Medicare Enrolled
Dr. Kade Carthel, M.D.
Internal Medicine · Pampa, 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. Carthel 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. Carthel
Dr. Kade Carthel is an internal medicine specialist in Pampa, TX, with 15 years of NPI registration. Based on federal Medicare data, Dr. Carthel performed 7,284 Medicare services across 4,558 unique beneficiaries.
Between the years covered by Open Payments, Dr. Carthel received a total of $29,202 from 25 pharmaceutical and/or device companies across 609 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. Carthel 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.
✓ 15 years in practice
▲ Top 4% volume in TX
$29,202 industry payments
Medicare Practice Summary
Medicare Utilization ↗7,284
Medicare services
Top 4% in TX for internal medicine
4,558
Unique beneficiaries
$109
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~486 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 |
|---|---|---|---|
| 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. |
1,047 | $43 | $123 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
752 | $42 | $65 |
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
718 | $6 | $64 |
| 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. |
581 | $85 | $276 |
| Principal care management for high-risk disease, first 30 minutes This service covers the initial 30 minutes of clinical staff time per calendar month to manage a single high-risk disease. It is directed by a healthcare professional. |
538 | $43 | $115 |
| Nuclear stress test with CT scan A nuclear medicine imaging test that evaluates blood flow in the heart muscle at rest and during stress, performed alongside a concurrent CT scan. |
349 | $877 | $3,187 |
| PET scan of heart muscle blood flow A nuclear medicine imaging test that uses positron emission tomography (PET) to evaluate blood flow within the heart muscle. |
349 | $75 | $247 |
| Heart muscle strain imaging | 322 | $28 | $120 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
302 | $143 | $644 |
| 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. |
298 | $10 | $55 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
281 | $37 | $140 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
205 | $37 | $154 |
| Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 165 | $167 | $223 |
| 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. |
154 | $104 | $427 |
| Ultrasound of arm and leg arteries This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries. |
105 | $41 | $250 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
102 | $150 | $418 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
100 | $94 | $414 |
| 30-day continuous ECG with patient-triggered event transmission and review This procedure involves continuous electrocardiogram monitoring for up to 30 days, including the transmission of patient-triggered events. A healthcare professional reviews the data and provides a report. |
93 | $642 | $1,688 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
85 | $61 | $197 |
| Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts A complete ultrasound exam of the aorta, vena cava, groin vessels, or bypass grafts. This imaging test uses sound waves to visualize these blood vessels. |
84 | $98 | $438 |
| Cardiac catheterization | 71 | $184 | $939 |
| 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. |
67 | $115 | $514 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
65 | $101 | $369 |
| 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. |
55 | $37 | $135 |
| 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. |
51 | $213 | $748 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
47 | $124 | $373 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
37 | $39 | $146 |
| Technetium Tc-99m sestamibi diagnostic injection A diagnostic injection of technetium Tc-99m sestamibi used for imaging studies. |
32 | $94 | $151 |
| Coronary stent placement A procedure to insert a stent into a coronary artery or its branch to keep it open, using balloon dilation during the process. |
28 | $406 | $1,575 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
25 | $67 | $310 |
| Remote physiologic monitoring setup and education Initial setup of remote monitoring equipment and patient education on its use. |
24 | $14 | $52 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages. |
20 | $46 | $184 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
19 | $159 | $468 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
17 | $130 | $542 |
| Complete ultrasound of abdomen and pelvis blood flow This procedure uses sound waves to create images of blood flow in the arteries and veins of the abdomen and pelvis. It evaluates the rate and direction of blood movement within these vessels. |
16 | $138 | $534 |
| Transcatheter aortic valve replacement via femoral artery A minimally invasive procedure to replace a diseased aortic heart valve using a catheter inserted through the skin and femoral artery. |
12 | $573 | $4,082 |
| CT scan of chest blood vessels with contrast A CT scan that uses contrast dye to create detailed images of the blood vessels in the chest. |
12 | $86 | $511 |
| 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. |
12 | $216 | $662 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
11 | $83 | $328 |
| Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist | 11 | $258 | $1,176 |
| New patient office visit, complex (60-74 min) | 11 | $156 | $537 |
| Hospital discharge day management, 30 minutes or less This service covers the final day of hospital care when the patient is being discharged. It includes coordination of care and instructions for the patient within a time frame of 30 minutes or less. |
11 | $59 | $193 |
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.
