Medicare Enrolled
Dr. Ralph Heaven, M.D.
Medical Oncology · Abilene, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
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. Heaven 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. Heaven
Dr. Ralph Heaven is a medical oncology specialist in Abilene, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Heaven performed 88,761 Medicare services across 4,132 unique beneficiaries.
Between the years covered by Open Payments, Dr. Heaven received a total of $3,158 from 28 pharmaceutical and/or device companies across 46 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in medical oncology. 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. Heaven 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 11% volume in TX
$3,158 industry payments
Medicare Practice Summary
Medicare Utilization ↗88,761
Medicare services
Top 11% in TX for medical oncology
4,132
Unique beneficiaries
$9
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~4,672 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 |
|---|---|---|---|
| Iron infusion (Feraheme) An injection of ferumoxytol used to treat iron deficiency anemia in patients not on dialysis. |
50,490 | $0 | $5 |
| Pembrolizumab injection (Keytruda) | 12,200 | $43 | $137 |
| Darbepoetin injection (Aranesp) for anemia An injection of darbepoetin alfa used for non-end-stage renal disease purposes. |
7,188 | $2 | $20 |
| Contrast dye for imaging (iodine-based) A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures. |
7,075 | $0 | $3 |
| Paclitaxel chemotherapy injection | 2,319 | $0 | $8 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
955 | $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. |
801 | $8 | $36 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
743 | $0 | $1 |
| 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. |
719 | $88 | $368 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
706 | $10 | $64 |
| Injection, granisetron hydrochloride, 100 mcg | 480 | $0 | $24 |
| Lactate dehydrogenase (LDH) level test A blood test that measures the amount of lactate dehydrogenase, an enzyme found in many body tissues. It helps assess tissue damage or disease. |
264 | $6 | $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. |
244 | $97 | $707 |
| Anti-nausea injection (Aloxi/palonosetron) | 210 | $1 | $114 |
| Carcinoembryonic antigen (CEA) level test A blood test that measures the level of carcinoembryonic antigen (CEA) protein. This test is used to monitor certain types of cancer. |
167 | $19 | $99 |
| 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. |
162 | $47 | $313 |
| 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. |
159 | $22 | $157 |
| Blood creatinine level test A blood test that measures the amount of creatinine, a waste product from muscle wear and tear, to help assess kidney function. |
147 | $5 | $31 |
| Blood urea nitrogen test A blood test that measures the amount of urea nitrogen to assess kidney function. |
147 | $4 | $24 |
| Albumin level test A blood test that measures the amount of albumin, a protein made by the liver, in your body. |
145 | $5 | $28 |
| Total bilirubin level test A blood test that measures the total amount of bilirubin, a waste product from the breakdown of red blood cells, in your body. |
145 | $5 | $23 |
| Total calcium level test A blood test that measures the total amount of calcium in your body. |
145 | $5 | $30 |
| Carbon dioxide level test A blood test that measures the amount of carbon dioxide in your blood, which helps evaluate your body's acid-base balance and kidney function. |
145 | $5 | $24 |
| Blood chloride level test A laboratory test that measures the amount of chloride in a blood sample. Chloride is an electrolyte that helps maintain fluid balance and acid-base levels in the body. |
145 | $5 | $25 |
| Alkaline phosphatase level test A blood test that measures the level of alkaline phosphatase, an enzyme found in the liver and bones. |
145 | $5 | $27 |
| Blood potassium level test A blood test that measures the amount of potassium in your body. Potassium is an electrolyte that helps control heart and muscle function. |
145 | $5 | $30 |
| Liver enzyme (SGOT) level test A blood test that measures the level of the liver enzyme SGOT to help assess liver health. |
145 | $5 | $33 |
| Liver enzyme (SGPT) level test A blood test that measures the level of the liver enzyme SGPT to assess liver function. |
145 | $5 | $28 |
| Total protein blood test A blood test that measures the total amount of protein in your blood. This test helps evaluate your overall health and nutritional status. |
142 | $4 | $42 |
| Manual white blood cell count A laboratory test that involves examining a sample under a microscope to manually count the number of white blood cells present. |
135 | $4 | $22 |
| Complete blood count (CBC), automated An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood. |
135 | $6 | $34 |
| 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. |
