Medicare Enrolled

Dr. Carlos Marquez De La Plata, PHD

Clinical Psychologist · Dallas, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
4101 MCEWEN RD STE 318, Dallas, TX 75244
4699752411
In practice since 2008 (17 years)
NPI: 1629223557 verify on NPPES ↗
High
DATA COVERAGE
Data in 3 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. Marquez De La Plata 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. Marquez De La Plata

Dr. Carlos Marquez De La Plata is a clinical psychologist in Dallas, TX, with 17 years of NPI registration. Based on federal Medicare data, Dr. Marquez De La Plata performed 1,966 Medicare services across 1,231 unique beneficiaries.

The Data Coverage level for Dr. Marquez De La Plata is 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.

✓ 17 years in practice ▲ Top 5% volume in TX

Medicare Practice Summary

Medicare Utilization ↗
1,966
Medicare services
Top 5% in TX for clinical psychologist
1,231
Unique beneficiaries
$73
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~116 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
Neuropsychological test evaluation, first hour
A professional assessment of cognitive and behavioral functioning using standardized tests. This service covers the initial hour of the evaluation process.
 700 $81 $225
Additional hour of neuropsychological test evaluation
This code covers the evaluation of neuropsychological testing for each additional hour beyond the initial service. It represents the time spent analyzing and interpreting test results.
 420 $59 $225
Psychiatric diagnostic evaluation
A clinical assessment conducted by a psychiatrist to evaluate a patient's mental health status and determine a diagnosis.
 354 $114 $275
Psychotherapy, 30 minutes
A 30-minute session of psychotherapy involving talk therapy to address mental health concerns.
 279 $51 $130
Psychological test administration, each additional 30 minutes
A technician administers psychological or neuropsychological testing. This code covers each additional 30-minute increment of administration time.
 116 $26 $99
Psychotherapy session, 45 min
A 45-minute session of psychotherapy involving talk therapy to address emotional, behavioral, or mental health concerns.
 35 $67 $209
Psychological test administration, first 30 minutes
A technician administers psychological or neuropsychological testing for the first 30 minutes.
 25 $26 $99
Mental processes therapy, initial 15 minutes
A therapy session focusing on a range of mental processes, lasting for the initial 15 minutes.
 23 $17 $72
Mental processes therapy, each additional 15 minutes
This code covers an additional 15-minute block of therapy focused on a range of mental processes. It is billed in increments beyond the initial session time.
 14 $17 $72
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.
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Geographic Context

Clinical psychologists within 10 mi
522
Per 100K population
20.0
County median income
$74,149
Nearest hospital
METHODIST HOSPITAL FOR SURGERY
2.4 mi

Data Sources

Provider Registry ✓ NPPES Weekly updates
Medicare Enrollment ✓ PECOS Monthly updates
Practice Data ✓ Medicare Util. Annual (CY lag)
Industry Payments — No payments N/A
Disciplinary History — Not public N/A

This provider has data in 3 of 4 available federal datasets, with a Data Coverage level of High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Marquez De La Plata is a clinical cardiology specialist, with above-average Medicare volume (top 5% in TX), with 17 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. Marquez De La Plata experienced with neuropsychological test evaluation, first hour?
Based on Medicare claims data, Dr. Marquez De La Plata performed 700 neuropsychological test evaluation, first hour 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.
How do Dr. Marquez De La Plata's costs compare to other clinical psychologists in Dallas?
Dr. Marquez De La Plata's average Medicare payment per service is $73. 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 High for Dr. Marquez De La Plata) 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 ↗, 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.

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 →