Medicare Enrolled
Dr. Robert Holmes, D.O.
Internal Medicine · Pollocksville, NC
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. Holmes 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. Holmes
Dr. Robert Holmes is an internal medicine specialist in Pollocksville, NC, with 19 years of NPI registration. Based on federal Medicare data, Dr. Holmes performed 152,811 Medicare services across 4,471 unique beneficiaries.
Between the years covered by Open Payments, Dr. Holmes received a total of $203,205 from 32 pharmaceutical and/or device companies across 1310 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. 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. Holmes 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.
✓ 19 years in practice
▲ Top 0% volume in NC
$203,205 industry payments
Medicare Practice Summary
Medicare Utilization ↗152,811
Medicare services
Top 0% in NC for internal medicine
4,471
Unique beneficiaries
$11
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~8,043 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 |
|---|---|---|---|
| Tocilizumab injection (Actemra) | 92,391 | $5 | $12 |
| Golimumab infusion (Simponi Aria) Administration of golimumab medication directly into a vein. This code specifies the dosage amount of 1 milligram for intravenous delivery. |
26,273 | $11 | $57 |
| Abatacept infusion (Orencia) An injection of abatacept administered under the direct supervision of a physician. This code is used for Medicare when the drug is not self-administered. |
20,325 | $33 | $122 |
| Denosumab injection (Prolia/Xgeva) | 3,780 | $18 | $40 |
| Normal saline infusion, 250 cc Administration of 250 cubic centimeters of normal saline solution into a vein. This procedure involves the intravenous delivery of a sterile saltwater fluid. |
1,715 | $1 | $23 |
| 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. |
811 | $88 | $221 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
772 | $8 | $20 |
| 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. |
751 | $8 | $58 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
747 | $10 | $64 |
| C-reactive protein test (inflammation marker) A blood test that measures the level of C-reactive protein to detect the presence of infection or inflammation in the body. |
694 | $5 | $78 |
| Sed rate test (inflammation marker) This automated test measures how quickly red blood cells settle in a tube to detect inflammation in the body. |
678 | $3 | $35 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
574 | $3 | $26 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
549 | $1 | $10 |
| Intravenous infusion, 1 hour or less Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less. |
490 | $45 | $225 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
392 | $4 | $31 |
| Intravenous chemotherapy infusion, 1 hour or less Administration of chemotherapy medication directly into a vein. The procedure takes one hour or less to complete. |
287 | $93 | $465 |
| Additional sequential IV infusion, 1 hour or less This code represents an additional intravenous infusion administered sequentially to a primary infusion. It covers the administration time of one hour or less. |
164 | $22 | $167 |
| 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. |
120 | $10 | $51 |
| Methylprednisolone injection, up to 125 mg An injection of methylprednisolone sodium succinate, a corticosteroid medication, with a dosage of up to 125 mg. |
107 | $4 | $25 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
106 | $16 | $91 |
| Additional hour of intravenous chemotherapy This code represents the administration of chemotherapy medication into a vein for each additional hour beyond the initial period. |
92 | $21 | $121 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
90 | $51 | $257 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
86 | $9 | $65 |
| Urine culture, bacterial colony count A laboratory test that measures the number of bacteria growing in a urine sample to help identify infections. |
85 | $8 | $52 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
66 | $29 | $173 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
62 | $10 | $65 |
| New patient office visit, complex (60-74 min) | 48 | $156 | $427 |
| 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. |
40 | $6 | $40 |
| 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. |
38 | $125 | $322 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
37 | $27 | $206 |
| X-ray of sacroiliac joint, 3 or more views An X-ray imaging test that takes three or more pictures of the joint connecting the lower spine to the hip bone. |
34 | $21 | $155 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
34 | $15 | $89 |
| Antimicrobial drug evaluation Assessment of the patient's response to antibiotic, antifungal, or antiviral therapy. |
33 | $7 | $44 |
| X-ray of hand, minimum of 3 views An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints. |
30 | $22 | $94 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
30 | $29 | $46 |
| Joint fluid aspiration or injection, small joint Removal of fluid from a small joint or injection of medication into a small joint. |
28 | $31 | $160 |
| Iron level test | 27 | $6 | $32 |
| 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. |
27 | $9 | $48 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
25 | $13 | $78 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
25 | $72 | $99 |
| 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. |
22 | $66 | $164 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
19 | $13 | $94 |
| Total calcium level test A blood test that measures the total amount of calcium in your body. |
18 | $5 | $28 |
| 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. |
17 | $10 | $49 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
15 | $7 | $42 |
| 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. |
13 | $16 | $116 |
| Expiratory airflow and volume test A test that measures the amount of air you can exhale and the speed at which you can breathe it out. It evaluates lung function by assessing expiratory airflow and volume. |
11 | $20 | $120 |
| Lung volume test using sensors A test that measures the amount of air in the lungs using sensors. |
11 | $41 | $158 |
| Pulmonary gas exchange test A test to examine how well the lungs exchange gases. |
11 | $43 | $195 |
| 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. |
11 | $14 | $38 |
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.
