Medicare Enrolled
Dr. Thimos Paschalis, M.D.
Internal Medicine · Shenandoah, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Paschalis 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. Paschalis
Dr. Thimos Paschalis is an internal medicine specialist in Shenandoah, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Paschalis performed 2,842 Medicare services across 2,183 unique beneficiaries.
Between the years covered by Open Payments, Dr. Paschalis received a total of $21,318 from 91 pharmaceutical and/or device companies across 1441 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. Paschalis 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 12% volume in TX
$21,318 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,842
Medicare services
Top 12% in TX for internal medicine
2,183
Unique beneficiaries
$42
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~150 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) 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. |
492 | $81 | $330 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
319 | $124 | $357 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
262 | $10 | $43 |
| 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. |
245 | $58 | $222 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
244 | $10 | $105 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
222 | $13 | $55 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
190 | $10 | $40 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
116 | $16 | $69 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
104 | $8 | $32 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
100 | $9 | $37 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
91 | $1 | $8 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
81 | $8 | $10 |
| Ceftriaxone antibiotic injection This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered. |
47 | $0 | $3 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
41 | $29 | $126 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
36 | $8 | $35 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
32 | $40 | $164 |
| PSA test (prostate cancer screening) | 28 | $18 | $75 |
| Retinal imaging with remote physician review This procedure involves imaging the retina followed by a remote review of the images by a physician. |
28 | $11 | $56 |
| 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. |
27 | $63 | $332 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
24 | $160 | $512 |
| Annual depression screening | 21 | $18 | $56 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
19 | $3 | $10 |
| 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. |
16 | $102 | $505 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
15 | $9 | $52 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
14 | $29 | $111 |
| Parathyroid hormone level test A blood test that measures the amount of parathyroid hormone in your body. This hormone helps regulate calcium levels in the blood and bones. |
14 | $40 | $169 |
| Total testosterone level test A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women. |
14 | $25 | $105 |
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 ↗$21,318
Total received (2018-2024)
Avg $3,045/year across 7 years
Top 5% in TX for internal medicine
91
Companies
1,441
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
$19,964 (93.6%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$1,341 (6.3%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$13 (0.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,382
2023
$2,710
2022
$2,746
2021
$3,750
2020
$2,297
2019
$3,178
2018
$4,254
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$1,584
Novo Nordisk Inc
$1,559
PFIZER INC.
$1,353
Biohaven Pharmaceuticals, Inc.
$1,351
Lilly USA, LLC
$1,016
AstraZeneca Pharmaceuticals LP
$941
Amgen Inc.
$928
Boehringer Ingelheim Pharmaceuticals, Inc.
$789
Amarin Pharma Inc.
$665
Edwards Lifesciences Corporation
$627
GlaxoSmithKline, LLC.
$622
Janssen Pharmaceuticals, Inc
$585
AbbVie Inc.
$564
Takeda Pharmaceuticals U.S.A., Inc.
$550
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$543
SANOFI-AVENTIS U.S. LLC
$511
Novartis Pharmaceuticals Corporation
$505
Astellas Pharma US Inc
$488
Radius Health, Inc.
$377
Dexcom, Inc.
$374
Shire North American Group Inc
$327
Allergan, Inc.
$306
AbbVie, Inc.
$279
Allergan Inc.
$249
Tris Pharma Inc
$240
Biohaven Pharmaceutical Holding Company Ltd.
$217
Bayer HealthCare Pharmaceuticals Inc.
$217
Abbott Laboratories
$215
Ironwood Pharmaceuticals, Inc
$197
Otsuka America Pharmaceutical, Inc.
$192
Sunovion Pharmaceuticals Inc.
$183
Renovia Inc
$183
Eisai Inc.
$170
Antares Pharma, Inc.
$148
Mylan Specialty L.P.
$140
Bayer Healthcare Pharmaceuticals Inc.
$139
DEXCOM, INC.
$127
Sumitomo Pharma America, Inc.
$113
Kowa Pharmaceuticals America, Inc.
$110
ARBOR PHARMACEUTICALS, INC.
$98
IDORSIA PHARMACEUTICALS US INC
$87
SANOFI PASTEUR INC.
$76
Exact Sciences Corporation
$73
Vertiflex, Inc.
$66
Merck Sharp & Dohme Corporation
$64
E.R. Squibb & Sons, L.L.C.
$61
Esperion Therapeutics, Inc.
$61
Althera Pharmaceuticals LLC
$49
Currax Pharmaceuticals LLC
$45
Synergy Pharmaceuticals Inc
$43
OptiNose US, Inc.
$40
JAZZ PHARMACEUTICALS INC.
$40
IBSA Pharma Inc.
$37
Melinta Therapeutics, Inc.
$37
ITI, Inc.
$36
IRONWOOD PHARMACEUTICALS, INC
$36
Clarus Therapeutics Inc.
$36
Corium, LLC
$36
Axsome Therapeutics, Inc.
$29
Metuchen Pharmaceuticals
$28
Merck Sharp & Dohme LLC
$26
SCILEX PHARMACEUTICALS INC.
$26
Acerus Pharmaceuticals Corporation
$25
Inspire Medical Systems, Inc.
