Medicare Enrolled
Dr. Michael Karing, M.D.
Internal Medicine · Euless, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Karing 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. Karing
Dr. Michael Karing is an internal medicine specialist in Euless, TX, with 21 years of NPI registration. Based on federal Medicare data, Dr. Karing performed 835 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Karing received a total of $11,184 from 62 pharmaceutical and/or device companies across 655 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 Dr. Karing 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.
✓ 21 years of NPI registration
▲ Top 43% volume in TX
$11,184 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗835
Medicare services
Top 43% in TX for internal medicine
Not available
Unique patients (not deduplicated)
$54
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 |
|---|---|---|---|
| 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. |
171 | $54 | $173 |
| 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. |
131 | $88 | $290 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
111 | $128 | $257 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
88 | $10 | $25 |
| Annual depression screening | 79 | $18 | $29 |
| 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. |
47 | $8 | $20 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
39 | $13 | $35 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
35 | $16 | $41 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
26 | $10 | $85 |
| Respiratory virus test for SARS-CoV-2, influenza A/B, and RSV A laboratory test that detects the presence of SARS-CoV-2 (COVID-19), influenza A, influenza B, and respiratory syncytial virus (RSV) in an upper respiratory specimen. |
24 | $140 | $344 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
23 | $9 | $34 |
| Free T3 thyroid hormone test A blood test that measures the level of free triiodothyronine (T3) hormone in your body. This helps assess how well your thyroid gland is functioning. |
22 | $17 | $100 |
| 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. |
14 | $9 | $38 |
| 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. |
14 | $32 | $89 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
11 | $163 | $173 |
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 ↗$11,184
Total received (2018-2024)
Avg $1,598/year across 7 years
Top 8% in TX for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
62
Companies
655
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
$1,978
2023
$2,012
2022
$1,916
2021
$1,767
2020
$594
2019
$1,368
2018
$1,549
Payments by company (2024)
Novo Nordisk Inc
$335
AstraZeneca Pharmaceuticals LP
$252
Lilly USA, LLC
$211
ABBVIE INC.
$195
Bayer Healthcare Pharmaceuticals Inc.
$150
Abbott Laboratories
$116
PFIZER INC.
$113
Boehringer Ingelheim Pharmaceuticals, Inc.
$91
Amgen Inc.
$81
Astellas Pharma US Inc
$73
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$69
Exact Sciences Corporation
$50
E.R. Squibb & Sons, L.L.C.
$37
IRONWOOD PHARMACEUTICALS, INC
$36
Sumitomo Pharma America, Inc.
$28
Tris Pharma Inc
$21
Takeda Pharmaceuticals U.S.A., Inc.
$21
GlaxoSmithKline, LLC.
$21
AIMMUNE THERAPEUTICS, INC.
$18
Otsuka America Pharmaceutical, Inc.
$16
Avvisto Therapeutics, LLC
$16
Antares Pharma, Inc.
$16
Merck Sharp & Dohme LLC
$14
Top 3 companies account for 40.3% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$1,172
Novo Nordisk Inc
$1,049
Boehringer Ingelheim Pharmaceuticals, Inc.
$969
Lilly USA, LLC
$797
ABBVIE INC.
$568
GlaxoSmithKline, LLC.
$536
Amarin Pharma Inc.
$518
Astellas Pharma US Inc
$471
Janssen Pharmaceuticals, Inc
$450
AbbVie Inc.
$389
PFIZER INC.
$381
Amgen Inc.
$332
Abbott Laboratories
$310
Kowa Pharmaceuticals America, Inc.
$290
Bayer Healthcare Pharmaceuticals Inc.
$230
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$208
Merck Sharp & Dohme Corporation
$184
Exact Sciences Corporation
$133
SANOFI-AVENTIS U.S. LLC
$127
Novartis Pharmaceuticals Corporation
$126
Takeda Pharmaceuticals U.S.A., Inc.
$125
TherapeuticsMD, Inc.
$120
Orexo US, Inc.
$117
E.R. Squibb & Sons, L.L.C.
$111
Biohaven Pharmaceutical Holding Company Ltd.
$96
Ironwood Pharmaceuticals, Inc
$96
Allergan Inc.
