | $196 | $250 |
| Blood glucose test using hand-held instrument A test that measures the level of sugar in the blood using a portable device. The result helps monitor blood glucose levels. |
15 | $3 | $5 |
| Limited retroperitoneal ultrasound A focused ultrasound exam of the area behind the abdominal cavity to evaluate specific structures. |
14 | $43 | $169 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
14 | $35 | $100 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages. |
14 | $77 | $217 |
| Non-hormonal chemotherapy injection This procedure involves administering non-hormonal anti-neoplastic chemotherapy medication via injection into the skin or muscle tissue. |
14 | $56 | $94 |
| Limited ultrasound of joint or extremity A focused ultrasound exam of a specific joint or other structure in the arm or leg, excluding blood vessels. |
12 | $29 | $75 |
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 ↗$57,465
Total received (2018-2024)
Avg $8,209/year across 7 years
Top 1% in FL for family medicine
44
Companies
366
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.
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$48,000 (83.5%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$4,965 (8.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$4,500 (7.8%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,213
2023
$2,321
2022
$2,030
2021
$23,186
2020
$18,664
2019
$8,270
2018
$781
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Dendreon Pharmaceuticals LLC
$48,000
CGG Medical Inc
$3,000
Cgg Medical Inc
$1,500
Novo Nordisk Inc
$587
ABBVIE INC.
$528
PFIZER INC.
$508
AstraZeneca Pharmaceuticals LP
$488
Lilly USA, LLC
$338
Amgen Inc.
$306
Grifols USA, LLC
$301
Merck Sharp & Dohme Corporation
$233
Amarin Pharma Inc.
$190
Mylan Specialty L.P.
$168
SANOFI-AVENTIS U.S. LLC
$115
Boehringer Ingelheim Pharmaceuticals, Inc.
$110
Dexcom, Inc.
$110
Novartis Pharmaceuticals Corporation
$78
GlaxoSmithKline, LLC.
$77
Allergan Inc.
$68
Eisai Inc.
$65
Kowa Pharmaceuticals America, Inc.
$64
DEXCOM, INC.
$56
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$49
Exact Sciences Corporation
$48
JAZZ PHARMACEUTICALS INC.
$46
Corcept Therapeutics
$40
Janssen Pharmaceuticals, Inc
$40
Otsuka America Pharmaceutical, Inc.
$37
Bayer Healthcare Pharmaceuticals Inc.
$30
Takeda Pharmaceuticals U.S.A., Inc.
$29
Allergan, Inc.
$28
Shire North American Group Inc
$27
Teva Pharmaceuticals USA, Inc.
$24
Neos Therapeutics, LP
$23
Axsome Therapeutics, Inc.
$20
Jazz Pharmaceuticals Inc.
$20
ARBOR PHARMACEUTICALS, INC.
$17
Bayer HealthCare Pharmaceuticals Inc.
$17
AbbVie Inc.
$15
Biohaven Pharmaceuticals, Inc.
$15
Medtronic, Inc.
$14
Endo Pharmaceuticals Inc.
$12
Mission Pharmacal Company
$11
Sanofi Pasteur Inc.
$11
Top 3 companies account for 91.4% of total payments
Associated products mentioned in payments ›
ADVAIR · AIRSUPRA · AJOVY · AVEED · Adzenys XR-ODT · Aimovig · BELSOMRA · BREZTRI · BREZTRI AEROSPHERE · CHANTIX · Cologuard Collection Kit · DEXCOM G6 TRANSMITTER · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · ENTRESTO · EVENITY · Edarbi · FARXIGA · FLUZONE HIGH-DOSE · INTELLIS ADAPTIVESTIM · JANUVIA · JARDIANCE · Kerendia · Korlym · LEQVIO · LINZESS · LYRICA · Leqembi · Livalo · MOUNJARO · NURTEC ODT · OFEV · Otezla · Ozempic · PREMARIN · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · PROVENGE · Prolastin-C · Prolastin-C Liquid · Prolia · QULIPTA · REXULTI · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SUNOSI · SYMBICORT · Saxenda · Sunosi · TOUJEO · TRELEGY ELLIPTA · TRULICITY · UBRELVY · Uribel · VRAYLAR · VYVANSE · Vascepa · Victoza · XARELTO · XIFAXAN · YUPELRI · Yupelri
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 →
The majority of payments (84%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 1% for family medicine in FL.
Equivalent to $427 per 100 Medicare services performed
Geographic Context
Family medicine physicians within 10 mi
54
Per 100K population
29.8
County median income
$70,188
Nearest hospital
HCA FLORIDA GULF COAST 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. Nation is a clinical cardiology specialist, with above-average Medicare volume (top 1% in FL), with consulting-driven industry engagement in the top 1% of FL peers, with 19 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. Nation experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Nation performed 2,264 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. Nation receive payments from pharmaceutical companies?
Yes. Dr. Nation received a total of $57,465 from 44 companies across 366 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. Nation's costs compare to other family medicine physicians in Panama City?
Dr. Nation's average Medicare payment per service is $40. 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. Nation) 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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