Medicare Enrolled

Dr. Randall Barnes, D.O.

Internal Medicine · Granbury, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
1318 PALUXY RD, Granbury, TX 76048
8175738805
In practice since 2006 (19 years)
NPI: 1265461792 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. Barnes 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. Barnes

Dr. Randall Barnes is an internal medicine in Granbury, TX, with 19 years in practice. Based on federal Medicare data, Dr. Barnes performed 4,034 Medicare services across 2,645 unique beneficiaries.

Between the years covered by Open Payments, Dr. Barnes received a total of $6,701 from 49 pharmaceutical and/or device companies across 409 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. Barnes 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 8% volume in TX$ $6,701 industry payments

Medicare Practice Summary

Medicare Utilization ↗
4,034
Medicare services
Top 8% in TX for internal medicine
2,645
Unique beneficiaries
$32
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~212 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.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (30-39 min)511$83$283
Blood draw (venipuncture)452$8$21
Complete blood count (CBC) with differential305$8$34
Comprehensive metabolic blood panel298$10$40
Lipid panel (cholesterol and triglycerides)230$13$102
Thyroid stimulating hormone (TSH) test217$16$68
Office visit, established patient (20-29 min)207$59$192
Magnesium level test192$7$30
Hemoglobin A1c test (diabetes monitoring)150$10$62
Vitamin D level test120$29$110
Natriuretic peptide (heart and blood vessel protein) level116$38$136
Free thyroxine (T4) test116$9$38
Thyroid hormone, t3 measurement, free110$17$68
Injection, methylprednisolone acetate, 80 mg103$8$48
Annual wellness visit, follow-up89$126$299
Vitamin B-12 level test79$15$62
Ferritin level test (iron stores)68$13$56
Automated urinalysis59$2$36
Annual depression screening54$18$47
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes47$103$437
Basic metabolic blood panel46$8$34
Drug injection, under skin or into muscle44$10$36
Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes42$140$504
Injection of trigger points, 1-2 muscles41$33$146
Prostate cancer screening; prostate specific antigen test (psa)39$19$70
Office visit, established patient, complex (40-54 min)37$112$381
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a34$25$203
Urinalysis with microscopic exam29$3$13
Folic acid level test29$14$60
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and26$34$203
Joint injection, major joint19$38$364
Glutamyltransferase (liver enzyme) level17$7$32
New patient office visit (45-59 min)16$93$438
Home visit, established patient, moderate complexity15$91$342
Uric acid level test14$4$20
PSA test (prostate cancer screening)13$18$73
Nursing facility visit, moderate complexity13$83$271
Advance care planning consultation, first 30 min13$59$229
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes12$63$403
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit12$162$449
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 ↗
$6,701
Total received (2018-2024)
Avg $957/year across 7 years
Top 13% in TX for internal medicine
49
Companies
409
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
$6,484 (96.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$217 (3.2%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$784
2023
$1,123
2022
$967
2021
$1,179
2020
$602
2019
$1,106
2018
$940

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Boehringer Ingelheim Pharmaceuticals, Inc.
$565
Amarin Pharma Inc.
$471
AbbVie Inc.
$458
Astellas Pharma US Inc
$444
Novo Nordisk Inc
$417
PFIZER INC.
$355
Merck Sharp & Dohme Corporation
$342
Novartis Pharmaceuticals Corporation
$322
GlaxoSmithKline, LLC.
$297
Lilly USA, LLC
$264
AstraZeneca Pharmaceuticals LP
$249
Janssen Pharmaceuticals, Inc
$211
Avanir Pharmaceuticals, Inc.
$151
Dexcom, Inc.
$148
Exact Sciences Corporation
$146
SANOFI-AVENTIS U.S. LLC
$145
Esperion Therapeutics, Inc.
$128
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$127
Amgen Inc.
$121
Merck Sharp & Dohme LLC
$117
Abbott Laboratories
$113
ABBVIE INC.
$108
E.R. Squibb & Sons, L.L.C.
$91
Mylan Specialty L.P.
$91
Takeda Pharmaceuticals U.S.A., Inc.
$85
Sunovion Pharmaceuticals Inc.
$80
Otsuka America Pharmaceutical, Inc.
$76
Biogen, Inc.
$70
UCB, Inc.
$56
Corium, LLC
$42
Kowa Pharmaceuticals America, Inc.
$36
Biohaven Pharmaceutical Holding Company Ltd.
$36
Bayer HealthCare Pharmaceuticals Inc.
$34
Nestle HealthCare Nutrition Inc.
$28
Corcept Therapeutics
$25
Sumitomo Pharma America, Inc.
$24
EISAI INC.
$24
Teva Pharmaceuticals USA, Inc.
$23
Phathom Pharmaceuticals, Inc.
$22
Bayer Healthcare Pharmaceuticals Inc.
$20
AbbVie, Inc.
$18
Nevro Corp.
$18
ITI, Inc.
$17
Paratek Pharmaceuticals, Inc.
$17
Allergan Inc.
$16
Alfasigma USA, Inc.
$14
IBSA Pharma Inc.
$14
VistaPharm, Inc.
$14
Eisai Inc.
$12
Top 3 companies account for 22.3% of total payments
Associated products mentioned in payments ›
ADLARITY · ADUHELM · ANORO · ANORO ELLIPTA · AREXVY · AZSTARYS · Aduhelm · Aimovig · Austedo XR · BELSOMRA · BREO · BREZTRI · BROVANA · BYSTOLIC · Briviact · CAPLYTA · Cologuard Collection Kit · DIFICID · Dayvigo · Dexcom G6 Transmitter · Dymista · ELIQUIS · ENTRESTO · EUCRISA · FARXIGA · FREESTYLE LIBRE 3 · GEMTESA · INVOKANA · JANUVIA · JARDIANCE · Kerendia · Korlym · LEQVIO · LINZESS · LONHALA MAGNAIR · LYRICA · Livalo · MOUNJARO · MYRBETRIQ · Myrbetriq · NEXLETOL · NUEDEXTA · NURTEC ODT · NUZYRA · Nuedexta · OFEV · Omnia · Otezla · Ozempic · PAXLOVID · PREVNAR - 13 · PREVNAR 20 · PROCLAIM · Prolia · QULIPTA · RELISTOR · REXULTI · RYBELSUS · Repatha · Rybelsus · SEGLENTIS · SHINGRIX · SPIRIVA RESPIMAT · STEGLATRO · STIOLTO RESPIMAT · SYMBICORT · Saxenda · Synthroid · TOUJEO · TRELEGY ELLIPTA · TRINTELLIX · TRULANCE · TRULICITY · Thyquidity · Tirosint · Tresiba · Trintellix · UBRELVY · Utibron · VESICARE · VOQUEZNA · VRAYLAR · Vascepa · Victoza · Vimpat · XARELTO · XIFAXAN · YUPELRI · ZENPEP · ZOSTAVAX
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 $166 per 100 Medicare services performed
Looking for a internal medicine in Granbury?
Compare internal medicines in the Granbury area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal Medicines within 10 mi
47
Per 100K population
73.2
County median income
$86,802
Nearest hospital
LAKE GRANBURY MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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. Barnes is a clinical cardiology specialist, with above-average Medicare volume (top 8% in TX), and high industry engagement (low-engagement, top 13%), 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. Barnes experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Barnes performed 511 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. Barnes receive payments from pharmaceutical companies?
Yes. Dr. Barnes received a total of $6,701 from 49 companies across 409 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. Barnes's costs compare to other internal medicines in Granbury?
Dr. Barnes's average Medicare payment per service is $32. 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. Barnes) 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 →