Dr. Paul Graham, M.D.
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.
Florida License Status
FL DOH · MQA| Profession | License # | Status | Expires | Board Action |
|---|---|---|---|---|
| Medical Doctor | 55283 | Clear | January 31, 2028 | — |
Medicare Practice Summary
Medicare Utilization ↗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) | 2,731 | $96 | $191 |
| Blood draw (venipuncture) | 2,504 | $8 | $20 |
| Free thyroxine (T4) test | 2,305 | $9 | $51 |
| Thyroid stimulating hormone (TSH) test | 2,302 | $16 | $72 |
| Thyroid hormone, t3 measurement, free | 2,296 | $17 | $69 |
| Comprehensive metabolic blood panel | 2,038 | $10 | $51 |
| Lipid panel (cholesterol and triglycerides) | 2,007 | $13 | $52 |
| Creatine kinase (cardiac enzyme) level, total | 2,002 | $6 | $34 |
| Hemoglobin A1c test (diabetes monitoring) | 1,921 | $10 | $53 |
| Complete blood count (CBC) with differential | 1,793 | $8 | $35 |
| Creatinine test (kidney function) | 1,673 | $5 | $40 |
| Urine microalbumin (protein) analysis | 1,669 | $6 | $38 |
| Bilirubin level, direct | 1,569 | $5 | $35 |
| Vitamin B-12 level test | 1,553 | $15 | $90 |
| Folic acid level test | 1,550 | $14 | $68 |
| Iron level test | 1,548 | $6 | $25 |
| Iron binding capacity test | 1,548 | $9 | $50 |
| Ferritin level test (iron stores) | 1,547 | $13 | $65 |
| Vitamin D level test | 808 | $29 | $259 |
| Parathyroid hormone level test | 646 | $40 | $213 |
| Office visit, established patient (20-29 min) | 322 | $64 | $127 |
| Ultrasound scan of head and neck soft tissue | 317 | $83 | $300 |
| Urinalysis with microscopic exam | 197 | $3 | $25 |
| New patient office visit (45-59 min) | 191 | $127 | $331 |
| Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 129 | $18 | $75 |
| Drug injection, under skin or into muscle | 107 | $11 | $30 |
| Fine needle aspiration biopsy using ultrasound guidance, first growth | 45 | $112 | $670 |
| Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment | 42 | $113 | $350 |
| Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 39 | $26 | $150 |
| Cortisol (hormone) measurement, total | 36 | $16 | $60 |
| Prolactin (milk producing hormone) level | 28 | $19 | $133 |
| Prostate cancer screening; prostate specific antigen test (psa) | 27 | $19 | $77 |
| Ldl cholesterol level | 24 | $10 | $43 |
| Gonadotropin, follicle stimulating (reproductive hormone) level | 23 | $18 | $79 |
| Gonadotropin, luteinizing (reproductive hormone) level | 23 | $18 | $79 |
| Liver function blood test panel | 19 | $8 | $48 |
| PSA test (prostate cancer screening) | 16 | $18 | $77 |
| Basic metabolic blood panel | 15 | $8 | $49 |
| Urine volume measurement | 12 | $4 | $10 |
| Urine calcium level | 12 | $6 | $31 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
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.
Geographic Context
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)?
Does Dr. Graham receive payments from pharmaceutical companies?
How do Dr. Graham's costs compare to other endocrinologists in Vero Beach?
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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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