6.8% high complexity
27.0% medium
66.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$29,202
Total received (2018-2024)
Avg $4,172/year across 7 years
Top 4% in TX for internal medicine
25
Companies
609
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
$28,932 (99.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$270 (0.9%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$6,276
2023
$8,041
2022
$4,625
2021
$3,146
2020
$2,103
2019
$3,734
2018
$1,276
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Edwards Lifesciences Corporation
$11,028
Abbott Laboratories
$9,089
ABIOMED
$2,907
Penumbra, Inc.
$2,559
Medtronic Vascular, Inc.
$790
Shockwave Medical, Inc
$655
BOSTON SCIENTIFIC CORPORATION
$337
Boston Scientific Corporation
$272
AstraZeneca Pharmaceuticals LP
$270
Teleflex LLC
$227
PFIZER INC.
$225
BIOTRONIK INC.
$204
AtriCure, Inc.
$137
CORDIS US CORP.
$119
Novartis Pharmaceuticals Corporation
$80
Chiesi USA, Inc.
$79
Arrow International, Inc.
$58
Cardinal Health 200 LLC
$49
Cardinal Health 200, LLC
$20
CSL Behring
$20
E.R. Squibb & Sons, L.L.C.
$17
Bayer Healthcare Pharmaceuticals Inc.
$16
Medtronic, Inc.
$16
Cardiovascular Systems Inc.
$14
Amgen Inc.
$13
Top 3 companies account for 78.8% of total payments
Associated products mentioned in payments ›
ABSOLUTE PRO · AMPLATZER · AMPLATZER Occluders · ANGIOJET · APEX · Absolute Pro vascular stent system · Allure Quadra RF CRT Pacemaker · Assurity Pacemaker · BRILINTA · COROFLOW · Catheter - GuideLiner · Catheter - Turnpike · ClosureFast · Confirm Rx · Coronary Orbital Atherectomy System · DIAMONDBACK PERIPHERAL · DRAGONFLY OPSTAR · Dragonfly OCT · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · ELIQUIS · ENTRESTO · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · ESPRIT · Edora 8 DR-T · Edwards SAPIEN 3 Transcatheter Heart Valve · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · EluNIR Radaforolimus Eluting Coronary Stent System · FARXIGA · FRONTRUNNER XP CTO Catheter · GALLANT · GENERAL STENTS · HAWKONE · HERCULINK ELITE · HawkOne · Herculink Elite renal and biliary stent system · IN.PACT Admiral · INFINITI · Impella · Indigo System · JETI · JETI ALL IN ONE NON-STERILE KIT · JETI PERIPHERAL CATHETER · JETSTREAM · JOT DX · KENGREAL · Kerendia · MINI TREK · MYNX CONTROL · Manta · Merlin Connectivity and Remote · NC TREK NEO · OMNILINK ELITE · OPTICROSS · OPTIS · OUTBACK LTD Re-Entry Catheter · Occluders · Omnilink Elite vascular stent system · OptiCross · Optis Coronary Imaging System · Orsiro Mission · PERCLOSE PROGLIDE · PERCLOSE PROSTYLE · POLARIS · Perclose ProGlide suture mediated closure system · Perclose ProStyle · Peripheral RotaLink Plus · Pulsar-18 T3 · QUADRA ASSURA · Quadra Allure MP RF CRT Pacemkr · Quadra Assura CRT Defibrillator · Quartet CRT Lead · ROTABLATOR · Repatha · Rivacor 7 DR-T · S.M.A.R.T. CONTROL · SABER · SAPIEN 3 Ultra RESILIA · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · SUPERA · SYNERGY · Supera peripheral stent system · THORATEC HEARTMATE 3 LVAS IMPLANT KIT · ULTREON · VYNDAQEL · Vascular Lithotripsy · WATCHMAN FLX · XIENCE SIERRA · XIENCE SKYPOINT · XIENCE V · Xience Sierra Coronary Stent · Xience Sierra Coronary Stent System · ZEPHYR
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 (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 4% for internal medicine in TX.
Equivalent to $401 per 100 Medicare services performed
Geographic Context
Internal medicine physicians within 10 mi
6
Per 100K population
28.4
County median income
$56,082
Nearest hospital
PAMPA 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. Carthel is a clinical cardiology specialist, with above-average Medicare volume (top 4% in TX), with low-engagement industry engagement in the top 4% of TX peers, with 15 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. Carthel experienced with chronic care management, first 20 min/month?
Based on Medicare claims data, Dr. Carthel performed 1,047 chronic care management, first 20 min/month 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. Carthel receive payments from pharmaceutical companies?
Yes. Dr. Carthel received a total of $29,202 from 25 companies across 609 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. Carthel's costs compare to other internal medicine physicians in Pampa?
Dr. Carthel's average Medicare payment per service is $109. 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. Carthel) 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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