Medicare Enrolled
Renee Miphouvieng, FNP
Nurse Practitioner - Family · Keller, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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 Miphouvieng 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 Miphouvieng
Renee Miphouvieng is a nurse practitioner - family in Keller, TX, with 11 years of NPI registration. Based on federal Medicare data, Miphouvieng performed 887 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Miphouvieng received a total of $4,966 from 47 pharmaceutical and/or device companies across 296 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 Miphouvieng 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.
✓ 11 years of NPI registration
▲ Top 18% volume in TX
$4,966 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗887
Medicare services
Top 18% in TX for nurse practitioner - family
Not available
Unique patients (not deduplicated)
$54
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 |
|---|---|---|---|
| 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. |
315 | $66 | $323 |
| 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. |
160 | $2 | $10 |
| 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. |
108 | $48 | $218 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
81 | $108 | $339 |
| 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. |
55 | $7 | $65 |
| 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. |
32 | $9 | $73 |
| 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. |
31 | $273 | $397 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
30 | $30 | $60 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
26 | $30 | $60 |
| 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. |
25 | $72 | $90 |
| Drug test with direct observation A drug screening test performed under direct observation to ensure the sample is provided correctly. This method is used to verify the integrity of the specimen collection process. |
24 | $12 | $38 |
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 ↗$4,966
Total received (2021-2024)
Avg $1,242/year across 4 years
Top 5% in TX for nurse practitioner - family
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
47
Companies
296
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
$1,634
2023
$1,529
2022
$964
2021
$838
Payments by company (2024)
PFIZER INC.
$294
Novo Nordisk Inc
$180
AstraZeneca Pharmaceuticals LP
$173
Abbott Laboratories
$137
Astellas Pharma US Inc
$131
Lilly USA, LLC
$107
Boehringer Ingelheim Pharmaceuticals, Inc.
$96
ABBVIE INC.
$81
GlaxoSmithKline, LLC.
$80
Amgen Inc.
$49
Janssen Pharmaceuticals, Inc
$43
Phathom Pharmaceuticals, Inc.
$35
Dynavax Technologies Corporation
$33
Exact Sciences Corporation
$29
Renalytix AI, Inc.
$24
Verity Pharmaceuticals Inc.
$22
Medtronic, Inc.
$22
Almatica Pharma LLC
$21
Inspire Medical Systems, Inc.
$21
Merck Sharp & Dohme LLC
$21
Sumitomo Pharma America, Inc.
$20
Kowa Pharmaceuticals America, Inc.
$15
Top 3 companies account for 39.6% of 2024 payments
All-time payments by company (2021-2024) ›
PFIZER INC.
$695
Boehringer Ingelheim Pharmaceuticals, Inc.
$585
Novo Nordisk Inc
$503
GlaxoSmithKline, LLC.
$279
Lilly USA, LLC
$265
AstraZeneca Pharmaceuticals LP
$252
ABBVIE INC.
$235
Astellas Pharma US Inc
$213
Abbott Laboratories
$207
Janssen Pharmaceuticals, Inc
$164
Bayer Healthcare Pharmaceuticals Inc.
$135
AbbVie Inc.
$130
Antares Pharma, Inc.
$90
Amgen Inc.
$79
Takeda Pharmaceuticals U.S.A., Inc.
$67
Exact Sciences Corporation
$60
Kowa Pharmaceuticals America, Inc.
$60
Alexion Pharmaceuticals, Inc.
$55
Alnylam Pharmaceuticals Inc.
$54
Biohaven Pharmaceutical Holding Company Ltd.
$53
IDORSIA PHARMACEUTICALS US INC
$51
Novartis Pharmaceuticals Corporation
$50
GENZYME CORPORATION
$50
Renalytix AI, Inc.
$46
Medtronic, Inc.
$42
Bayer HealthCare Pharmaceuticals Inc.
$39
Inspire Medical Systems, Inc.
$36
Phathom Pharmaceuticals, Inc.
$35
Genentech USA, Inc.
$34
Dynavax Technologies Corporation
$33
Biohaven Pharmaceuticals, Inc.
$33
Bausch Health US, LLC
$31
Scilex Pharmaceuticals Inc.
$27
JAZZ PHARMACEUTICALS INC.
$25
Teva Pharmaceuticals USA, Inc.
$24
Dexcom, Inc.
$22
Verity Pharmaceuticals Inc.
$22
Almatica Pharma LLC
$21
Amarin Pharma Inc.
$21
Merck Sharp & Dohme LLC
$21
SANOFI PASTEUR INC.
$21
Sumitomo Pharma America, Inc.
$20
Aurinia Pharma U.S., Inc.
$19
Mannkind Corporation
$19
Phadia US Inc.
$17
Eisai Inc.
$16
CashFlow Solutions, LLC
$15
Top 3 companies account for 35.9% of all-time payments
Associated products mentioned in payments ›
ABRYSVO · AFREZZA · AIRSUPRA · APLENZIN · AREXVY · BREZTRI · Cologuard Collection Kit · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · FARXIGA · FLUZONE HIGH-DOSE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · GARDASIL · GEMTESA · GIVLAARI · Heplisav-B · INSPIRE · ImmunoCAP · JARDIANCE · KIDNEYINTELX BLOOD COLLECTION CONVENIENCE KIT · Kerendia · LEQVIO · LIVALO · LO LOESTRIN FE · LOREEV XR · LUPKYNIS · LYMPHA PRESS OPTIMAL PLUS(US) BT · Livalo · MOUNJARO · MYRBETRIQ · Myrbetriq · NOCDURNA · NURTEC ODT · OXLUMO · Otezla · Ozempic · PREVNAR 20 · QULIPTA · QUVIVIQ · Repatha · Rybelsus · SEGLENTIS · SHINGRIX · SPRAVATO · STRENSIQ · SUNOSI · SYNTHROID · Saxenda · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Tlando · UBRELVY · VENASEAL · VIBERZI · VOQUEZNA · VRAYLAR · VYNDAMAX · VYNDAQEL · Vascepa · Veozah · WELLBUTRIN · Wegovy · XARELTO · XENPOZYME · Xofluza · ZTLido
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 →
Geographic Context
Family nurse practitioners in nearby ZIP areas
2,168
County median income
$81,905
Nearest hospital to ZIP centroid (approximate)
TEXAS HEALTH HARRIS METHODIST HOSPITAL ALLIANCE
2.9 mi
2.9 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
Miphouvieng is a clinical cardiology specialist, with above-average Medicare volume (top 18% in TX).
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Miphouvieng experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Miphouvieng performed 315 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Miphouvieng receive payments from pharmaceutical companies?
Yes. Miphouvieng received a total of $4,966 from 47 companies across 296 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 Miphouvieng's costs compare to other family nurse practitioners in Keller?
Miphouvieng's average Medicare payment per service is $54. 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 Miphouvieng) 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 →
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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.
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