Medicare Enrolled

Dr. Carol Lai, M.D.

Student in an Organized Health Care Education/Training Program · Houston, TX
Practice pattern: Cardiac & Cardiac — Practice combining cardiac and cardiac services
Low-engagement
6720 BERTNER AVE # MC1-133, Houston, TX 77030
8323556676
In practice since 2013 (12 years)
NPI: 1366889826 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. Lai 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. Lai? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Lai

Dr. Carol Lai is a student in an organized health care education/training program specialist in Houston, TX, with 12 years of NPI registration. Based on federal Medicare data, Dr. Lai performed 1,902 Medicare services across 1,416 unique beneficiaries.

Between the years covered by Open Payments, Dr. Lai received a total of $5,734 from 18 pharmaceutical and/or device companies across 151 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in student in an organized health care education/training program. 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. Lai 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.

✓ 12 years in practice ▲ Top 10% volume in TX $5,734 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,902
Medicare services
Top 10% in TX for student in an organized health care education/training program
1,416
Unique beneficiaries
$46
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~158 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) 683 $71 $177
EKG interpretation and report 399 $6 $26
Echocardiogram, transthoracic 313 $52 $226
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 89 $15 $70
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 89 $10 $47
New patient office visit (45-59 min) 80 $99 $257
Hospital follow-up visit, moderate complexity 49 $62 $190
Ultrasound of heart, follow-up 29 $19 $79
Ultrasound of heart with probe in esophagus, with report 29 $84 $353
Ultrasound of heart with color-depicted blood flow, rate and valve function 29 $2 $10
Ultrasound of heart blood flow, valves and chambers 28 $14 $59
3d ultrasound imaging of heart for evaluation of heart structure performed during ultrasound imaging of congenital heart defects 21 $19 $203
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 21 $10 $99
Office visit, established patient, complex (40-54 min) 15 $98 $253
Initial hospital admission, moderate complexity 15 $107 $340
Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report 13 $47 $246
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.
19.5% high complexity
14.2% medium
66.4% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$5,734
Total received (2018-2024)
Avg $819/year across 7 years
Top 7% in TX for student in an organized health care education/training program
18
Companies
151
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
$5,734 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$601
2023
$558
2022
$840
2021
$411
2020
$155
2019
$269
2018
$2,900

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$1,895
Medtronic Vascular, Inc.
$1,109
ABIOMED
$799
E.R. Squibb & Sons, L.L.C.
$544
CVRx, Inc.
$281
AstraZeneca Pharmaceuticals LP
$260
Boston Scientific Corporation
$207
Boehringer Ingelheim Pharmaceuticals, Inc.
$173
PFIZER INC.
$144
Lantheus Medical Imaging, Inc.
$92
Amgen Inc.
$44
Novo Nordisk Inc
$44
BOSTON SCIENTIFIC CORPORATION
$39
Akcea Therapeutics, Inc.
$30
Bayer Healthcare Pharmaceuticals Inc.
$23
PORTOLA PHARMACEUTICALS, LLC
$21
HeartFlow, Inc.
$16
Chiesi USA, Inc.
$13
Top 3 companies account for 66.3% of total payments
Associated products mentioned in payments ›
ANDEXXA · Allure Quadra RF CRT Pacemaker · Assurity Pacemaker · BRILINTA · Barostim Neo System · CAMZYOS · CARDIOMEMS · CHANTIX · CRM-Research only · CardioMEMS HF System · Corlanor · DEFINITY · ELIQUIS · Ellipse ICD · FARXIGA · Fortify Assura · HeartMate · HeartMate Touch · HeartWare HVAD · Impella · JARDIANCE · KENGREAL · Kerendia · MITRACLIP · MitraClip System · Quadra Assura CRT Defibrillator · Repatha · Reveal LINQ · TEGSEDI · VYNDAQEL · WATCHMAN · WATCHMAN Access System
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 7% for student in an organized health care education/training program in TX.

Equivalent to $302 per 100 Medicare services performed
Looking for a student in an organized health care education/training program specialist in Houston?
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Geographic Context

Student in an organized health care education/training programs within 10 mi
5,197
Per 100K population
109.2
County median income
$73,104
Nearest hospital
MEMORIAL HERMANN - TEXAS MEDICAL CENTER
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. Lai is a cardiac & cardiac specialist, with above-average Medicare volume (top 10% in TX), with low-engagement industry engagement in the top 7% of TX peers.

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. Lai experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Lai performed 683 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. Lai receive payments from pharmaceutical companies?
Yes. Dr. Lai received a total of $5,734 from 18 companies across 151 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. Lai's costs compare to other student in an organized health care education/training programs in Houston?
Dr. Lai's average Medicare payment per service is $46. 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. Lai) 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 →