Medicare Enrolled

Dr. Paul Decker, MD

Family Medicine · Shenandoah, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
134 VISION PARK BLVD STE 310, Shenandoah, TX 77384
9364479452
In practice since 2006 (19 years)
NPI: 1316033707 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. Decker 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. Decker? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Decker

Dr. Paul Decker is a family medicine specialist in Shenandoah, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Decker performed 8,330 Medicare services across 5,398 unique beneficiaries.

Between the years covered by Open Payments, Dr. Decker received a total of $2,101 from 27 pharmaceutical and/or device companies across 149 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. Decker 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.

✓ 19 years in practice ▲ Top 2% volume in TX $2,101 industry payments

Medicare Practice Summary

Medicare Utilization ↗
8,330
Medicare services
Top 2% in TX for family medicine
5,398
Unique beneficiaries
$34
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~438 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) 1,134 $85 $330
Complete blood count (CBC) with differential 798 $8 $32
Comprehensive metabolic blood panel 794 $10 $43
Free thyroxine (T4) test 784 $9 $37
Thyroid stimulating hormone (TSH) test 779 $16 $69
Lipid panel (cholesterol and triglycerides) 772 $13 $55
Office visit, established patient (20-29 min) 678 $58 $222
Hemoglobin A1c test (diabetes monitoring) 589 $10 $40
Annual wellness visit, follow-up 459 $125 $357
Injection, methylprednisolone acetate, 40 mg 260 $6 $12
Blood draw (venipuncture) 203 $8 $10
Flu vaccine administration 154 $31 $77
Flu vaccine, high-dose 148 $72 $109
Drug injection, under skin or into muscle 144 $10 $105
PSA test (prostate cancer screening) 112 $18 $75
Electrocardiogram (EKG), 12-lead 82 $10 $52
Urinalysis, manual 78 $3 $10
Testing for presence of drug, read by direct observation 34 $12 $28
Detection test by immunoassay with direct visual observation for influenza virus 33 $16 $49
Basic metabolic blood panel 30 $8 $35
Vitamin D level test 28 $29 $111
Office visit, established patient, complex (40-54 min) 28 $129 $446
Telephone medical discussion with physician, 5-10 minutes 26 $38 $134
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment 24 $160 $512
Office visit, established patient (10-19 min) 23 $30 $134
Testosterone (hormone) level, total 22 $25 $105
Sex hormone binding globulin (protein) level 20 $21 $89
Testosterone (hormone) level, free 20 $25 $104
Inhalation treatment for airway obstruction or sputum production 19 $6 $56
Joint injection, major joint 11 $45 $186
Vitamin B-12 level test 11 $15 $62
Folic acid level test 11 $14 $60
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 11 $16 $49
New patient office visit (30-44 min) 11 $78 $332
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 ↗
$2,101
Total received (2018-2024)
Avg $350/year across 6 years
Top 26% in TX for family medicine
27
Companies
149
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
$2,070 (98.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$32 (1.5%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$844
2023
$556
2022
$327
2021
$39
2019
$159
2018
$177

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Kowa Pharmaceuticals America, Inc.
$337
AstraZeneca Pharmaceuticals LP
$270
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$209
Lilly USA, LLC
$172
ABBVIE INC.
$130
GlaxoSmithKline, LLC.
$108
Exact Sciences Corporation
$103
Otsuka America Pharmaceutical, Inc.
$102
SANOFI PASTEUR INC.
$94
PFIZER INC.
$77
AbbVie Inc.
$57
Dexcom, Inc.
$51
Avanir Pharmaceuticals, Inc.
$47
Inspire Medical Systems, Inc.
$45
Antares Pharma, Inc.
$44
Allergan Inc.
$32
Boston Scientific Corporation
$30
Bayer HealthCare Pharmaceuticals Inc.
$26
IDORSIA PHARMACEUTICALS US INC
$25
Merck Sharp & Dohme LLC
$22
Corium, LLC
$21
Seqirus USA Inc
$19
UPSHER-SMITH LABORATORIES LLC
$19
Novo Nordisk Inc
$19
Abbott Laboratories
$16
Cranial Technologies, Inc
$14
Sunovion Pharmaceuticals Inc.
$13
Top 3 companies account for 38.8% of total payments
Associated products mentioned in payments ›
AIRSUPRA · AREXVY · AZSTARYS · BREZTRI · Cologuard Collection Kit · Dexcom G6 Transmitter · Doc Band · FARXIGA · FASENRA · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FLUZONE HIGH-DOSE · Flucelvax · GARDASIL · General - Pain Management · INSPIRE · Kerendia · LIVALO · LONHALA MAGNAIR · Livalo · MOUNJARO · NOCDURNA · NUEDEXTA · Nuedexta · OCTRODE · PREVNAR 13 · PREVNAR 20 · QUVIVIQ · REXULTI · TOSYMRA · TRELEGY ELLIPTA · TRULICITY · UBRELVY · VRAYLAR · XIFAXAN · ZORYVE
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 (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $25 per 100 Medicare services performed
Looking for a family medicine specialist in Shenandoah?
Compare family medicine physicians in the Shenandoah area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family medicine physicians within 10 mi
623
Per 100K population
95.2
County median income
$97,266
Nearest hospital
ST LUKE'S THE WOODLANDS HOSPITAL
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. Decker is a clinical cardiology specialist, with above-average Medicare volume (top 2% in TX), with low-engagement industry engagement, with 19 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. Decker experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Decker performed 1,134 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. Decker receive payments from pharmaceutical companies?
Yes. Dr. Decker received a total of $2,101 from 27 companies across 149 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. Decker's costs compare to other family medicine physicians in Shenandoah?
Dr. Decker's average Medicare payment per service is $34. 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. Decker) 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 →