Medicare Enrolled
Dr. Nathan Wright, M.D.
Internal Medicine · Texarkana, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Wright 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. Wright
Dr. Nathan Wright is an internal medicine specialist in Texarkana, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Wright performed 16,603 Medicare services across 6,389 unique beneficiaries.
Between the years covered by Open Payments, Dr. Wright received a total of $1,427 from 31 pharmaceutical and/or device companies across 89 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. Wright 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.
✓ 20 years in practice
▲ Top 2% volume in TX
$1,427 industry payments
Medicare Practice Summary
Medicare Utilization ↗16,603
Medicare services
Top 2% in TX for internal medicine
6,389
Unique beneficiaries
$27
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~830 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 |
|---|---|---|---|
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
1,772 | $61 | $144 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
1,405 | $8 | $20 |
| 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. |
1,264 | $85 | $245 |
| Denosumab injection (Prolia/Xgeva) | 1,260 | $18 | $25 |
| 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. |
1,196 | $8 | $48 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
1,180 | $10 | $105 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
1,151 | $16 | $86 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
1,148 | $13 | $90 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
1,111 | $3 | $28 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
718 | $1 | $7 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
697 | $9 | $61 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
507 | $6 | $59 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
487 | $5 | $22 |
| 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. |
388 | $64 | $175 |
| Hospital discharge day management, 30 minutes or less This service covers the final day of hospital care when the patient is being discharged. It includes coordination of care and instructions for the patient within a time frame of 30 minutes or less. |
184 | $62 | $149 |
| Urine culture, bacterial identification A laboratory test that grows and identifies bacteria from a urine sample to detect infections. |
167 | $8 | $42 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
159 | $100 | $255 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
144 | $121 | $220 |
| Bacterial culture, aerobic A laboratory test that grows and identifies bacteria capable of surviving in oxygen. The results help determine the presence of specific aerobic microorganisms. |
116 | $8 | $40 |
| Antibiotic sensitivity test A laboratory test that determines which antibiotics, antifungals, or antivirals are effective against a specific microorganism using microdilution or agar dilution methods. |
116 | $8 | $58 |
| 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. |
110 | $38 | $155 |
| 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. |
104 | $10 | $42 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
101 | $19 | $79 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
78 | $30 | $35 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
76 | $72 | $75 |
| Home health agency supervision, complex multidisciplinary care Supervision by a physician or allowed practitioner for a patient receiving Medicare-covered services from a participating home health agency. This involves complex and multidisciplinary care modalities, with the patient not present during the supervision. |
75 | $79 | $200 |
| 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. |
68 | $31 | $110 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
65 | $15 | $70 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
63 | $53 | $232 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
53 | $14 | $79 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
50 | $8 | $88 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
49 | $13 | $52 |
| Iron level test | 49 | $6 | $39 |
| 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. |
49 | $10 | $76 |
| Transferrin level test A blood test that measures the amount of transferrin, a protein that binds to and transports iron in the body. |
48 | $12 | $50 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
40 | $15 | $44 |
| Sed rate test (inflammation marker) This automated test measures how quickly red blood cells settle in a tube to detect inflammation in the body. |
32 | $3 | $26 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
29 | $154 | $280 |
| C-reactive protein test (inflammation marker) A blood test that measures the level of C-reactive protein to detect the presence of infection or inflammation in the body. |
27 | $5 | $23 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review. |
26 | $54 | $324 |
| 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. |
25 | $97 | $315 |
| Thyroxine (T4) level test A blood test that measures the total amount of thyroxine, a thyroid hormone, in your body. |
24 | $7 | $40 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
20 | $7 | $37 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
18 | $282 | $325 |
| X-ray of lower and sacral spine, minimum of 4 views An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints. |
17 | $23 | $71 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
17 | $30 | $45 |
| Knee X-ray, 3 views An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures. |
16 | $24 | $66 |
| Pulmonary gas exchange test A test to examine how well the lungs exchange gases. |
16 | $38 | $150 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
15 | $215 | $395 |
| Lung volume test using sensors A test that measures the amount of air in the lungs using sensors. |
14 | $42 | $115 |
| Spirometry test before and after medication A test that measures the amount of air you can exhale and the speed of your breathing before and after taking a medication. |
13 | $25 | $132 |
| Free T3 thyroid hormone test A blood test that measures the level of free triiodothyronine (T3) hormone in your body. This helps assess how well your thyroid gland is functioning. |
12 | $17 | $120 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
12 | $161 | $325 |
| Natriuretic peptide level test A blood test that measures the level of natriuretic peptide, a protein produced by the heart and blood vessels. |
11 | $38 | $171 |
| Syphilis antibody test A blood test that checks for antibodies to the bacteria that causes syphilis. |
11 | $13 | $50 |
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 ↗$1,427
Total received (2018-2024)
Avg $204/year across 7 years
Top 35% in TX for internal medicine
31
Companies
89
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
$1,427 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$226
2023
$263
2022
$273
2021
$217
2020
$72
2019
$197
2018
$180
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Amgen Inc.
