Medicare Enrolled

Dr. Ronald Ralph, M.D.

Optician · Houston, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
7015 ALMEDA RD, Houston, TX 77054
7135206790
Registered in NPPES since 2006
NPI: 1467412916 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. Ralph 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. Ralph

Dr. Ronald Ralph is an optician specialist in Houston, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Ralph performed 1,368 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Ralph received a total of $6,836 from 40 pharmaceutical and/or device companies across 329 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Ralph is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years of NPI registration ▲ Top 42% volume in TX $6,836 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
1,368
Medicare services
Top 42% in TX for optician
Not available
Unique patients (not deduplicated)
$104
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
432 $63 $200
Hemodialysis procedure requiring repeated evaluation
A hemodialysis treatment that involves repeated evaluation during the procedure.
231 $82 $300
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.
216 $92 $325
Hospital follow-up visit, high complexity
Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter.
215 $94 $300
Dialysis services for adults, 2-3 visits per month
This code covers dialysis services for patients aged 20 or older who have 2 to 3 physician visits per month.
98 $235 $700
Initial hospital admission, high complexity
Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter.
97 $137 $600
Dialysis services for patients 20 or older
Dialysis treatment provided to patients aged 20 years or older, involving four or more physician visits per month.
62 $284 $850
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.
17 $100 $450
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. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$6,836
Total received (2018-2024)
Avg $977/year across 7 years
Top 22% in TX for optician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
40
Companies
329
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,319
2023
$1,115
2022
$1,231
2021
$963
2020
$676
2019
$798
2018
$734

Payments by company (2024)

AstraZeneca Pharmaceuticals LP
$181
Abbott Laboratories
$170
OPKO Pharmaceuticals, LLC
$158
Amgen Inc.
$154
Novartis Pharmaceuticals Corporation
$134
Bayer Healthcare Pharmaceuticals Inc.
$109
Mallinckrodt Hospital Products Inc.
$105
Otsuka America Pharmaceutical, Inc.
$68
Boehringer Ingelheim Pharmaceuticals, Inc.
$64
Lilly USA, LLC
$57
ABBVIE INC.
$37
NXSTAGE MEDICAL, INC.
$33
Novo Nordisk Inc
$25
Travere Therapeutics, Inc.
$23
Top 3 companies account for 38.6% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$852
Mallinckrodt Hospital Products Inc.
$704
Horizon Therapeutics plc
$564
Otsuka America Pharmaceutical, Inc.
$560
OPKO Pharmaceuticals, LLC
$380
Relypsa, Inc.
$363
Amgen Inc.
$301
Bayer Healthcare Pharmaceuticals Inc.
$294
Bayer HealthCare Pharmaceuticals Inc.
$286
Mallinckrodt LLC
$256
Mallinckrodt Enterprises LLC
$251
Medtronic, Inc.
$174
Abbott Laboratories
$170
Janssen Pharmaceuticals, Inc
$151
ABBVIE INC.
$136
Novartis Pharmaceuticals Corporation
$134
GlaxoSmithKline, LLC.
$130
Lilly USA, LLC
$101
Alexion Pharmaceuticals, Inc.
$94
Fresenius USA Marketing, Inc.
$86
Boehringer Ingelheim Pharmaceuticals, Inc.
$85
Horizon Pharma plc
$74
Shire North American Group Inc
$65
Vifor Pharma, Inc.
$63
Travere Therapeutics, Inc.
$62
AKEBIA THERAPEUTICS INC
$62
CMP Pharma, Inc.
$58
Novo Nordisk Inc
$50
GENZYME CORPORATION
$45
Daiichi Sankyo Inc.
$40
NOVARTIS PHARMACEUTICALS CORPORATION
$40
NXSTAGE MEDICAL, INC.
$33
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$30
E.R. Squibb & Sons, L.L.C.
$27
ARBOR PHARMACEUTICALS, INC.
$26
Ultragenyx Pharmaceutical Inc.
$23
Boston Scientific Corporation
$21
SANOFI-AVENTIS U.S. LLC
$20
Arbor Pharmaceuticals, Inc.
$16
Merck Sharp & Dohme Corporation
$11
Top 3 companies account for 31.0% of all-time payments
Associated products mentioned in payments ›
ACTHAR · ANORO · AVYCAZ · Auryxia · BENLYSTA · CARDIOMEMS · CaroSpir · Carospir · Critline - Monitors · Cryvista · DALVANCE · ELIQUIS · ELLIPSYS VASCULAR ACCESS SYSTEM · EMGALITY · ENTRESTO · EVUSHELD · Edarbyclor · FABRAZYME · FARXIGA · INJECTAFER · JANUVIA · JARDIANCE · JYNARQUE · KRYSTEXXA · Kerendia · LOKELMA · NATPARA (PARATHYROID HORMONE) · NXSTAGE SYSTEM ONE · Norliqva · Otezla · Ozempic · Parsabiv · RAYALDEE · Repatha · Rybelsus · SAMSCA · SOLIQUA · TEFLARO · TRELEGY ELLIPTA · ULTOMIRIS · Velphoro · Veltassa · WATCHMAN · XARELTO · XIFAXAN
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for an optician specialist in Houston?
Compare opticians in the Houston area by procedure volume, costs, and industry payment transparency.
Browse opticians nearby

Geographic Context

Opticians in nearby ZIP areas
505
County median income
$73,104
Nearest hospital to ZIP centroid (approximate)
WOMANS HOSPITAL OF TEXAS,THE
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Ralph is a clinical cardiology specialist, with moderate Medicare volume, with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Ralph experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Ralph performed 432 hospital follow-up visit, moderate complexity services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Ralph receive payments from pharmaceutical companies?
Yes. Dr. Ralph received a total of $6,836 from 40 companies across 329 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Ralph's costs compare to other opticians in Houston?
Dr. Ralph's average Medicare payment per service is $104. 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. Ralph) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →