Medicare Enrolled
Natalie Marshall
Medical Physician Assistant · San Antonio, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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 Marshall 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 Marshall
Natalie Marshall is a medical physician assistant in San Antonio, TX, with 7 years of NPI registration. Based on federal Medicare data, Marshall performed 3,170 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Marshall received a total of $5,626 from 26 pharmaceutical and/or device companies across 294 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 Marshall is Very 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.
✓ 7 years of NPI registration
▲ Top 4% volume in TX
$5,626 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗3,170
Medicare services
Top 4% in TX for medical physician assistant
Not available
Unique patients (not deduplicated)
$43
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 |
|---|---|---|---|
| Destruction of precancerous skin growths, 2-14 This procedure involves the removal or destruction of two to fourteen precancerous skin lesions. It is performed to eliminate abnormal skin cells that have the potential to develop into cancer. |
1,083 | $4 | $43 |
| 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. |
748 | $73 | $200 |
| Destruction of precancerous skin growth, 1 Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer. |
320 | $30 | $130 |
| Destruction of skin growths (warts/lesions), 1-14 This procedure involves the removal or destruction of one to fourteen skin growths. It is a minor surgical intervention performed on the skin surface. |
285 | $65 | $187 |
| Skin biopsy, tangential A procedure to remove a sample of the first identified skin growth for laboratory examination. |
264 | $50 | $184 |
| 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. |
106 | $47 | $135 |
| 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. |
73 | $92 | $315 |
| Destruction of cancer skin growth, 1.1-2.0 cm Removal of a cancerous skin growth on the trunk, arms, or legs that measures between 1.1 and 2.0 centimeters. |
48 | $107 | $360 |
| Intermediate wound repair, 2.6-7.5 cm A medical procedure to close a wound on the scalp, underarms, trunk, arms, or legs that measures between 2.6 and 7.5 centimeters. This type of repair involves cleaning the wound and stitching it closed to promote healing. |
39 | $189 | $550 |
| Destruction of 15 or more precancerous skin growths This procedure involves the removal or destruction of fifteen or more precancerous skin lesions. It is performed to treat abnormal skin cells that have the potential to develop into cancer. |
38 | $104 | $410 |
| Surgical removal of skin cancer, 1.1-2.0 cm Surgical excision of a cancerous skin growth measuring between 1.1 and 2.0 centimeters on the body, arms, or legs. |
35 | $81 | $490 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
26 | $1 | $15 |
| Injection into skin growths, 1-7 A procedure involving the injection of medication into one to seven skin growths. |
22 | $31 | $105 |
| 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. |
22 | $55 | $210 |
| Skin growth shaving, 0.5 cm or less This procedure involves shaving off a small skin growth measuring 0.5 centimeters or less from the body, arms, or legs. |
18 | $33 | $165 |
| Shaving of skin growth, 0.6-1.0 cm A minor procedure to shave off a skin growth on the body, arms, or legs that measures between 0.6 and 1.0 centimeters. |
17 | $68 | $203 |
| Skin tag removal, 1-15 tags This procedure involves the removal of one to fifteen skin tags. It is a minor surgical intervention to excise these benign growths from the skin. |
14 | $48 | $173 |
| Shaving of small skin growth on face or mouth area A minor procedure to shave off a small skin growth, measuring 0.5 cm or less, located on the face, ears, eyelids, nose, lips, or mouth. |
12 | $78 | $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. These counts do not measure clinical quality or years of experience.
Industry Payment Transparency
Open Payments through 2024 ↗$5,626
Total received (2021-2024)
Avg $1,406/year across 4 years
Top 10% in TX for medical physician assistant
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
26
Companies
294
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
$1,474
2023
$2,048
2022
$1,107
2021
$996
Payments by company (2024)
Incyte Corporation
$258
ABBVIE INC.
$188
GENZYME CORPORATION
$152
Amgen Inc.
$140
Regeneron Healthcare Solutions, Inc.
$102
Arcutis Biotherapeutics, Inc.
$102
Almirall LLC
$75
Ortho Dermatologics, a division of Bausch Health US, LLC
$70
UCB, Inc.
$68
Galderma Laboratories, L.P.
$66
SUN PHARMACEUTICAL INDUSTRIES INC.
$64
REVANCE THERAPEUTICS, INC.
$63
Novartis Pharmaceuticals Corporation
$44
E.R. Squibb & Sons, L.L.C.
$26
Janssen Biotech, Inc.
$24
Dermavant Sciences, Inc.
$16
Lilly USA, LLC
$16
Top 3 companies account for 40.6% of 2024 payments
All-time payments by company (2021-2024) ›
Incyte Corporation
$602
ABBVIE INC.
$464
GENZYME CORPORATION
$422
Amgen Inc.
$393
Lilly USA, LLC
$391
Regeneron Healthcare Solutions, Inc.
$373
Galderma Laboratories, L.P.
$331
E.R. Squibb & Sons, L.L.C.
$329
Janssen Biotech, Inc.
$276
Almirall LLC
$269
UCB, Inc.
$225
Arcutis Biotherapeutics, Inc.
$179
SUN PHARMACEUTICAL INDUSTRIES INC.
$170
Sun Pharmaceutical Industries Inc.
$152
LEO Pharma Inc.
$145
PFIZER INC.
$132
Ortho Dermatologics, a division of Bausch Health US, LLC
$122
AbbVie Inc.
$118
Novartis Pharmaceuticals Corporation
$101
Dermavant Sciences, Inc.
$95
Journey Medical Corporation
$81
VYNE Pharmaceuticals Inc.
$79
REVANCE THERAPEUTICS, INC.
$63
Biofrontera Inc.
$54
MAYNE PHARMA COMMERCIAL LLC
$45
Medimetriks Pharmaceuticals, Inc.
$15
Top 3 companies account for 26.4% of all-time payments
Associated products mentioned in payments ›
ADBRY · AKLIEF · AMELUZ · Bimzelx · CIBINQO · COSENTYX · Cimzia · DAXXIFY · DUPIXENT · ENSTILAR · EPSOLAY · EUCRISA · HUMIRA · ILUMYA · Ilumya · JUBLIA · OPZELURA · Otezla · QBREXZA · REMICADE · RINVOQ · SKYRIZI · Seysara · Sotyktu · TALTZ · TREMFYA · TWYNEO · VTAMA · Winlevi · ZILXI · Zoryve
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 →
Geographic Context
Medical physician assistants in nearby ZIP areas
292
County median income
$70,571
Nearest hospital to ZIP centroid (approximate)
LEGENT ORTHOPEDIC + SPINE
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Marshall is a clinical cardiology specialist, with above-average Medicare volume (top 4% in TX).
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Marshall experienced with destruction of precancerous skin growths, 2-14?
Based on Medicare claims data, Marshall performed 1,083 destruction of precancerous skin growths, 2-14 services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Marshall receive payments from pharmaceutical companies?
Yes. Marshall received a total of $5,626 from 26 companies across 294 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 Marshall's costs compare to other medical physician assistants in San Antonio?
Marshall's average Medicare payment per service is $43. 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 Marshall) 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 →
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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.
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