127 | $11 | $96 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
118 | $13 | $60 |
| Iron level test | 118 | $6 | $27 |
| 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. |
118 | $9 | $35 |
| Immunologic analysis for detection of tumor antigen, quantitative; ca 15-3 | 114 | $20 | $128 |
| Zoledronic acid injection, 1 mg An injection of zoledronic acid administered at a dose of 1 mg. |
105 | $7 | $431 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
71 | $59 | $247 |
| PSA test (prostate cancer screening) | 69 | $18 | $94 |
| 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. |
65 | $66 | $250 |
| Reticulated platelet measurement A blood test that measures the level of young, newly formed platelets in the body. |
63 | $35 | $143 |
| Intravenous injection of additional new drug or substance Administration of an additional new medication or substance directly into a vein. |
62 | $12 | $108 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
60 | $7 | $29 |
| Leuprolide acetate (for depot suspension), 7.5 mg | 57 | $136 | $3,675 |
| Subcutaneous or intramuscular chemotherapy injection This procedure involves administering anti-cancer hormonal medication through an injection into the tissue under the skin or into a muscle. |
55 | $25 | $145 |
| CT scan of chest with contrast A computed tomography scan of the chest using a contrast dye to enhance the visibility of internal structures. |
54 | $48 | $821 |
| Irrigation of implanted venous access device This procedure involves flushing an implanted venous access device to clear blockages or maintain patency. It ensures the device remains functional for delivering medications or fluids. |
54 | $18 | $114 |
| Diphenhydramine injection, up to 50 mg An injection of diphenhydramine hydrochloride, an antihistamine medication, administered in a dose of up to 50 milligrams. |
48 | $1 | $7 |
| Normal saline infusion, 1000 cc Administration of 1000 cc of normal saline solution into a vein. This procedure involves the intravenous delivery of a sterile saltwater solution. |
44 | $2 | $19 |
| 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. |
42 | $128 | $496 |
| Intravenous infusion of new drug or substance, 1 hour or less This procedure involves administering a new medication or substance directly into a vein through an existing access site. The infusion is completed within one hour or less. |
41 | $49 | $344 |
| Additional hour of intravenous chemotherapy This code represents the administration of chemotherapy medication into a vein for each additional hour beyond the initial period. |
39 | $21 | $161 |
| CT scan of abdomen and pelvis with contrast A CT scan that uses dye to create detailed images of the abdomen and pelvis. This imaging test helps doctors examine internal organs and structures in these areas. |
38 | $173 | $1,067 |
| Nuclear medicine scan from skull base to mid-thigh with CT A nuclear medicine imaging study covering the area from the base of the skull to the middle of the thighs, performed alongside a CT scan. |
37 | $1,109 | $4,802 |
| Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 37 | $88 | $657 |
| Additional hour of intravenous infusion This code represents each additional hour of intravenous infusion beyond the initial hour for therapy, prevention, or diagnosis. |
29 | $16 | $100 |
| Intravenous hydration infusion, 31-60 minutes Administration of fluids into a vein to maintain hydration. This procedure involves an infusion lasting between 31 and 60 minutes. |
27 | $23 | $256 |
| Unclassified drug A medication that does not fit into standard HCPCS or CPT classification categories. |
22 | $1 | $8 |
| Injection, fosnetupitant 235 mg and palonosetron 0.25 mg | 21 | $350 | $1,722 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
19 | $91 | $357 |
| Venipuncture for blood collection A procedure to draw blood from a vein for medical testing or analysis. |
18 | $59 | $264 |
| CT scan of abdomen with contrast A CT scan of the abdomen using a contrast dye to create detailed images of internal organs and structures. |
17 | $115 | $793 |
| Additional hour of intravenous hydration This code represents each additional hour of intravenous fluid administration beyond the initial hour. It is used to bill for extended hydration therapy. |
17 | $10 | $75 |
| CT scan of chest, without contrast A computed tomography scan of the chest area that uses X-rays to create detailed images without the use of contrast dye. |
16 | $39 | $686 |
| CT scan of abdomen and pelvis, without contrast A computed tomography scan that creates detailed images of the abdominal and pelvic organs. The procedure is performed without the use of intravenous contrast dye. |
16 | $66 | $560 |
| Intravenous push injection of new drug or substance A healthcare provider injects a new medication or substance directly into a vein using a push technique. |
15 | $42 | $289 |
| New patient office visit, complex (60-74 min) | 15 | $168 | $709 |
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.
