Medicare Enrolled
Dr. Jennifer Symmank, MD
Family Medicine · Palestine, 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. Symmank 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. Symmank?
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What this data tells you about Dr. Symmank
Dr. Jennifer Symmank is a family medicine specialist in Palestine, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Symmank performed 9,651 Medicare services across 5,097 unique beneficiaries.
Between the years covered by Open Payments, Dr. Symmank received a total of $15,049 from 62 pharmaceutical and/or device companies across 1072 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family 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. Symmank 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 1% volume in TX
$15,049 industry payments
Medicare Practice Summary
Medicare Utilization ↗9,651
Medicare services
Top 1% in TX for family medicine
5,097
Unique beneficiaries
$30
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~508 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 |
|---|---|---|---|
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
1,107 | $8 | $10 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
1,049 | $10 | $38 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
809 | $13 | $33 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
805 | $8 | $28 |
| 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. |
798 | $81 | $190 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
779 | $16 | $44 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
774 | $9 | $26 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
429 | $10 | $27 |
| 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. |
359 | $43 | $70 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
172 | $29 | $75 |
| 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. |
170 | $54 | $135 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
167 | $124 | $160 |
| 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. |
145 | $9 | $42 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
139 | $138 | $485 |
| Manual urinalysis with microscopic examination A urine test performed manually without automated equipment. The sample is examined under a microscope to check for abnormalities. |
115 | $4 | $15 |
| Iron level test | 102 | $6 | $21 |
| Iron binding capacity test A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron. |
102 | $9 | $25 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
100 | $13 | $35 |
| 3D screening mammography (tomosynthesis) A screening imaging test of the breast using 3D technology to detect potential abnormalities. |
84 | $51 | $150 |
| Screening mammography An X-ray of the breast used to detect breast cancer in women who have no signs or symptoms of the disease. |
83 | $122 | $230 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
74 | $36 | $180 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
74 | $15 | $36 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
73 | $45 | $78 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
72 | $1 | $8 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
68 | $16 | $35 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
64 | $24 | $48 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
64 | $0 | $2 |
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
59 | $61 | $100 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
53 | $30 | $35 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
52 | $76 | $100 |
| 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. |
50 | $41 | $75 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
45 | $6 | $20 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
43 | $129 | $476 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
36 | $8 | $41 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
35 | $19 | $52 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
33 | $4 | $18 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
31 | $323 | $665 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review. |
31 | $47 | $194 |
| Technetium Tc-99m tetrofosmin diagnostic injection A diagnostic injection of Technetium Tc-99m tetrofosmin used for imaging studies. |
31 | $136 | $410 |
| 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. |
25 | $31 | $55 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
24 | $35 | $56 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
23 | $25 | $60 |
| 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. |
23 | $66 | $170 |
| Limited abdominal ultrasound A focused ultrasound examination of the abdomen to evaluate specific organs or areas. This procedure uses sound waves to create images of internal structures. |
19 | $52 | $300 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
19 | $30 | $35 |
| Placement of skin electrodes and measurement of stimulated sites on arms and legs This procedure involves placing skin electrodes and measuring stimulated sites on the arms and legs. |
18 | $261 | $634 |
| PSA test (prostate cancer screening) | 17 | $18 | $52 |
| Complex chronic care management, first 60 minutes This service involves clinical staff time directed by a healthcare professional to manage two or more chronic conditions over a calendar month. It covers the first 60 minutes of this coordinated care effort. |
17 | $100 | $150 |
| 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. |
17 | $211 | $300 |
| Erythrocyte sedimentation rate (ESR) test A blood test that measures how quickly red blood cells settle in a test tube to detect inflammation in the body. This specific method is performed manually rather than using an automated machine. |
16 | $4 | $16 |
| Foot X-ray, 3+ views An X-ray imaging test of the foot that captures at least three different views to evaluate the bones and joints. |
15 | $26 | $65 |
| Continuous external EKG monitoring, 48 hours to 7 days This procedure involves recording, analyzing, and interpreting a continuous external electrocardiogram (EKG) over a period of more than 48 hours up to 7 days. |
15 | $188 | $700 |
| MRI scan of brain, without contrast A magnetic resonance imaging test of the brain that does not use contrast dye. This procedure creates detailed images of the brain's structure using magnetic fields and radio waves. |
14 | $150 | $792 |
| X-ray of upper spine, 2-3 views An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures. |
14 | $24 | $74 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
14 | $23 | $61 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
14 | $36 | $75 |
| X-ray of middle spine, 2 views An X-ray imaging test that produces two views of the middle section of the spine to visualize the bones and joints. |
13 | $21 | $67 |
| MRI of lower spine, without contrast A magnetic resonance imaging scan of the lower spinal canal that does not use contrast dye to create detailed images of the spine. |
12 | $152 | $769 |
| Abdominal X-ray, minimum 3 views An X-ray imaging test of the abdomen that captures at least three different views to visualize internal structures. |
12 | $33 | $60 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
12 | $16 | $32 |
| Knee X-ray, 1-2 views An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures. |
11 | $24 | $50 |
| 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. |
11 | $283 | $591 |
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.
1.4% high complexity
4.0% medium
94.5% routine
Industry Payment Transparency
Open Payments through 2024 ↗$15,049
Total received (2018-2024)
Avg $2,150/year across 7 years
Top 2% in TX for family medicine
62
Companies
1,072
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
$13,049 (86.7%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$1,901 (12.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$100 (0.7%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$924
2023
$1,159
2022
$2,945
2021
$2,132
2020
$1,575
2019
$3,224
2018
$3,091
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Amgen Inc.