$24
Aytu Bioscience, Inc
$24
Medtronic, Inc.
$21
Sanofi Pasteur Inc.
$20
Dynavax Technologies Corporation
$19
Amneal Pharmaceuticals LLC
$19
Alexion Pharmaceuticals, Inc.
$19
Acella Pharmaceuticals, LLC
$19
Supernus Pharmaceuticals, Inc.
$18
Medtronic MiniMed, Inc.
$18
Hikma Pharmaceuticals USA
$18
Endo Pharmaceuticals Inc.
$18
Daiichi Sankyo Inc.
$18
Vertical Pharmaceuticals, LLC
$18
Mission Pharmacal Company
$17
Arbor Pharmaceuticals, Inc.
$17
Medline Industries, Inc.
$17
Gemini Laboratories, LLC
$16
Intercept Pharmaceuticals, Inc.
$16
Lundbeck LLC
$16
Scilex Pharmaceuticals Inc.
$16
Insulet Corporation
$15
West-Ward Pharmaceuticals
$15
Ironshore Pharmaceuticals Inc.
$15
Almatica Pharma LLC
$14
AMAG Pharmaceuticals, Inc.
$13
Adlon Therapeutics L.P.
$13
Teva Pharmaceuticals USA, Inc.
$11
Top 3 companies account for 21.1% of total payments
Associated products mentioned in payments ›
ADHANSIA XR · AIRSUPRA · AJOVY · ANORO · APTIOM · AREXVY · AVEED · AZSTARYS · Aimovig · Amitiza · Androgel · Auvelity · Azstarys · BELSOMRA · BEVESPI AEROSPHERE · BOTOX THERAPEUTIC · BREO · BREZTRI · BYSTOLIC · BYVALSON · Baxdela · CAMZYOS · CAPLYTA · CHANTIX · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · COMIRNATY · CONTRAVE · Cologuard Collection Kit · Creon · DEXCOM CGM · DEXCOM G6 TRANSMITTER · DIVIGEL · DUZALLO · Dayvigo · Dexcom G6 Transmitter · Dyanavel XR · Dymista · EDWARDS INTUITY Elite valve system · ELIQUIS · EMGALITY · ENTRESTO · ETERNA · EUCRISA · EVENITY · Edarbi · Edwards SAPIEN 3 Transcatheter Heart Valve · FARXIGA · FLUBLOK QUADRIVALENT · FLUZONE HIGH-DOSE · FLUZONE QUADRIVALENT · FORTEO · FREESTYLE LIBRE · FREESTYLE LIBRE 3 · GARDASIL 9 · GEMTESA · Heplisav-B · Horizant · INJECTAFER · INSPIRE · INTRAROSA · INVOKANA · JANUVIA · JARDIANCE · JATENZO · JORNAY PM · KRYSTEXXA · Kerendia · LEQVIO · LINZESS · LONHALA MAGNAIR · LOREEV XR · LYRICA · Leqembi · Leva Pelvic Floor Trainer · Linzess · Livalo · MENACTRA · MOTEGRITY · MOUNJARO · MYDAYIS · MYRBETRIQ · Minimed 630G · Mitigare · Motegrity · Myrbetriq · NEXLETOL · NEXLIZET · NOCDURNA · NP Thyroid 60 · NURTEC ODT · Natesto · OCALIVA · OCTRODE · OFEV · OTREXUP · Omnipod · Otezla · Ozempic · PNEUMOVAX 23 · PREMARIN · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · PROCLAIM · Prolia · QULIPTA · QUVIVIQ · Quillivant · RELISTOR · REXULTI · Repatha · Roszet · Rybelsus · SEGLENTIS · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPIRIVA · STIOLTO RESPIMAT · STRENSIQ · SUNOSI · SYMBICORT · SYMPLICITY G3 · SYNTHROID · Saxenda · Stendra · Superion ISS · Synthroid · TLANDO · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Tirosint · Tresiba · Trintellix · Trulance · Tymlos · UBRELVY · UNITHROID · Uribel · Utibron · VIBERZI · VRAYLAR · VYVANSE · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · XIFIXAN · XYOSTED · Xhance · Xultophy 100/3.6 · YUPELRI · Yupelri · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zoll AED Plus and AED Pro Defibrillator
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 (94%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 5% for internal medicine in TX.
Equivalent to $750 per 100 Medicare services performed
Geographic Context
Internal medicine physicians within 10 mi
576
Per 100K population
88.0
County median income
$97,266
Nearest hospital
ST LUKE'S THE WOODLANDS HOSPITAL
0.0 mi
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. Paschalis is a clinical cardiology specialist, with above-average Medicare volume (top 12% in TX), with low-engagement industry engagement in the top 5% of TX peers, 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. Paschalis experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Paschalis performed 492 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. Paschalis receive payments from pharmaceutical companies?
Yes. Dr. Paschalis received a total of $21,318 from 91 companies across 1,441 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. Paschalis's costs compare to other internal medicine physicians in Shenandoah?
Dr. Paschalis's average Medicare payment per service is $42. 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. Paschalis) 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 →
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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.
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