Not Medicare Enrolled
OIG Exclusion: cannot bill Medicare or Medicaid
This provider was excluded by the U.S. Office of Inspector General on
March 20, 2025
under section 1128b4
.
Currently active.
Verify on OIG.hhs.gov →
Dr. Brian Rich, MD
Emergency Medicine · Decatur, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Consulting-driven
Very 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. Rich 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 Dr. Rich?
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What this data tells you about Dr. Rich
Dr. Brian Rich is an emergency medicine specialist in Decatur, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Rich performed 8,012 Medicare services across 1,616 unique beneficiaries.
Between the years covered by Open Payments, Dr. Rich received a total of $247,000 from 27 pharmaceutical and/or device companies across 232 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in emergency medicine. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Rich 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 0% volume in TX
$247,000 industry payments
Medicare Practice Summary
Medicare Utilization ↗8,012
Medicare services
Top 0% in TX for emergency medicine
1,616
Unique beneficiaries
$87
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~422 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 |
|---|---|---|---|
| Contrast dye for imaging, lower concentration | 2,409 | $0 | $1 |
| Injection, propofol, 10 mg | 2,309 | $0 | $1 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
1,146 | $1 | $4 |
| 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. |
207 | $63 | $122 |
| Betamethasone steroid injection An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate. |
184 | $5 | $10 |
| 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. |
178 | $113 | $238 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
133 | $139 | $233 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
122 | $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. |
117 | $97 | $201 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
99 | $183 | $250 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
92 | $99 | $128 |
| Injection of anesthetic agent and/or steroid into other nerve or branch | 89 | $47 | $122 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
81 | $180 | $247 |
| Injection, fentanyl citrate, 0.1 mg | 74 | $1 | $2 |
| Peripheral nerve neurostimulator electrode insertion A procedure to place an electrode through the skin into a peripheral nerve. This electrode is part of a neurostimulator system used to deliver electrical impulses. |
67 | $1,301 | $2,840 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
64 | $330 | $597 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
63 | $37 | $139 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional upper or middle spinal facet joint. |
51 | $191 | $270 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
47 | $191 | $274 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
47 | $103 | $138 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
45 | $87 | $142 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
43 | $39 | $66 |
| External radiofrequency transmitter for implantable neurostimulator An external device that transmits radiofrequency signals to power or control an implanted neurostimulator. |
43 | $4,715 | $6,209 |
| Facet joint nerve destruction, single joint This procedure uses imaging guidance to destroy the nerves supplying a single upper or middle spinal facet joint. It is performed to interrupt pain signals from that specific joint. |
39 | $312 | $602 |
| Spinal neurostimulator electrode insertion A procedure to place an electrode array into the spine through the skin. The electrode is used to deliver electrical stimulation to the nervous system. |
35 | $1,356 | $3,276 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
31 | $189 | $342 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
27 | $43 | $91 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
24 | $181 | $358 |
| Electronic analysis of implanted neurostimulator with complex programming This procedure involves the electronic evaluation of an implanted neurostimulator generator. It includes complex programming of spinal cord or peripheral nerve stimulators. |
24 | $42 | $81 |
| Spinal stabilization device, each additional segment Placement of a stabilizing device on an additional segment of a broken spine bone. This code is used for each extra segment treated beyond the initial one. |
23 | $2,145 | $5,307 |
| Femoral nerve injection with anesthetic and/or steroid An injection of an anesthetic agent and/or steroid into the femoral nerve in the thigh. This procedure delivers medication directly to the nerve. |
21 | $88 | $163 |
| Insertion of peripheral or gastric neurostimulator generator A surgical procedure to implant the pulse generator device for a neurostimulator system. The generator is placed under the skin to deliver electrical impulses to nerves or the stomach. |
19 | $59 | $384 |
| Midazolam injection, per 1 mg Administration of midazolam hydrochloride, a sedative medication, measured in 1 mg increments. |
19 | $0 | $1 |
| Spinal stabilization device placement Surgical procedure to stabilize a fractured vertebra in the lower spine by inserting a supportive device. |
15 | $4,357 | $9,553 |
| Spinal neurostimulator generator insertion Surgical placement of a spinal neurostimulator generator or receiver device. |
13 | $155 | $528 |
| Spinal fracture stabilization with imaging guidance A procedure to stabilize a broken bone in the middle spine by placing a device, using imaging guidance during the treatment. |
12 | $4,167 | $9,636 |
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 ↗$247,000
Total received (2018-2024)
Avg $35,286/year across 7 years
Top 0% in TX for emergency medicine
27
Companies
232
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.
