Medicare Enrolled

Ruth Stephen, APRN, FNP-C

Nurse Practitioner - Family · Webster, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
905 W MEDICAL CENTER BLVD STE 402, Webster, TX 77598
2817241862
Registered in NPPES since 2019
NPI: 1740837665 verify on NPPES ↗
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 Stephen 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 Stephen

Ruth Stephen is a nurse practitioner - family in Webster, TX, with 7 years of NPI registration. Based on federal Medicare data, Stephen performed 532 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Stephen received a total of $2,197 from 34 pharmaceutical and/or device companies across 116 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Stephen is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 7 years of NPI registration ▲ Top 29% volume in TX $2,197 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
532
Medicare services
Top 29% in TX for nurse practitioner - family
Not available
Unique patients (not deduplicated)
$72
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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
Nursing facility visit, moderate complexity
A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes.
354 $70 $320
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.
78 $83 $385
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.
75 $53 $272
Initial nursing facility care, high complexity
An initial visit by a healthcare provider to a patient in a nursing facility involving a high level of medical decision making, lasting at least 45 minutes.
25 $118 $548
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. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$2,197
Total received (2021-2024)
Avg $549/year across 4 years
Top 14% in TX for nurse practitioner - family
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
34
Companies
116
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$999
2023
$624
2022
$386
2021
$187

Payments by company (2024)

Amgen Inc.
$148
PFIZER INC.
$121
Novo Nordisk Inc
$106
Lilly USA, LLC
$106
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$93
Exact Sciences Corporation
$62
AstraZeneca Pharmaceuticals LP
$45
Merck Sharp & Dohme LLC
$44
GlaxoSmithKline, LLC.
$36
Bayer Healthcare Pharmaceuticals Inc.
$35
ABBVIE INC.
$34
Boston Scientific Corporation
$30
Phathom Pharmaceuticals, Inc.
$29
Xeris Pharmaceuticals, Inc.
$23
SHIELD THERAPEUTICS INC
$21
Boehringer Ingelheim Pharmaceuticals, Inc.
$18
Inspire Medical Systems, Inc.
$18
PhotoniCare Inc
$16
Esperion Therapeutics, Inc.
$15
Top 3 companies account for 37.5% of 2024 payments
All-time payments by company (2021-2024) ›
Lilly USA, LLC
$214
Amgen Inc.
$210
Novo Nordisk Inc
$210
PFIZER INC.
$145
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$120
AstraZeneca Pharmaceuticals LP
$114
ABBVIE INC.
$110
GlaxoSmithKline, LLC.
$88
Merck Sharp & Dohme LLC
$84
ITI, Inc.
$78
Bayer HealthCare Pharmaceuticals Inc.
$78
Bayer Healthcare Pharmaceuticals Inc.
$73
Boehringer Ingelheim Pharmaceuticals, Inc.
$63
Exact Sciences Corporation
$62
Shield Therapeutics Inc
$60
Otsuka America Pharmaceutical, Inc.
$56
Janssen Pharmaceuticals, Inc
$46
Edwards Lifesciences Corporation
$36
Esperion Therapeutics, Inc.
$31
Biohaven Pharmaceutical Holding Company Ltd.
$30
Boston Scientific Corporation
$30
Phathom Pharmaceuticals, Inc.
$29
Daiichi Sankyo Inc.
$24
Xeris Pharmaceuticals, Inc.
$23
Hologic Sales and Service, LLC
$23
SANOFI-AVENTIS U.S. LLC
$22
Allergan, Inc.
$22
SHIELD THERAPEUTICS INC
$21
Inspire Medical Systems, Inc.
$18
Takeda Pharmaceuticals U.S.A., Inc.
$17
Optinose US, Inc.
$16
PhotoniCare Inc
$16
Novartis Pharmaceuticals Corporation
$15
IBSA Pharma Inc.
$13
Top 3 companies account for 28.9% of all-time payments
Associated products mentioned in payments ›
ABILIFY MAINTENA · ACCRUFER · AIRSUPRA · Aimovig · BELSOMRA · BEVESPI AEROSPHERE · BEXSERO · BOTOX · BREZTRI · CAPLYTA · Cologuard Collection Kit · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · EMGALITY · FARXIGA · GARDASIL · GATTEX · INJECTAFER · INSPIRE · JARDIANCE · KEVEYIS · KRYSTEXXA · Kerendia · LEQVIO · MOUNJARO · NEXLETOL · NURTEC ODT · Otezla · OtoSight Middle Ear Scope · Ozempic · PREVNAR 20 · QULIPTA · REXULTI · Rybelsus · SPRAVATO · STEGLATRO · THINPREP 2000 PROCESSOR · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · Tirosint · UBRELVY · VOQUEZNA · WATCHMAN FLX · XARELTO · XIFAXAN · Xhance
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for a nurse practitioner - family in Webster?
Compare family nurse practitioners in the Webster area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family nurse practitioners in nearby ZIP areas
2,055
County median income
$73,104
Nearest hospital to ZIP centroid (approximate)
HCA HOUSTON HEALTHCARE CLEAR LAKE
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Stephen is a clinical cardiology specialist, with above-average Medicare volume (top 29% in TX).

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Stephen experienced with nursing facility visit, moderate complexity?
Based on Medicare claims data, Stephen performed 354 nursing facility visit, moderate complexity services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Stephen receive payments from pharmaceutical companies?
Yes. Stephen received a total of $2,197 from 34 companies across 116 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Stephen's costs compare to other family nurse practitioners in Webster?
Stephen's average Medicare payment per service is $72. 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 Stephen) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →