Medicare Enrolled
Dr. Monica Madray, MD
MOHS-Micrographic Surgery Physician · Georgetown, 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. Madray 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. Madray
Dr. Monica Madray is a mohs-micrographic surgery physician in Georgetown, TX, with 18 years of NPI registration. Based on federal Medicare data, Dr. Madray performed 6,144 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Madray received a total of $2,995 from 25 pharmaceutical and/or device companies across 140 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. Madray 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.
✓ 18 years of NPI registration
▲ Top 14% volume in TX
$2,995 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗6,144
Medicare services
Top 14% in TX for mohs-micrographic surgery physician
Not available
Unique patients (not deduplicated)
$61
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 |
|---|---|---|---|
| Destruction of precancerous skin growths, 2-14 This procedure involves the removal or destruction of two to fourteen precancerous skin lesions. It is performed to eliminate abnormal skin cells that have the potential to develop into cancer. |
2,141 | $5 | $23 |
| 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. |
1,175 | $59 | $297 |
| Destruction of precancerous skin growth, 1 Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer. |
675 | $32 | $223 |
| Destruction of skin growths (warts/lesions), 1-14 This procedure involves the removal or destruction of one to fourteen skin growths. It is a minor surgical intervention performed on the skin surface. |
635 | $73 | $378 |
| Skin biopsy, tangential A procedure to remove a sample of the first identified skin growth for laboratory examination. |
259 | $57 | $338 |
| 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. |
258 | $85 | $420 |
| Skin growth removal and lab exam, 1-5 blocks This procedure involves the removal of a growth from the head, neck, hands, feet, or genitals. The removed tissue is then examined under a microscope in the laboratory. |
157 | $433 | $2,249 |
| Acne surgery A surgical procedure to treat acne. The specific techniques and extent of the surgery are not defined in this general code description. |
93 | $75 | $387 |
| Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 74 | $321 | $1,366 |
| Complicated wound repair, 2.6-7.5 cm A complex surgical procedure to close a wound measuring between 2.6 and 7.5 centimeters on areas such as the face, neck, hands, or feet. |
63 | $187 | $1,568 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
62 | $1 | $24 |
| Additional skin growth biopsy Removal of a sample of an additional skin growth for laboratory examination. This code is used for each extra lesion biopsied during the same session. |
59 | $39 | $168 |
| 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. |
52 | $39 | $186 |
| Intermediate wound repair, 2.6-7.5 cm A medical procedure to close a wound on the scalp, underarms, trunk, arms, or legs that measures between 2.6 and 7.5 centimeters. This type of repair involves cleaning the wound and stitching it closed to promote healing. |
51 | $226 | $1,011 |
| Destruction of 15 or more precancerous skin growths This procedure involves the removal or destruction of fifteen or more precancerous skin lesions. It is performed to treat abnormal skin cells that have the potential to develop into cancer. |
46 | $128 | $562 |
| Destruction of skin growth, 15 or more growths | 46 | $91 | $441 |
| Surgical removal of skin cancer, 1.1-2.0 cm Surgical excision of a cancerous skin growth measuring between 1.1 and 2.0 centimeters on the body, arms, or legs. |
40 | $96 | $813 |
| Complicated wound repair, scalp/arms/legs, 2.6-7.5 cm A complex surgical procedure to close a wound on the scalp, arms, or legs that measures between 2.6 and 7.5 centimeters in length. |
37 | $185 | $1,415 |
| Ear tissue biopsy A procedure to remove a small sample of tissue from the ear for laboratory examination. |
36 | $55 | $321 |
| Injection into skin growths, 1-7 A procedure involving the injection of medication into one to seven skin growths. |
35 | $34 | $190 |
| Skin growth removal and lab exam, 1-5 blocks A procedure to remove a growth from the trunk, arms, or legs and send 1 to 5 tissue samples to a laboratory for microscopic examination. |
27 | $481 | $2,112 |
| Destruction of cancer skin growth, 1.1-2.0 cm Removal of a cancerous skin growth on the trunk, arms, or legs that measures between 1.1 and 2.0 centimeters. |
25 | $120 | $594 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
21 | $74 | $369 |
| Full thickness skin graft to nose, ears, eyelids, or lips, 20 sq cm or less A surgical procedure where a full layer of skin is taken from a donor site and transplanted to the nose, ears, eyelids, or lips. The graft covers an area of 20 square centimeters or less. |
19 | $777 | $3,303 |
| Punch biopsy of first skin growth A small, circular piece of skin is removed from a skin growth using a circular blade. The sample is then sent to a laboratory for examination. |
17 | $90 | $419 |
| Complex wound repair, 1.1-2.5 cm A surgical procedure to close a complex wound measuring between 1.1 and 2.5 centimeters on areas such as the face, neck, hands, or feet. |
16 | $160 | $1,292 |
| Surgical removal of skin cancer, 2.1-3.0 cm This procedure involves the surgical excision of a cancerous skin growth located on the body, arms, or legs. The size of the removed tissue measures between 2.1 and 3.0 centimeters. |
14 | $101 | $927 |
| Complex repair of eyelid, nose, ear, or lip wound, 2.6-7.5 cm A surgical procedure to repair a complex wound on the eyelid, nose, ear, or lip that measures between 2.6 and 7.5 centimeters. |
11 | $195 | $1,653 |
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.
