Medicare Enrolled
Dr. Brent Paulger, M.D.
MOHS-Micrographic Surgery Physician · Lubbock, 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. Paulger 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. Paulger
Dr. Brent Paulger is a mohs-micrographic surgery physician in Lubbock, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Paulger performed 10,750 Medicare services across 6,153 unique beneficiaries.
Between the years covered by Open Payments, Dr. Paulger received a total of $6,514 from 32 pharmaceutical and/or device companies across 246 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in mohs-micrographic surgery physician. 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. Paulger 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 12% volume in TX
$6,514 industry payments
Medicare Practice Summary
Medicare Utilization ↗10,750
Medicare services
Top 12% in TX for mohs-micrographic surgery physician
6,153
Unique beneficiaries
$71
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~538 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 |
|---|---|---|---|
| Destruction of precancerous skin growths, 2-14 This procedure involves the removal or destruction of two to fourteen precancerous skin lesions. It is performed to eliminate abnormal skin cells that have the potential to develop into cancer. |
3,294 | $5 | $16 |
| 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. |
1,600 | $61 | $97 |
| 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. |
1,215 | $36 | $77 |
| Tissue pathology examination, moderate complexity A laboratory test where a pathologist examines tissue samples under a microscope to analyze cellular details. This intermediate complexity procedure involves specialized techniques to identify abnormalities in the tissue. |
837 | $50 | $83 |
| Skin biopsy, tangential A procedure to remove a sample of the first identified skin growth for laboratory examination. |
720 | $64 | $113 |
| Skin growth removal and lab exam, 1-5 blocks This procedure involves the removal of a growth from the head, neck, hands, feet, or genitals. The removed tissue is then examined under a microscope in the laboratory. |
406 | $450 | $688 |
| 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. |
395 | $86 | $137 |
| Destruction of skin growths (warts/lesions), 1-14 This procedure involves the removal or destruction of one to fourteen skin growths. It is a minor surgical intervention performed on the skin surface. |
303 | $77 | $122 |
| Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 289 | $318 | $430 |
| Additional skin growth biopsy Removal of a sample of an additional skin growth for laboratory examination. This code is used for each extra lesion biopsied during the same session. |
248 | $37 | $68 |
| Intermediate wound repair, 2.6-7.5 cm A medical procedure to close a wound on the scalp, underarms, trunk, arms, or legs that measures between 2.6 and 7.5 centimeters. This type of repair involves cleaning the wound and stitching it closed to promote healing. |
176 | $205 | $314 |
| 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. |
168 | $40 | $60 |
| Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm | 126 | $127 | $327 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
117 | $1 | $25 |
| Surgical removal of skin cancer, 1.1-2.0 cm Surgical excision of a cancerous skin growth measuring between 1.1 and 2.0 centimeters on the body, arms, or legs. |
85 | $100 | $259 |
| Intermediate wound repair, 2.6-7.5 cm This procedure involves stitching a wound on the neck, hands, feet, or genitals that measures between 2.6 and 7.5 centimeters. It is classified as an intermediate repair requiring layered closure. |
70 | $142 | $320 |
| 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. |
67 | $76 | $120 |
| Destruction of 15 or more precancerous skin growths This procedure involves the removal or destruction of fifteen or more precancerous skin lesions. It is performed to treat abnormal skin cells that have the potential to develop into cancer. |
59 | $118 | $174 |
| Pathology tissue examination, moderate complexity A laboratory test where a pathologist examines tissue samples under a microscope to identify abnormalities. This specific level indicates a moderate degree of complexity in the analysis. |
59 | $30 | $56 |
| Surgical removal of skin cancer, 2.1-3.0 cm This procedure involves the surgical excision of a cancerous skin growth located on the body, arms, or legs. The size of the removed tissue measures between 2.1 and 3.0 centimeters. |
47 | $120 | $300 |
| Full thickness skin graft to nose, ears, eyelids, or lips, 20 sq cm or less A surgical procedure where a full layer of skin is taken from a donor site and transplanted to the nose, ears, eyelids, or lips. The graft covers an area of 20 square centimeters or less. |
44 | $774 | $995 |
| Injection into skin growths, 1-7 A procedure involving the injection of medication into one to seven skin growths. |
36 | $33 | $65 |
| Removal of noncancer skin growth, 1.1-2.0 cm This procedure involves the surgical removal of a benign skin growth located on the body, arms, or legs. The growth measured between 1.1 and 2.0 centimeters in diameter. |
33 | $69 | $175 |
| Methotrexate sodium, 5 mg | 29 | $0 | $15 |
| Intermediate wound repair, face or mouth, 2.5 cm or less A medical procedure to close a wound on the face, ears, eyelids, nose, lips, or mouth that is 2.5 centimeters or smaller. This type of repair involves more than simple closure but is less complex than a major repair. |
27 | $119 | $294 |
| Chemotherapy administration, 1-7 injections This procedure involves the administration of chemotherapy medication through one to seven separate injections. |
