Medicare Enrolled
Dr. Lauren Miller, MD
Internal Medicine · Waco, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Miller 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 Dr. Miller?
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What this data tells you about Dr. Miller
Dr. Lauren Miller is an internal medicine specialist in Waco, TX, with 12 years of NPI registration. Based on federal Medicare data, Dr. Miller performed 3,633 Medicare services across 2,686 unique beneficiaries.
Between the years covered by Open Payments, Dr. Miller received a total of $1,629 from 28 pharmaceutical and/or device companies across 96 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. Miller 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 9% volume in TX
$1,629 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,633
Medicare services
Top 9% in TX for internal medicine
2,686
Unique beneficiaries
$40
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~303 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 |
|---|---|---|---|
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
482 | $8 | $21 |
| 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. |
474 | $120 | $247 |
| 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. |
263 | $8 | $42 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
243 | $10 | $90 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
212 | $9 | $47 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
208 | $124 | $142 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
204 | $13 | $75 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
171 | $16 | $68 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
149 | $75 | $152 |
| 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. |
111 | $82 | $184 |
| 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. |
110 | $6 | $41 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
109 | $5 | $27 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
92 | $8 | $52 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
92 | $15 | $67 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
79 | $29 | $184 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
72 | $30 | $47 |
| 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. |
70 | $71 | $115 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
54 | $9 | $63 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
51 | $3 | $26 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
49 | $13 | $57 |
| Iron level test | 42 | $6 | $29 |
| Iron binding capacity test A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron. |
42 | $9 | $36 |
| 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. |
32 | $31 | $47 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
26 | $30 | $47 |
| 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. |
24 | $57 | $131 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
22 | $36 | $357 |
| 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. |
20 | $281 | $390 |
| 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. |
19 | $24 | $112 |
| Hepatitis C antibody test A blood test that checks for antibodies to the hepatitis C virus. This test helps determine if a person has been exposed to the virus. |
18 | $13 | $61 |
| Respiratory virus detection test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus and influenza viruses. |
18 | $51 | $100 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
17 | $2 | $16 |
| 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. |
17 | $40 | $126 |
| Ear wax removal by washing This procedure involves the removal of impacted ear wax using a washing technique. |
15 | $15 | $70 |
| Prolonged office E/M service, first 15 minutes This code is used for additional time spent by a physician beyond the maximum required time of a primary office or outpatient evaluation and management service. It is billed in 15-minute increments based on total time spent on the date of the primary service. |
14 | $25 | $65 |
| Routine 12-lead electrocardiogram (ECG) A test that records the electrical activity of the heart using at least 12 leads to produce a tracing. |
12 | $5 | $74 |
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 ↗$1,629
Total received (2020-2024)
Avg $326/year across 5 years
Top 33% in TX for internal medicine
28
Companies
96
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
$1,629 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$580
2023
$422
2022
$167
2021
$337
2020
$123
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
PFIZER INC.
$190
Dexcom, Inc.
$185
Astellas Pharma US Inc
$185
Novo Nordisk Inc
$126
Otsuka America Pharmaceutical, Inc.
$115
ABIOMED
$111
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$67
Amgen Inc.
$58
Teva Pharmaceuticals USA, Inc.
$57
Intuitive Surgical, Inc.
$50
AstraZeneca Pharmaceuticals LP
$49
Lundbeck LLC
$48
SANOFI-AVENTIS U.S. LLC
$42
Amarin Pharma Inc.
$40
Bayer Healthcare Pharmaceuticals Inc.
$33
Boehringer Ingelheim Pharmaceuticals, Inc.
$32
Radius Health, Inc.
$32
Lilly USA, LLC
$32
Exact Sciences Corporation
$30
DEXCOM, INC.
$29
Clarus Therapeutics Inc.
$24
Intuity Medical Inc
$15
Allergan, Inc.
$15
ABBVIE INC.
$14
Merck Sharp & Dohme Corporation
$13
Corcept Therapeutics
$12
Alnylam Pharmaceuticals Inc.
$12
Kowa Pharmaceuticals America, Inc.
$12
Top 3 companies account for 34.4% of total payments
Associated products mentioned in payments ›
Austedo XR · Cologuard Collection Kit · DEXCOM G6 TRANSMITTER · Da Vinci Surgical System · Dexcom G6 Transmitter · ELIQUIS · EVENITY · FARXIGA · GIVLAARI · Impella · JARDIANCE · JATENZO · Kerendia · Korlym · Livalo · MYRBETRIQ · Myrbetriq · Otezla · Ozempic · PAXLOVID · PREVNAR 13 · PREVNAR 20 · Pogo Automatic Blood Glucose Monitoring System · REXULTI · ROTATEQ · RYBELSUS · Rybelsus · SOLIQUA 100/33 · TRULICITY · TRUMENBA · Tymlos · UBRELVY · VRAYLAR · Vascepa · Wegovy · XIFAXAN
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 $45 per 100 Medicare services performed
Geographic Context
Internal medicine physicians within 10 mi
61
Per 100K population
23.1
County median income
$63,888
Nearest hospital
ASCENSION PROVIDENCE
4.0 mi
4.0 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. Miller is a clinical cardiology specialist, with above-average Medicare volume (top 9% 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. Miller experienced with blood draw (venipuncture)?
Based on Medicare claims data, Dr. Miller performed 482 blood draw (venipuncture) 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. Miller receive payments from pharmaceutical companies?
Yes. Dr. Miller received a total of $1,629 from 28 companies across 96 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. Miller's costs compare to other internal medicine physicians in Waco?
Dr. Miller's average Medicare payment per service is $40. 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. Miller) 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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