Medicare Enrolled
Dr. Carlos Neghme, M.D.
Gastroenterology · San Marcos, 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 Dr. Neghme 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. Neghme
Dr. Carlos Neghme is a gastroenterology specialist in San Marcos, TX, with 21 years of NPI registration. Based on federal Medicare data, Dr. Neghme performed 649 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Neghme received a total of $13,246 from 56 pharmaceutical and/or device companies across 816 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 Dr. Neghme 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.
✓ 21 years of NPI registration
▲ Top 47% volume in TX
$13,246 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗649
Medicare services
Top 47% in TX for gastroenterology
Not available
Unique patients (not deduplicated)
$103
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 |
|---|---|---|---|
| Colon polyp removal with endoscopic snare This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination. |
119 | $201 | $1,067 |
| Colonoscopy with biopsy A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease. |
116 | $85 | $847 |
| Upper GI endoscopy with biopsy A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities. |
102 | $56 | $680 |
| 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. |
88 | $85 | $217 |
| 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. |
81 | $59 | $148 |
| 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. |
51 | $113 | $333 |
| Esophageal dilation with guide wire and endoscope A flexible endoscope is used to insert a guide wire into the esophagus, followed by dilation to widen the esophageal passage. |
32 | $100 | $701 |
| 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. |
18 | $71 | $219 |
| Colonoscopy for colorectal cancer screening, high risk A colonoscopy performed to screen for colorectal cancer in individuals identified as being at high risk for the disease. |
17 | $174 | $778 |
| New patient office visit, 15-29 minutes An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold. |
14 | $47 | $151 |
| Endoscopic removal of esophagus, stomach, or small bowel polyps This procedure uses an endoscope and a mechanical snare to remove polyps or growths from the esophagus, stomach, or upper small bowel. |
11 | $138 | $827 |
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 ↗$13,246
Total received (2018-2024)
Avg $1,892/year across 7 years
Top 16% in TX for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
56
Companies
816
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
$2,684
2023
$2,350
2022
$2,011
2021
$1,342
2020
$1,017
2019
$1,692
2018
$2,149
Payments by company (2024)
ABBVIE INC.
$469
Janssen Biotech, Inc.
$365
QOL Medical, LLC
$258
Lilly USA, LLC
$240
Phathom Pharmaceuticals, Inc.
$221
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$210
Celgene Corporation
$136
FUJIFILM Healthcare Americas Corporation
$125
Regeneron Healthcare Solutions, Inc.
$105
Merck Sharp & Dohme LLC
$92
Gilead Sciences, Inc.
$86
Celltrion USA Inc.
$83
Ipsen Biopharmaceuticals, Inc
$71
AIMMUNE THERAPEUTICS, INC.
$54
PFIZER INC.
$51
Intercept Pharmaceuticals, Inc.
$44
Madrigal Pharmaceuticals
$25
GENZYME CORPORATION
$25
Takeda Pharmaceuticals U.S.A., Inc.
$23
Top 3 companies account for 40.7% of 2024 payments
All-time payments by company (2018-2024) ›
ABBVIE INC.
$1,923
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$1,794
AbbVie Inc.
$963
AbbVie, Inc.
$880
Celgene Corporation
$782
QOL Medical, LLC
$738
Janssen Biotech, Inc.
$570
Takeda Pharmaceuticals U.S.A., Inc.
$530
Gilead Sciences, Inc.
$478
PFIZER INC.
$400
Ferring Pharmaceuticals Inc.
$267
Lilly USA, LLC
$267
UCB, Inc.
$241
Phathom Pharmaceuticals, Inc.
$221
Daiichi Sankyo Inc.
$207
Regeneron Healthcare Solutions, Inc.
$191
Intercept Pharmaceuticals, Inc.
$177
INTERCEPT PHARMACEUTICALS, INC.
$177
Evoke Pharma, Inc.
$174
Allergan Inc.
$151
Merck Sharp & Dohme LLC
$139
Ardelyx, Inc.