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$234,393 (94.9%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$8,414 (3.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$4,193 (1.7%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$547
2023
$13,519
2022
$118,589
2021
$77,837
2020
$18,102
2019
$16,514
2018
$1,893
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Southern Spine, LLC
$160,773
Stimwave Technologies Incorporated
$45,276
Curonix LLC
$12,908
Medtronic, Inc.
$9,011
Genesys Orthopedics Systems, L.L.C.
$6,681
Interventional Pain Technologies Inc.
$4,661
Medtronic USA, Inc.
$2,606
Omnia Medical, LLC
$1,200
SPINEFRONTIER, INC.
$954
Camber Spine Technologies LLC
$796
Nuvectra Corporation
$421
Abbott Laboratories
$392
Stratus Medical, LLC
$324
Vertiflex, Inc.
$241
Life Spine, Inc.
$200
Nevro Corp.
$130
SI-BONE, Inc.
$119
Stryker Corporation
$101
Vertos Medical, Inc.
$55
Spinal Simplicity, LLC
$37
Tandem Diabetes Care, Inc.
$20
SANOFI PASTEUR INC.
$19
Forte Bio-Pharma LLC
$18
Medtronic Vascular, Inc.
$17
SI-BONE, INC.
$15
Scilex Pharmaceuticals Inc.
$13
Novo Nordisk Inc
$13
Top 3 companies account for 88.6% of total payments
Associated products mentioned in payments ›
ADAPTIVESTIM · AILERON EXPANDABLE POSTERIOR FUSION SYSTEM · Algovita · BEYFORTUS · CFNS StimQ Peripheral Nerve StimulatorSystem · ClosureFast · ETERNA · INTELLIS · INTELLIS ADAPTIVESTIM · IVS - RF CANNULAENEEDLES · IVS - VERTEBRAL AUGMENTATION PRODUCTS · InSpan · KYPHON Balloon Kyphoplasty · KYPHON EXPRESS II KYPHOPAK TRAY · MYSTIM · Minuteman · Nimbus · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PROCLAIM · PROLATE · Proclaim Family of SCS IPGs · Rybelsus · SACROILIAC JOINT FUSION SYSTEM · SI Joint · SPECIFY · SYNCHROMED · SYNCHROMEDII · Senza · Senza Spinal Cord Stimulation System · StimQ Peripheral Nerve StimulatorSystem · StimQ Receiver Stimulator Kit Channel A US w Receiver · StimQ Receiver Stimulator Kit Channel A US w/Receiver · Superion ISS · VANTA ADAPTIVESTIM · Vanta · Vyrsa Fix · ZTLido · iFuse Implant · mild Device Kit · t:slim X2 Insulin Pump with Control-IQ
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 (95%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 0% for emergency medicine in TX.
Equivalent to $3,083 per 100 Medicare services performed
Geographic Context
Emergency medicines within 10 mi
17
Per 100K population
23.5
County median income
$89,897
Nearest hospital
MEDICAL CITY DECATUR
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | — Not enrolled | N/A |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 3 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. Rich is a mixed practice specialist, with above-average Medicare volume (top 0% in TX), with consulting-driven industry engagement in the top 0% of TX peers, 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. Rich experienced with contrast dye for imaging, lower concentration?
Based on Medicare claims data, Dr. Rich performed 2,409 contrast dye for imaging, lower concentration 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. Rich receive payments from pharmaceutical companies?
Yes. Dr. Rich received a total of $247,000 from 27 companies across 232 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. Rich's costs compare to other emergency medicines in Decatur?
Dr. Rich's average Medicare payment per service is $87. 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. Rich) 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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