Medicare Enrolled
Dr. Raymond Luna, MD
Family Medicine - Adult · Livingston, 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. Luna 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. Luna
Dr. Raymond Luna is a family medicine - adult specialist in Livingston, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Luna performed 4,486 Medicare services across 2,347 unique beneficiaries.
Between the years covered by Open Payments, Dr. Luna received a total of $1,517 from 25 pharmaceutical and/or device companies across 88 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine - adult. 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. Luna 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.
✓ 20 years in practice
▲ Top 7% volume in TX
$1,517 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,486
Medicare services
Top 7% in TX for family medicine - adult
2,347
Unique beneficiaries
$41
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~224 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 |
|---|---|---|---|
| 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. |
910 | $57 | $93 |
| Nursing facility visit, low complexity A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care. |
561 | $53 | $77 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
403 | $7 | $7 |
| 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. |
322 | $2 | $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. |
321 | $81 | $135 |
| 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. |
246 | $76 | $88 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
216 | $125 | $138 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
173 | $5 | $21 |
| Urine microalbumin test A laboratory test that measures the amount of a specific protein called microalbumin in a urine sample. This analysis helps assess kidney function. |
172 | $6 | $22 |
| Blood glucose level test A test that measures the amount of sugar in your blood. |
172 | $4 | $21 |
| 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. |
168 | $0 | $9 |
| 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. |
118 | $7 | $28 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
102 | $29 | $31 |
| Quadrivalent influenza vaccine, cell-culture derived A flu shot containing four strains of influenza virus, produced using cell culture technology rather than eggs. This formulation is free from preservatives and antibiotics. |
94 | $33 | $35 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
55 | $3 | $28 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
47 | $19 | $69 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
45 | $53 | $86 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
45 | $1 | $15 |
| Initial nursing facility care, high complexity An initial visit by a healthcare provider to a patient in a nursing facility involving a high level of medical decision making, lasting at least 45 minutes. |
40 | $134 | $187 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
32 | $0 | $15 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
30 | $7 | $22 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
28 | $15 | $40 |
| 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. |
24 | $39 | $55 |
| 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. |
23 | $31 | $92 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
21 | $33 | $146 |
| 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. |
20 | $9 | $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. |
20 | $31 | $43 |
| 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. |
15 | $16 | $36 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
15 | $162 | $182 |
| Destruction of precancerous skin growth, 1 Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer. |
12 | $42 | $71 |
| Ear wax removal by washing This procedure involves the removal of impacted ear wax using a washing technique. |
12 | $9 | $16 |
| 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. |
12 | $44 | $144 |
| Nursing facility visit, moderate complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes. |
12 | $71 | $97 |
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 ↗$1,517
Total received (2018-2024)
Avg $217/year across 7 years
Top 35% in TX for family medicine - adult
25
Companies
88
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
$1,517 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$234
2023
$79
2022
$153
2021
$310
2020
$134
2019
$390
2018
$217
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Allergan Inc.
$186
Amgen Inc.
$177
GlaxoSmithKline, LLC.
$164
Janssen Pharmaceuticals, Inc
$157
Sunovion Pharmaceuticals Inc.
$134
Merck Sharp & Dohme Corporation
$96
Dexcom, Inc.
$79
Lilly USA, LLC
$58
Boston Scientific Corporation
$58
Eisai Inc.
$50
PFIZER INC.
$37
Novo Nordisk Inc
$37
Mylan Specialty L.P.
$31
AstraZeneca Pharmaceuticals LP
$30
ABBVIE INC.
$29
Esperion Therapeutics, Inc.
$27
Philips Electronics North America Corporation
$27
FIDIA PHARMA USA INC.
$22
Allergan, Inc.
$21
Merck Sharp & Dohme LLC
$21
Abbott Laboratories
$18
Takeda Pharmaceuticals U.S.A., Inc.
$17
Amarin Pharma Inc.
$14
Sumitomo Pharma America, Inc.
$13
E.R. Squibb & Sons, L.L.C.
$13
Top 3 companies account for 34.7% of total payments
Associated products mentioned in payments ›
(8874) inCourage · APTIOM · Aimovig · BELSOMRA · BOTOX - NEUROLOGY · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · FARXIGA · FREESTYLE LIBRE 2 · GATTEX · GEMTESA · GENERAL TACHY · Hymovis · INVOKANA · JANUVIA · JARDIANCE · LINZESS · LOKELMA · LONHALA MAGNAIR · Leqembi · NEXLETOL · Otezla · Ozempic · Prolia · QULIPTA · Repatha · SHINGRIX · SPRAVATO · STEGLATRO · TRELEGY ELLIPTA · VIBERZI · VRAYLAR · Vascepa · WATCHMAN FLX · Wellcentive Undiv · XARELTO · Yupelri
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 $34 per 100 Medicare services performed
Geographic Context
Family medicine - adults within 10 mi
3
Per 100K population
5.8
County median income
$59,066
Nearest hospital
CHI ST LUKES HEALTH MEMORIAL LIVINGSTON
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. Luna is a clinical cardiology specialist, with above-average Medicare volume (top 7% in TX), with low-engagement industry engagement, with 20 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. Luna experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Luna performed 910 office visit, established patient (20-29 min) 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. Luna receive payments from pharmaceutical companies?
Yes. Dr. Luna received a total of $1,517 from 25 companies across 88 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. Luna's costs compare to other family medicine - adults in Livingston?
Dr. Luna's average Medicare payment per service is $41. 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. Luna) 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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