Medicare Enrolled

Dr. Marco Benitez, M.D

Neurology · Lufkin, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
3006 S 1ST ST STE B, Lufkin, TX 75901
9366392222
In practice since 2006 (19 years)
NPI: 1013022979 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. Benitez 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. Benitez? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Benitez

Dr. Marco Benitez is a neurology specialist in Lufkin, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Benitez performed 2,688 Medicare services across 959 unique beneficiaries.

Between the years covered by Open Payments, Dr. Benitez received a total of $7,800 from 46 pharmaceutical and/or device companies across 534 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurology. 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. Benitez 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 17% volume in TX $7,800 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,688
Medicare services
Top 17% in TX for neurology
959
Unique beneficiaries
$83
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~141 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.
1,852 $77 $195
Electromyography of arm or leg muscles
A test that measures the electrical activity in the muscles of the arm or leg using a needle electrode. It helps evaluate the health of muscles and the nerve cells that control them.
225 $67 $120
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.
111 $62 $262
Autonomic nervous system testing with heart rate response to deep breathing
This test evaluates the function of the autonomic nervous system by measuring how the heart rate changes in response to deep breathing.
111 $67 $151
Autonomic nervous system function test
This test evaluates how well the sympathetic nervous system is functioning. It assesses the automatic control of bodily processes such as heart rate and blood pressure.
111 $94 $254
Nerve conduction studies, 7-8 tests
A series of 7 to 8 nerve conduction tests to evaluate how well nerves are sending signals to muscles.
109 $132 $357
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.
46 $115 $327
Telephone medical discussion, 21-30 minutes
A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone.
45 $74 $195
Digital analysis of brain wave activity (EEG)
This procedure involves the digital analysis of brain wave activity recorded via an electroencephalogram (EEG). It focuses on the technical interpretation of the digital data rather than the initial recording or supervision.
41 $209 $430
Awake and drowsy EEG
A test that records electrical activity in the brain while the patient is awake and drowsy.
37 $288 $495
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 ↗
$7,800
Total received (2018-2024)
Avg $1,114/year across 7 years
Top 31% in TX for neurology
46
Companies
534
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
$7,762 (99.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$38 (0.5%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$644
2023
$274
2022
$1,160
2021
$800
2020
$1,076
2019
$2,523
2018
$1,323

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Teva Pharmaceuticals USA, Inc.
$1,334
Supernus Pharmaceuticals, Inc.
$780
Amgen Inc.
$765
ABBVIE INC.
$566
EMD Serono, Inc.
$484
SK Life Science, Inc.
$447
PFIZER INC.
$425
UCB, Inc.
$423
Daiichi Sankyo Inc.
$379
Novartis Pharmaceuticals Corporation
$262
Amneal Pharmaceuticals LLC
$253
Lilly USA, LLC
$243
Sunovion Pharmaceuticals Inc.
$234
Lundbeck LLC
$142
AbbVie Inc.
$100
Biohaven Pharmaceutical Holding Company Ltd.
$77
US WorldMeds, LLC
$75
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$69
Neurocrine Biosciences, Inc.
$63
Collegium Pharmaceutical, Inc.
$58
GENZYME CORPORATION
$52
Neurelis, Inc.
$42
Acorda Therapeutics, Inc
$38
LivaNova USA, Inc.
$36
Impax Laboratories, Inc.
$35
Genentech USA, Inc.
$31
Allergan, Inc.
$31
CSL Behring
$28
JAZZ PHARMACEUTICALS INC.
$27
Harmony Biosciences LLC
$27
Upsher-Smith Laboratories LLC
$26
ANI Pharmaceuticals, Inc.
$23
Bayer HealthCare Pharmaceuticals Inc.
$22
IMPEL PHARMACEUTICALS INC.
$21
Biogen, Inc.
$19
EISAI INC.
$19
MDD US Operations, LLC
$18
AQUESTIVE THERAPEUTICS, INC.
$17
Kyowa Kirin, Inc.
$17
Medtronic USA, Inc.
$17
Abbott Laboratories
$16
ACADIA Pharmaceuticals Inc
$15
Allergan Inc.
$14
Biohaven Pharmaceuticals, Inc.
$12
Novo Nordisk Inc
$12
ASSERTIO THERAPEUTICS, Inc.
$11
Top 3 companies account for 36.9% of total payments
Associated products mentioned in payments ›
ACTIVA · AIMOVIG · AJOVY · APOKYN · APTIOM · AUBAGIO · AUSTEDO · Aimovig · BOTOX · BOTOX - NEUROLOGY · Betaseron · Briviact · CHANTIX · COPAXONE · Cambia · EMGALITY · EUCRISA · Enspryng · Fycompa · Hizentra · INBRIJA · INGREZZA · KESIMPTA · LUCEMYRA · LYRICA · MYOBLOC · Mavenclad · Morphabond ER · Movantik · NOURIANZ · NUPLAZID · NURTEC ODT · Ongentys · PROCLAIM · PURIFIED CORTROPHIN GEL · QULIPTA · RELISTOR · REXULTI · RYTARY · Rebif · SUNOSI · SYMPAZAN · Saxenda · TOSYMRA SUMATRIPTAN NASAL SPRAY · TROKENDI XR · Trudhesa · UBRELVY · VALTOCO · VNS THERAPY SENTIVA MODEL 1000 GENERATOR · VNS Therapy · VYEPTI · Vimpat · Wakix · XADAGO · Xadago · Xtampza ER · ZOMIG
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 $290 per 100 Medicare services performed
Looking for a neurology specialist in Lufkin?
Compare neurologists in the Lufkin area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Neurologists within 10 mi
4
Per 100K population
4.6
County median income
$58,847
Nearest hospital
CHI ST LUKES HEALTH MEMORIAL LUFKIN
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. Benitez is a clinical cardiology specialist, with above-average Medicare volume (top 17% in TX), with low-engagement industry engagement, with 19 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. Benitez experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Benitez performed 1,852 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. Benitez receive payments from pharmaceutical companies?
Yes. Dr. Benitez received a total of $7,800 from 46 companies across 534 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. Benitez's costs compare to other neurologists in Lufkin?
Dr. Benitez's average Medicare payment per service is $83. 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. Benitez) 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 →