Medicare Enrolled
Dr. Kavita Vyas, M.D.
Internal Medicine · Nacogdoches, 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. Vyas 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. Vyas
Dr. Kavita Vyas is an internal medicine specialist in Nacogdoches, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Vyas performed 4,750 Medicare services across 2,345 unique beneficiaries.
Between the years covered by Open Payments, Dr. Vyas received a total of $2,831 from 34 pharmaceutical and/or device companies across 157 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal 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. Vyas 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 7% volume in TX
$2,831 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,750
Medicare services
Top 7% in TX for internal medicine
2,345
Unique beneficiaries
$52
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~238 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 (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. |
1,073 | $58 | $214 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
1,028 | $44 | $99 |
| 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. |
459 | $90 | $288 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
387 | $0 | $17 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
324 | $126 | $232 |
| 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. |
240 | $9 | $48 |
| Annual alcohol misuse screening, 5 to 15 minutes | 147 | $18 | $26 |
| Annual depression screening | 125 | $18 | $20 |
| Nursing facility visit, low complexity A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care. |
124 | $54 | $111 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
124 | $28 | $31 |
| Quadrivalent influenza vaccine, cell culture-derived A flu shot that protects against four strains of the influenza virus. It is produced using cell culture technology rather than traditional egg-based methods. |
123 | $32 | $80 |
| 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. |
81 | $30 | $137 |
| 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. |
74 | $0 | $28 |
| Injection, methylprednisolone acetate, 40 mg | 74 | $4 | $36 |
| 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. |
60 | $210 | $493 |
| 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. |
53 | $72 | $182 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
49 | $3 | $18 |
| 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. |
46 | $39 | $187 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
26 | $281 | $583 |
| 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. |
26 | $87 | $354 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
26 | $29 | $33 |
| 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. |
25 | $9 | $83 |
| Respiratory virus detection test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus and influenza viruses. |
21 | $67 | $200 |
| 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. |
20 | $36 | $148 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
15 | $10 | $39 |
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 ↗$2,831
Total received (2018-2024)
Avg $404/year across 7 years
Top 25% in TX for internal medicine
34
Companies
157
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
$2,703 (95.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$127 (4.5%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$286
2023
$378
2022
$222
2021
$554
2020
$307
2019
$367
2018
$716
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
PFIZER INC.
$320
E.R. Squibb & Sons, L.L.C.
$279
Novo Nordisk Inc
$252
Otsuka America Pharmaceutical, Inc.
$238
Astellas Pharma US Inc
$211
Novartis Pharmaceuticals Corporation
$175
Lilly USA, LLC
$159
AstraZeneca Pharmaceuticals LP
$142
Ironwood Pharmaceuticals, Inc
$106
Sunovion Pharmaceuticals Inc.
$95
Janssen Pharmaceuticals, Inc
$93
Medtronic Vascular, Inc.
$87
Avanir Pharmaceuticals, Inc.
$87
Bayer Healthcare Pharmaceuticals Inc.
$61
Bayer HealthCare Pharmaceuticals Inc.
$61
GlaxoSmithKline, LLC.
$61
SANOFI-AVENTIS U.S. LLC
$54
Amarin Pharma Inc.
$37
AbbVie Inc.
$34
Paratek Pharmaceuticals, Inc.
$32
Dexcom, Inc.
$30
Abbott Laboratories
$29
Boston Scientific Corporation
$25
Sumitomo Pharma America, Inc.
$19
Boehringer Ingelheim Pharmaceuticals, Inc.
$18
ARALEZ PHARMACEUTICALS US INC.
$17
Biogen, Inc.
$15
Allergan Inc.
$15
Amgen Inc.
$15
Exact Sciences Corporation
$14
Sun Pharmaceutical Industries Inc.
$14
CMP Pharma, Inc.
$13
ASSERTIO THERAPEUTICS, Inc.
$13
Veran Medical Technologies, Inc.
$11
Top 3 companies account for 30.1% of total payments
Associated products mentioned in payments ›
ANORO ELLIPTA · BASAGLAR · BYDUREON · CAMZYOS · CHANTIX · COLOGUARD · CaroSpir · Cologuard Collection Kit · DUZALLO · Dexcom G6 Transmitter · ELIQUIS · ENTRESTO · EVENITY · FARXIGA · FASENRA · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · GEMTESA · Gralise · INVOKANA · JARDIANCE · KAPSPARGO · Kerendia · LATUDA · LINZESS · LYRICA · MOUNJARO · MYRBETRIQ · NUEDEXTA · NUZYRA · Nuedexta · Ozempic · PREMARIN · REXULTI · RYBELSUS · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPRAVATO · Spin · TOUJEO · TRULICITY · Tresiba · VRAYLAR · Vascepa · Veozah · Visia AF · WATCHMAN FLX · XARELTO · ZONTIVITY
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 (96%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $60 per 100 Medicare services performed
Geographic Context
Internal medicine physicians within 10 mi
17
Per 100K population
26.2
County median income
$51,528
Nearest hospital
NACOGDOCHES 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. Vyas is a clinical cardiology specialist, with above-average Medicare volume (top 7% 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. Vyas experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Vyas performed 1,073 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. Vyas receive payments from pharmaceutical companies?
Yes. Dr. Vyas received a total of $2,831 from 34 companies across 157 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. Vyas's costs compare to other internal medicine physicians in Nacogdoches?
Dr. Vyas's average Medicare payment per service is $52. 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. Vyas) 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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