Medicare Enrolled
Dr. Raul Torres Heisecke, M.D.
Internal Medicine · Tyler, TX
Practice pattern: Electrophysiology & Remote
— Practice combining electrophysiology and remote services
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. Torres Heisecke 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. Torres Heisecke
Dr. Raul Torres Heisecke is an internal medicine specialist in Tyler, TX, with 18 years of NPI registration. Based on federal Medicare data, Dr. Torres Heisecke performed 2,624 Medicare services across 1,928 unique beneficiaries.
Between the years covered by Open Payments, Dr. Torres Heisecke received a total of $9,939 from 31 pharmaceutical and/or device companies across 318 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. Torres Heisecke 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.
✓ 18 years in practice
▲ Top 14% volume in TX
$9,939 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,624
Medicare services
Top 14% in TX for internal medicine
1,928
Unique beneficiaries
$57
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~146 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 |
|---|---|---|---|
| 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. |
414 | $10 | $100 |
| Remote pacemaker monitoring, 90 days Remote assessment of a pacemaker system, including single, dual, multiple lead, or leadless devices, performed up to 90 days apart. |
248 | $20 | $92 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
228 | $39 | $103 |
| 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. |
206 | $57 | $160 |
| 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. |
168 | $60 | $163 |
| Remote evaluation of implantable defibrillator system Remote assessment of a single, dual, or multiple lead implantable defibrillator system within 90 days of the previous evaluation. |
159 | $23 | $132 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
152 | $28 | $128 |
| 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. |
127 | $87 | $238 |
| 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. |
125 | $99 | $308 |
| Remote cardiac rhythm monitor evaluation, up to 30 days Review and analysis of data from a remote cardiac rhythm monitoring system over a period of up to 30 days. |
79 | $17 | $80 |
| Programming of multiple lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with multiple leads to ensure proper function. |
67 | $50 | $202 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
54 | $4 | $35 |
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
52 | $6 | $50 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
48 | $81 | $362 |
| 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. |
38 | $128 | $365 |
| Anticoagulant management for warfarin Management of anticoagulant therapy for a patient taking warfarin. This service involves monitoring and adjusting the medication regimen. |
35 | $8 | $35 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
33 | $2 | $35 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
31 | $14 | $109 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
30 | $8 | $20 |
| Programming of dual lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with two leads to ensure proper function. |
30 | $43 | $204 |
| Pacemaker insertion with heart chamber electrodes A surgical procedure to implant a pacemaker device and place electrodes into the upper and lower chambers of the heart to regulate heart rhythm. |
27 | $352 | $2,795 |
| Pacemaker system programming Adjustment and testing of a multi-lead pacemaker to ensure proper function and settings. |
25 | $40 | $156 |
| Continuous ECG monitoring with transmission and review Continuous electrocardiogram monitoring for up to 30 days with symptom tracking. The data is transmitted and reviewed by a healthcare professional who provides a report. |
24 | $15 | $107 |
| Hospital discharge management, 30+ min This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge. |
22 | $89 | $232 |
| Insertion of left lower heart electrode for pacemaker or defibrillator A procedure to place an electrode in the lower part of the left side of the heart. This electrode is used to connect a pacemaker or defibrillator to help regulate the heart's rhythm. |
20 | $354 | $1,370 |
| Pacemaker programming, single lead Adjustment and testing of a single-lead pacemaker to ensure it functions correctly. |
19 | $21 | $100 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
19 | $51 | $306 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
19 | $123 | $322 |
| New patient office visit, complex (60-74 min) | 17 | $149 | $460 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
17 | $93 | $234 |
| Repair of left upper heart chamber with implant A surgical procedure to repair the left upper chamber of the heart using an implanted device, with review by a radiologist. |
16 | $581 | $2,390 |
| Atrial fibrillation ablation with pulmonary vein isolation A procedure to treat atrial fibrillation by mapping the heart's electrical activity and destroying tissue causing irregular contractions. This is done by isolating the pulmonary veins using catheter-based destruction. |
15 | $714 | $3,306 |
| Insertion of implantable defibrillator system A surgical procedure to place an implantable cardioverter-defibrillator (ICD) device into the body. The device is connected to the heart to monitor heart rhythm and deliver shocks if dangerous arrhythmias occur. |
14 | $674 | $4,636 |
| External shock to heart to regulate heart beat A procedure that delivers an electric shock to the heart from outside the body to restore a normal heart rhythm. |
13 | $81 | $610 |
| Removal and replacement of dual lead permanent pacemaker This procedure involves removing an existing permanent pacemaker with two leads and replacing it with a new device. It is performed to update or repair the heart rhythm management system. |
11 | $262 | $1,068 |
| Cardiac rhythm monitor evaluation Review and analysis of data recorded by a cardiac rhythm monitoring device to assess heart activity. |
11 | $23 | $81 |
| Initial hospital admission, low complexity Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter. |
11 | $59 | $228 |
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.