32.2% high complexity
63.6% medium
4.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$203,205
Total received (2018-2024)
Avg $29,029/year across 7 years
Top 1% in NC for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
32
Companies
1,310
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
$181,216 (89.2%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$13,374 (6.6%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$8,615 (4.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$41,824
2023
$30,864
2022
$17,575
2021
$23,624
2020
$11,215
2019
$63,201
2018
$14,902
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$29,453
Mallinckrodt Hospital Products Inc.
$5,464
Amgen Inc.
$5,087
PFIZER INC.
$343
Lilly USA, LLC
$303
Novartis Pharmaceuticals Corporation
$281
UCB, Inc.
$189
Aurinia Pharma U.S., Inc.
$181
AstraZeneca Pharmaceuticals LP
$156
GlaxoSmithKline, LLC.
$118
GENZYME CORPORATION
$68
ANI Pharmaceuticals, Inc.
$42
Genentech USA, Inc.
$32
Boehringer Ingelheim Pharmaceuticals, Inc.
$30
Xeris Pharmaceuticals, Inc.
$23
Edwards Lifesciences Corporation
$20
Pharming Healthcare, Inc.
$19
Celgene Corporation
$17
Top 3 companies account for 95.6% of 2024 payments
All-time payments by company (2018-2024) ›
ABBVIE INC.
$55,445
Amgen Inc.
$37,313
Celgene Corporation
$35,307
Regeneron Healthcare Solutions, Inc.
$32,332
Mallinckrodt Hospital Products Inc.
$27,575
GENZYME CORPORATION
$2,943
PFIZER INC.
$1,649
Novartis Pharmaceuticals Corporation
$1,487
Lilly USA, LLC
$1,418
UCB, Inc.
$967
Janssen Biotech, Inc.
$832
GlaxoSmithKline, LLC.
$782
AbbVie, Inc.
$774
Horizon Therapeutics plc
$648
Aurinia Pharma U.S., Inc.
$636
AbbVie Inc.
$607
AstraZeneca Pharmaceuticals LP
$557
Radius Health, Inc.
$479
Genentech USA, Inc.
$456
E.R. Squibb & Sons, L.L.C.
$373
Boehringer Ingelheim Pharmaceuticals, Inc.
$366
ANI Pharmaceuticals, Inc.
$42
Octapharma USA, Inc.
$42
Abbott Laboratories
$29
Xeris Pharmaceuticals, Inc.
$23
Mallinckrodt Enterprises LLC
$22
Edwards Lifesciences Corporation
$20
Pharming Healthcare, Inc.
$19
Medtronic, Inc.
$18
SANOFI-AVENTIS U.S. LLC
$18
DePuy Synthes Sales Inc.
$12
Daiichi Sankyo Inc.
$12
Top 3 companies account for 63.0% of all-time payments
Associated products mentioned in payments ›
ACTHAR · Actemra · Aimovig · BENLYSTA · Bimzelx · COSENTYX · Cimzia · EUCRISA · EVENITY · Enbrel · FORTEO · FREESTYLE LIBRE 2 · FreeStyle Libre 2 · GVOKE HYPOPEN · HUMIRA · HUMULIN · Humira · INFLECTRA · INJECTAFER · INTELLIS ADAPTIVESTIM · JARDIANCE · KEVZARA · KEVZARA SARILUMAB INJECTION · KRYSTEXXA · LUPKYNIS · MONOVISC · NUCALA · OCTAGAM IMMUNE GLOBULIN (HUMAN) · OFEV · OLUMIANT · ORENCIA · Otezla · PURIFIED CORTROPHIN GEL · Prolia · REMICADE · RINVOQ · RUCONEST · Repatha · Rinvoq · Rituxan · SAPHNELO · SAPIEN 3 Ultra RESILIA · SIMPONI · SIMPONI ARIA · SKYRIZI · SYNVISC-ONE · TALTZ · TAVNEOS · TREMFYA · TRULICITY · Tymlos · XELJANZ · ZEPOSIA
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 (89%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in internal medicine and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 1% for internal medicine in NC.
Geographic Context
Internal medicine physicians within 10 mi
76
Per 100K population
822.1
County median income
$55,659
Nearest hospital
ONSLOW MEMORIAL HOSPITAL
15.2 mi
15.2 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. Holmes is a mixed practice specialist, with above-average Medicare volume (top 0% in NC), with speaking/promotional industry engagement in the top 1% of NC peers, with 19 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Holmes experienced with tocilizumab injection (actemra)?
Based on Medicare claims data, Dr. Holmes performed 92,391 tocilizumab injection (actemra) 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. Holmes receive payments from pharmaceutical companies?
Yes. Dr. Holmes received a total of $203,205 from 32 companies across 1,310 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. Holmes's costs compare to other internal medicine physicians in Pollocksville?
Dr. Holmes's average Medicare payment per service is $11. 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. Holmes) 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. 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.
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