Dr. Paul Gardial, M.D.
What this data tells you about Dr. Gardial
Dr. Paul Gardial is a family medicine in Texarkana, TX, with 20 years in practice. Based on federal Medicare data, Dr. Gardial performed 4,634 Medicare services across 3,017 unique beneficiaries.
Between the years covered by Open Payments, Dr. Gardial received a total of $7,543 from 48 pharmaceutical and/or device companies across 526 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. Gardial 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 |
|---|---|---|---|
| Office visit, established patient (20-29 min) | 742 | $58 | $175 |
| Blood draw (venipuncture) | 594 | $8 | $20 |
| Comprehensive metabolic blood panel | 414 | $10 | $105 |
| Office visit, established patient (30-39 min) | 340 | $71 | $245 |
| Complete blood count (CBC) with differential | 330 | $8 | $48 |
| Steroid injection (triamcinolone) | 286 | $1 | $7 |
| Lipid panel (cholesterol and triglycerides) | 240 | $13 | $90 |
| Hemoglobin A1c test (diabetes monitoring) | 221 | $9 | $61 |
| Annual wellness visit, follow-up | 141 | $124 | $220 |
| Thyroid stimulating hormone (TSH) test | 136 | $16 | $86 |
| Drug injection, under skin or into muscle | 136 | $9 | $42 |
| Flu vaccine administration | 99 | $30 | $35 |
| Flu vaccine, high-dose | 95 | $72 | $75 |
| Automated urinalysis | 75 | $2 | $14 |
| Detection test by immunoassay with direct visual observation for influenza virus | 74 | $16 | $45 |
| Urine microalbumin test (kidney screening) | 57 | $6 | $59 |
| Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 55 | $50 | $100 |
| Basic metabolic blood panel | 50 | $8 | $88 |
| Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow | 49 | $80 | $200 |
| Chest X-ray, 2 views | 47 | $14 | $44 |
| Electrocardiogram (EKG), 12-lead | 42 | $9 | $76 |
| Prostate cancer screening; prostate specific antigen test (psa) | 41 | $19 | $79 |
| Phosphate level test | 40 | $5 | $24 |
| Parathyroid hormone level test | 38 | $40 | $163 |
| Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 27 | $38 | $155 |
| Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 26 | $23 | $110 |
| Iron level test | 24 | $6 | $39 |
| Transferrin (iron binding protein) level | 24 | $12 | $50 |
| Magnesium level test | 22 | $7 | $37 |
| Transitional care management services for problem of at least moderate complexity | 22 | $158 | $280 |
| Urine culture, bacterial identification | 21 | $8 | $42 |
| PSA test (prostate cancer screening) | 17 | $18 | $79 |
| Knee X-ray, 3 views | 16 | $18 | $66 |
| Pneumonia vaccine administration | 16 | $30 | $45 |
| Sed rate test (inflammation marker) | 15 | $3 | $26 |
| Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 14 | $161 | $325 |
| X-ray of abdomen, 1 view | 13 | $12 | $42 |
| Vitamin B-12 level test | 13 | $15 | $70 |
| Hip X-ray, 2-3 views | 11 | $23 | $71 |
| Amylase (enzyme) level | 11 | $6 | $33 |
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 8% for family medicine in TX.
Geographic Context
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. Gardial is a clinical cardiology specialist, with above-average Medicare volume (top 4% in TX), and high industry engagement (low-engagement, top 8%), with 20 years of practice experience.
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. Gardial experienced with office visit, established patient (20-29 min)?
Does Dr. Gardial receive payments from pharmaceutical companies?
How do Dr. Gardial's costs compare to other family medicines in Texarkana?
What does Data Coverage mean?
Is this data up to date?
Explore related providers
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