Medicare Enrolled
Dr. L Routh, MD
Cardiovascular Disease · Garland, TX
Practice pattern: Electrophysiology & Remote— Practice combining electrophysiology and remote services
Low-engagement
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. Routh 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. Routh
Dr. L Routh is a cardiovascular disease in Garland, TX, with 19 years in practice. Based on federal Medicare data, Dr. Routh performed 4,638 Medicare services across 2,591 unique beneficiaries.
Between the years covered by Open Payments, Dr. Routh received a total of $22,908 from 40 pharmaceutical and/or device companies across 266 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Routh is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice▲ Top 19% volume in TX$ $22,908 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,638
Medicare services
Top 19% in TX for cardiovascular disease
2,591
Unique beneficiaries
$62
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~244 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 |
|---|---|---|---|
| Office visit, established patient (30-39 min) | 920 | $94 | $220 |
| Electrocardiogram (EKG), 12-lead | 690 | $11 | $47 |
| Remote pacemaker/defibrillator monitoring, 90 days | 397 | $17 | $70 |
| Ultrasound of both sides of head and neck blood flow | 312 | $140 | $510 |
| Remote pacemaker monitoring, 90 days | 309 | $22 | $135 |
| Regadenoson injection (Lexiscan) for heart stress test | 276 | $41 | $150 |
| Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec | 247 | $27 | $150 |
| Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days | 244 | $18 | $135 |
| Programming of dual lead pacemaker system | 196 | $55 | $127 |
| Echocardiogram, transthoracic | 125 | $143 | $800 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 121 | $10 | $25 |
| Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days | 90 | $27 | $150 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | 70 | $44 | $190 |
| Cardiac catheterization | 56 | $163 | $1,022 |
| Coronary stent placement | 45 | $415 | $3,000 |
| Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel | 39 | $73 | $200 |
| Ultrasound of heart blood flow, valves and chambers | 39 | $42 | $190 |
| Ultrasound of heart with color-depicted blood flow, rate and valve function | 39 | $19 | $190 |
| Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report | 39 | $178 | $800 |
| New patient office visit (45-59 min) | 35 | $122 | $335 |
| Programming of multiple lead implantable defibrillator system | 27 | $75 | $191 |
| Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts | 27 | $122 | $490 |
| Insertion of pacemaker and upper and lower heart chamber electrode | 26 | $402 | $1,400 |
| Programming of dual lead implantable defibrillator system | 26 | $81 | $180 |
| Hospital follow-up visit, high complexity | 26 | $92 | $234 |
| Heart rhythm recording of continous external ekg over 8-15 days | 25 | $9 | $40 |
| Heart rhythm review and interpretation of continous external ekg over 8-15 days | 25 | $19 | $55 |
| Programming of single lead pacemaker system | 25 | $42 | $107 |
| Office visit, established patient, complex (40-54 min) | 21 | $138 | $295 |
| Heart muscle strain imaging | 20 | $31 | $82 |
| Evaluation of implantable heart and blood vessel monitoring system | 19 | $37 | $135 |
| Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel | 16 | $37 | $200 |
| Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist | 14 | $182 | $1,098 |
| Removal and replacement of dual lead permanent pacemaker | 13 | $274 | $750 |
| Heart rhythm recording continous external ekg over more than 48 hours up to 7 days | 13 | $10 | $40 |
| Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days | 13 | $16 | $55 |
| Ultrasound study of arm or leg veins with compression and maneuvers | 13 | $138 | $520 |
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.
31.3% high complexity
16.9% medium
51.7% routine
Industry Payment Transparency
Open Payments through 2024 ↗$22,908
Total received (2018-2024)
Avg $3,273/year across 7 years
Top 17% in TX for cardiovascular disease
40
Companies
266
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
$17,783 (77.6%)
Other
Charitable contributions, space rental, and other categories
$5,125 (22.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024$7,034
2023$2,042
2022$2,351
2021$1,996
2020$1,041
2019$5,602
2018$2,842
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$7,062
AngioDynamics, Inc.
$5,125
Medtronic, Inc.
$1,437
Edwards Lifesciences Corporation
$1,375
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$1,088
Boston Scientific Corporation
$739
Impulse Dynamics (USA) Inc.
