Medicare Enrolled
Dr. Sara Miers, N.P.
Nurse Practitioner - Family · Wake Village, 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. Miers 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. Miers
Dr. Sara Miers is a nurse practitioner - family in Wake Village, TX, with 12 years of NPI registration. Based on federal Medicare data, Dr. Miers performed 4,511 Medicare services across 2,695 unique beneficiaries.
Between the years covered by Open Payments, Dr. Miers received a total of $4,639 from 32 pharmaceutical and/or device companies across 300 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in nurse practitioner - family. 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. Miers 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 2% volume in TX
$4,639 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,511
Medicare services
Top 2% in TX for nurse practitioner - family
2,695
Unique beneficiaries
$26
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~376 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. |
428 | $8 | $20 |
| 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. |
363 | $69 | $245 |
| 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. |
351 | $50 | $175 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
339 | $10 | $105 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
295 | $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. |
282 | $8 | $48 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
276 | $13 | $90 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
243 | $16 | $86 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
200 | $16 | $45 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
192 | $101 | $220 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
175 | $29 | $250 |
| Betamethasone steroid injection An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate. |
174 | $5 | $13 |
| COVID-19 amplified DNA/RNA probe detection A laboratory test that uses amplified DNA or RNA probes to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) antigen. |
171 | $50 | $100 |
| Ceftriaxone antibiotic injection This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered. |
152 | $0 | $14 |
| 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. |
137 | $8 | $42 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
131 | $10 | $61 |
| Urine culture, bacterial identification A laboratory test that grows and identifies bacteria from a urine sample to detect infections. |
107 | $8 | $42 |
| 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. |
51 | $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. |
51 | $8 | $58 |
| 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. |
44 | $72 | $75 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
44 | $30 | $35 |
| Fecal immunochemical test (FIT), 1-3 simultaneous A screening test that uses a stool sample to detect hidden blood in the feces, helping to identify potential colorectal cancer. |
40 | $18 | $45 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
34 | $15 | $70 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
31 | $4 | $24 |
| Parathyroid hormone level test A blood test that measures the amount of parathyroid hormone in your body. This hormone helps regulate calcium levels in the blood and bones. |
29 | $40 | $163 |
| Home health agency supervision, complex multidisciplinary care Supervision by a physician or allowed practitioner for a patient receiving Medicare-covered services from a participating home health agency. This involves complex and multidisciplinary care modalities, with the patient not present during the supervision. |
24 | $66 | $200 |
| 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. |
19 | $6 | $55 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
19 | $19 | $79 |
| 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. |
19 | $34 | $155 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
19 | $137 | $325 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
16 | $16 | $45 |
| 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 |
| 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. |
15 | $182 | $395 |
| Screening test for pathogenic organisms A laboratory test used to screen for the presence of disease-causing organisms in the body. |
13 | $6 | $27 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
11 | $30 | $45 |
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 ↗$4,639
Total received (2021-2024)
Avg $1,160/year across 4 years
Top 5% in TX for nurse practitioner - family
32
Companies
300
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
$4,350 (93.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$289 (6.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,346
2023
$1,523
2022
$852
2021
$919
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$646
Lilly USA, LLC
$503
ABBVIE INC.
$422
Novo Nordisk Inc
$360
Amgen Inc.
$304
Astellas Pharma US Inc
$289
AbbVie Inc.
$247
Abbott Laboratories
$227
Boehringer Ingelheim Pharmaceuticals, Inc.
$204
Janssen Pharmaceuticals, Inc
$173
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$167
PFIZER INC.
$160
Novartis Pharmaceuticals Corporation
$127
Phathom Pharmaceuticals, Inc.
$125
GlaxoSmithKline, LLC.
$114
Bayer Healthcare Pharmaceuticals Inc.
$87
IDORSIA PHARMACEUTICALS US INC
$62
Bayer HealthCare Pharmaceuticals Inc.
$57
Merck Sharp & Dohme LLC
$43
SANOFI-AVENTIS U.S. LLC
$43
Teva Pharmaceuticals USA, Inc.
$35
Genentech USA, Inc.
$35
Amarin Pharma Inc.
$34
Supernus Pharmaceuticals, Inc.
$31
Exact Sciences Corporation
$30
Almatica Pharma LLC
$27
E.R. Squibb & Sons, L.L.C.
$17
Merck Sharp & Dohme Corporation
$17
Dexcom, Inc.
$14
ARBOR PHARMACEUTICALS, INC.
$14
Esperion Therapeutics, Inc.
$12
EVOKE PHARMA, INC.
$11
Top 3 companies account for 33.9% of total payments
Associated products mentioned in payments ›
AIRSUPRA · Aimovig · AirDuo Digihaler · ArmonAir Digihaler · BELSOMRA · BREZTRI · Cologuard Collection Kit · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · Edarbyclor · FARXIGA · FASENRA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · GARDASIL · GIMOTI · GRALISE · JARDIANCE · Kerendia · LEQVIO · MOUNJARO · NEXLETOL · Otezla · Ozempic · PAXLOVID · PREMARIN · QULIPTA · QUVIVIQ · RYBELSUS · Rybelsus · SHINGRIX · SOLIQUA 100/33 · SYNJARDY · TOUJEO · TRELEGY ELLIPTA · TROKENDI XR · TRULICITY · UBRELVY · VERQUVO · VOQUEZNA · VRAYLAR · Vascepa · Wegovy · XARELTO · XIFAXAN · Xofluza · ZEPBOUND
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 (94%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 5% for nurse practitioner - family in TX.
Equivalent to $103 per 100 Medicare services performed
Geographic Context
Family nurse practitioners within 10 mi
170
Per 100K population
184.1
County median income
$59,295
Nearest hospital
WADLEY REGIONAL MEDICAL CENTER
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. Miers is a clinical cardiology specialist, with above-average Medicare volume (top 2% in TX), with low-engagement industry engagement in the top 5% of TX peers.
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. Miers experienced with blood draw (venipuncture)?
Based on Medicare claims data, Dr. Miers performed 428 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. Miers receive payments from pharmaceutical companies?
Yes. Dr. Miers received a total of $4,639 from 32 companies across 300 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. Miers's costs compare to other family nurse practitioners in Wake Village?
Dr. Miers's average Medicare payment per service is $26. 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. Miers) 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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