Medicare Enrolled
Dr. Paul Graham, M.D.
Endocrinology · Vero Beach, FL
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Speaking/Promotional
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. Graham 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 →
Are you Dr. Graham?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Graham
Dr. Paul Graham is an endocrinology specialist in Vero Beach, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Graham performed 37,634 Medicare services across 21,249 unique beneficiaries.
Between the years covered by Open Payments, Dr. Graham received a total of $118,745 from 35 pharmaceutical and/or device companies across 591 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in endocrinology. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Graham 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 2% volume in FL
$118,745 industry payments
Florida License Status
FL DOH · MQA1
Active license
None
Board action on record
0
Recent admin complaints
| Profession | License # | Status | Expires | Board Action |
|---|---|---|---|---|
| Medical Doctor | 55283 | Clear | January 31, 2028 | — |
Data from Florida Department of Health Medical Quality Assurance.
License records are public under Chapter 119, Florida Statutes.
Verify directly on FL DOH →
Medicare Practice Summary
Medicare Utilization ↗37,634
Medicare services
Top 2% in FL for endocrinology
21,249
Unique beneficiaries
$19
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~1,981 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. |
2,731 | $96 | $191 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
2,504 | $8 | $20 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
2,305 | $9 | $51 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
2,302 | $16 | $72 |
| Free T3 thyroid hormone test A blood test that measures the level of free triiodothyronine (T3) hormone in your body. This helps assess how well your thyroid gland is functioning. |
2,296 | $17 | $69 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
2,038 | $10 | $51 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
2,007 | $13 | $52 |
| 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. |
2,002 | $6 | $34 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
1,921 | $10 | $53 |
| 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. |
1,793 | $8 | $35 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
1,673 | $5 | $40 |
| Urine microalbumin test A laboratory test that measures the amount of a specific protein called microalbumin in a urine sample. This analysis helps assess kidney function. |
1,669 | $6 | $38 |
| Direct bilirubin level test A blood test that measures the amount of direct bilirubin in your body. Direct bilirubin is the form of the waste product processed by the liver. |
1,569 | $5 | $35 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
1,553 | $15 | $90 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
1,550 | $14 | $68 |
| Iron level test | 1,548 | $6 | $25 |
| 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. |
1,548 | $9 | $50 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
1,547 | $13 | $65 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
808 | $29 | $259 |
| Parathyroid hormone level test A blood test that measures the amount of parathyroid hormone in your body. This hormone helps regulate calcium levels in the blood and bones. |
646 | $40 | $213 |
| 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. |
322 | $64 | $127 |
| 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. |
317 | $83 | $300 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
197 | $3 | $25 |
| 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. |
191 | $127 | $331 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
129 | $18 | $75 |
| 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. |
107 | $11 | $30 |
| Ultrasound-guided fine needle aspiration biopsy, first lesion A biopsy procedure where a thin needle is used to collect tissue samples from a growth, guided by ultrasound imaging. This code applies to the first lesion or mass sampled during the session. |
45 | $112 | $670 |
| Continuous glucose monitoring, sensor under skin This procedure involves continuous monitoring of blood sugar levels in tissue fluid using a sensor placed under the skin with provider-supplied equipment. |
42 | $113 | $350 |
| Continuous glucose monitoring with interpretation This procedure involves monitoring blood sugar levels in tissue fluid using a sensor placed under the skin, along with the interpretation and reporting of the results. |
39 | $26 | $150 |
| Total cortisol level test A blood test that measures the total amount of cortisol hormone in your body. Cortisol is a hormone produced by the adrenal glands. |
36 | $16 | $60 |
| Prolactin level test A blood test that measures the amount of prolactin, a hormone produced by the pituitary gland that stimulates milk production, in the body. |
28 | $19 | $133 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
27 | $19 | $77 |
| LDL cholesterol level test A blood test that measures the amount of low-density lipoprotein (LDL) cholesterol in your blood. LDL is often referred to as "bad" cholesterol. |
24 | $10 | $43 |
| Follicle stimulating hormone (FSH) level A blood test to measure the level of follicle stimulating hormone, a reproductive hormone. |
23 | $18 | $79 |
| Luteinizing hormone level test A blood test that measures the level of luteinizing hormone, a reproductive hormone. This test helps evaluate hormonal balance and reproductive function. |
23 | $18 | $79 |
| Liver function blood test panel | 19 | $8 | $48 |
| PSA test (prostate cancer screening) | 16 | $18 | $77 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
15 | $8 | $49 |
| Urine volume measurement | 12 | $4 | $10 |
| Urine calcium level test A laboratory test that measures the amount of calcium present in a urine sample. This test helps evaluate calcium metabolism and kidney function. |
12 | $6 | $31 |
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 ↗$118,745
Total received (2018-2024)
Avg $16,964/year across 7 years
Top 7% in FL for endocrinology
35
Companies
591
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.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$109,623 (92.3%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$9,122 (7.7%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$680
2023
$1,405
2022
$4,060
2021
$11,418
2020
$9,610
2019
$49,585
2018
$41,987
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$105,196
AbbVie Inc.
