Medicare Enrolled
Dr. Shawn Skeen, MD
Cardiovascular Disease · Waco, TX
Practice pattern: Electrophysiology & Remote
— Practice combining electrophysiology and remote services
Speaking/Promotional
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. Skeen 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. Skeen
Dr. Shawn Skeen is a cardiovascular disease specialist in Waco, TX, with 17 years of NPI registration. Based on federal Medicare data, Dr. Skeen performed 5,634 Medicare services across 4,130 unique beneficiaries.
Between the years covered by Open Payments, Dr. Skeen received a total of $124,268 from 43 pharmaceutical and/or device companies across 890 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Skeen 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.
✓ 17 years in practice
▲ Top 13% volume in TX
$124,268 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,634
Medicare services
Top 13% in TX for cardiovascular disease
4,130
Unique beneficiaries
$75
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~331 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. |
1,163 | $87 | $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. |
998 | $10 | $140 |
| 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. |
522 | $46 | $114 |
| 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. |
331 | $36 | $183 |
| 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. |
326 | $23 | $105 |
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
324 | $17 | $101 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
318 | $135 | $1,558 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
208 | $40 | $70 |
| 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. |
130 | $35 | $101 |
| 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. |
119 | $114 | $225 |
| 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. |
108 | $49 | $537 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
103 | $62 | $182 |
| 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. |
102 | $62 | $142 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
74 | $140 | $558 |
| 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. |
66 | $10 | $76 |
| 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. |
65 | $51 | $593 |
| 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. |
53 | $20 | $92 |
| Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 48 | $268 | $348 |
| 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. |
45 | $6 | $52 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
41 | $2 | $113 |
| 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. |
35 | $136 | $355 |
| Ultrasound of arm and leg arteries This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries. |
32 | $52 | $400 |
| 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. |
31 | $1,841 | $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. |
31 | $139 | $520 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
29 | $80 | $488 |
| Complex chronic care management, first 60 minutes This service involves clinical staff time directed by a healthcare professional to manage two or more chronic conditions over a calendar month. It covers the first 60 minutes of this coordinated care effort. |
29 | $94 | $206 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
28 | $13 | $176 |
| 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. |
26 | $397 | $3,228 |
| Radiofrequency vein destruction, first vein A procedure to treat the first incompetent vein in the arm or leg using radiofrequency energy and imaging guidance. |
21 | $934 | $4,495 |
| Cardiac catheterization | 21 | $223 | $4,269 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
19 | $19 | $156 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
18 | $138 | $564 |
| 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. |
16 | $272 | $1,485 |
| 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. |
16 | $1,084 | $2,718 |
| 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. |
16 | $84 | $487 |
| Pacemaker programming, single lead Adjustment and testing of a single-lead pacemaker to ensure it functions correctly. |
16 | $53 | $150 |
| Follow-up ultrasound of heart blood flow, valves and chambers An ultrasound exam that follows up on the heart's blood flow, valves, and chambers. It uses sound waves to create images of the heart's structure and function. |
13 | $6 | $89 |
| Ultrasound of leg arteries or grafts An ultrasound exam that uses sound waves to create images of the arteries in one leg or any grafts present in that leg. |
13 | $88 | $373 |
| Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts A complete ultrasound exam of the aorta, vena cava, groin vessels, or bypass grafts. This imaging test uses sound waves to visualize these blood vessels. |
13 | $123 | $473 |
| Coronary angiography A procedure to insert a tube into a coronary artery to capture diagnostic images of the heart's blood vessels. |
12 | $181 | $2,266 |
| Ultrasound of blood vessel, initial vessel An ultrasound exam of a blood vessel that includes a radiologist's review of the initial vessel. |
11 | $68 | $358 |
| 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. |
11 | $49 | $642 |
| Continuous external EKG monitoring, 48 hours to 7 days This procedure involves recording, analyzing, and interpreting a continuous external electrocardiogram (EKG) over a period of more than 48 hours up to 7 days. |
11 | $202 | $912 |
| Pacemaker system programming Adjustment and testing of a multi-lead pacemaker to ensure proper function and settings. |
11 | $63 | $215 |
| 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. |
11 | $67 | $166 |
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.
21.6% high complexity
10.1% medium
68.4% routine
Industry Payment Transparency
Open Payments through 2024 ↗$124,268
Total received (2018-2024)
Avg $17,753/year across 7 years
Top 5% in TX for cardiovascular disease
43
Companies
890
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.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$64,287 (51.7%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$59,981 (48.3%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$17,974
2023
$14,729
2022
$10,339
2021
$14,525
2020
$15,163
2019
$23,703
2018
$27,835
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Amgen Inc.
$25,772
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$21,404
AstraZeneca Pharmaceuticals LP
$17,549
Penumbra, Inc.
$16,962
Medtronic, Inc.
$7,934
Boston Scientific Corporation
$6,927
Abbott Laboratories
$6,499
Medtronic Vascular, Inc.
$5,871
BIOTRONIK INC.
$4,121
Inari Medical, Inc.
$3,738
BOSTON SCIENTIFIC CORPORATION
$2,164
Philips Electronics North America Corporation
$689
Novartis Pharmaceuticals Corporation
$648
PFIZER INC.
$546
Shockwave Medical, Inc
$396
ABIOMED
$354
Arineta, Inc
$308
E.R. Squibb & Sons, L.L.C.
$248
ShockWave Medical, Inc
$218
Bayer HealthCare Pharmaceuticals Inc.