$135
FUJIFILM Healthcare Americas Corporation
$125
Janssen Scientific Affairs, LLC
$122
Romark Laboratories, LC
$122
Braintree Laboratories, Inc.
$116
Ironwood Pharmaceuticals, Inc
$102
Celltrion USA Inc.
$100
Nestle HealthCare Nutrition Inc.
$90
Pharmacosmos Therapeutics Inc.
$88
Johnson & Johnson Health Care Systems Inc.
$84
RedHill Biopharma Inc.
$80
GENZYME CORPORATION
$77
AIMMUNE THERAPEUTICS, INC.
$74
Ipsen Biopharmaceuticals, Inc
$71
Merck Sharp & Dohme Corporation
$61
Shire North American Group Inc
$51
AMAG Pharmaceuticals, Inc.
$45
NESTLE HEALTHCARE NUTRITION INC.
$43
Amgen Inc.
$40
IRONWOOD PHARMACEUTICALS, INC
$39
Synergy Pharmaceuticals Inc
$39
Prometheus Laboratories Inc.
$38
Organon LLC
$36
Ethicon US, LLC
$27
Madrigal Pharmaceuticals
$25
Olympus America Inc.
$22
Micro-tech Endoscopy USA, Inc.
$18
Medtronic, Inc.
$17
Alnylam Pharmaceuticals Inc.
$15
Sandoz Inc.
$15
PORTOLA PHARMACEUTICALS, INC.
$15
Shield Therapeutics Inc
$14
Cumberland Pharmaceuticals, Inc.
$13
GlaxoSmithKline, LLC.
$13
Napo Pharmaceuticals Inc
$4
Top 3 companies account for 35.3% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · ALINIA · ANDEXXA · APRISO · AVSOLA · Aemcolo · Alinia · Alinia Tablets 500mg 30 count bottle · All Products · Amitiza · BYSTOLIC · Bylvay · CIMZIA · CLENPIQ · CREON · Cimzia · Creon · DIFICID · DUPIXENT · Dexilant · ENTYVIO · EVIS EXERA · Entyvio · FERAHEME · FUJIFILM · GATTEX · GIMOTI · GIVLAARI · HUMIRA · HYRIMOZ · Humira · IBSRELA · INFLECTRA · INJECTAFER · IQIRVO · LINZESS · Linzess · MAVYRET · MONOFERRIC · MOTEGRITY · Mavyret · Monoferric · Motegrity · Movantik · Mytesi · OCALIVA · OMVOH · Omeclamox · PILLCAM · REBYOTA · RELISTOR · REMICADE · RENFLEXIS · RESMETIROM · RINVOQ · SHINGRIX · SKYRIZI · STELARA · SUCRAID · SUPREP · SUPREP BOWEL PREP · SUTAB · Sucraid · TREMFYA · TRULANCE · Talicia · Trulance · UCERIS FOAM · VEGZELMA · VIBERZI · VOQUEZNA · VOWST · XELJANZ · XIFAXAN · XIFAXANIBSD · XIFIXAN · YUFLYMA · ZENPEP · ZEPOSIA
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
Gastroenterologists in nearby ZIP areas
10
County median income
$85,827
Nearest hospital to ZIP centroid (approximate)
CHRISTUS SANTA ROSA HOSPITAL-SAN MARCOS
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
Dr. Neghme is a clinical cardiology specialist, with moderate Medicare volume, with 21 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Neghme experienced with colon polyp removal with endoscopic snare?
Based on Medicare claims data, Dr. Neghme performed 119 colon polyp removal with endoscopic snare services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Neghme receive payments from pharmaceutical companies?
Yes. Dr. Neghme received a total of $13,246 from 56 companies across 816 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 Dr. Neghme's costs compare to other gastroenterologists in San Marcos?
Dr. Neghme's average Medicare payment per service is $103. 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. Neghme) 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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See all physicians who received payments from ABBVIE INC.
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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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