Dr. Ralph Wagner, MD
What this data tells you about Dr. Wagner
Dr. Ralph Wagner is a family medicine specialist in Shiner, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Wagner performed 1,074 Medicare services across 971 unique beneficiaries.
Between the years covered by Open Payments, Dr. Wagner received a total of $12,541 from 17 pharmaceutical and/or device companies across 89 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. Wagner 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 |
|---|---|---|---|
| Blood draw (venipuncture) | 181 | $8 | $21 |
| Advance care planning consultation, first 30 min | 130 | $78 | $150 |
| Annual alcohol misuse screening, 5 to 15 minutes | 122 | $18 | $47 |
| Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 121 | $25 | $52 |
| Annual wellness visit, follow-up | 120 | $124 | $154 |
| Annual depression screening | 116 | $18 | $60 |
| Office visit, established patient (20-29 min) | 61 | $64 | $145 |
| Hospital follow-up visit, moderate complexity | 37 | $61 | $133 |
| Face-to-face behavioral counseling for obesity, 15 minutes | 33 | $25 | $52 |
| Manual urinalysis test with examination using microscope, non-automated | 25 | $4 | $24 |
| Initial hospital admission, high complexity | 23 | $134 | $350 |
| Hospital discharge day management, 30 minutes or less | 23 | $62 | $170 |
| Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | 22 | $22 | $40 |
| Flu vaccine administration | 22 | $30 | $47 |
| Routine electrocardiogram (ecg) using at least 12 leads with tracing | 20 | $4 | $67 |
| Office visit, established patient (30-39 min) | 18 | $87 | $220 |
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 3% for family medicine in TX.
Geographic Context
15.4 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. Wagner is a clinical cardiology specialist, with above-average Medicare volume (top 26% in TX), with low-engagement industry engagement in the top 3% of TX peers, with 20 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. Wagner experienced with blood draw (venipuncture)?
Does Dr. Wagner receive payments from pharmaceutical companies?
How do Dr. Wagner's costs compare to other family medicine physicians in Shiner?
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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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