57.7% high complexity
34.8% medium
7.5% routine
Industry Payment Transparency
Open Payments through 2024 ↗$3,158
Total received (2018-2024)
Avg $526/year across 6 years
Bottom 46% in TX for medical oncology
28
Companies
46
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
$2,929 (92.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$229 (7.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$986
2023
$682
2022
$97
2020
$162
2019
$656
2018
$575
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
E.R. Squibb & Sons, L.L.C.
$242
Lilly USA, LLC
$224
GlaxoSmithKline, LLC.
$205
Gilead Sciences, Inc.
$180
Astellas Pharma US Inc
$164
PFIZER INC.
$164
Eisai Inc.
$148
GENZYME CORPORATION
$136
AstraZeneca Pharmaceuticals LP
$134
Janssen Scientific Affairs, LLC
$118
Kite Pharma, Inc.
$117
Verastem, Inc.
$113
Mirati Therapeutics, Inc.
$111
PharmaEssentia USA Corporation
$97
Tempus AI, Inc
$97
Merck Sharp & Dohme LLC
$97
SERVIER PHARMACEUTICALS LLC
$96
Seagen Inc.
$90
AbbVie, Inc.
$86
Pharmacyclics LLC, An AbbVie Company
$82
Merck Sharp & Dohme Corporation
$81
Takeda Pharmaceuticals U.S.A., Inc.
$80
Dendreon Pharmaceuticals LLC
$79
TESARO, Inc.
$79
Exelixis Inc.
$75
Novartis Pharmaceuticals Corporation
$41
BeiGene USA, Inc.
$15
Clovis Oncology, Inc.
$9
Top 3 companies account for 21.2% of total payments
Associated products mentioned in payments ›
ADCETRIS · AUGTYRO · BESREMI · BOSULIF · Cabometyx · Copiktra · DARZALEX · EMPLICITI · Erleada · IMFINZI · Imbruvica · JADENU · JAYPIRCA · JEMPERLI · JEVTANA · KEYTRUDA · KRAZATI · Lenvima · MEKINIST · PROVENGE · Padcev · REBLOZYL · Rubraca · SARCLISA · SUTENT · TAGRISSO · TEVIMBRA · Tibsovo · Trodelvy · Venclexta · XTANDI · Yescarta · ZEJULA · Zydelig
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 (93%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $4 per 100 Medicare services performed
Geographic Context
Medical oncologists within 10 mi
4
Per 100K population
20.0
County median income
$63,472
Nearest hospital
HENDRICK MEDICAL CENTER
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. Heaven is a mixed practice specialist, with above-average Medicare volume (top 11% in TX), with low-engagement industry engagement, 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. Heaven experienced with iron infusion (feraheme)?
Based on Medicare claims data, Dr. Heaven performed 50,490 iron infusion (feraheme) 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. Heaven receive payments from pharmaceutical companies?
Yes. Dr. Heaven received a total of $3,158 from 28 companies across 46 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. Heaven's costs compare to other medical oncologists in Abilene?
Dr. Heaven's average Medicare payment per service is $9. 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. Heaven) 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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