Medicare Enrolled

Dr. Nehme Alkarra, MD

Internal Medicine · Dickinson, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
1455 FM 646 RD W, Dickinson, TX 77539
8327381710
In practice since 2005 (20 years)
NPI: 1386636025 verify on NPPES ↗
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. Alkarra 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. Alkarra

Dr. Nehme Alkarra is an internal medicine in Dickinson, TX, with 20 years in practice. Based on federal Medicare data, Dr. Alkarra performed 1,795 Medicare services across 1,070 unique beneficiaries.

Between the years covered by Open Payments, Dr. Alkarra received a total of $17,502 from 61 pharmaceutical and/or device companies across 916 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. 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. Alkarra 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.

✓ 20 years in practice▲ Top 20% volume in TX$ $17,502 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,795
Medicare services
Top 20% in TX for internal medicine
1,070
Unique beneficiaries
$81
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~90 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.

ProcedureVolumeAvg. paidAvg. submitted
Nursing facility visit, moderate complexity632$83$123
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes254$61$94
Home visit, established patient, moderate complexity193$90$147
Office visit, established patient (30-39 min)156$82$149
Hospital follow-up visit, moderate complexity101$64$91
Annual wellness visit, follow-up74$129$150
Hospital follow-up visit, high complexity62$96$137
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and52$40$65
Office visit, established patient (20-29 min)48$61$106
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a39$31$50
Initial hospital admission, high complexity36$139$200
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes24$103$155
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes24$92$166
Nursing facility visit, low complexity23$59$86
Transitional care management services for problem of high complexity21$211$313
Hospital discharge management, 30+ min20$92$132
New patient office visit (30-44 min)13$75$130
Initial hospital admission, moderate complexity12$104$150
Advance care planning consultation, first 30 min11$54$105
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 ↗
$17,502
Total received (2018-2024)
Avg $2,500/year across 7 years
Top 5% in TX for internal medicine
61
Companies
916
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
$17,502 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,374
2023
$2,520
2022
$2,888
2021
$2,698
2020
$2,066
2019
$2,385
2018
$2,571

