Medicare Enrolled

Dr. Pamela Francisco

Internal Medicine · Richmond, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
1601 MAIN ST STE 306, Richmond, TX 77469
2813428547
In practice since 2010 (15 years)
NPI: 1316268055 verify on NPPES ↗
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. Francisco 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. Francisco? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Francisco

Dr. Pamela Francisco is an internal medicine specialist in Richmond, TX, with 15 years of NPI registration. Based on federal Medicare data, Dr. Francisco performed 711 Medicare services across 575 unique beneficiaries.

Between the years covered by Open Payments, Dr. Francisco received a total of $4,194 from 36 pharmaceutical and/or device companies across 134 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. Francisco 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 47% volume in TX $4,194 industry payments

Medicare Practice Summary

Medicare Utilization ↗
711
Medicare services
Top 47% in TX for internal medicine
575
Unique beneficiaries
$59
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~47 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 (30-39 min) 175 $87 $292
Comprehensive metabolic blood panel 60 $10 $31
Lipid panel (cholesterol and triglycerides) 58 $13 $40
Advance care planning consultation, first 30 min 58 $73 $188
Thyroid stimulating hormone (TSH) test 43 $16 $50
Annual wellness visit, follow-up 43 $124 $298
Annual depression screening 43 $18 $43
Complete blood count (CBC) with differential 37 $8 $20
Hemoglobin A1c test (diabetes monitoring) 32 $10 $25
Office visit, established patient (20-29 min) 28 $68 $206
Flu vaccine administration 26 $31 $50
Pneumonia vaccine administration 24 $31 $50
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 22 $280 $450
Flu vaccine, high-dose 20 $71 $122
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 17 $52 $131
New patient office visit (45-59 min) 14 $82 $376
Vitamin D level test 11 $29 $60
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 ↗
$4,194
Total received (2018-2024)
Avg $599/year across 7 years
Top 19% in TX for internal medicine
36
Companies
134
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
$4,194 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,061
2023
$505
2022
$910
2021
$130
2020
$164
2019
$937
2018
$487

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$788
AstraZeneca Pharmaceuticals LP
$666
Amgen Inc.
$493
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$334
Gilead Sciences, Inc.
$230
Biohaven Pharmaceutical Holding Company Ltd.
$165
GlaxoSmithKline, LLC.
$147
Lilly USA, LLC
$133
Synergy Pharmaceuticals Inc
$127
Horizon Therapeutics plc
$106
Teva Pharmaceuticals USA, Inc.
$104
Merck Sharp & Dohme LLC
$103
SANOFI-AVENTIS U.S. LLC
$99
Kowa Pharmaceuticals America, Inc.
$76
PFIZER INC.
$76
ABBVIE INC.
$54
Boehringer Ingelheim Pharmaceuticals, Inc.
$52
SANOFI PASTEUR INC.
$42
Inspire Medical Systems, Inc.
$39
Nestle HealthCare Nutrition Inc.
$35
Bayer HealthCare Pharmaceuticals Inc.
$35
Exact Sciences Corporation
$34
AIMMUNE THERAPEUTICS, INC.
$28
NESTLE HEALTHCARE NUTRITION INC.
$26
Janssen Pharmaceuticals, Inc
$23
Tactile Systems Technology Inc
$23
Nuvectra Corporation
$18
Inari Medical, Inc.
$18
Bayer Healthcare Pharmaceuticals Inc.
$17
Abbott Laboratories
$17
Cumberland Pharmaceuticals, Inc.
$17
IDORSIA PHARMACEUTICALS US INC
$16
Shield Therapeutics Inc
$15
Biohaven Pharmaceuticals, Inc.
$14
Vertical Pharmaceuticals, LLC
$13
Allergan Inc.
$12
Top 3 companies account for 46.4% of total payments
Associated products mentioned in payments ›
ACCRUFER · AIRSUPRA · AREXVY · AUSTEDO · Algovita · BREZTRI · COMIRNATY · Cologuard Collection Kit · DALVANCE · ELIQUIS · EVENITY · Epclusa · FARXIGA · FLOWTRIEVER CATHETER · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FREESTYLE LIBRE 3 · Flexitouch Plus · GARDASIL · INSPIRE · JARDIANCE · KRYSTEXXA · Kerendia · Kristalose 20gm · LANTUS · LIVALO · Livalo · MOUNJARO · NURTEC ODT · Otezla · Ozempic · PREVNAR 20 · Prolia · QULIPTA · QUVIVIQ · RELEXXII · Repatha · Rybelsus · S · SHINGRIX · SOLIQUA 100/33 · Saxenda · TOUJEO · TRULANCE · Tresiba · Trulance · VERQUVO · Victoza · Wegovy · XARELTO · XIFAXAN · ZENPEP
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $590 per 100 Medicare services performed
Looking for an internal medicine specialist in Richmond?
Compare internal medicine physicians in the Richmond area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal medicine physicians within 10 mi
1,992
Per 100K population
231.7
County median income
$113,409
Nearest hospital
OAKBEND MEDICAL CENTER
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. Francisco is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 19% 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. Francisco experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Francisco performed 175 office visit, established patient (30-39 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. Francisco receive payments from pharmaceutical companies?
Yes. Dr. Francisco received a total of $4,194 from 36 companies across 134 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. Francisco's costs compare to other internal medicine physicians in Richmond?
Dr. Francisco's average Medicare payment per service is $59. 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. Francisco) 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 →
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

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. Payments from industry are legal and do not indicate wrongdoing. 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 →