Medicare Enrolled

Dr. Francis Manuel, O.D.

Optometrist · Houston, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Consulting-driven
2323 CLEAR LAKE CITY BLVD, Houston, TX 77062
2814801002
In practice since 2005 (20 years)
NPI: 1356323984 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. Manuel 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. Manuel? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Manuel

Dr. Francis Manuel is an optometrist in Houston, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Manuel performed 1,694 Medicare services across 1,378 unique beneficiaries.

Between the years covered by Open Payments, Dr. Manuel received a total of $3,543 from 15 pharmaceutical and/or device companies across 31 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optometrist. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Manuel 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.

✓ 20 years in practice ▲ Top 4% volume in TX $3,543 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,694
Medicare services
Top 4% in TX for optometrist
1,378
Unique beneficiaries
$52
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~85 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 (20-29 min) 424 $65 $132
Comprehensive eye exam, established patient 301 $85 $193
Retinal photography (fundus photo) 268 $27 $113
Retinal imaging (OCT scan) 180 $29 $158
Optic nerve imaging (OCT scan) 130 $26 $162
Visual field test, extended 115 $44 $125
Ct scan of cornea 72 $26 $92
Measurement of retinal and optic nerve function 41 $97 $190
Photography of content of eyes 32 $18 $70
Ultrasound scan of cornea to determine thickness 31 $8 $39
Office visit, established patient (30-39 min) 29 $89 $220
Comprehensive eye exam, new patient 28 $115 $210
Exam of the internal drainage system of eye 23 $21 $54
Imaging of front third of eye 20 $22 $159
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 ↗
$3,543
Total received (2018-2024)
Avg $506/year across 7 years
Top 13% in TX for optometrist
15
Companies
31
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.

Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$2,500 (70.6%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,043 (29.4%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,784
2023
$97
2022
$254
2021
$160
2020
$87
2019
$84
2018
$77

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
CooperVision Inc.
$2,678
BIOTISSUE HOLDINGS INC.
$235
Oyster Point Pharma, Inc.
$224
Allergan, Inc.
$114
Alcon Vision LLC
$73
Carl Zeiss Meditec AG
$39
GENZYME CORPORATION
$26
Johnson & Johnson Vision Care, Inc.
$24
Carl Zeiss Meditec, Inc.
$23
Glaukos Corporation
$23
Kala Pharmaceuticals, Inc.
$22
Astellas Pharma US Inc
$17
ABBVIE INC.
$17
Eyevance Pharmaceuticals LLC
$14
Johnson & Johnson Surgical Vision, Inc.
$13
Top 3 companies account for 88.5% of total payments
Associated products mentioned in payments ›
Acuvue · CEREZYME · CLARUS 500 Fundus Camera · Clariti Contact Lens · DAILIES · ILUX · INVELTYS · Izervay · None Specified · Onefit Contact Lens · Precision 1 · RESTASIS MULTIDOSE · SynergEyes contact lens · TYRVAYA · Tobradex ST · VUITY
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 →

The majority of payments (71%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers.

Equivalent to $209 per 100 Medicare services performed
Looking for an optometrist in Houston?
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Geographic Context

Optometrists within 10 mi
701
Per 100K population
14.7
County median income
$73,104
Nearest hospital
HOUSTON METHODIST CLEAR LAKE HOSPITAL
2.3 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. Manuel is a clinical cardiology specialist, with above-average Medicare volume (top 4% in TX), with consulting-driven industry engagement in the top 13% of TX peers, with 20 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. Manuel experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Manuel performed 424 office visit, established patient (20-29 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. Manuel receive payments from pharmaceutical companies?
Yes. Dr. Manuel received a total of $3,543 from 15 companies across 31 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. Manuel's costs compare to other optometrists in Houston?
Dr. Manuel's average Medicare payment per service is $52. 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. Manuel) 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.

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 →