Medicare Enrolled

Dr. Patricia Durham, FNP

Physician Assistant · Lubbock, TX
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Low-engagement
808 JOLIET AVE UNIT 220, Lubbock, TX 79415
8067610566
In practice since 2006 (19 years)
NPI: 1780649632 verify on NPPES ↗
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. Durham 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 →
Are you Dr. Durham? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Durham

Dr. Patricia Durham is a physician assistant in Lubbock, TX, with 19 years in practice. Based on federal Medicare data, Dr. Durham performed 1,553 Medicare services across 687 unique beneficiaries.

Between the years covered by Open Payments, Dr. Durham received a total of $791 from 9 pharmaceutical and/or device companies across 13 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in physician assistant. 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. Durham 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.

✓ 19 years in practice▲ Top 7% volume in TX$ $791 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,553
Medicare services
Top 7% in TX for physician assistant
687
Unique beneficiaries
$68
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~82 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.

ProcedureVolumeAvg. paidAvg. submitted
Nursing facility visit, moderate complexity497$68$201
Hospital follow-up visit, moderate complexity258$51$150
Hospital follow-up visit, high complexity170$75$225
Nursing facility visit, low complexity170$46$140
Home visit, established patient, moderate complexity141$74$242
Annual wellness visit, follow-up52$105$246
Administration of psychological or neuropsychological test by technician, each additional 30 minutes32$22$65
Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes31$118$346
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes30$170$515
Advance care planning consultation, first 30 min30$59$157
Initial hospital admission, high complexity27$106$330
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes27$96$286
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)26$40$117
Evaluation of neuropsychological test, first hour25$85$248
Administration of psychological or neuropsychological test by technician, first 30 minutes21$22$63
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit16$134$314
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 ↗
$791
Total received (2021-2024)
Avg $198/year across 4 years
Top 33% in TX for physician assistant
9
Companies
13
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
$791 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$22
2023
$370
2022
$340
2021
$59

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$187
Novo Nordisk Inc
$123
ABBVIE INC.
$122
AstraZeneca Pharmaceuticals LP
$97
Avanir Pharmaceuticals, Inc.
$88
Novartis Pharmaceuticals Corporation
$72
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$59
Paratek Pharmaceuticals, Inc.
$22
Boston Scientific Corporation
$21
Top 3 companies account for 54.6% of total payments
Associated products mentioned in payments ›
COREVALVE EVOLUT R · ENTRESTO · INTERSTIM · LEQVIO · LifeVest · NUEDEXTA · NUZYRA · Rybelsus · TEZSPIRE · VRAYLAR
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 $51 per 100 Medicare services performed
Looking for a physician assistant in Lubbock?
Compare physician assistants in the Lubbock area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Physician Assistants within 10 mi
71
Per 100K population
22.6
County median income
$63,367
Nearest hospital
UNIVERSITY MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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. Durham is a mixed practice specialist, with above-average Medicare volume (top 7% in TX), and low-engagement industry engagement, with 19 years of practice experience.

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. Durham experienced with nursing facility visit, moderate complexity?
Based on Medicare claims data, Dr. Durham performed 497 nursing facility visit, moderate complexity 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. Durham receive payments from pharmaceutical companies?
Yes. Dr. Durham received a total of $791 from 9 companies across 13 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. Durham's costs compare to other physician assistants in Lubbock?
Dr. Durham's average Medicare payment per service is $68. 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. Durham) 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 →
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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →