Medicare Enrolled
Dr. Monica Madray, MD
MOHS-Micrographic Surgery Physician · Georgetown, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. 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 →
Are you Dr. Madray?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Madray
Dr. Monica Madray is a mohs-micrographic surgery physician in Georgetown, TX, with 17 years of NPI registration. Based on federal Medicare data, Dr. Madray performed 6,144 Medicare services across 3,303 unique beneficiaries.
Between the years covered by Open Payments, Dr. Madray received a total of $2,995 from 25 pharmaceutical and/or device companies across 140 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in mohs-micrographic surgery physician. 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. Madray 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.
✓ 17 years in practice
▲ Top 14% volume in TX
$2,995 industry payments
Medicare Practice Summary
Medicare Utilization ↗6,144
Medicare services
Top 14% in TX for mohs-micrographic surgery physician
3,303
Unique beneficiaries
$61
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~361 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 |
|---|---|---|---|
| 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. A higher procedure volume generally indicates more experience with that procedure.
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
25
Companies
140
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
$2,895 (96.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$100 (3.3%)
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)
Consulting
Speaking
Meals & Travel
Research
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 total 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? 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 (97%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $49 per 100 Medicare services performed
Geographic Context
Mohs-micrographic surgery physicians within 10 mi
8
Per 100K population
1.2
County median income
$108,309
Nearest hospital
ROCK SPRINGS
0.0 mi
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. Madray is a clinical cardiology specialist, with above-average Medicare volume (top 14% in TX), with low-engagement industry engagement, with 17 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. 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. 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. Madray receive payments from pharmaceutical companies?
Yes. Dr. Madray received a total of $2,995 from 25 companies across 140 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. 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 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 →
Explore related providers
Same specialty & city
Mohs-Micrographic Surgery Physicians in Georgetown
Browse mohs-micrographic surgery physicians in Georgetown ranked by procedure volume and transparency data.
Highest volume
Top Mohs-Micrographic Surgery Physicians in TX
Mohs-micrographic surgery physicians ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Mohs-Micrographic Surgery Physicians in TX
Which TX mohs-micrographic surgery physicians receive the most from drug and device companies.
By company
ABBVIE INC. Payments to Doctors
See all physicians who received payments from ABBVIE INC.
By company
Janssen Biotech, Inc. Payments to Doctors
See all physicians who received payments from Janssen Biotech, Inc.
By company
LEO Pharma Inc. Payments to Doctors
See all physicians who received payments from LEO Pharma Inc.
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