Medicare Enrolled
Dr. Carlton Lewis, D.O.
Family Medicine · Lufkin, 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. Lewis 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. Lewis
Dr. Carlton Lewis is a family medicine specialist in Lufkin, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Lewis performed 6,596 Medicare services across 2,703 unique beneficiaries.
Between the years covered by Open Payments, Dr. Lewis received a total of $3,778 from 20 pharmaceutical and/or device companies across 107 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. 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. Lewis 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 2% volume in TX
$3,778 industry payments
Medicare Practice Summary
Medicare Utilization ↗6,596
Medicare services
Top 2% in TX for family medicine
2,703
Unique beneficiaries
$47
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~330 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 (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. |
1,884 | $80 | $250 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
901 | $0 | $18 |
| 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. |
750 | $62 | $180 |
| 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. |
404 | $0 | $27 |
| 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. |
379 | $10 | $61 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
323 | $9 | $30 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
314 | $124 | $135 |
| 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. |
266 | $77 | $114 |
| 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. |
197 | $2 | $19 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
133 | $0 | $16 |
| Annual depression screening | 127 | $18 | $35 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
123 | $9 | $31 |
| Influenza vaccine, quadrivalent, 0.5 ml dosage | 112 | $20 | $50 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
109 | $30 | $50 |
| Nursing facility visit, high complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves a high level of medical decision making and takes at least 45 minutes. |
107 | $107 | $221 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
54 | $8 | $10 |
| Fecal immunochemical test (FIT), 1-3 simultaneous A screening test that uses a stool sample to detect hidden blood in the feces, helping to identify potential colorectal cancer. |
54 | $18 | $41 |
| 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. |
43 | $207 | $350 |
| 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. |
36 | $65 | $325 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
32 | $1 | $17 |
| 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. |
28 | $9 | $65 |
| 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. |
27 | $29 | $70 |
| 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. |
27 | $40 | $105 |
| Mental processes therapy, initial 15 minutes A therapy session focusing on a range of mental processes, lasting for the initial 15 minutes. |
22 | $8 | $23 |
| 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. |
22 | $139 | $330 |
| COVID-19 viral test, non-CDC A laboratory test to detect the SARS-CoV-2 virus (COVID-19) using any technique and targeting multiple types or subtypes. This specific code is for tests performed by laboratories that are not the CDC. |
21 | $49 | $56 |
| Stool test for blood to screen for colon tumors A test that analyzes a stool sample to detect hidden blood, which is used to screen for colon tumors. |
18 | $4 | $30 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
18 | $16 | $31 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
18 | $149 | $400 |
| Substance misuse assessment and brief intervention A structured assessment of alcohol or substance misuse combined with a brief intervention lasting 15 to 30 minutes. |
18 | $25 | $71 |
| Inhalation treatment for airway obstruction or sputum production A treatment involving the inhalation of medication to help clear airway obstructions or reduce sputum production. |
17 | $6 | $70 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
12 | $114 | $300 |
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 ↗$3,778
Total received (2018-2024)
Avg $540/year across 7 years
Top 17% in TX for family medicine
20
Companies
107
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
$3,778 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$147
2023
$186
2022
$243
2021
$165
2020
$277
2019
$2,094
2018
$666
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic MiniMed, Inc.
$1,705
Novo Nordisk Inc
$446
AstraZeneca Pharmaceuticals LP
$437
SANOFI-AVENTIS U.S. LLC
$192
GlaxoSmithKline, LLC.
$161
Amgen Inc.
$143
Novartis Pharmaceuticals Corporation
$101
BOSTON SCIENTIFIC CORPORATION
$95
Gilead Sciences, Inc.
$84
ABBVIE INC.
$78
Teva Pharmaceuticals USA, Inc.
$61
Medtronic, Inc.
$59
Lilly USA, LLC
$49
Dexcom, Inc.
$45
Janssen Pharmaceuticals, Inc
$27
Merck Sharp & Dohme Corporation
$26
Sunovion Pharmaceuticals Inc.
$25
Abbott Laboratories
$16
Boehringer Ingelheim Pharmaceuticals, Inc.
$15
PFIZER INC.
$13
Top 3 companies account for 68.5% of total payments
Associated products mentioned in payments ›
AJOVY · APTIOM · AREXVY · Aimovig · BREZTRI · BREZTRI AEROSPHERE · CHANTIX · Dexcom G6 Transmitter · ENTRESTO · EPKINLY · Epclusa · FARXIGA · FASENRA · FreeStyle Libre 2 · IMBRUVICA · InPen · JANUVIA · JARDIANCE · LEQVIO · MINIMED 770G · MOUNJARO · Minimed 630G · Minimed 670G System · Ozempic · RYBELSUS · Repatha · Rybelsus · SYMBICORT · TOUJEO · TRELEGY ELLIPTA · TRULICITY · Tresiba · Victoza · WATCHMAN · XARELTO
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 $57 per 100 Medicare services performed
Geographic Context
Family medicine physicians within 10 mi
34
Per 100K population
39.2
County median income
$58,847
Nearest hospital
WOODLAND HEIGHTS 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. Lewis is a clinical cardiology specialist, with above-average Medicare volume (top 2% in TX), with low-engagement industry engagement in the top 17% of TX peers, 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. Lewis experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Lewis performed 1,884 office visit, established patient (30-39 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. Lewis receive payments from pharmaceutical companies?
Yes. Dr. Lewis received a total of $3,778 from 20 companies across 107 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. Lewis's costs compare to other family medicine physicians in Lufkin?
Dr. Lewis's average Medicare payment per service is $47. 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. Lewis) 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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