25 | $55 | $122 |
| 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. |
24 | $11 | $25 |
| Wound tissue removal, 20 sq cm or less This procedure involves the removal of tissue from a wound area measuring 20 square centimeters or less. |
24 | $67 | $108 |
| New patient office visit, 15-29 minutes An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold. |
23 | $39 | $90 |
| Simple wound repair, 2.6-7.5 cm A simple repair of a surface wound on the scalp, neck, underarms, trunk, arms, or legs measuring between 2.6 and 7.5 centimeters. |
22 | $44 | $120 |
| Simple drainage of skin abscess A minor procedure to drain a localized collection of pus from the skin. The abscess is opened to allow the fluid to escape and promote healing. |
21 | $76 | $125 |
| 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. |
21 | $122 | $170 |
| Simple repair of small facial wound A minor surgical procedure to close a small cut or wound on the face, ears, eyelids, nose, lips, or mouth that is 2.5 centimeters or less in length. |
20 | $44 | $120 |
| Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm | 19 | $143 | $387 |
| Skin growth removal and lab exam, 1-5 blocks A procedure to remove a growth from the trunk, arms, or legs and send 1 to 5 tissue samples to a laboratory for microscopic examination. |
17 | $483 | $630 |
| All potassium hydroxide (koh) preparations | 17 | $6 | $32 |
| Removal of noncancer skin growth, 2.1-3.0 cm This procedure involves the surgical removal of a benign skin growth located on the body, arms, or legs. The excised tissue measures between 2.1 and 3.0 centimeters in diameter. |
15 | $82 | $200 |
| Skin graft repair of eyelid, nose, ear, or lip, 10 sq cm or less A surgical procedure to repair a wound on the eyelid, nose, ear, or lip by transferring a small piece of skin. The transferred skin covers an area of 10 square centimeters or less. |
15 | $562 | $827 |
| Ear tissue biopsy A procedure to remove a small sample of tissue from the ear for laboratory examination. |
14 | $59 | $116 |
| Simple repair of face, ear, eyelid, nose, lip, or mouth wound, 2.6-5.0 cm A simple surgical repair of a surface wound on the face, ear, eyelid, nose, lip, or mouth that measures between 2.6 and 5.0 centimeters. |
12 | $50 | $140 |
| Intermediate wound repair, 2.5 cm or less This procedure involves stitching a wound on the scalp, underarms, trunk, arms, or legs that is 2.5 centimeters or smaller. It includes cleaning the wound and closing it with sutures to promote healing. |
11 | $178 | $265 |
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 ↗$6,514
Total received (2018-2024)
Avg $931/year across 7 years
Top 27% in TX for mohs-micrographic surgery physician
32
Companies
246
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
$5,997 (92.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$517 (7.9%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,854
2023
$1,851
2022
$1,186
2021
$565
2020
$409
2019
$194
2018
$456
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$1,113
Regeneron Healthcare Solutions, Inc.
$818
Janssen Biotech, Inc.
$709
Amgen Inc.
$634
E.R. Squibb & Sons, L.L.C.
$605
Arcutis Biotherapeutics, Inc.
$290
Lilly USA, LLC
$278
Novartis Pharmaceuticals Corporation
$242
UCB, Inc.
$223
Allergan, Inc.
$189
SUN PHARMACEUTICAL INDUSTRIES INC.
$164
Sun Pharmaceutical Industries Inc.
$144
AbbVie Inc.
$142
Galderma Laboratories, L.P.
$101
Almirall LLC
$100
Genentech USA, Inc.
$86
Janssen Scientific Affairs, LLC
$85
GENZYME CORPORATION
$82
Celgene Corporation
$70
DUSA Pharmaceuticals, Inc.
$61
AbbVie, Inc.
$58
LEO Pharma Inc.
$58
Incyte Corporation
$47
Journey Medical Corporation
$46
Genentech, Inc.
$38
Dermavant Sciences, Inc.
$36
Integra LifeSciences Corporation
$23
Boehringer Ingelheim Pharmaceuticals, Inc.
$18
Krystal Biotech Inc
$17
Paratek Pharmaceuticals, Inc.
$13
PFIZER INC.
$13
MAYNE PHARMA INC.
$12
Top 3 companies account for 40.5% of total payments
Associated products mentioned in payments ›
ADBRY · AKLIEF · BLU-U · BLU-U Blue Light Photodynamic Therapy Illuminator Model 4170 · BOTOX · Bimzelx · COSENTYX · Cimzia · DUPIXENT · DUPIXENT DUPILUMAB INJECTION · EUCRISA · Enbrel · Erivedge · HUMIRA · Humira · ILUMYA · ILUMYA (tildrakizumab-asmn) injection · Ilumya · Integra · Klisyri · LEVULAN KERASTICK · LIBTAYO · NUZYRA · OCREVUS · ODOMZO · OPZELURA · Odomzo · Otezla · QBREXZA · REMICADE · RINVOQ · SKYRIZI · SPEVIGO · STELARA · Skyrizi · Sotyktu · TALTZ · TREMFYA · Tremfya · VTAMA · VYJUVEK · Zoryve
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 (92%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $61 per 100 Medicare services performed
Geographic Context
Mohs-micrographic surgery physicians within 10 mi
4
Per 100K population
1.3
County median income
$63,367
Nearest hospital
COVENANT MEDICAL CENTER
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. Paulger is a clinical cardiology specialist, with above-average Medicare volume (top 12% 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. Paulger experienced with destruction of precancerous skin growths, 2-14?
Based on Medicare claims data, Dr. Paulger performed 3,294 destruction of precancerous skin growths, 2-14 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. Paulger receive payments from pharmaceutical companies?
Yes. Dr. Paulger received a total of $6,514 from 32 companies across 246 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. Paulger's costs compare to other mohs-micrographic surgery physicians in Lubbock?
Dr. Paulger's average Medicare payment per service is $71. 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. Paulger) 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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