1.5% high complexity
7.6% medium
90.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$2,995
Total received (2018-2024)
Avg $428/year across 7 years
Top 42% in TX for mohs-micrographic surgery physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
25
Companies
140
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
$520
2023
$1,004
2022
$471
2021
$260
2020
$104
2019
$380
2018
$256
Payments by company (2024)
ABBVIE INC.
$255
PFIZER INC.
$70
Regeneron Healthcare Solutions, Inc.
$56
SUN PHARMACEUTICAL INDUSTRIES INC.
$34
Lilly USA, LLC
$25
E.R. Squibb & Sons, L.L.C.
$22
Novartis Pharmaceuticals Corporation
$22
Kyowa Kirin, Inc.
$19
Incyte Corporation
$18
Top 3 companies account for 73.3% of 2024 payments
All-time payments by company (2018-2024) ›
ABBVIE INC.
$632
Janssen Biotech, Inc.
$331
LEO Pharma Inc.
$240
Novartis Pharmaceuticals Corporation
$214
GENZYME CORPORATION
$211
Sun Pharmaceutical Industries Inc.
$185
Regeneron Healthcare Solutions, Inc.
$178
PFIZER INC.
$134
AbbVie, Inc.
$119
AbbVie Inc.
$91
Galderma Laboratories, L.P.
$91
Lilly USA, LLC
$88
Mayne Pharma Inc.
$67
E.R. Squibb & Sons, L.L.C.
$65
UCB, Inc.
$63
Incyte Corporation
$58
NOVARTIS PHARMACEUTICALS CORPORATION
$36
Ortho Dermatologics, a division of Bausch Health US, LLC
$34
SUN PHARMACEUTICAL INDUSTRIES INC.
$34
Amgen Inc.
$28
Boehringer Ingelheim Pharmaceuticals, Inc.
$23
Celgene Corporation
$20
Kyowa Kirin, Inc.
$19
SANOFI-AVENTIS U.S. LLC
$17
DERMIRA, INC.
$17
Top 3 companies account for 40.2% of all-time payments
Associated products mentioned in payments ›
ABSORICA LD · ADBRY · Androgel · CIBINQO · COSENTYX · Cimzia · DERMATITIS - DISEASE · DORYX · DUOBRII · DUPIXENT · ELIDEL · EPIDUO FORTE · EUCRISA · Humira · ILUMYA · LIBTAYO · OLUMIANT · OPZELURA · Otezla · Poteligeo · REMICADE · RINVOQ · SKYRIZI · SOOLANTRA · SPEVIGO · Skyrizi · Sotyktu · TALTZ · TREMFYA · Tremfya · Winlevi
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
Mohs-micrographic surgery physicians in nearby ZIP areas
8
County median income
$108,309
Nearest hospital to ZIP centroid (approximate)
ROCK SPRINGS
0.0 mi
0.0 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. Madray is a clinical cardiology specialist, with above-average Medicare volume (top 14% in TX), with 18 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. Madray experienced with destruction of precancerous skin growths, 2-14?
Based on Medicare claims data, Dr. Madray performed 2,141 destruction of precancerous skin growths, 2-14 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. Madray receive payments from pharmaceutical companies?
Yes. Dr. Madray received a total of $2,995 from 25 companies across 140 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. Madray's costs compare to other mohs-micrographic surgery physicians in Georgetown?
Dr. Madray's average Medicare payment per service is $61. 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. Madray) 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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