Medicare Enrolled
Dr. Clay Barbin, M.D.
Interventional Cardiology · Waco, TX
Practice pattern: Cardiac & Electrophysiology
— Practice combining cardiac and electrophysiology 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. Barbin 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. Barbin
Dr. Clay Barbin is an interventional cardiology specialist in Waco, TX, with 12 years of NPI registration. Based on federal Medicare data, Dr. Barbin performed 4,197 Medicare services across 3,070 unique beneficiaries.
Between the years covered by Open Payments, Dr. Barbin received a total of $10,633 from 38 pharmaceutical and/or device companies across 229 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in interventional cardiology. 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. Barbin 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.
✓ 12 years in practice
▲ Top 21% volume in TX
$10,633 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,197
Medicare services
Top 21% in TX for interventional cardiology
3,070
Unique beneficiaries
$106
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~350 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 |
|---|---|---|---|
| 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. |
1,263 | $89 | $140 |
| 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. |
635 | $10 | $140 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
376 | $44 | $70 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
203 | $46 | $114 |
| 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. |
186 | $62 | $142 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
150 | $140 | $1,558 |
| 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. |
149 | $119 | $228 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
123 | $134 | $353 |
| 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. |
114 | $51 | $593 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
111 | $10 | $76 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
95 | $36 | $183 |
| 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. |
93 | $5 | $52 |
| Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 91 | $262 | $355 |
| 2-day continuous ECG with review and report A two-day continuous electrocardiogram recording that includes a professional review and written report of the results. |
67 | $46 | $537 |
| Nuclear stress test with CT scan A nuclear medicine imaging test that evaluates blood flow in the heart muscle at rest and during stress, performed alongside a concurrent CT scan. |
62 | $1,817 | $6,891 |
| PET scan of heart muscle blood flow A nuclear medicine imaging test that uses positron emission tomography (PET) to evaluate blood flow within the heart muscle. |
55 | $136 | $520 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
52 | $2 | $113 |
| Cardiac catheterization | 51 | $181 | $4,269 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
49 | $35 | $101 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
46 | $81 | $488 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
46 | $14 | $176 |
| Coronary stent placement A procedure to insert a stent into a coronary artery or its branch to keep it open, using balloon dilation during the process. |
40 | $416 | $4,602 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle while at rest and during stress. |
29 | $1,050 | $2,718 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle while at rest and during stress. The procedure uses special cameras to create images of the heart's function. |
25 | $46 | $642 |
| 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. |
22 | $84 | $487 |
| Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist | 19 | $254 | $5,111 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
12 | $87 | $186 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results. |
11 | $9 | $210 |
| Right heart catheterization with coronary angiography A procedure to insert a tube into the right side of the heart and coronary arteries to gather diagnostic information, with review by a radiologist. |
11 | $204 | $2,999 |
| Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist | 11 | $196 | $4,977 |
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.
7.4% high complexity
17.0% medium
75.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$10,633
Total received (2018-2024)
Avg $1,519/year across 7 years
Top 42% in TX for interventional cardiology
38
Companies
229
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
$10,593 (99.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$40 (0.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,649
2023
$946
2022
$860
2021
$672
2020
$2,205
2019
$3,245
2018
$1,057
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Boston Scientific Corporation
$2,798
Medtronic Vascular, Inc.
$2,520
Medtronic, Inc.
$1,081
AstraZeneca Pharmaceuticals LP
$638
Abbott Laboratories
$547
Novartis Pharmaceuticals Corporation
$347
Inari Medical, Inc.
$311
Edwards Lifesciences Corporation
$249
ShockWave Medical, Inc
$233
Biosense Webster, Inc.
$209
Amgen Inc.
$184
Arineta, Inc
$166
E.R. Squibb & Sons, L.L.C.
$162
ABIOMED
$152
W. L. Gore & Associates, Inc.
$141
Impulse Dynamics (USA) Inc.
$131
Boehringer Ingelheim Pharmaceuticals, Inc.
$126
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$104
Janssen Pharmaceuticals, Inc
$64
Regeneron Healthcare Solutions, Inc.
$49
Shockwave Medical, Inc
$48
Merck Sharp & Dohme LLC
$40
PFIZER INC.
$35
Chiesi USA, Inc.
$28
AngioDynamics, Inc.
$25
Philips Electronics North America Corporation
$25
CARDIVA MEDICAL, INC.
$24
HEARTFLOW, INC.
$24
Kiniksa Pharmaceuticals International, plc
$22
Cardiovascular Systems Inc.
$21
Actelion Pharmaceuticals US, Inc.
$18
Kiniksa Pharmaceuticals, Ltd.
$18
Esperion Therapeutics, Inc.
$18
Terumo Medical Corporation
$17
Novo Nordisk Inc
$16
SCPHARMACEUTICALS INC.
$15
Teleflex LLC
$13
BOSTON SCIENTIFIC CORPORATION
$13
Top 3 companies account for 60.2% of total payments
Associated products mentioned in payments ›
(6554) Peripheral Vascular Undivided · AURYON LASER SYSTEM 100-120 VAC · AVEIR · AVVIGO Guidance System · Allure Quadra RF CRT Pacemaker · AngioSeal · Arcalyst · Assurity Pacemaker · BRILINTA · CAMZYOS · CARDIOFORM Septal Occluder · CARDIOMEMS · CARDIVA VASCADE 6/7F VCS · CONFIRM RX · COREVALVE EVOLUT R · CROSSBOSS · CardioGraphe · Carto 3 · Carto 3 System · Catheter - Pronto · CoreValve Evolut · Corlanor · Diamondback Peripheral · ELIQUIS · ENTRESTO · EP-WORKMATE · Edwards SAPIEN 3 Transcatheter Heart Valve · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · FARXIGA · FFRct · FLOWTRIEVER CATHETER · FUROSCIX · GENERAL VASCULAR INTERVENTION · GENERAL STENTS · GENERAL STRUCTURAL HEART · GENERAL THERAPIES · GENERAL VASCULAR ACCESS · General - Brady · Impella · JARDIANCE · KENGREAL · LEQVIO · LOKELMA · LOTUS EDGE · LUX-Dx Insertable Cardiac Monitor · LifeVest · MitraClip System · NEXLETOL · ONYX FRONTIER · OPTIS · Optimizer · Ozempic · PRADAXA · PRALUENT ALIROCUMAB INJECTION · Perclose ProGlide suture mediated closure system · QUARTET · RESOLUTE ONYX · Repatha · Resolute · S · SAPIEN 3 Ultra RESILIA · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · SYMPLICITY G3 · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · UPTRAVI · VALITUDE CRT-P · VERQUVO · Vascular Lithotripsy · WATCHMAN Access System · XARELTO · XIENCE SKYPOINT
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 $253 per 100 Medicare services performed
Geographic Context
Interventional cardiologists within 10 mi
8
Per 100K population
3.0
County median income
$63,888
Nearest hospital
ASCENSION PROVIDENCE
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. Barbin is a cardiac & electrophysiology specialist, with above-average Medicare volume (top 21% in TX), with low-engagement industry engagement.
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. Barbin experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Barbin performed 1,263 office visit, established patient (30-39 min) 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. Barbin receive payments from pharmaceutical companies?
Yes. Dr. Barbin received a total of $10,633 from 38 companies across 229 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. Barbin's costs compare to other interventional cardiologists in Waco?
Dr. Barbin's average Medicare payment per service is $106. 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. Barbin) 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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