Medicare Enrolled
Dr. Jon Rich, D.O.
Family Medicine · Gun Barrel City, 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. Rich 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. Rich?
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What this data tells you about Dr. Rich
Dr. Jon Rich is a family medicine specialist in Gun Barrel City, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Rich performed 3,664 Medicare services across 2,302 unique beneficiaries.
Between the years covered by Open Payments, Dr. Rich received a total of $8,799 from 45 pharmaceutical and/or device companies across 564 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family 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. Rich 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 6% volume in TX
$8,799 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,664
Medicare services
Top 6% in TX for family medicine
2,302
Unique beneficiaries
$30
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~193 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) 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. |
485 | $79 | $240 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
412 | $8 | $10 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
349 | $10 | $70 |
| 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. |
298 | $8 | $25 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
262 | $16 | $52 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
198 | $13 | $75 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
178 | $4 | $14 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
154 | $3 | $22 |
| 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. |
147 | $5 | $35 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
137 | $125 | $155 |
| 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. |
89 | $58 | $150 |
| Betamethasone steroid injection An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate. |
86 | $4 | $25 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
79 | $67 | $70 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
78 | $29 | $30 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
75 | $16 | $35 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
66 | $9 | $35 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
61 | $19 | $55 |
| Respiratory virus detection test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus and influenza viruses. |
60 | $53 | $160 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
47 | $9 | $110 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
45 | $3 | $10 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
38 | $30 | $65 |
| 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. |
34 | $41 | $150 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
33 | $37 | $330 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
33 | $61 | $150 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
29 | $29 | $82 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
29 | $15 | $78 |
| 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. |
29 | $9 | $52 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
25 | $135 | $400 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
22 | $25 | $80 |
| Screening mammography An X-ray of the breast used to detect breast cancer in women who have no signs or symptoms of the disease. |
22 | $89 | $300 |
| Hospital discharge management, 30+ min This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge. |
20 | $89 | $220 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
18 | $10 | $55 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
15 | $69 | $320 |
| 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 | $161 | $185 |
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 ↗$8,799
Total received (2018-2024)
Avg $1,257/year across 7 years
Top 6% in TX for family medicine
45
Companies
564
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
$8,799 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$589
2023
$1,515
2022
$1,487
2021
$1,704
2020
$908
2019
$1,309
2018
$1,287
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Amgen Inc.
$965
AstraZeneca Pharmaceuticals LP
$881
Boehringer Ingelheim Pharmaceuticals, Inc.
$769
Novo Nordisk Inc
$714
GlaxoSmithKline, LLC.
$626
Radius Health, Inc.
$578
PFIZER INC.
$521
Mylan Specialty L.P.
$376
Otsuka America Pharmaceutical, Inc.
$366
Lilly USA, LLC
$287
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$262
Bayer HealthCare Pharmaceuticals Inc.
$240
Sunovion Pharmaceuticals Inc.
$223
Janssen Pharmaceuticals, Inc
$220
Kowa Pharmaceuticals America, Inc.
$178
Horizon Therapeutics plc
$149
Novartis Pharmaceuticals Corporation
$142
Genentech USA, Inc.
$140
Dexcom, Inc.
$129
Merck Sharp & Dohme Corporation
$127
Antares Pharma, Inc.
$109
Nevro Corp.
$86
ABBVIE INC.
$82
Exact Sciences Corporation
$70
Gilead Sciences, Inc.
$60
Amarin Pharma Inc.
$57
Allergan Inc.
$49
Biohaven Pharmaceutical Holding Company Ltd.
$47
SANOFI-AVENTIS U.S. LLC
$37
AbbVie Inc.
$35
Bayer Healthcare Pharmaceuticals Inc.
$32
Biohaven Pharmaceuticals, Inc.
$32
DEXCOM, INC.
$24
Shire North American Group Inc
$22
Ironshore Pharmaceuticals Inc.
$18
Allergan, Inc.
$17
IRONWOOD PHARMACEUTICALS, INC
$17
Tris Pharma Inc
$17
Axsome Therapeutics, Inc.
$15
IDORSIA PHARMACEUTICALS US INC
$15
Cranial Technologies, Inc
$13
Shield Therapeutics Inc
$13
Sanofi Pasteur Inc.
$12
AbbVie, Inc.
$12
ARBOR PHARMACEUTICALS, INC.
$11
Top 3 companies account for 29.7% of total payments
Associated products mentioned in payments ›
ACCRUFER · AIRSUPRA · ANORO · AREXVY · Aimovig · Auvelity · BREO · BREZTRI · BREZTRI AEROSPHERE · BYSTOLIC · CHANTIX · COLOGUARD DNA CAPTURE REAGENTS · COMIRNATY · COSENTYX · Cologuard Collection Kit · Creon · DEXCOM G6 TRANSMITTER · Dexcom G6 Transmitter · Doc Band · Dyanavel XR · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · Epclusa · FARXIGA · Horizant · INVOKANA · JANUMET XR · JANUVIA · JARDIANCE · JORNAY PM · KRYSTEXXA · Kerendia · LEQVIO · LIVALO · LO LOESTRIN FE · LONHALA MAGNAIR · Linzess · Livalo · MOUNJARO · NUEDEXTA · NURTEC ODT · OFEV · Omnia · Otezla · Ozempic · PENTACEL · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Prolia · QUVIVIQ · REXULTI · ROTATEQ · Repatha · Rybelsus · SOLIQUA · SPIRIVA · STIOLTO RESPIMAT · SYMBICORT · Saxenda · Senza · TOUJEO · TRELEGY ELLIPTA · TRULICITY · Tresiba · Tymlos · UBRELVY · UTIBRON NEOHALER · Utibron · VRAYLAR · VYVANSE · Vascepa · Victoza · XARELTO · XIFAXAN · XYOSTED · Xofluza · YUPELRI · Yupelri
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 6% for family medicine in TX.
Equivalent to $240 per 100 Medicare services performed
Geographic Context
Family medicine physicians within 10 mi
46
Per 100K population
55.0
County median income
$63,955
Nearest hospital
UT HEALTH EAST TEXAS ATHENS HOSPITAL
18.0 mi
18.0 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. Rich is a clinical cardiology specialist, with above-average Medicare volume (top 6% in TX), with low-engagement industry engagement in the top 6% of TX peers, with 19 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. Rich experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Rich performed 485 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. Rich receive payments from pharmaceutical companies?
Yes. Dr. Rich received a total of $8,799 from 45 companies across 564 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. Rich's costs compare to other family medicine physicians in Gun Barrel City?
Dr. Rich's average Medicare payment per service is $30. 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. Rich) 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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