Dr. Lance Pickard, M.D.
What this data tells you about Dr. Pickard
Dr. Lance Pickard is a family medicine specialist in Shenandoah, TX, with 15 years of NPI registration. Based on federal Medicare data, Dr. Pickard performed 1,543 Medicare services across 1,133 unique beneficiaries.
Between the years covered by Open Payments, Dr. Pickard received a total of $3,475 from 48 pharmaceutical and/or device companies across 181 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. Pickard 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.
Medicare Practice Summary
Medicare Utilization ↗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 |
|---|---|---|---|
| Comprehensive metabolic blood panel | 166 | $10 | $94 |
| Complete blood count (CBC) with differential | 161 | $8 | $69 |
| Lipid panel (cholesterol and triglycerides) | 156 | $13 | $119 |
| Hemoglobin A1c test (diabetes monitoring) | 137 | $9 | $86 |
| Thyroid stimulating hormone (TSH) test | 118 | $16 | $149 |
| Thyroxine (thyroid chemical), total | 113 | $7 | $61 |
| Office visit, established patient (30-39 min) | 100 | $75 | $894 |
| Office visit, established patient (20-29 min) | 89 | $62 | $610 |
| Chronic care management, first 20 min/month | 85 | $47 | $525 |
| Annual wellness visit, follow-up | 74 | $124 | $958 |
| Psa (prostate specific antigen) measurement, free | 71 | $18 | $164 |
| Testosterone (hormone) level, total | 67 | $25 | $229 |
| Urinalysis with microscopic exam | 55 | $3 | $28 |
| Thyroid hormone, t3 measurement, free | 41 | $17 | $151 |
| PSA test (prostate cancer screening) | 36 | $18 | $164 |
| Testosterone (hormone) level, free | 31 | $25 | $226 |
| Vitamin D level test | 17 | $29 | $263 |
| Urine microalbumin test (kidney screening) | 13 | $6 | $51 |
| Creatinine test (kidney function) | 13 | $5 | $46 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
Most payments (94%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
4.2 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. Pickard is a clinical cardiology specialist, with above-average Medicare volume (top 19% in TX), with low-engagement industry engagement in the top 18% 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. Pickard experienced with comprehensive metabolic blood panel?
Does Dr. Pickard receive payments from pharmaceutical companies?
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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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