Medicare Enrolled

Dr. Keith Picou, MD

Otolaryngology · McAllen, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
2101 S CYNTHIA ST STE A, McAllen, TX 78503
9563627020
In practice since 2005 (20 years)
NPI: 1881699270 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. Picou 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. Picou

Dr. Keith Picou is an otolaryngology in McAllen, TX, with 20 years in practice. Based on federal Medicare data, Dr. Picou performed 1,000 Medicare services across 649 unique beneficiaries.

Between the years covered by Open Payments, Dr. Picou received a total of $8,638 from 35 pharmaceutical and/or device companies across 454 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in otolaryngology. 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. Picou 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 39% volume in TX$ $8,638 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,000
Medicare services
Top 39% in TX for otolaryngology
649
Unique beneficiaries
$49
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~50 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
Office visit, established patient (20-29 min)537$57$201
New patient office visit (30-44 min)118$65$299
Destruction of precancerous skin growths, 2-1485$5$18
Test to assess middle ear function58$11$54
Placement of ear probe for computerized measurement of sound with interpretation and report48$14$153
Destruction of skin growths (warts/lesions), 1-1442$65$327
Removal of impacted ear wax32$31$193
Office visit, established patient (30-39 min)32$88$297
Destruction of precancerous skin growth, 124$37$192
Office visit, established patient (10-19 min)13$43$120
Diagnostic exam of voice box using a flexible endoscope11$84$371
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 ↗
$8,638
Total received (2018-2024)
Avg $1,234/year across 7 years
Top 11% in TX for otolaryngology
35
Companies
454
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
$8,442 (97.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$197 (2.3%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,657
2023
$1,354
2022
$1,507
2021
$1,080
2020
$823
2019
$1,123
2018
$1,094

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Janssen Biotech, Inc.
$1,375
GENZYME CORPORATION
$817
Amgen Inc.
$755
Stryker Corporation
$750
Novartis Pharmaceuticals Corporation
$667
ABBVIE INC.
$540
GlaxoSmithKline, LLC.
$496
Dermavant Sciences, Inc.
$306
AbbVie Inc.
$300
Lilly USA, LLC
$294
PFIZER INC.
$284
E.R. Squibb & Sons, L.L.C.
$248
Medtronic USA, Inc.
$214
Sun Pharmaceutical Industries Inc.
$195
OptiNose US, Inc.
$191
LEO Pharma Inc.
$174
UCB, Inc.
$164
AbbVie, Inc.
$120
Galderma Laboratories, L.P.
$112
STRATA Skin Sciences, Inc.
$97
Phadia US Inc.
$82
Paratek Pharmaceuticals, Inc.
$74
Medtronic, Inc.
$58
SUN PHARMACEUTICAL INDUSTRIES INC.
$42
Ortho Dermatologics, a division of Bausch Health US, LLC
$40
Regeneron Healthcare Solutions, Inc.
$39
Optinose US, Inc.
$39
Melinta Therapeutics, LLC
$35
Boehringer Ingelheim Pharmaceuticals, Inc.
$29
Genentech USA, Inc.
$28
Janssen Scientific Affairs, LLC
$24
Arcutis Biotherapeutics, Inc.
$18
Encore Dermatology Inc.
$15
Nabriva Therapeutics, plc
$12
Entellus Medical, Inc.
$5
Top 3 companies account for 34.1% of total payments
Associated products mentioned in payments ›
ABSORICA · ABSORICA (isotretinoin) · ADBRY · AKLIEF · Absorica LD · Bimzelx · CLARIFIX CRYOTHERAPY DEVICE · COSENTYX · Cimzia · DUOBRII · DUPIXENT · Dermatological Psoriasis and Vitiligo Treatment · ENSTILAR · ENTELLUS - FIAGON SINUS NAVIGATION SYSTEM · ENTELLUS - FOCESS HD WIRELESS CAMERA · ENTELLUS - FOCESS SINUSCOPES · ENTELLUS - XEROGEL NASAL/EPISTAXIS PACK · ENTELLUS - XPRESS ENT DILATION SYSTEM · EPIDUO FORTE · EUCRISA · Enbrel · FIAGON NAVIGATION UNIT · FUSION · HUMIRA · Humira · ILUMYA · ImmunoCAP · Impoyz · LIBTAYO · NSE - NASOPORE/ OTOPORE · NUCALA · NUVENT · NUZYRA · ORACEA · Orbactiv · Otezla · REMICADE · RINVOQ · SILIQ · SKYRIZI · SOOLANTRA · SPEVIGO · SPIROX - LATERA · Sivextro · Sotyktu · TALTZ · TREMFYA · Tremfya · VTAMA · Winlevi · XOLAIR · XPRESS ENT DILATION SYSTEM · XTRAC · Xhance · Xolair
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 (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $864 per 100 Medicare services performed
Looking for a otolaryngology in McAllen?
Compare otolaryngologys in the McAllen area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Otolaryngologys within 10 mi
9
Per 100K population
1.0
County median income
$52,281
Nearest hospital
RIO GRANDE REGIONAL HOSPITAL
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. Picou is a clinical cardiology specialist, with moderate Medicare volume, and high industry engagement (low-engagement, top 11%), with 20 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. Picou experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Picou performed 537 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. Picou receive payments from pharmaceutical companies?
Yes. Dr. Picou received a total of $8,638 from 35 companies across 454 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. Picou's costs compare to other otolaryngologys in McAllen?
Dr. Picou's average Medicare payment per service is $49. 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. Picou) 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 →