Medicare Enrolled

Dr. Algernon Prioleau, DO

Student in an Organized Health Care Education/Training Program · Braselton, GA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
1270 FRIENDSHIP RD, Braselton, GA 30517
6782074050
In practice since 2018 (8 years)
NPI: 1518462654 verify on NPPES ↗
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. Prioleau 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. Prioleau

Dr. Algernon Prioleau is a student in an organized health care education/training program specialist in Braselton, GA, with 8 years of NPI registration. Based on federal Medicare data, Dr. Prioleau performed 728 Medicare services across 622 unique beneficiaries.

Between the years covered by Open Payments, Dr. Prioleau received a total of $1,516 from 14 pharmaceutical and/or device companies across 90 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in student in an organized health care education/training program. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Prioleau is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 8 years in practice ▲ Top 29% volume in GA $1,516 industry payments

Medicare Practice Summary

Medicare Utilization ↗
728
Medicare services
Top 29% in GA for student in an organized health care education/training program
622
Unique beneficiaries
$34
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~91 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.
98 $88 $160
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
82 $8 $30
Lipid panel (cholesterol and triglycerides)
A blood test that measures cholesterol and triglyceride levels.
59 $13 $85
Thyroid stimulating hormone (TSH) test
A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function.
58 $16 $100
Free thyroxine (T4) test
A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream.
55 $9 $75
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.
54 $8 $45
Annual depression screening 52 $17 $40
Basic metabolic blood panel
A blood test that measures a group of basic chemicals, including total calcium levels.
46 $8 $50
Hemoglobin A1c test (diabetes monitoring)
A blood test that measures your average blood sugar levels over the past two to three months.
42 $9 $70
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.
35 $54 $115
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
33 $120 $153
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.
28 $104 $245
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
20 $29 $30
Comprehensive metabolic blood panel
A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers.
19 $10 $65
Vitamin D level test
A blood test to measure the amount of Vitamin D-3 in your body.
19 $29 $130
Flu vaccine, quadrivalent
A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection.
15 $76 $90
Vaccine administration
The process of giving a vaccine to a patient. This code covers the administration service only and does not include the cost of the vaccine itself.
13 $12 $30
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 ↗
$1,516
Total received (2022-2024)
Avg $505/year across 3 years
Top 21% in GA for student in an organized health care education/training program
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
14
Companies
90
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.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,516 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$711
2023
$666
2022
$139

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$282
Lilly USA, LLC
$159
AstraZeneca Pharmaceuticals LP
$73
PFIZER INC.
$38
Dexcom, Inc.
$36
Boehringer Ingelheim Pharmaceuticals, Inc.
$28
Axsome Therapeutics, Inc.
$28
SHIELD THERAPEUTICS INC
$23
Merck Sharp & Dohme LLC
$16
Exact Sciences Corporation
$15
ABBVIE INC.
$13
Top 3 companies account for 72.3% of 2024 payments
All-time payments by company (2022-2024) ›
Novo Nordisk Inc
$469
Lilly USA, LLC
$393
ABBVIE INC.
$241
AstraZeneca Pharmaceuticals LP
$90
Boehringer Ingelheim Pharmaceuticals, Inc.
$52
Abbott Laboratories
$47
PFIZER INC.
$38
Dexcom, Inc.
$36
Janssen Pharmaceuticals, Inc
$34
Exact Sciences Corporation
$33
Axsome Therapeutics, Inc.
$28
SHIELD THERAPEUTICS INC
$23
Merck Sharp & Dohme LLC
$16
Vericel Corporation
$15
Top 3 companies account for 72.8% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · AIRSUPRA · Auvelity · BREZTRI · Cologuard Collection Kit · Dexcom G6 Transmitter · EMGALITY · FARXIGA · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · GARDASIL · JARDIANCE · MACI · MOUNJARO · NURTEC ODT · Ozempic · Rybelsus · Saxenda · TRADJENTA · TRULICITY · VRAYLAR · Wegovy · XARELTO · ZEPBOUND
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 →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for a student in an organized health care education/training program specialist in Braselton?
Compare student in an organized health care education/training programs in the Braselton area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Student in an organized health care education/training programs within 10 mi
909
Per 100K population
1127.2
County median income
$85,012
Nearest hospital
NGMC BARROW, LLC
10.9 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 reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Prioleau is a clinical cardiology specialist, with above-average Medicare volume (top 29% in GA), with low-engagement industry engagement.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Prioleau experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Prioleau performed 98 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. Prioleau receive payments from pharmaceutical companies?
Yes. Dr. Prioleau received a total of $1,516 from 14 companies across 90 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. Prioleau's costs compare to other student in an organized health care education/training programs in Braselton?
Dr. Prioleau's average Medicare payment per service is $34. 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. Prioleau) 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 →
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. Data Coverage reflects 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

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →