Medicare Enrolled
Dr. Justin McInnis, MD
Family Medicine · Jacksonville, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. McInnis 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. McInnis
Dr. Justin McInnis is a family medicine specialist in Jacksonville, TX, with 18 years of NPI registration. Based on federal Medicare data, Dr. McInnis performed 10,172 Medicare services across 5,036 unique beneficiaries.
Between the years covered by Open Payments, Dr. McInnis received a total of $5,277 from 41 pharmaceutical and/or device companies across 344 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. 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. McInnis 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.
✓ 18 years in practice
▲ Top 1% volume in TX
$5,277 industry payments
Medicare Practice Summary
Medicare Utilization ↗10,172
Medicare services
Top 1% in TX for family medicine
5,036
Unique beneficiaries
$37
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~565 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 |
|---|---|---|---|
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
1,767 | $46 | $100 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
1,469 | $35 | $90 |
| 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. |
962 | $86 | $190 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
645 | $10 | $50 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
626 | $8 | $50 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
478 | $3 | $40 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
410 | $16 | $49 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
382 | $13 | $47 |
| 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. |
378 | $61 | $120 |
| Annual intensive behavioral therapy for cardiovascular disease, 15 minutes A yearly, in-person session focused on intensive behavioral therapy to help manage cardiovascular disease. The session lasts for 15 minutes and is conducted with the patient individually. |
242 | $25 | $44 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
228 | $8 | $20 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
222 | $120 | $235 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
219 | $9 | $46 |
| Ultrasound of arm and leg arteries This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries. |
209 | $51 | $150 |
| Annual depression screening | 208 | $17 | $30 |
| Chronic care management services Comprehensive assessment and care planning for patients requiring ongoing chronic care management. |
152 | $43 | $114 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
120 | $1 | $5 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
113 | $38 | $100 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
107 | $23 | $100 |
| Betamethasone steroid injection An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate. |
90 | $4 | $50 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
86 | $15 | $45 |
| 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. |
85 | $8 | $50 |
| Respiratory virus detection test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus and influenza viruses. |
80 | $45 | $125 |
| Chronic care management, first 30 minutes This service covers the initial 30 minutes of care coordination for patients with two or more chronic conditions. It is provided personally by a healthcare professional each calendar month. |
70 | $57 | $139 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
68 | $9 | $25 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
61 | $19 | $45 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
50 | $129 | $285 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
49 | $6 | $35 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
46 | $28 | $60 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
42 | $5 | $40 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
41 | $125 | $355 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
38 | $4 | $40 |
| Spirometry test before and after medication A test that measures the amount of air you can exhale and the speed of your breathing before and after taking a medication. |
37 | $26 | $100 |
| Chronic care management, additional 30 minutes This service covers an extra 30 minutes of care management provided by a healthcare professional for patients with two or more chronic conditions. It is billed per calendar month in addition to the standard chronic care management time. |
34 | $46 | $145 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
26 | $52 | $186 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
24 | $29 | $100 |
| Complete ultrasound of abdomen A diagnostic imaging test that uses sound waves to create detailed pictures of the organs and structures within the abdomen. |
24 | $82 | $300 |
| 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. |
23 | $158 | $350 |
| Emergency department visit, low level of medical decision making An emergency department visit for a patient requiring a low level of medical decision making. |
22 | $35 | $850 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
22 | $63 | $84 |
| Inhalation treatment for airway obstruction or sputum production A treatment involving the inhalation of medication to help clear airway obstructions or reduce sputum production. |
18 | $7 | $27 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
17 | $36 | $100 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
17 | $35 | $68 |
| Emergency department visit, moderate complexity An emergency department visit for an established or new patient involving a moderate level of medical decision making. |
17 | $99 | $1,475 |
| Albuterol inhalation solution, 1 mg A unit dose of FDA-approved albuterol solution administered via durable medical equipment for inhalation. |
17 | $0 | $5 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
16 | $46 | $180 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
16 | $211 | $300 |
| Knee X-ray, 1-2 views An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures. |
15 | $26 | $100 |
| Hepatitis C antibody test A blood test that checks for antibodies to the hepatitis C virus. This test helps determine if a person has been exposed to the virus. |
15 | $13 | $43 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
14 | $26 | $100 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
14 | $182 | $621 |
| 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. |
14 | $87 | $210 |
| Inhaled ipratropium bromide, unit dose Administration of FDA-approved ipratropium bromide inhalation solution via durable medical equipment in a unit dose form. |
14 | $0 | $5 |
| Multiplex respiratory virus test (COVID-19, flu, RSV) A laboratory test that uses a multiplex amplified probe technique to detect severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), influenza virus types A and B, and respiratory syncytial virus (RSV). |
13 | $140 | $150 |
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.