$2,700
AbbVie, Inc.
$1,915
SANOFI-AVENTIS U.S. LLC
$1,518
Novo Nordisk Inc
$1,329
Medtronic MiniMed, Inc.
$1,250
Lilly USA, LLC
$1,074
Amgen Inc.
$665
Bayer Healthcare Pharmaceuticals Inc.
$551
Boehringer Ingelheim Pharmaceuticals, Inc.
$410
Bayer HealthCare Pharmaceuticals Inc.
$294
Abbott Laboratories
$232
Insulet Corporation
$173
Medtronic, Inc.
$156
Radius Health, Inc.
$149
Merck Sharp & Dohme Corporation
$143
Tandem Diabetes Care, Inc.
$131
Dexcom, Inc.
$128
MannKind Corporation
$120
Becton, Dickinson and Company
$74
Shire North American Group Inc
$72
Regeneron Healthcare Solutions, Inc.
$68
Janssen Pharmaceuticals, Inc
$56
Genentech USA, Inc.
$56
VIVUS, Inc.
$43
Valeritas, Inc.
$43
Amarin Pharma Inc.
$37
DEXCOM, INC.
$25
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$24
Strongbridge US INC.
$23
Horizon Therapeutics plc
$22
Endo Pharmaceuticals Inc.
$22
Eisai Inc.
$17
IBSA Pharma Inc.
$15
Clarus Therapeutics Inc.
$13
Top 3 companies account for 92.5% of total payments
Associated products mentioned in payments ›
AFREZZA · AVEED · Androgel · BAQSIMI · BD NANO · BD Nano · BRILINTA · BYDUREON · Belviq · CYCLOSET · DEXCOM G6 TRANSMITTER · DUPIXENT · DUPIXENT DUPILUMAB INJECTION · Dexcom CGM · Dexcom G6 Transmitter · EVENITY · Erivedge · FARXIGA · FORTEO · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre · FreeStyle Libre blood glucose Flash Monitoring System · FreeStyle Lite system · HUMULIN · INPEN SMART INSULIN DELIVERY SYSTEM · INVOKANA · JANUVIA · JARDIANCE · JATENZO · Kerendia · LOKELMA · MACRILEN · MINIMED 770G · MINIMED 780G · MOUNJARO · Minimed 670G System · NATPARA · NATPARA (PARATHYROID HORMONE) · Omnipod · Ozempic · PRALUENT · Prolia · QSYMIA · Repatha · Rybelsus · SOLIQUA · SOLIQUA 100/33 · SYNTHROID · Synthroid · TEPEZZA · TOUJEO · TRADJENTA · TRULICITY · TZIELD · Tirosint · Tresiba · Tymlos · V-GO · Vascepa · Victoza · Wegovy · Xultophy 100/3.6 · t-slim insulin pump · t:slim X2 Insulin Pump with Control-IQ
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 (92%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in endocrinology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 7% for endocrinology in FL.
Equivalent to $316 per 100 Medicare services performed
Geographic Context
Endocrinologists within 10 mi
6
Per 100K population
3.7
County median income
$71,049
Nearest hospital
CLEVELAND CLINIC INDIAN RIVER 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. Graham is a mixed practice specialist, with above-average Medicare volume (top 2% in FL), with speaking/promotional industry engagement in the top 7% 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. Graham experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Graham performed 2,731 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. Graham receive payments from pharmaceutical companies?
Yes. Dr. Graham received a total of $118,745 from 35 companies across 591 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. Graham's costs compare to other endocrinologists in Vero Beach?
Dr. Graham's average Medicare payment per service is $19. 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. Graham) 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 →
Explore related providers
Specialty guide
Understanding Endocrinology
Common procedures, typical costs, and what industry payments mean in endocrinology.
Same specialty & city
Endocrinologists in Vero Beach
Browse endocrinologists in Vero Beach ranked by procedure volume and transparency data.
Highest volume
Top Endocrinologists in FL
Endocrinologists ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Endocrinologists in FL
Which FL endocrinologists receive the most from drug and device companies.
By company
AstraZeneca Pharmaceuticals LP Payments to Doctors
See all physicians who received payments from AstraZeneca Pharmaceuticals LP.
By company
AbbVie Inc. Payments to Doctors
See all physicians who received payments from AbbVie Inc.
By company
AbbVie, Inc. Payments to Doctors
See all physicians who received payments from AbbVie, Inc.
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.
Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology