Medicare Enrolled

Dr. Lillian Howard, M.D.

Geriatric Medicine (Family Medicine) Physician · Houston, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
13114 FM 1960 RD W STE 120, Houston, TX 77065
2818906446
In practice since 2005 (20 years)
NPI: 1992782932 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. Howard 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. Howard

Dr. Lillian Howard is a geriatric medicine physician in Houston, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Howard performed 918 Medicare services across 756 unique beneficiaries.

Between the years covered by Open Payments, Dr. Howard received a total of $2,513 from 29 pharmaceutical and/or device companies across 112 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in geriatric medicine (family medicine) physician. 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. Howard 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 27% volume in TX $2,513 industry payments

Medicare Practice Summary

Medicare Utilization ↗
918
Medicare services
Top 27% in TX for geriatric medicine (family medicine) physician
756
Unique beneficiaries
$75
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~46 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.
252 $85 $256
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.
167 $51 $182
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
130 $133 $260
Annual depression screening 127 $19 $38
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
42 $30 $64
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.
39 $72 $99
Pneumonia vaccine administration
This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider.
33 $30 $64
Pneumococcal vaccine, 23-valent
A vaccine that protects against 23 types of pneumococcal bacteria. It is used to prevent infections caused by these bacteria.
20 $124 $266
Annual wellness visit, initial visit
A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment.
19 $170 $332
Automated urinalysis
An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine.
15 $2 $4
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.
14 $169 $334
COVID-19 amplified DNA/RNA probe detection
A laboratory test that uses amplified DNA or RNA probes to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) antigen.
13 $50 $102
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.
13 $121 $336
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.
12 $10 $30
COVID-19 vaccine administration
Administration of a single dose of the coronavirus vaccine.
11 $36 $80
Pneumococcal conjugate vaccine (PCV20)
An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria.
11 $282 $568
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 ↗
$2,513
Total received (2018-2024)
Avg $359/year across 7 years
Top 13% in TX for geriatric medicine (family medicine) physician
29
Companies
112
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
$2,513 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,037
2023
$622
2022
$182
2021
$12
2020
$93
2019
$288
2018
$279

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Amgen Inc.
$408
Novo Nordisk Inc
$324
Lilly USA, LLC
$290
AstraZeneca Pharmaceuticals LP
$219
Edwards Lifesciences Corporation
$145
Abbott Laboratories
$143
PFIZER INC.
$141
Kowa Pharmaceuticals America, Inc.
$120
Bayer Healthcare Pharmaceuticals Inc.
$87
Shire North American Group Inc
$79
GlaxoSmithKline, LLC.
$75
SANOFI PASTEUR INC.
$74
Novartis Pharmaceuticals Corporation
$49
Exact Sciences Corporation
$40
Dynavax Technologies Corporation
$40
Shield Therapeutics Inc
$33
Boehringer Ingelheim Pharmaceuticals, Inc.
$31
Genentech USA, Inc.
$28
Amarin Pharma Inc.
$23
Takeda Pharmaceuticals U.S.A., Inc.
$22
Allergan, Inc.
$22
Otsuka America Pharmaceutical, Inc.
$19
SHIELD THERAPEUTICS INC
$17
Dexcom, Inc.
$17
Astellas Pharma US Inc
$16
Merck Sharp & Dohme LLC
$15
Esperion Therapeutics, Inc.
$13
Currax Pharmaceuticals LLC
$13
Merck Sharp & Dohme Corporation
$11
Top 3 companies account for 40.7% of total payments
Associated products mentioned in payments ›
ABRYSVO · ACCRUFER · AFINION 2 · AIRSUPRA · AREXVY · BEXSERO · CONTRAVE · Cologuard Collection Kit · Dexcom G6 Transmitter · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · EMGALITY · ENTRESTO · EVENITY · FARXIGA · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FLUZONE HIGH-DOSE · FLUZONE QUADRIVALENT NORTHERN HEMISPHERE · FREESTYLE LIBRE 3 · GARDASIL 9 · Heplisav-B · JARDIANCE · JOT DX · Kerendia · Livalo · MOUNJARO · NEXLETOL · NURTEC ODT · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · PREVNAR - 13 · PREVNAR 20 · Prolia · REXULTI · Repatha · Rybelsus · SHINGRIX · Saxenda · TRINTELLIX · TRULICITY · UBRELVY · Uloric · VYVANSE · Vascepa · Veozah · Wegovy · Xofluza
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.

Equivalent to $274 per 100 Medicare services performed
Looking for a geriatric medicine physician in Houston?
Compare geriatric medicine physicians in the Houston area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Geriatric medicine physicians within 10 mi
40
Per 100K population
0.8
County median income
$73,104
Nearest hospital
HOUSTON METHODIST WILLOWBROOK HOSPITAL
4.1 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. Howard is a clinical cardiology specialist, with above-average Medicare volume (top 27% in TX), with low-engagement 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. Howard experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Howard performed 252 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. Howard receive payments from pharmaceutical companies?
Yes. Dr. Howard received a total of $2,513 from 29 companies across 112 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. Howard's costs compare to other geriatric medicine physicians in Houston?
Dr. Howard's average Medicare payment per service is $75. 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. Howard) 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 →