$702
Medtronic Vascular, Inc.
$608
Novartis Pharmaceuticals Corporation
$529
PFIZER INC.
$477
E.R. Squibb & Sons, L.L.C.
$451
ShockWave Medical, Inc
$417
Amarin Pharma Inc.
$368
BOSTON SCIENTIFIC CORPORATION
$301
BIOTRONIK INC.
$287
ABIOMED
$270
Janssen Pharmaceuticals, Inc
$197
Shockwave Medical, Inc
$193
AstraZeneca Pharmaceuticals LP
$165
Amgen Inc.
$162
HeartFlow, Inc.
$119
ARALEZ PHARMACEUTICALS US INC.
$112
Chiesi USA, Inc.
$110
Boehringer Ingelheim Pharmaceuticals, Inc.
$100
HEARTFLOW, INC.
$82
SANOFI-AVENTIS U.S. LLC
$61
Lexicon Pharmaceuticals, Inc.
$52
Philips Electronics North America Corporation
$37
Invuity, Inc.
$37
Gilead Sciences, Inc.
$35
Kiniksa Pharmaceuticals International, plc
$30
Aziyo Biologics, Inc.
$29
Arbor Pharmaceuticals, Inc.
$25
CARDIVA MEDICAL, INC.
$25
Astellas Pharma US Inc
$23
Novo Nordisk Inc
$19
Cook Medical LLC
$18
Regeneron Healthcare Solutions, Inc.
$14
Esperion Therapeutics, Inc.
$14
Allergan Inc.
$12
Top 3 companies account for 59.5% of total payments
Associated products mentioned in payments ›
(8333) IGT D Coronary · ASSURITY · AVEIR · AVVIGO Guidance System · Allure CRT Pacemaker · Arcalyst · Assurity Pacemaker · Auryon Laser System 100-120 Vac · BRILINTA · BYSTOLIC · CAMZYOS · CONFIRM RX · CROSSBOSS · Confirm Rx · DYNAGEN · ECM · ECM Patch · ELIQUIS · ENTRESTO · Edarbyclor · Edwards SAPIEN 3 Transcatheter Heart Valve · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · FFRct · GENERAL STENTS · General - Atherectomy · Hi-Torque Advance guide wire · Hi-Torque Pilot guide wire · Impella · Intracardiac Echocardiography (ICE) · JARDIANCE · JOT DX · KENGREAL · LEQVIO · LEXISCAN · LINQ II · LifeVest · MAMBA · MULTAQ · Merlin Connectivity and Remote · NEXLETOL · ONYX FRONTIER · OPTIMIZER · OPTOWIRE · Omnilink Elite vascular stent system · OptiCross · Optimizer · Orsiro Mission · PRADAXA · PRALUENT · Pacemakers · Passeo-18 · Photonblade · Pouch · Quadra Allure MP RF CRT Pacemkr · Quadra Assura CRT Defibrillator · RESOLUTE ONYX · ROTABLATOR · ROTAPRO · Repatha · Resolute · Rybelsus · SAPIEN 3 Ultra RESILIA · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · SYNERGY · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · Supera peripheral stent system · VYNDAQEL · Vascepa · Vascular Lithotripsy · WATCHMAN · XARELTO · XIENCE SIERRA · XIENCE SKYPOINT · Xience Alpine cornary stent system · Xience Sierra Coronary Stent System · Xience V coronary stent system · ZILVER VENA · ZONTIVITY
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 (78%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $494 per 100 Medicare services performed
Geographic Context
Cardiovascular Diseases within 10 mi
277
Per 100K population
10.6
County median income
$74,149
Nearest hospital
METHODIST RICHARDSON MEDICAL CENTER
2.3 mi
2.3 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. Routh is a electrophysiology & remote specialist, with above-average Medicare volume (top 19% in TX), and high industry engagement (low-engagement, top 17%), with 19 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. Routh experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Routh performed 920 office visit, established patient (30-39 min) 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. Routh receive payments from pharmaceutical companies?
Yes. Dr. Routh received a total of $22,908 from 40 companies across 266 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. Routh's costs compare to other cardiovascular diseases in Garland?
Dr. Routh's average Medicare payment per service is $62. 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. Routh) 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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