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$3,422
Sunovion Pharmaceuticals Inc.
$1,132
Novo Nordisk Inc
$1,040
Lilly USA, LLC
$994
Janssen Pharmaceuticals, Inc
$936
GlaxoSmithKline, LLC.
$926
Boehringer Ingelheim Pharmaceuticals, Inc.
$613
AbbVie Inc.
$610
SANOFI-AVENTIS U.S. LLC
$601
Astellas Pharma US Inc
$574
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$530
ABBVIE INC.
$434
ITI, Inc.
$430
Nestle HealthCare Nutrition Inc.
$391
PFIZER INC.
$376
Teva Pharmaceuticals USA, Inc.
$349
Amgen Inc.
$327
Lundbeck LLC
$288
Avanir Pharmaceuticals, Inc.
$263
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$254
Novartis Pharmaceuticals Corporation
$204
Sumitomo Pharma America, Inc.
$202
ACADIA Pharmaceuticals Inc
$200
NESTLE HEALTHCARE NUTRITION INC.
$172
Allergan, Inc.
$164
AIMMUNE THERAPEUTICS, INC.
$161
Abbott Laboratories
$155
Bayer HealthCare Pharmaceuticals Inc.
$149
Otsuka America Pharmaceutical, Inc.
$141
Eisai Inc.
$123
Bayer Healthcare Pharmaceuticals Inc.
$102
BOSTON SCIENTIFIC CORPORATION
$87
Xeris Pharmaceuticals, Inc.
$82
Merck Sharp & Dohme LLC
$81
SUN PHARMACEUTICAL INDUSTRIES INC.
$76
Allergan Inc.
$75
Boston Scientific Corporation
$66
IDORSIA PHARMACEUTICALS US INC
$64
Takeda Pharmaceuticals U.S.A., Inc.
$63
Scilex Pharmaceuticals Inc.
$59
Corium, LLC
$53
Horizon Therapeutics plc
$52
Amarin Pharma Inc.
$47
Exact Sciences Corporation
$42
Melinta Therapeutics, Inc.
$40
Sun Pharmaceutical Industries Inc.
$35
Corcept Therapeutics
$32
Nevro Corp.
$31
SK Life Science, Inc.
$28
Philips Electronics North America Corporation
$28
Mylan Specialty L.P.
$24
VIVUS LLC
$24
Merck Sharp & Dohme Corporation
$22
E.R. Squibb & Sons, L.L.C.
$20
SCILEX PHARMACEUTICALS INC.
$20
Biogen, Inc.
$18
Smith+Nephew, Inc.
$18
CMP Pharma, Inc.
$17
Horizon Pharma plc
$16
IBSA Pharma Inc.
$12
Ironwood Pharmaceuticals, Inc
$11
Top 3 companies account for 32.0% of total payments
Associated products mentioned in payments ›
(8874) inCourage · AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · APTIOM · AREXVY · AUSTEDO · AVVIGO Guidance System · AVYCAZ · Adlarity · Aimovig · Austedo XR · BASAGLAR · BELSOMRA · BREZTRI · Baxdela · CAPLYTA · CHANTIX · COLOGUARD DNA CAPTURE REAGENTS · Carospir · Cologuard Collection Kit · DALVANCE · DISEASE STATE · Dayvigo · Dexilant · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · EZALLOR SPRINKLE · FARXIGA · FASENRA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · GATTEX · GEMTESA · GVOKE PFS · INFINITY · INVOKANA · JANUVIA · JARDIANCE · KAPSPARGO · KRYSTEXXA · Kerendia · Korlym · LEQVIO · LINZESS · LOKELMA · LONHALA MAGNAIR · LYRICA · MOUNJARO · MYRBETRIQ · Myrbetriq · NUEDEXTA · NUPLAZID · Otezla · Ozempic · PANCREAZE · PENNSAID · PRADAXA · PREVNAR - 13 · PROCLAIM · Prolia · QULIPTA · QUVIVIQ · RELISTOR · REXULTI · RIOMET ER · RYBELSUS · Repatha · Rybelsus · SOLIQUA · SOLIQUA 100/33 · SPINRAZA · SPIRIVA RESPIMAT · STEGLATRO · STIOLTO RESPIMAT · SYMBICORT · Santyl · Saxenda · Senza Spinal Cord Stimulation System · TEFLARO · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULANCE · TRULICITY · Tirosint · Tresiba · UBRELVY · Utibron · VIAGRA · VOWST · VRAYLAR · Vascepa · Veozah · Victoza · WATCHMAN · WATCHMAN Access System · Wegovy · XARELTO · XIFAXAN · Yupelri · ZENPEP · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 5% for internal medicine in TX.

Equivalent to $975 per 100 Medicare services performed
Looking for a internal medicine in Dickinson?
Compare internal medicines in the Dickinson area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal Medicines within 10 mi
590
Per 100K population
166.3
County median income
$85,348
Nearest hospital
HOUSTON METHODIST CLEAR LAKE HOSPITAL
8.6 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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. Alkarra is a clinical cardiology specialist, with above-average Medicare volume (top 20% in TX), and high industry engagement (low-engagement, top 5%), with 20 years of practice experience.

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. Alkarra experienced with nursing facility visit, moderate complexity?
Based on Medicare claims data, Dr. Alkarra performed 632 nursing facility visit, moderate complexity 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. Alkarra receive payments from pharmaceutical companies?
Yes. Dr. Alkarra received a total of $17,502 from 61 companies across 916 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. Alkarra's costs compare to other internal medicines in Dickinson?
Dr. Alkarra's average Medicare payment per service is $81. 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. Alkarra) 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 →
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.

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 →