$150
GlaxoSmithKline, LLC.
$106
Novartis Pharmaceuticals Corporation
$105
PFIZER INC.
$96
Merck Sharp & Dohme Corporation
$96
Mylan Specialty L.P.
$85
Novo Nordisk Inc
$84
SANOFI-AVENTIS U.S. LLC
$82
Boehringer Ingelheim Pharmaceuticals, Inc.
$60
AstraZeneca Pharmaceuticals LP
$60
EVOKE PHARMA, INC.
$40
ABBVIE INC.
$38
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$35
Astellas Pharma US Inc
$34
Eisai Inc.
$34
Alnylam Pharmaceuticals Inc.
$28
Janssen Pharmaceuticals, Inc
$27
Lilly USA, LLC
$25
ARBOR PHARMACEUTICALS, INC.
$25
AbbVie Inc.
$25
Evoke Pharma, Inc.
$23
Xeris Pharmaceuticals, Inc.
$20
Amarin Pharma Inc.
$19
Avanir Pharmaceuticals, Inc.
$18
Chiesi USA, Inc.
$18
Allergan Inc.
$18
Dexcom, Inc.
$17
Sanofi Pasteur Inc.
$17
Horizon Therapeutics plc
$15
Merck Sharp & Dohme LLC
$14
Esperion Therapeutics, Inc.
$13
Top 3 companies account for 25.3% of total payments
Associated products mentioned in payments ›
AREXVY · Aimovig · BASAGLAR · BELSOMRA · BYSTOLIC · CHANTIX · CLEVIPREX · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · ENTRESTO · EVENITY · Edarbi · FARXIGA · FLUZONE HIGH-DOSE · GIMOTI · GVOKE HYPOPEN · Horizant · JANUVIA · JARDIANCE · LEQVIO · MOUNJARO · MYRBETRIQ · NEXLETOL · Nuedexta · OFEV · OXLUMO · Otezla · Ozempic · PENNSAID · QULIPTA · Rybelsus · SHINGRIX · SOLIQUA 100/33 · SYNJARDY · TOUJEO · TRELEGY ELLIPTA · UBRELVY · VESICARE · Vascepa · Victoza · XARELTO · XIFAXAN · YUPELRI · Yupelri
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $9 per 100 Medicare services performed
Geographic Context
Internal medicine physicians within 10 mi
40
Per 100K population
43.3
County median income
$59,295
Nearest hospital
CHRISTUS ST MICHAEL HEALTH SYSTEM
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. Wright is a mixed practice specialist, with above-average Medicare volume (top 2% in TX), with low-engagement industry engagement, 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. Wright experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Wright performed 1,772 hospital follow-up visit, moderate complexity 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. Wright receive payments from pharmaceutical companies?
Yes. Dr. Wright received a total of $1,427 from 31 companies across 89 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. Wright's costs compare to other internal medicine physicians in Texarkana?
Dr. Wright's average Medicare payment per service is $27. 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. Wright) 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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