31.9% high complexity
3.1% medium
65.0% routine
Industry Payment Transparency
Open Payments through 2024 ↗$9,939
Total received (2018-2024)
Avg $1,420/year across 7 years
Top 9% in TX for internal medicine
31
Companies
318
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
$9,939 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$3,133
2023
$951
2022
$3,222
2021
$746
2020
$655
2019
$429
2018
$802
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$3,283
Abbott Laboratories
$1,776
Boston Scientific Corporation
$1,000
Novartis Pharmaceuticals Corporation
$989
Medtronic Vascular, Inc.
$630
AtriCure, Inc.
$522
CVRx, Inc.
$286
Biosense Webster, Inc.
$275
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$132
Janssen Pharmaceuticals, Inc
$126
PFIZER INC.
$122
Merck Sharp & Dohme LLC
$100
iRhythm Technologies, Inc.
$71
E.R. Squibb & Sons, L.L.C.
$71
Novo Nordisk Inc
$61
Ethicon US, LLC
$58
Medtronic USA, Inc.
$54
Alnylam Pharmaceuticals Inc.
$52
Philips Electronics North America Corporation
$41
BIOTRONIK INC.
$39
Amgen Inc.
$38
Acutus Medical, Inc.
$35
Boehringer Ingelheim Pharmaceuticals, Inc.
$31
AltaThera Pharmaceuticals LLC
$30
BOSTON SCIENTIFIC CORPORATION
$29
Inari Medical, Inc.
$25
Siemens Medical Solutions USA, Inc.
$16
Bayer Healthcare Pharmaceuticals Inc.
$16
Esperion Therapeutics, Inc.
$12
Bayer HealthCare Pharmaceuticals Inc.
$11
Surmodics, Inc.
$9
Top 3 companies account for 61.0% of total payments
Associated products mentioned in payments ›
(5044) MCOT · ADAPTA · ADVISA DR MRI SURESCAN · AQUAMANTYS · ARCTIC FRONT ADVANCE · ATTESTA SR MRI SURESCAN · AVEIR · Advisa · Advisor Catheter · Ampere RF Ablation Generator · Arctic Front · Artis icono floor · Assurity Pacemaker · Azure · BIOMONITOR · Barostim Neo System · CARTO 3 · CONFIRM RX · Carto 3 · Carto 3 System · CartoSound · Cobalt · Compia MRI · Confirm Rx · Corlanor · ELIQUIS · ENSITE · ENSITE PRECISION · ENTRESTO · EP-WorkMate Claris System · EP-WorkMate Recording System · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · Edora 8 DR-T · Ellipse ICD · EnSite Precision Cardiac Mapping System · Enseal · Ensite Cardiac Mapping System · FLOWTRIEVER CATHETER · Fortify Assura · GALLANT · ICDs · InSync · JARDIANCE · Kerendia · LEQVIO · LINQ II · LUX-Dx Insertable Cardiac Monitor · LifeVest · Livewire Steerable Catheters · MITRACLIP · Maximo · Micra · NA · NEXLIZET · NRG Transseptal Needle · OCTARAY MAPPING CATHETER · ONPATTRO · Ozempic · PULSESELECT · Pacemakers · Perclose ProGlide suture mediated closure system · Pounce Thrombectomy System · Quadra Allure MP RF CRT Pacemkr · Quartet CRT Lead · RESOLUTE ONYX · RESONATE · REVEAL LINQ · Reveal LINQ · Rybelsus · S · SENSOR ENABLED · SYNERGY ABLATION SYSTEM · Sotalol Hydrochloride · TACTICATH · TACTICATH ABLATION CATHETER · TactiCath Quartz CFA Catheter · VANTAGEVIEW · VERQUVO · VIEWMATE · Verquvo · ViewFlex Xtra ICE Catheter · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX · XARELTO · ZIO XT Patch · Zio monitor
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. Total industry engagement is in the top 9% for internal medicine in TX.
Equivalent to $379 per 100 Medicare services performed
Geographic Context
Internal medicine physicians within 10 mi
172
Per 100K population
72.3
County median income
$71,923
Nearest hospital
UT HEALTH EAST TEXAS TYLER REGIONAL 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. Torres Heisecke is an electrophysiology & remote specialist, with above-average Medicare volume (top 14% in TX), with low-engagement industry engagement in the top 9% of TX peers, with 18 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. Torres Heisecke experienced with electrocardiogram (ekg), 12-lead?
Based on Medicare claims data, Dr. Torres Heisecke performed 414 electrocardiogram (ekg), 12-lead 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. Torres Heisecke receive payments from pharmaceutical companies?
Yes. Dr. Torres Heisecke received a total of $9,939 from 31 companies across 318 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. Torres Heisecke's costs compare to other internal medicine physicians in Tyler?
Dr. Torres Heisecke's average Medicare payment per service is $57. 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. Torres Heisecke) 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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