Medicare Enrolled

Dr. Carol Abalihi, M.D.

Internal Medicine · El Paso, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
12350 PASEO NUEVO DR, El Paso, TX 79928
9152254470
In practice since 2006 (19 years)
NPI: 1326136243 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. Abalihi 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. Abalihi

Dr. Carol Abalihi is an internal medicine specialist in El Paso, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Abalihi performed 2,643 Medicare services across 705 unique beneficiaries.

Between the years covered by Open Payments, Dr. Abalihi received a total of $1,894 from 23 pharmaceutical and/or device companies across 56 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. Abalihi 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 13% volume in TX $1,894 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,643
Medicare services
Top 13% in TX for internal medicine
705
Unique beneficiaries
$82
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~139 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
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 1,079 $116 $186
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 218 $29 $65
Chronic care management, first 20 min/month 210 $44 $100
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 186 $131 $250
Office visit, established patient (30-39 min) 139 $75 $150
Remote patient monitoring management, 20 min/month 99 $35 $80
Remote patient monitoring device, 30 days 95 $35 $98
Office visit, established patient (20-29 min) 63 $56 $138
Initial hospital admission, high complexity 58 $133 $675
Urinalysis, manual 42 $3 $10
Blood draw (venipuncture) 39 $8 $8
Annual wellness visit, follow-up 36 $121 $200
Complete blood count (CBC) with differential 31 $8 $15
Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 29 $133 $232
Complete ultrasound study of arm and leg arteries 28 $92 $244
Comprehensive metabolic blood panel 26 $10 $27
Blood glucose (sugar) test performed by hand-held instrument 25 $3 $25
Magnesium level test 23 $7 $50
Advance care planning consultation, first 30 min 23 $63 $120
Hemoglobin A1c test (diabetes monitoring) 22 $10 $25
Phosphate level test 22 $5 $15
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 22 $155 $308
Drug screening test 20 $61 $117
Electrocardiogram (EKG), 12-lead 19 $10 $35
Thyroid stimulating hormone (TSH) test 18 $16 $31
Test for hearing various pitches using earphone 17 $27 $45
Lipid panel (cholesterol and triglycerides) 16 $13 $22
Nursing facility discharge management, more than 30 minutes 15 $93 $118
Annual depression screening 12 $18 $35
Exam of neurobehavioral status, first hour 11 $67 $135
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 ↗
$1,894
Total received (2018-2024)
Avg $271/year across 7 years
Top 30% in TX for internal medicine
23
Companies
56
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
$1,854 (97.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$40 (2.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$299
2023
$40
2022
$329
2021
$392
2020
$283
2019
$425
2018
$127

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
BioFire Diagnostics, LLC
$382
Novo Nordisk Inc
$292
Medtronic, Inc.
$249
Lilly USA, LLC
$216
Janssen Pharmaceuticals, Inc
$169
Inari Medical, Inc.
$84
PFIZER INC.
$75
DePuy Synthes Sales Inc.
$60
Boehringer Ingelheim Pharmaceuticals, Inc.
$47
AstraZeneca Pharmaceuticals LP
$46
Abbott Laboratories
$45
Novartis Pharmaceuticals Corporation
$44
UCB, Inc.
$23
Kerecis Limited
$21
SANOFI-AVENTIS U.S. LLC
$20
Roche Diagnostics Corporation
$18
Amarin Pharma Inc.
$17
Sunovion Pharmaceuticals Inc.
$17
Genentech USA, Inc.
$16
Smith+Nephew, Inc.
$16
Organogenesis Inc.
$14
GlaxoSmithKline, LLC.
$13
AbbVie Inc.
$11
Top 3 companies account for 48.7% of total payments
Associated products mentioned in payments ›
ADVAIR · AIRSUPRA · Apligraf · Assays · Briviact · COLOGUARD DNA CAPTURE REAGENTS · Controls and Accessories · ELIQUIS · EMGALITY · ENTRESTO · FLOWTRIEVER CATHETER · FREESTYLE LIBRE 2 · Film Array · FreeStyle Libre 2 · INTERSTIM · INVOKANA · JARDIANCE · Kerecis Omega3 SurgiClose · LONHALA MAGNAIR · MONOVISC · MOUNJARO · ORTHOVISC · Ozempic · POC cobas Liat Analyzer · QC Material (CHEM-CTL-0001) · QULIPTA · RYBELSUS · S · SOLIQUA 100/33 · Santyl · TRULICITY · Vascepa · XARELTO · Xofluza
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 (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $72 per 100 Medicare services performed
Looking for an internal medicine specialist in El Paso?
Compare internal medicine physicians in the El Paso area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal medicine physicians within 10 mi
250
Per 100K population
28.9
County median income
$58,859
Nearest hospital
THE HOSPITALS OF PROVIDENCE HORIZON CITY CAMPUS
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. Abalihi is a clinical cardiology specialist, with above-average Medicare volume (top 13% 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. Abalihi experienced with subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes?
Based on Medicare claims data, Dr. Abalihi performed 1,079 subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 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. Abalihi receive payments from pharmaceutical companies?
Yes. Dr. Abalihi received a total of $1,894 from 23 companies across 56 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. Abalihi's costs compare to other internal medicine physicians in El Paso?
Dr. Abalihi's average Medicare payment per service is $82. 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. Abalihi) 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 →