0.4% high complexity
5.4% medium
94.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$5,277
Total received (2018-2024)
Avg $754/year across 7 years
Top 12% in TX for family medicine
41
Companies
344
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
$5,277 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$583
2023
$882
2022
$621
2021
$946
2020
$675
2019
$797
2018
$773
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$769
Merck Sharp & Dohme Corporation
$760
Boehringer Ingelheim Pharmaceuticals, Inc.
$492
Lilly USA, LLC
$309
AstraZeneca Pharmaceuticals LP
$293
PFIZER INC.
$284
GlaxoSmithKline, LLC.
$271
Janssen Pharmaceuticals, Inc
$206
AbbVie Inc.
$206
Bayer HealthCare Pharmaceuticals Inc.
$165
Pacira Pharmaceuticals Incorporated
$136
Astellas Pharma US Inc
$128
Takeda Pharmaceuticals U.S.A., Inc.
$123
Mylan Specialty L.P.
$97
Merck Sharp & Dohme LLC
$91
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$84
Allergan, Inc.
$73
Bayer Healthcare Pharmaceuticals Inc.
$62
Allergan Inc.
$61
Genentech USA, Inc.
$60
Amgen Inc.
$58
Abbott Laboratories
$55
Otsuka America Pharmaceutical, Inc.
$52
ABBVIE INC.
$45
ARBOR PHARMACEUTICALS, INC.
$44
SANOFI-AVENTIS U.S. LLC
$42
Biohaven Pharmaceutical Holding Company Ltd.
$41
Novartis Pharmaceuticals Corporation
$28
E.R. Squibb & Sons, L.L.C.
$28
Kowa Pharmaceuticals America, Inc.
$25
Strongbridge US INC.
$25
Biohaven Pharmaceuticals, Inc.
$23
SANOFI PASTEUR INC.
$22
Corcept Therapeutics
$21
Amarin Pharma Inc.
$18
Phathom Pharmaceuticals, Inc.
$18
GE HEALTHCARE
$15
Lundbeck LLC
$14
Medtronic MiniMed, Inc.
$13
Merz North America, Inc.
$11
Arbor Pharmaceuticals, Inc.
$11
Top 3 companies account for 38.3% of total payments
Associated products mentioned in payments ›
ADACEL · ANORO ELLIPTA · BELSOMRA · BREZTRI · BYSTOLIC · CHANTIX · Dexilant · ELIQUIS · ENTRESTO · EVENITY · Edarbi · FARXIGA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · INVOKANA · Iovera · JANUVIA · JARDIANCE · KEVEYIS · Kerendia · Korlym · LINZESS · Livalo · MOUNJARO · MYRBETRIQ · Minimed 670G System · Myrbetriq · NURTEC ODT · Otezla · Otovel · Ozempic · PREMARIN · PREVNAR 13 · PREVNAR 20 · QULIPTA · REXULTI · Repatha · Rybelsus · SHINGRIX · SIVEXTRO · SOLIQUA · STEGLATRO · STIOLTO RESPIMAT · SYMBICORT · Saxenda · TOUJEO · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · TZIELD · Tresiba · Trintellix · UBRELVY · VIBERZI · VOQUEZNA · VRAYLAR · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XEOMIN · XIFAXAN · Xofluza · YUPELRI · Yupelri · Zilretta
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 $52 per 100 Medicare services performed
Geographic Context
Family medicine physicians within 10 mi
75
Per 100K population
146.6
County median income
$59,830
Nearest hospital
UT HEALTH EAST TEXAS JACKSONVILLE HOSPITAL
0.0 mi
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. McInnis is a clinical cardiology specialist, with above-average Medicare volume (top 1% in TX), with low-engagement industry engagement in the top 12% of TX peers, with 18 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. McInnis experienced with chronic care management, first 20 min/month?
Based on Medicare claims data, Dr. McInnis performed 1,767 chronic care management, first 20 min/month 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. McInnis receive payments from pharmaceutical companies?
Yes. Dr. McInnis received a total of $5,277 from 41 companies across 344 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. McInnis's costs compare to other family medicine physicians in Jacksonville?
Dr. McInnis's average Medicare payment per service is $37. 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. McInnis) 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.
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