$178
HEARTFLOW, INC.
$169
Janssen Pharmaceuticals, Inc
$166
Novo Nordisk Inc
$158
Boehringer Ingelheim Pharmaceuticals, Inc.
$149
ACIST MEDICAL SYSTEMS, INC.
$148
Impulse Dynamics (USA) Inc.
$131
Tactile Systems Technology Inc
$124
Bayer Healthcare Pharmaceuticals Inc.
$116
ZOLL Respicardia, Inc.
$107
Actelion Pharmaceuticals US, Inc.
$95
Gilead Sciences, Inc.
$92
Merck Sharp & Dohme LLC
$41
AngioDynamics, Inc.
$39
Amarin Pharma Inc.
$39
Cardinal Health 200, LLC
$29
HeartFlow, Inc.
$22
Cardiovascular Systems Inc.
$21
Merck Sharp & Dohme Corporation
$20
Kiniksa Pharmaceuticals International, plc
$18
Terumo Medical Corporation
$16
Kiniksa Pharmaceuticals, Ltd.
$14
CVRx, Inc.
$14
Kowa Pharmaceuticals America, Inc.
$13
Top 3 companies account for 52.1% of total payments
Associated products mentioned in payments ›
(5027) Intact Vascular Und · (6554) Peripheral Vascular Undivided · (6571) Eagle Eye · ABRE · ACCOLADE · ACCOLADE SR · AMPLATZER Occluders · ANGIOJET · ASSURITY · AURYON LASER SYSTEM 100-120 VAC · AVEIR · Abre · Accent Pacemaker · Acticor · Acticor 7 VR-T DX · Advisa · Allure Quadra RF CRT Pacemaker · Amplia MRI · Arcalyst · Assurity Pacemaker · Azure · BIOMONITOR · BRILINTA · Barostim Neo System · CAMZYOS · CARDIOMEMS · CHANTIX · CLINICAL TRIAL PRODUCT · CONFIRM RX · COREVALVE EVOLUT R · CT THROMBECTOMY SYSTEM KIT · CardioGraphe · CardioMEMS HF System · CareLink · ClosureFast · Confirm Rx · CoreValve Evolut · Corlanor · Diamondback Peripheral · ELIQUIS · EMBLEM · EMBLEM MRI S-ICD · ENDOTAK · ENSITE · ENTRESTO · EP-WORKMATE · EP-WorkMate Recording System · ESSENTIO · Edora · Edora 8 DR-T · FARXIGA · FFRct · FLEXITOUCH · FLOWTRIEVER CATHETER · FORTIFY ASSURA · FRONTRUNNER XP CTO Catheter · Flexitouch Plus · GALLANT · GENERAL THERAPIES · GENERAL VASCULAR INTERVENTION · GENERAL BRADY · GENERAL THERAPIES · GENERAL VASCULAR INTERVENTION · GENERAL - BRADY · GENERAL - THERAPIES · GENERAL BRADY · GENERAL THERAPIES · General - Brady · General - Therapies · General - Vascular Access · GlideWire · HAWKONE · HawkOne · IGT D Coronary · INGEVITY · Impella · Indigo · Indigo System · Inventra · JARDIANCE · Kerendia · LATITUDE · LEQVIO · LUX DX · LUX-DX · LUX-Dx Insertable Cardiac Monitor · LifeVest · Livalo · MERLIN@HOME · MICRA · Micra · Mitra Clip system · Mozec NC PTCA Balloon · ONYX FRONTIER · OPSUMIT · OptiCross · Optimizer · Orsiro Mission · Ozempic · PCI Optimization · PERCLOSE PROGLIDE · Pacemakers · Penumbra System · Perclose ProGlide suture mediated closure system · Performa · PressureWire FFR · QT Vascular Chocolate PTA Balloon · Quadra Allure MP RF CRT Pacemkr · Quadra Assura CRT Defibrillator · RESONATE · RHYTHMIA · RXI SYSTEMS · Ranexa · Repatha · Resolute · Reveal LINQ · Rivacor · Rivacor 7 DR-T · Rybelsus · S · SQ RX · SQ RX PULSE GENERATOR · SQ-RX PULSE GENERATOR · SQRX PULSE GENERATOR · SYMPLICITY G3 · SelectSecure · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · Stellarex · THORATEC HEARTMATE 3 LVAS IMPLANT KIT · UPTRAVI · VALITUDE · VALITUDE CRT-P · VARITHENA · VERQUVO · VIEWMATE · VIGILANT · VYNDAQEL · Varithena Administration Pack · Vascepa · Vascular Lithotripsy · VenaSeal · WALLSTENT · WATCHMAN · WATCHMAN Access System · XARELTO · Xience Sierra Coronary Stent · ZOOM · remede System
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 →
The majority of payments (52%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in cardiovascular disease and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 5% for cardiovascular disease in TX.
Equivalent to $2,206 per 100 Medicare services performed
Geographic Context
Cardiologists within 10 mi
18
Per 100K population
6.8
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. Skeen is an electrophysiology & remote specialist, with above-average Medicare volume (top 13% in TX), with speaking/promotional industry engagement in the top 5% of TX peers, with 17 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. Skeen experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Skeen performed 1,163 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. Skeen receive payments from pharmaceutical companies?
Yes. Dr. Skeen received a total of $124,268 from 43 companies across 890 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. Skeen's costs compare to other cardiologists in Waco?
Dr. Skeen's average Medicare payment per service is $75. 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. Skeen) 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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