$94
Merck Sharp & Dohme LLC
$90
Genentech USA, Inc.
$87
Eisai Inc.
$76
Tris Pharma Inc
$75
ARBOR PHARMACEUTICALS, INC.
$73
Indivior Inc.
$66
Bayer HealthCare Pharmaceuticals Inc.
$57
Biogen, Inc.
$47
Alnylam Pharmaceuticals Inc.
$40
Teva Pharmaceuticals USA, Inc.
$39
IDORSIA PHARMACEUTICALS US INC
$39
IRONWOOD PHARMACEUTICALS, INC
$36
Azurity Pharmaceuticals, Inc.
$33
Allergan, Inc.
$33
Antares Pharma, Inc.
$30
NESTLE HEALTHCARE NUTRITION INC.
$29
Nestle HealthCare Nutrition Inc.
$28
Sumitomo Pharma America, Inc.
$28
Pharming Healthcare, Inc.
$24
VBI Vaccines (Delaware) Inc.
$21
Corcept Therapeutics
$20
Biohaven Pharmaceuticals, Inc.
$19
AIMMUNE THERAPEUTICS, INC.
$18
IBSA Pharma Inc.
$17
Otsuka America Pharmaceutical, Inc.
$16
NOVARTIS PHARMACEUTICALS CORPORATION
$16
Avvisto Therapeutics, LLC
$16
Hikma Pharmaceuticals USA
$15
Boston Scientific Corporation
$14
Neuronetics, Inc.
$14
AbbVie, Inc.
$14
Arbor Pharmaceuticals, Inc.
$14
Supernus Pharmaceuticals, Inc.
$14
Tolmar, Inc.
$13
Dexcom, Inc.
$13
Top 3 companies account for 28.5% of all-time payments
Associated products mentioned in payments ›
ADUHELM · AIRSUPRA · ANORO · ANORO ELLIPTA · AREXVY · Aimovig · BELSOMRA · BEVESPI AEROSPHERE · BIJUVA · BREO · BREZTRI · BYSTOLIC · Belviq · CHANTIX · CREON · CYCLOSET · Cologuard Collection Kit · DIFICID · Dayvigo · Dexcom G6 Transmitter · Dyanavel XR · ELIQUIS · EMGALITY · ENTRESTO · Edarbi · Edarbyclor · FARXIGA · FASENRA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre · FreeStyle Libre 2 · FreeStyle Libre blood glucose Flash Monitoring System · GARDASIL 9 · GEMTESA · GIVLAARI · Horizant · INVOKANA · JANUVIA · JARDIANCE · JATENZO · Kerendia · Korlym · LEQVIO · LINZESS · LOKELMA · Linzess · Livalo · MOUNJARO · MYRBETRIQ · Myrbetriq · NEUROSTAR TMS THERAPY · NURTEC ODT · OFEV · OXLUMO · Otezla · Otrexup · Ozempic · PAXLOVID · PREMARIN · PreHevbrio · ProAir Digihaler · Prolia · QULIPTA · QUVIVIQ · REXULTI · RUCONEST · RYBELSUS · Repatha · Ryaltris · Rybelsus · SEGLENTIS · SHINGRIX · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STEGLATRO · STIOLTO RESPIMAT · SUBLOCADE · SUBOXONE SUBLINGUAL FILM · SUPERION · SYMBICORT · SYNTHROID · Saxenda · Synthroid · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TROKENDI XR · TRULICITY · Tirosint · Tresiba · UBRELVY · VESICARE · VRAYLAR · VYVANSE · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · XYOSTED · Xofluza · ZENPEP · ZEPBOUND · Zubsolv
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
Internal medicine physicians in nearby ZIP areas
2,356
County median income
$81,905
Nearest hospital to ZIP centroid (approximate)
TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD
2.6 mi
2.6 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
Dr. Karing is a clinical cardiology specialist, with moderate Medicare volume, with 21 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Karing experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Karing performed 171 office visit, established patient (20-29 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Karing receive payments from pharmaceutical companies?
Yes. Dr. Karing received a total of $11,184 from 62 companies across 655 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 Dr. Karing's costs compare to other internal medicine physicians in Euless?
Dr. Karing's average Medicare payment per service is $54. 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. Karing) 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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