Medicare Enrolled
Kymberli McClain, FNP
Nurse Practitioner - Family · Austin, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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 McClain 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 McClain?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about McClain
Kymberli McClain is a nurse practitioner - family in Austin, TX, with 13 years of NPI registration. Based on federal Medicare data, McClain performed 5,021 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, McClain received a total of $4,350 from 28 pharmaceutical and/or device companies across 276 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for McClain 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.
✓ 13 years of NPI registration
▲ Top 2% volume in TX
$4,350 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗5,021
Medicare services
Top 2% in TX for nurse practitioner - family
Not available
Unique patients (not deduplicated)
$22
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 |
|---|---|---|---|
| Denosumab injection (Prolia/Xgeva) | 2,760 | $19 | $44 |
| 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. |
483 | $77 | $206 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
295 | $8 | $9 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
265 | $10 | $45 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
178 | $9 | $41 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
152 | $5 | $22 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
136 | $16 | $71 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
132 | $13 | $57 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
131 | $5 | $24 |
| 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. |
102 | $20 | $127 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
79 | $9 | $39 |
| 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. |
66 | $9 | $70 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
48 | $28 | $115 |
| 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. |
44 | $40 | $175 |
| 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. |
34 | $50 | $139 |
| 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. |
21 | $6 | $26 |
| Phosphate level test A blood test that measures the amount of phosphate in your body. Phosphate is a mineral that helps keep bones and teeth strong. |
20 | $4 | $21 |
| Serum protein measurement A blood test that measures the total amount of protein in the serum. It helps evaluate overall health and nutritional status. |
19 | $11 | $46 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
16 | $6 | $29 |
| Total testosterone level test A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women. |
14 | $25 | $109 |
| 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. |
13 | $7 | $33 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
13 | $68 | $208 |
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. These counts do not measure clinical quality or years of experience.
Industry Payment Transparency
Open Payments through 2024 ↗$4,350
Total received (2021-2024)
Avg $1,088/year across 4 years
Top 6% in TX for nurse practitioner - family
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
28
Companies
276
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,766
2023
$1,115
2022
$657
2021
$813
Payments by company (2024)
Lilly USA, LLC
$525
Novo Nordisk Inc
$370
Abbott Laboratories
$174
Xeris Pharmaceuticals, Inc.
$87
Rhythm Pharmaceuticals, Inc.
$76
CeQur Corporation
$72
Boehringer Ingelheim Pharmaceuticals, Inc.
$69
Dexcom, Inc.
$66
Bayer Healthcare Pharmaceuticals Inc.
$66
Insulet Corporation
$62
Amgen Inc.
$55
Medtronic, Inc.
$33
ABBVIE INC.
$33
Tandem Diabetes Care, Inc.
$30
Radius Health, Inc.
$22
Astellas Pharma US Inc
$14
AstraZeneca Pharmaceuticals LP
$14
Top 3 companies account for 60.6% of 2024 payments
All-time payments by company (2021-2024) ›
Novo Nordisk Inc
$1,351
Lilly USA, LLC
$971
Abbott Laboratories
$404
Amgen Inc.
$262
SANOFI-AVENTIS U.S. LLC
$197
Dexcom, Inc.
$160
Boehringer Ingelheim Pharmaceuticals, Inc.
$133
CeQur Corporation
$108
Xeris Pharmaceuticals, Inc.
$87
Insulet Corporation
$77
Rhythm Pharmaceuticals, Inc.
$76
Medtronic, Inc.
$67
Bayer Healthcare Pharmaceuticals Inc.
$66
Tandem Diabetes Care, Inc.
$51
AstraZeneca Pharmaceuticals LP
$50
ABBVIE INC.
$46
VistaPharm, Inc.
$38
AbbVie Inc.
$30
Regeneron Healthcare Solutions, Inc.
$25
Radius Health, Inc.
$22
IBSA Pharma Inc.
$20
Becton, Dickinson and Company
$18
ABIOMED
$17
LIFESCAN, INC.
$16
Hologic, LLC
$16
Astellas Pharma US Inc
$14
Mannkind Corporation
$14
Corcept Therapeutics
$13
Top 3 companies account for 62.7% of all-time payments
Associated products mentioned in payments ›
ACESSA PROVU SYSTEM · AFREZZA · BAQSIMI · BD Nano · CeQur Simplicity · Dexcom G6 Transmitter · EVENITY · FARXIGA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · GVOKE HYPOPEN · HUMULIN · IMCIVREE · Impella · JARDIANCE · KEVEYIS · Kerendia · Korlym · LOKELMA · MINIMED 770G · MINIMED 780G · MOUNJARO · ONETOUCH VERIO REFLECT · Omnipod · Ozempic · PRALUENT · RYBELSUS · Repatha · Rybelsus · SOLIQUA 100/33 · SYNTHROID · Saxenda · TOUJEO · TRADJENTA · TRULICITY · TZIELD · Thyquidity · Tirosint · Tresiba · Tymlos · Veozah · Wegovy · ZEPBOUND · t:slim X2 Insulin Pump with Control-IQ
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Family nurse practitioners in nearby ZIP areas
1,221
County median income
$97,169
Nearest hospital to ZIP centroid (approximate)
NORTH AUSTIN MEDICAL CENTER
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | 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
McClain is a mixed practice specialist, with above-average Medicare volume (top 2% in TX).
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is McClain experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, McClain performed 2,760 denosumab injection (prolia/xgeva) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does McClain receive payments from pharmaceutical companies?
Yes. McClain received a total of $4,350 from 28 companies across 276 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do McClain's costs compare to other family nurse practitioners in Austin?
McClain's average Medicare payment per service is $22. 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 McClain) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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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