Not Medicare Enrolled
OIG Exclusion: cannot bill Medicare or Medicaid
This provider was excluded by the U.S. Office of Inspector General on
May 20, 2025
under section 1128a1
.
Currently active.
Verify on OIG.hhs.gov →
Dr. Carlos Hornedo III, D.O.
Family Medicine · Laredo, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Very High
DATA COVERAGE
Data in 3 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. Hornedo III 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. Hornedo III
Dr. Carlos Hornedo III is a family medicine specialist in Laredo, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Hornedo III performed 2,429 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Hornedo III received a total of $3,126 from 29 pharmaceutical and/or device companies across 182 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. Hornedo III 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 11% volume in TX
$3,126 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗2,429
Medicare services
Top 11% in TX for family medicine
Not available
Unique patients (not deduplicated)
$56
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. |
1,191 | $84 | $200 |
| 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. |
133 | $9 | $100 |
| 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. |
127 | $10 | $30 |
| Assessment of emotional or behavioral problems An evaluation to identify and understand emotional or behavioral issues. This process involves reviewing symptoms and behaviors to determine the nature of the concerns. |
113 | $3 | $50 |
| 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. |
109 | $60 | $160 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
90 | $122 | $175 |
| Annual depression screening | 89 | $17 | $50 |
| Annual alcohol misuse screening, 5 to 15 minutes | 88 | $17 | $50 |
| 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. |
73 | $45 | $75 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
69 | $0 | $16 |
| Ceftriaxone antibiotic injection This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered. |
64 | $0 | $15 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
47 | $31 | $80 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
45 | $1 | $15 |
| 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. |
27 | $64 | $150 |
| 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. |
25 | $2 | $20 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
25 | $15 | $74 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
25 | $40 | $100 |
| 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. |
19 | $208 | $460 |
| Methylprednisolone injection, up to 125 mg An injection of methylprednisolone sodium succinate, a corticosteroid medication, with a dosage of up to 125 mg. |
18 | $4 | $15 |
| Respiratory virus detection test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus and influenza viruses. |
15 | $58 | $100 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
13 | $16 | $25 |
| 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 | $70 | $225 |
| Blood glucose level test A test that measures the amount of sugar in your blood. |
11 | $4 | $25 |
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 2023 ↗$3,126
Total received (2018-2023)
Avg $521/year across 6 years
Top 19% in TX for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
29
Companies
182
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.
2023
$239
2022
$234
2021
$337
2020
$380
2019
$1,144
2018
$793
Payments by company (2023)
Lilly USA, LLC
$125
Amgen Inc.
$65
Merck Sharp & Dohme LLC
$20
Bayer Healthcare Pharmaceuticals Inc.
$16
ABBVIE INC.
$14
Top 3 companies account for 87.5% of 2023 payments
All-time payments by company (2018-2023) ›
Novo Nordisk Inc
$604
Merck Sharp & Dohme Corporation
$343
Amgen Inc.
$303
AstraZeneca Pharmaceuticals LP
$303
Amarin Pharma Inc.
$218
GlaxoSmithKline, LLC.
$199
Boehringer Ingelheim Pharmaceuticals, Inc.
$195
Lilly USA, LLC
$191
SANOFI-AVENTIS U.S. LLC
$185
PFIZER INC.
$67
Genentech USA, Inc.
$61
Daiichi Sankyo Inc.
$42
Astellas Pharma US Inc
$42
ABBVIE INC.
$41
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$39
Bayer HealthCare Pharmaceuticals Inc.
$35
Esperion Therapeutics, Inc.
$34
Allergan Inc.
$32
Eisai Inc.
$30
Merck Sharp & Dohme LLC
$20
Allergan, Inc.
$18
Janssen Pharmaceuticals, Inc
$18
Corcept Therapeutics
$17
Alexion Pharmaceuticals, Inc.
$16
Bayer Healthcare Pharmaceuticals Inc.
$16
Radius Health, Inc.
$15
EISAI INC.
$15
Takeda Pharmaceuticals U.S.A., Inc.
$14
Cumberland Pharmaceuticals, Inc.
$13
Top 3 companies account for 40.0% of all-time payments
Associated products mentioned in payments ›
ANORO · ANORO ELLIPTA · Aimovig · Amitiza · CHANTIX · COLOGUARD DNA CAPTURE REAGENTS · DIABETES - DISEASE · Dayvigo · ELIQUIS · EVENITY · FARXIGA · INJECTAFER · INVOKANA · JANUVIA · JARDIANCE · Kerendia · Korlym · LINZESS · LYRICA · MOUNJARO · MYRBETRIQ · Movantik · NEXLETOL · Omeclamox · Otezla · Ozempic · Prolia · RYBELSUS · Repatha · Rybelsus · SOLIQUA · SOLIQUA 100/33 · STEGLATRO · SYMBICORT · TOUJEO · TRELEGY ELLIPTA · TRULICITY · Tresiba · Tymlos · UBRELVY · VRAYLAR · Vascepa · XIFAXAN · Xofluza
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 medicine physicians in nearby ZIP areas
57
County median income
$62,506
Nearest hospital to ZIP centroid (approximate)
DOCTORS HOSPITAL OF LAREDO
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | — Not enrolled | N/A |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2023 |
| Disciplinary History | — Not included | N/A |
This provider has data in 3 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. Hornedo III is a clinical cardiology specialist, with above-average Medicare volume (top 11% in TX), 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. Hornedo III experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Hornedo III performed 1,191 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 Dr. Hornedo III receive payments from pharmaceutical companies?
Yes. Dr. Hornedo III received a total of $3,126 from 29 companies across 182 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. Hornedo III's costs compare to other family medicine physicians in Laredo?
Dr. Hornedo III's average Medicare payment per service is $56. 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. Hornedo III) 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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