Medicare Enrolled

Dr. Kenneth Mathis, M.D.

Adult Reconstructive Orthopaedic Surgery Physician · Houston, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Speaking/Promotional
6400 FANNIN ST STE 1700, Houston, TX 77030
7134865555
In practice since 2006 (19 years)
NPI: 1912940487 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. Mathis 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. Mathis? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Mathis

Dr. Kenneth Mathis is an adult reconstructive orthopaedic surgery physician in Houston, TX, with 19 years in practice. Based on federal Medicare data, Dr. Mathis performed 772 Medicare services across 700 unique beneficiaries.

Between the years covered by Open Payments, Dr. Mathis received a total of $71,987 from 18 pharmaceutical and/or device companies across 89 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in adult reconstructive orthopaedic surgery physician. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Mathis 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▲ 772 Medicare services$ $71,987 industry payments

Medicare Practice Summary

Medicare Utilization ↗
772
Medicare services
Bottom 33% in TX for adult reconstructive orthopaedic surgery physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
700
Unique beneficiaries
$270
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~41 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
Knee X-ray, 3 views202$32$134
Total knee replacement97$1,053$7,566
Office visit, established patient (20-29 min)91$64$223
Hip X-ray, 2-3 views74$32$126
Office visit, established patient (30-39 min)70$77$317
New patient office visit (45-59 min)63$116$379
Total hip replacement50$1,062$9,224
New patient office visit (30-44 min)43$72$240
Joint injection, major joint34$54$345
Injection, methylprednisolone acetate, 40 mg25$6$20
Revision of component of total knee joint prosthesis12$873$7,340
Replacement of knee joint on side of knee11$958$5,556
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.
20.5% high complexity
7.6% medium
71.9% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$71,987
Total received (2018-2024)
Avg $10,284/year across 7 years
Top 19% in TX for adult reconstructive orthopaedic surgery physician
18
Companies
89
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$38,058 (52.9%)
Financial / Ownership
Ownership or investment interests, royalties, and licensing fees
$19,804 (27.5%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$9,322 (12.9%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$4,803 (6.7%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,485
2023
$15,678
2022
$24,095
2021
$5,334
2020
$205
2019
$3,393
2018
$21,798

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Smith+Nephew, Inc.
$43,087
Zimmer Biomet Holdings, Inc.
$20,185
Total Joint Orthopedics, Inc.
$5,310
EXACTECH, INC.
$831
Stryker Corporation
$749
Becton, Dickinson and Company
$364
ORTHALIGN INC
$339
Maxx Orthopedics, Inc.
$245
Onkos Surgical, Inc.
$154
Sanara MedTech Inc.
$148
Heron Therapeutics, Inc.
$132
Engage Uni, LLC
$114
Innovation Technologies Inc
$93
Exactech, Inc.
$91
Heraeus Medical, LLC.
$66
KCI USA, Inc.
$33
Next Science LLC
$30
Medtronic, Inc.
$17
Top 3 companies account for 95.3% of total payments
Associated products mentioned in payments ›
CellerateRx · Channel Drain · ELEOS LIMB SALVAGE SYSTEM · Engage Partial Knee System · GAMMA · Hips-None · IRRISEPT · JOURNEY II · Journey II CR · LEGION · LEGION TKS · MAKO · NKII · NOVATION HIP · OPTETRAK · OR3O Dual Mobility · ORTHALIGN PLUS · PALACOS · PREVENA · PREVENA RESTOR ARTHO-FORM · REAL INTELLIGENCE · SurgX · TRULIANT · V-LOC 180 · VISIONAIRE · ZYNRELEF · mymobility Platform
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 (53%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in adult reconstructive orthopaedic surgery physician and does not inherently indicate bias, but patients may wish to be aware.

Equivalent to $9,325 per 100 Medicare services performed
Looking for a adult reconstructive orthopaedic surgery physician in Houston?
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Geographic Context

Adult Reconstructive Orthopaedic Surgery Physicians within 10 mi
21
Per 100K population
0.4
County median income
$73,104
Nearest hospital
MEMORIAL HERMANN - TEXAS 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. Mathis is a clinical cardiology specialist, with moderate Medicare volume, and high industry engagement (speaking/promotional, top 19%), 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. Mathis experienced with knee x-ray, 3 views?
Based on Medicare claims data, Dr. Mathis performed 202 knee x-ray, 3 views 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. Mathis receive payments from pharmaceutical companies?
Yes. Dr. Mathis received a total of $71,987 from 18 companies across 89 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. Mathis's costs compare to other adult reconstructive orthopaedic surgery physicians in Houston?
Dr. Mathis's average Medicare payment per service is $270. 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. Mathis) 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 →