Not Medicare Enrolled

Jessica Manuel, FNP-C, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Orange, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
610 STRICKLAND DR STE 340, Orange, TX 77630
4096700044
Registered in NPPES since 2021
NPI: 1609458116 verify on NPPES ↗
High
DATA COVERAGE
Data in 3 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Manuel 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 Manuel? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Manuel

Jessica Manuel is a psychiatric/mental health nurse practitioner in Orange, TX, with 5 years of NPI registration. Based on federal Medicare data, Manuel performed 633 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Manuel received a total of $1,782 from 27 pharmaceutical and/or device companies across 105 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Manuel is High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 5 years of NPI registration ▲ Top 16% volume in TX $1,782 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
633
Medicare services
Top 16% in TX for psychiatric/mental health nurse practitioner
Not available
Unique patients (not deduplicated)
$19
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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
Dexamethasone injection (steroid)
An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram.
212 $0 $5
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.
111 $8 $40
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.
100 $0 $10
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.
55 $54 $170
COVID-19 immunoassay detection test
A laboratory test that uses an immunoassay method to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) through direct visual observation.
52 $41 $88
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.
34 $82 $237
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
32 $59 $212
Injection, methylprednisolone acetate, 40 mg 26 $5 $35
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.
11 $107 $293
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. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$1,782
Total received (2021-2024)
Avg $445/year across 4 years
Top 23% in TX for psychiatric/mental health nurse practitioner
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
27
Companies
105
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$231
2023
$571
2022
$768
2021
$211

Payments by company (2024)

Neurocrine Biosciences, Inc.
$88
ABBVIE INC.
$83
PFIZER INC.
$22
Vanda Pharmaceuticals Inc.
$20
IRONSHORE PHARMACEUTICALS INC.
$18
Top 3 companies account for 83.5% of 2024 payments
All-time payments by company (2021-2024) ›
ABBVIE INC.
$496
Lilly USA, LLC
$174
PFIZER INC.
$121
Novo Nordisk Inc
$94
Neurocrine Biosciences, Inc.
$88
Bayer Healthcare Pharmaceuticals Inc.
$83
Bayer HealthCare Pharmaceuticals Inc.
$75
AstraZeneca Pharmaceuticals LP
$66
Kowa Pharmaceuticals America, Inc.
$61
Boehringer Ingelheim Pharmaceuticals, Inc.
$57
GlaxoSmithKline, LLC.
$51
AbbVie Inc.
$44
Merck Sharp & Dohme LLC
$41
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$39
SANOFI-AVENTIS U.S. LLC
$38
IDORSIA PHARMACEUTICALS US INC
$33
Corium, LLC
$30
Astellas Pharma US Inc
$29
Tactile Systems Technology Inc
$26
Takeda Pharmaceuticals U.S.A., Inc.
$20
Vanda Pharmaceuticals Inc.
$20
IRONSHORE PHARMACEUTICALS INC.
$18
Exact Sciences Corporation
$17
Amarin Pharma Inc.
$16
Genentech USA, Inc.
$15
Esperion Therapeutics, Inc.
$15
Ironshore Pharmaceuticals Inc.
$13
Top 3 companies account for 44.4% of all-time payments
Associated products mentioned in payments ›
AREXVY · AZSTARYS · Azstarys · BELSOMRA · BREZTRI · CREON · Cologuard Collection Kit · ELIQUIS · EMGALITY · FANAPT · FARXIGA · Flexitouch Plus · JARDIANCE · JORNAY PM · Kerendia · LINZESS · LIVALO · Livalo · MOUNJARO · MYRBETRIQ · NEXLETOL · NURTEC ODT · Ozempic · PAXLOVID · QULIPTA · QUVIVIQ · Rybelsus · SEGLENTIS · SOLIQUA 100/33 · STEGLATRO · STIOLTO RESPIMAT · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · UBRELVY · VRAYLAR · Vascepa · XIFAXAN · Xofluza
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for a psychiatric/mental health nurse practitioner in Orange?
Compare psychiatric/mental health nurse practitioners in the Orange area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Psychiatric/mental health nurse practitioners in nearby ZIP areas
22
County median income
$73,372
Nearest hospital to ZIP centroid (approximate)
THE MEDICAL CENTER OF SOUTHEAST TEXAS
13.5 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment — Not enrolled N/A
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 3 of 4 available federal datasets, with a Data Coverage level of High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Manuel is a clinical cardiology specialist, with above-average Medicare volume (top 16% in TX).

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Manuel experienced with dexamethasone injection (steroid)?
Based on Medicare claims data, Manuel performed 212 dexamethasone injection (steroid) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Manuel receive payments from pharmaceutical companies?
Yes. Manuel received a total of $1,782 from 27 companies across 105 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Manuel's costs compare to other psychiatric/mental health nurse practitioners in Orange?
Manuel's average Medicare payment per service is $19. 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 High for Manuel) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →