Medicare Enrolled
Shannon Mitchell, RN-ACNP
Acute Care Nurse Practitioner · Texarkana, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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 Mitchell 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 Mitchell?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Mitchell
Shannon Mitchell is an acute care nurse practitioner in Texarkana, TX, with 19 years of NPI registration. Based on federal Medicare data, Mitchell performed 1,961 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Mitchell received a total of $1,693 from 27 pharmaceutical and/or device companies across 99 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Mitchell is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years of NPI registration
▲ Top 3% volume in TX
$1,693 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗1,961
Medicare services
Top 3% in TX for acute care nurse practitioner
Not available
Unique patients (not deduplicated)
$24
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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) 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. |
264 | $49 | $173 |
| 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. |
177 | $69 | $244 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
172 | $8 | $20 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
170 | $10 | $105 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
152 | $3 | $28 |
| 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. |
114 | $8 | $48 |
| Urine culture, bacterial identification A laboratory test that grows and identifies bacteria from a urine sample to detect infections. |
112 | $8 | $42 |
| 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. |
103 | $7 | $42 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
83 | $13 | $90 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
66 | $0 | $17 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
62 | $16 | $86 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
54 | $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. |
53 | $5 | $59 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
52 | $22 | $110 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
37 | $8 | $26 |
| 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. |
33 | $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. |
30 | $8 | $58 |
| Hepatitis C antibody screening A blood test to check for antibodies indicating a Hepatitis C infection. This screening is performed for individuals at high risk or those with other covered indications. |
27 | $45 | $58 |
| 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. |
22 | $16 | $120 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
20 | $15 | $70 |
| 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 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
20 | $8 | $52 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
18 | $107 | $220 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
16 | $29 | $250 |
| Natriuretic peptide level test A blood test that measures the level of natriuretic peptide, a protein produced by the heart and blood vessels. |
16 | $38 | $171 |
| 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. |
16 | $135 | $280 |
| Sed rate test (inflammation marker) This automated test measures how quickly red blood cells settle in a tube to detect inflammation in the body. |
15 | $3 | $26 |
| 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. |
14 | $182 | $395 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
12 | $8 | $88 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
11 | $30 | $35 |
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. These counts do not measure clinical quality or years of experience.
Industry Payment Transparency
Open Payments through 2024 ↗$1,693
Total received (2021-2024)
Avg $423/year across 4 years
Top 16% in TX for acute care nurse practitioner
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
27
Companies
99
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$546
2023
$440
2022
$294
2021
$413
Payments by company (2024)
Novartis Pharmaceuticals Corporation
$91
GlaxoSmithKline, LLC.
$65
Boehringer Ingelheim Pharmaceuticals, Inc.
$50
Amgen Inc.
$45
E.R. Squibb & Sons, L.L.C.
$42
EVOKE PHARMA, INC.
$36
Lilly USA, LLC
$35
ABBVIE INC.
$34
Novo Nordisk Inc
$31
Dexcom, Inc.
$31
Phathom Pharmaceuticals, Inc.
$23
PFIZER INC.
$23
Boston Scientific Corporation
$21
Abbott Laboratories
$18
Top 3 companies account for 37.8% of 2024 payments
All-time payments by company (2021-2024) ›
Novartis Pharmaceuticals Corporation
$260
Amgen Inc.
$217
GlaxoSmithKline, LLC.
$161
AbbVie Inc.
$142
PFIZER INC.
$141
Abbott Laboratories
$100
E.R. Squibb & Sons, L.L.C.
$74
Lilly USA, LLC
$67
Boehringer Ingelheim Pharmaceuticals, Inc.
$64
ABBVIE INC.
$63
Dexcom, Inc.
$60
Novo Nordisk Inc
$44
Alnylam Pharmaceuticals Inc.
$41
EVOKE PHARMA, INC.
$36
Merck Sharp & Dohme Corporation
$27
Phathom Pharmaceuticals, Inc.
$23
Boston Scientific Corporation
$21
Almatica Pharma LLC
$21
Evoke Pharma, Inc.
$20
ALK-Abello, Inc
$16
Arbor Pharmaceuticals, Inc.
$16
Amarin Pharma Inc.
$15
Janssen Pharmaceuticals, Inc
$14
Esperion Therapeutics, Inc.
$13
Kowa Pharmaceuticals America, Inc.
$13
ARBOR PHARMACEUTICALS, INC.
$13
Braintree Laboratories, Inc.
$11
Top 3 companies account for 37.6% of all-time payments
Associated products mentioned in payments ›
Aimovig · BELSOMRA · CREON · Dexcom G6 Transmitter · ELIQUIS · ENTRESTO · EVENITY · Edarbi · Edarbyclor · FREESTYLE LIBRE · FREESTYLE LIBRE 3 · GIMOTI · GRALISE · JARDIANCE · LEQVIO · LINZESS · Livalo · MOTOFEN · NEXLETOL · ONPATTRO · Otezla · Otiprio · Ozempic · PREVNAR 13 · PREVNAR 20 · QULIPTA · Repatha · SHINGRIX · SPIRIVA RESPIMAT · TRELEGY ELLIPTA · TRULICITY · UBRELVY · VERQUVO · VOQUEZNA · Vascepa · WATCHMAN FLX · Wegovy · XARELTO
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Acute care nurse practitioners in nearby ZIP areas
15
County median income
$59,295
Nearest hospital to ZIP centroid (approximate)
CHRISTUS ST MICHAEL HEALTH SYSTEM
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Mitchell is a clinical cardiology specialist, with above-average Medicare volume (top 3% in TX), with 19 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Mitchell experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Mitchell performed 264 office visit, established patient (20-29 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Mitchell receive payments from pharmaceutical companies?
Yes. Mitchell received a total of $1,693 from 27 companies across 99 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Mitchell's costs compare to other acute care nurse practitioners in Texarkana?
Mitchell's average Medicare payment per service is $24. 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 Mitchell) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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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