$2,326
Biohaven Pharmaceutical Holding Company Ltd.
$1,901
Novo Nordisk Inc
$1,319
PFIZER INC.
$853
Novartis Pharmaceuticals Corporation
$784
AbbVie Inc.
$755
GlaxoSmithKline, LLC.
$727
Merck Sharp & Dohme Corporation
$715
AstraZeneca Pharmaceuticals LP
$681
Janssen Pharmaceuticals, Inc
$553
ABBVIE INC.
$352
Astellas Pharma US Inc
$303
Takeda Pharmaceuticals U.S.A., Inc.
$284
Merck Sharp & Dohme LLC
$281
Amarin Pharma Inc.
$239
Boehringer Ingelheim Pharmaceuticals, Inc.
$233
Bayer HealthCare Pharmaceuticals Inc.
$218
Lilly USA, LLC
$198
Allergan Inc.
$192
Ironshore Pharmaceuticals Inc.
$175
AbbVie, Inc.
$162
Genentech USA, Inc.
$142
Sunovion Pharmaceuticals Inc.
$140
Esperion Therapeutics, Inc.
$129
JAZZ PHARMACEUTICALS INC.
$115
Teva Pharmaceuticals USA, Inc.
$111
SANOFI-AVENTIS U.S. LLC
$103
Lundbeck LLC
$92
Sumitomo Pharma America, Inc.
$85
Biohaven Pharmaceuticals, Inc.
$62
Nevro Corp.
$61
Bayer Healthcare Pharmaceuticals Inc.
$58
Abbott Laboratories
$55
Corium, LLC
$49
Otsuka America Pharmaceutical, Inc.
$43
Daiichi Sankyo Inc.
$38
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$33
Jazz Pharmaceuticals Inc.
$32
Mylan Specialty L.P.
$31
Eisai Inc.
$30
Supernus Pharmaceuticals, Inc.
$29
VIVUS LLC
$27
Kowa Pharmaceuticals America, Inc.
$26
Allergan, Inc.
$26
MAYNE PHARMA COMMERCIAL LLC
$25
Sanofi Pasteur Inc.
$25
iRhythm Technologies, Inc.
$24
Bioventus LLC
$20
Horizon Therapeutics plc
$18
Antares Pharma, Inc.
$16
ASSERTIO THERAPEUTICS, Inc.
$16
Exact Sciences Corporation
$15
GRT US Holding, Inc.
$15
Boston Scientific Corporation
$14
Almatica Pharma LLC
$14
ITI, Inc.
$13
E.R. Squibb & Sons, L.L.C.
$13
IRONWOOD PHARMACEUTICALS, INC
$12
Lupin Inc.
$12
Nestle HealthCare Nutrition Inc.
$11
Nalpropion Pharmaceuticals, Inc.
$10
Vertiflex, Inc.
$9
Top 3 companies account for 36.9% of total payments
Associated products mentioned in payments ›
AIMOVIG · AJOVY · ANORO · ANORO ELLIPTA · ANTARA · Aimovig · Amitiza · Azstarys · BELSOMRA · BEVESPI AEROSPHERE · BREO · BREZTRI · CAPLYTA · CHANTIX · CONTRAVE · CREON · Cologuard Collection Kit · Corlanor · Creon · Dayvigo · Durolane · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EVENITY · Esbriet · FARXIGA · FLUZONE HIGH-DOSE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · GEMTESA · INJECTAFER · INVOKANA · JANUMET XR · JANUVIA · JARDIANCE · Jornay PM 20mg capsules (Bottle of 100) · KRYSTEXXA · Kerendia · LEQVIO · LINZESS · LONHALA MAGNAIR · LYRICA · Linzess · Livalo · MOUNJARO · MYRBETRIQ · NAPRELAN · NEXLETOL · NEXLIZET · NUCALA · NURTEC ODT · Omnia · Otezla · Ozempic · PNEUMOVAX 23 · PRALUENT · PREMARIN ORALS · PREVNAR 20 · Prolia · QSYMIA · QULIPTA · QVAR · Qutenza · REXULTI · REZUM · RYBELSUS · Repatha · Rybelsus · SOLIQUA · SOLIQUA 100/33 · SPIRIVA · STEGLATRO · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · Saxenda · Senza · Superion ISS · Synthroid · TEPEZZA · TOUJEO · TRELEGY ELLIPTA · TRINTELLIX · TROKENDI XR · TRULICITY · Tresiba · Trintellix · UBRELVY · Uloric · Utibron · VIBERZI · VRAYLAR · VYEPTI · Vascepa · Victoza · Vyvanse · Wegovy · XARELTO · XIFAXAN · XYOSTED · XYREM · Xofluza · Xyrem · Yupelri · ZENPEP · ZIO XT Patch · Zipsor
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 (87%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 2% for family medicine in TX.
Equivalent to $156 per 100 Medicare services performed
Geographic Context
Family medicine physicians within 10 mi
33
Per 100K population
57.1
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. Symmank is a clinical cardiology specialist, with above-average Medicare volume (top 1% in TX), with low-engagement industry engagement in the top 2% of TX peers, 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. Symmank experienced with blood draw (venipuncture)?
Based on Medicare claims data, Dr. Symmank performed 1,107 blood draw (venipuncture) 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. Symmank receive payments from pharmaceutical companies?
Yes. Dr. Symmank received a total of $15,049 from 62 companies across 1,072 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. Symmank's costs compare to other family medicine physicians in Palestine?
Dr. Symmank's average Medicare payment per service is $30. 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. Symmank) 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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