Medicare Enrolled
Dr. James Wilder, MD
Radiology - Diagnostic · Palestine, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Wilder 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. Wilder?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Wilder
Dr. James Wilder is a radiology - diagnostic specialist in Palestine, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Wilder performed 7,038 Medicare services across 962 unique beneficiaries.
Between the years covered by Open Payments, Dr. Wilder received a total of $941 from 22 pharmaceutical and/or device companies across 45 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in radiology - diagnostic. 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. Wilder 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 18% volume in TX
$941 industry payments
Medicare Practice Summary
Medicare Utilization ↗7,038
Medicare services
Top 18% in TX for radiology - diagnostic
962
Unique beneficiaries
$85
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~370 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 |
|---|---|---|---|
| Contrast dye for imaging (iodine-based) A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures. |
2,605 | $0 | $3 |
| CT guidance for radiation therapy This procedure uses computed tomography imaging to guide the precise placement of radiation therapy fields. It ensures accurate positioning for targeted treatment delivery. |
1,190 | $92 | $613 |
| Intensity-modulated radiation therapy delivery Delivery of radiation therapy using narrow beams that are spatially and temporally modulated to target specific areas. This process is performed per treatment session. |
741 | $271 | $2,762 |
| Calculation of radiation therapy dose | 443 | $50 | $365 |
| Radiation treatment management, 5 sessions Oversight and management of a radiation therapy course consisting of five treatment sessions. |
340 | $147 | $1,067 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
300 | $0 | $1 |
| Continuing radiation therapy consultation per week A weekly consultation to review and manage ongoing radiation therapy treatment. |
277 | $65 | $343 |
| Radiation therapy, 3+ areas, 11-19 MeV Delivery of high-energy radiation (11-19 MeV) to three or more separate treatment areas using custom blocking, tangential ports, wedges, rotational beams, and compensators. |
199 | $178 | $700 |
| Anti-nausea injection (Aloxi/palonosetron) | 160 | $1 | $114 |
| Design and construction of complex radiation treatment device This code covers the design and construction of a complex radiation treatment device. It does not specify the clinical purpose or conditions treated. |
108 | $95 | $710 |
| 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. |
82 | $40 | $150 |
| 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. |
75 | $124 | $565 |
| Radiation therapy, 3+ areas, 6-10 MeV Radiation treatment delivered to three or more separate areas using advanced techniques like custom blocking and rotational beams with an energy level of 6-10 MeV. |
55 | $177 | $700 |
| Complex radiation therapy planning | 52 | $127 | $1,022 |
| High precision radiation therapy planning This procedure involves the detailed planning and setup required for delivering high-precision radiation therapy to a target area of the body. |
42 | $1,394 | $6,431 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
40 | $8 | $20 |
| Design and construction of radiation treatment device This code covers the design and construction of a device used for high precision radiation therapy. It does not include the actual administration of radiation treatment. |
40 | $354 | $2,640 |
| Additional sequential IV infusion, 1 hour or less This code represents an additional intravenous infusion administered sequentially to a primary infusion. It covers the administration time of one hour or less. |
40 | $22 | $157 |
| Intravenous infusion, 1 hour or less Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less. |
37 | $47 | $313 |
| Cranial lesion radiation therapy Treatment of a brain lesion using radiation delivered over multiple sessions. |
34 | $758 | $8,210 |
| Intravenous chemotherapy infusion, 1 hour or less Administration of chemotherapy medication directly into a vein. The procedure takes one hour or less to complete. |
34 | $98 | $707 |
| 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. |
23 | $58 | $250 |
| Radiation treatment planning, 1 area This procedure involves gathering the necessary data to design the most effective radiation therapy plan for a single treatment area. |
22 | $204 | $704 |
| Intravenous injection of additional new drug or substance Administration of an additional new medication or substance directly into a vein. |
20 | $12 | $108 |
| Additional hour of intravenous chemotherapy This code represents the administration of chemotherapy medication into a vein for each additional hour beyond the initial period. |
18 | $21 | $161 |
| Radiation treatment planning, complex This procedure involves obtaining the necessary data to develop an optimal radiation treatment plan for three or more treatment areas, or any number of areas requiring special treatment. |
17 | $338 | $1,339 |
| CT scan of chest with contrast A computed tomography scan of the chest using a contrast dye to enhance the visibility of internal structures. |
16 | $53 | $821 |
| Intravenous infusion of new drug or substance, 1 hour or less This procedure involves administering a new medication or substance directly into a vein through an existing access site. The infusion is completed within one hour or less. |
15 | $49 | $344 |
| CT scan of abdomen and pelvis with contrast A CT scan that uses dye to create detailed images of the abdomen and pelvis. This imaging test helps doctors examine internal organs and structures in these areas. |
13 | $175 | $1,067 |
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.
