Medicare Enrolled

Dr. Melissa Arief, M.D.

Orthopaedic Hand Surgery Physician · Houston, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Mixed engagement
20207 CHASEWOOD PARK DR STE 204, Houston, TX 77070
8325347800
In practice since 2010 (15 years)
NPI: 1124338264 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. Arief 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. Arief? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Arief

Dr. Melissa Arief is an orthopaedic hand surgery physician in Houston, TX, with 15 years of NPI registration. Based on federal Medicare data, Dr. Arief performed 1,281 Medicare services across 654 unique beneficiaries.

Between the years covered by Open Payments, Dr. Arief received a total of $26,482 from 24 pharmaceutical and/or device companies across 105 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopaedic hand surgery 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. Arief 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.

✓ 15 years in practice ▲ Top 39% volume in TX $26,482 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,281
Medicare services
Top 39% in TX for orthopaedic hand surgery physician
654
Unique beneficiaries
$49
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
Betamethasone steroid injection
An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate.
526 $5 $15
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.
161 $99 $261
Tendon or ligament injection
A procedure involving the injection of medication into a tendon or ligament.
138 $39 $137
X-ray of hand, minimum of 3 views
An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints.
117 $27 $75
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.
93 $130 $399
Joint fluid aspiration or injection, small joint
Removal of fluid from a small joint or injection of medication into a small joint.
46 $31 $137
Elbow X-ray, minimum 3 views
An X-ray imaging test of the elbow joint that captures at least three different angles to visualize the bones and surrounding structures.
35 $25 $76
Incision of finger tendon sheath
A surgical procedure to cut open the protective covering of a finger tendon.
30 $147 $762
Wrist X-ray, minimum 3 views
An imaging test using X-rays to capture at least three different angles of the wrist bones and joints.
30 $30 $86
Joint fluid aspiration or injection, medium joint
Removal of fluid from a medium-sized joint or injection of medication into the joint space.
24 $37 $138
Endoscopic release of wrist ligament
A minimally invasive procedure using a small camera to cut and release ligaments in the wrist.
24 $328 $1,339
Injection of carpal tunnel 23 $76 $231
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.
23 $71 $178
Tendon transfer to back of hand
A surgical procedure where a tendon is moved to a new location on the back of the hand to restore function.
11 $331 $1,817
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 ↗
$26,482
Total received (2018-2024)
Avg $3,783/year across 7 years
Top 10% in TX for orthopaedic hand surgery physician
24
Companies
105
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
$13,199 (49.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$11,016 (41.6%)
Scientific / Research
Research funding and grants
$2,266 (8.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,662
2023
$5,512
2022
$2,948
2021
$708
2020
$3,968
2019
$6,754
2018
$4,931

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
TriMed, Inc.
$18,515
Medartis Inc.
$3,405
Arthrex, Inc.
$2,421
Trimed, Inc.
$292
Endo Pharmaceuticals Inc.
$266
ACUMED LLC
$261
Sanara MedTech Inc.
$187
Arthrosurface Incorporated
$162
Extremity Medical
$161
Zimmer Biomet Holdings, Inc.
$151
SI-BONE, Inc.
$102
Bioventus LLC
$98
Integra LifeSciences Corporation
$74
ExsoMed Corporation
$67
ENCORE MEDICAL, LP
$61
Stryker Corporation
$57
Smith & Nephew, Inc.
$50
Wright Medical Technology, Inc.
$41
Endo USA, Inc.
$22
Purdue Pharma L.P.
$22
Acumed LLC
$21
Vericel Corporation
$19
Kowa Pharmaceuticals America, Inc.
$16
DePuy Synthes Sales Inc.
$12
Top 3 companies account for 91.9% of total payments
Associated products mentioned in payments ›
ACUMED · APTUS · Aptus · BIO4 · BLUEPRINT PSI SYSTEM · Biomet Orthopak · Biomet SpinalPak · CellerateRx · DJO SURGICAL · DUROLANE · Durolane · EBI Bone Healing System · Exogen · Forearm Rods · HemiCAP Wrist · MACI · MONOVISC · Regeneten · SEGLENTIS · SWANSON · SYMPROIC · T2 · TENOGLIDE · Tools - FPS · Tools - WFS · XIAFLEX · iFuse Implant
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 (50%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 10% for orthopaedic hand surgery physician in TX.

Equivalent to $2,067 per 100 Medicare services performed
Looking for an orthopaedic hand surgery physician in Houston?
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Geographic Context

Orthopaedic hand surgery physicians within 10 mi
27
Per 100K population
0.6
County median income
$73,104
Nearest hospital
HOUSTON METHODIST WILLOWBROOK HOSPITAL
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. Arief is a clinical cardiology specialist, with moderate Medicare volume, with mixed engagement industry engagement in the top 10% of TX peers, with 15 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. Arief experienced with betamethasone steroid injection?
Based on Medicare claims data, Dr. Arief performed 526 betamethasone steroid injection 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. Arief receive payments from pharmaceutical companies?
Yes. Dr. Arief received a total of $26,482 from 24 companies across 105 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. Arief's costs compare to other orthopaedic hand surgery physicians in Houston?
Dr. Arief's average Medicare payment per service is $49. 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. Arief) 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 →