1.8% high complexity
95.1% medium
3.1% routine
Industry Payment Transparency
Open Payments through 2024 ↗$941
Total received (2019-2024)
Avg $157/year across 6 years
Top 42% in TX for radiology - diagnostic
22
Companies
45
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
$917 (97.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$24 (2.5%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$358
2023
$354
2022
$116
2021
$24
2020
$14
2019
$75
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Astellas Pharma US Inc
$98
Novartis Pharmaceuticals Corporation
$89
Pharmacyclics LLC, An AbbVie Company
$79
EMD Serono, Inc.
$78
Incyte Corporation
$64
SOBI, INC
$59
IsoRay, Inc
$52
ABBVIE INC.
$47
Bayer Healthcare Pharmaceuticals Inc.
$44
AstraZeneca Pharmaceuticals LP
$42
Pharmacyclics LLC, an AbbVie Company
$41
PFIZER INC.
$38
Lilly USA, LLC
$37
Myovant Sciences Inc.
$24
Amgen Inc.
$23
Myriad Genetic Laboratories, Inc.
$21
Seagen Inc.
$20
Genentech USA, Inc.
$20
Merck Sharp & Dohme LLC
$18
Karyopharm Therapeutics Inc.
$17
Eisai Inc.
$16
Regeneron Healthcare Solutions, Inc.
$14
Top 3 companies account for 28.3% of total payments
Associated products mentioned in payments ›
BAVENCIO · Brachytherapy Source · Doptelet · ENHERTU · EPKINLY · IBRANCE · IMBRUVICA · IMFINZI · KEYTRUDA · KISQALI · LIBTAYO · Lenvima · MEKINIST · MONJUVI · MYRISK · Neulasta · Nubeqa · ORGOVYX · PEMAZYRE · PIQRAY · Padcev · Stivarga · TUKYSA · Tecentriq Hybreza · VERZENIO · XPOVIO · Xtandi
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 $13 per 100 Medicare services performed
Geographic Context
Radiology - diagnostics within 10 mi
1
Per 100K population
1.7
County median income
$58,846
Nearest hospital
PALESTINE REGIONAL 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. Wilder is a mixed practice specialist, with above-average Medicare volume (top 18% 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. Wilder experienced with contrast dye for imaging (iodine-based)?
Based on Medicare claims data, Dr. Wilder performed 2,605 contrast dye for imaging (iodine-based) 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. Wilder receive payments from pharmaceutical companies?
Yes. Dr. Wilder received a total of $941 from 22 companies across 45 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. Wilder's costs compare to other radiology - diagnostics in Palestine?
Dr. Wilder's average Medicare payment per service is $85. 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. Wilder) 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 →
Explore related providers
Same specialty & city
Radiology - Diagnostics in Palestine
Browse radiology - diagnostics in Palestine ranked by procedure volume and transparency data.
Highest volume
Top Radiology - Diagnostics in TX
Radiology - diagnostics ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Radiology - Diagnostics in TX
Which TX radiology - diagnostics receive the most from drug and device companies.
By company
Astellas Pharma US Inc Payments to Doctors
See all physicians who received payments from Astellas Pharma US Inc.
By company
Novartis Pharmaceuticals Corporation Payments to Doctors
See all physicians who received payments from Novartis Pharmaceuticals Corporation.
By company
Pharmacyclics LLC, An AbbVie Company Payments to Doctors
See all physicians who received payments from Pharmacyclics LLC, An AbbVie Company.
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