Medicare Enrolled

Dr. Raymond Paxton, MD

Internal Medicine · West Lake Hills, TX
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
1250 S CAPITAL OF TEXAS HWY BLDG 3, West Lake Hills, TX 78746
5123342403
In practice since 2006 (19 years)
NPI: 1114981529 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 Dr. Paxton 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. Paxton? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Paxton

Dr. Raymond Paxton is an internal medicine specialist in West Lake Hills, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Paxton performed 5,086 Medicare services across 3,349 unique beneficiaries.

Between the years covered by Open Payments, Dr. Paxton received a total of $4,020 from 41 pharmaceutical and/or device companies across 310 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. Paxton 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.

✓ 19 years in practice ▲ Top 6% volume in TX $4,020 industry payments

Medicare Practice Summary

Medicare Utilization ↗
5,086
Medicare services
Top 6% in TX for internal medicine
3,349
Unique beneficiaries
$35
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~268 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
Denosumab injection (Prolia/Xgeva) 1,020 $18 $44
Office visit, established patient (30-39 min) 471 $87 $206
Blood draw (venipuncture) 380 $8 $9
Complete blood count (CBC) with differential 241 $8 $33
Comprehensive metabolic blood panel 230 $10 $45
Lipid panel (cholesterol and triglycerides) 219 $13 $57
Annual wellness visit, follow-up 219 $133 $324
Hemoglobin A1c test (diabetes monitoring) 182 $9 $41
Adm sarscv2 bvl 50mcg/.5ml a 170 $39 $40
Flu vaccine, quadrivalent 158 $75 $183
Flu vaccine administration 158 $31 $70
Automated urinalysis 156 $2 $10
Creatine kinase (cardiac enzyme) level, total 141 $6 $28
Adm sarscv2 bvl 30mcg/.3ml a 138 $39 $40
Thyroid stimulating hormone (TSH) test 131 $16 $71
Chronic care management, first 20 min/month 99 $48 $87
Vitamin D level test 94 $29 $115
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90 $283 $863
Pneumonia vaccine administration 90 $31 $70
Urinalysis with microscopic exam 83 $3 $14
Basic metabolic blood panel 69 $8 $36
Office visit, established patient (20-29 min) 64 $63 $139
Prostate cancer screening; prostate specific antigen test (psa) 60 $19 $78
Creatinine test (kidney function) 44 $5 $22
Urine culture, bacterial colony count 42 $8 $35
Urine microalbumin test (kidney screening) 40 $6 $24
Vitamin B-12 level test 31 $15 $64
Ferritin level test (iron stores) 23 $13 $58
Free thyroxine (T4) test 23 $9 $39
Urine culture, bacterial identification 21 $8 $35
Antibiotic sensitivity test 21 $8 $37
PSA test (prostate cancer screening) 20 $18 $78
Testosterone (hormone) level, total 20 $25 $109
Chronic care management, additional 20 min/month 20 $39 $74
Drug injection, under skin or into muscle 19 $10 $70
Liver function blood test panel 18 $8 $35
Iron level test 17 $6 $28
Transferrin (iron binding protein) level 16 $12 $39
Sed rate test (inflammation marker) 13 $3 $12
Uric acid level test 12 $4 $20
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 12 $50 $154
Chest X-ray, 2 views 11 $13 $61
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 ↗
$4,020
Total received (2018-2024)
Avg $574/year across 7 years
Top 19% in TX for internal medicine
41
Companies
310
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
$4,020 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$375
2023
$39
2022
$22
2021
$55
2020
$274
2019
$1,540
2018
$1,715

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
GlaxoSmithKline, LLC.
$497
AstraZeneca Pharmaceuticals LP
$469
Boehringer Ingelheim Pharmaceuticals, Inc.
$448
Novo Nordisk Inc
$288
Amgen Inc.
$255
Radius Health, Inc.
$238
Merck Sharp & Dohme Corporation
$233
Amarin Pharma Inc.
$181
Abbott Laboratories
$152
Lilly USA, LLC
$151
Astellas Pharma US Inc
$119
Allergan Inc.
$118
AbbVie, Inc.
$117
Janssen Pharmaceuticals, Inc
$83
ARBOR PHARMACEUTICALS, INC.
$83
SANOFI-AVENTIS U.S. LLC
$52
Xeris Pharmaceuticals, Inc.
$47
Exact Sciences Corporation
$39
PFIZER INC.
$39
JAZZ PHARMACEUTICALS INC.
$39
Dynavax Technologies Corporation
$25
IBSA Pharma Inc.
$24
Daiichi Sankyo Inc.
$24
Gemini Laboratories, LLC
$23
Gilead Sciences, Inc.
$23
Kowa Pharmaceuticals America, Inc.
$22
Bayer HealthCare Pharmaceuticals Inc.
$22
AbbVie Inc.
$20
VIVUS, Inc.
$18
Shire North American Group Inc
$17
Teva Pharmaceuticals USA, Inc.
$17
SANOFI PASTEUR INC.
$17
Corcept Therapeutics
$16
Bayer Healthcare Pharmaceuticals Inc.
$15
Novartis Pharmaceuticals Corporation
$15
Takeda Pharmaceuticals U.S.A., Inc.
$14
Arbor Pharmaceuticals, Inc.
$13
Stryker Corporation
$13
Insulet Corporation
$12
Vertiflex, Inc.
$11
Circassia Pharmaceuticals Inc
$11
Top 3 companies account for 35.2% of total payments
Associated products mentioned in payments ›
AIRSUPRA · AJOVY · ANORO · Aimovig · Androgel · BEVESPI AEROSPHERE · BREO · BYDUREON · CHANTIX · Cologuard Collection Kit · Creon · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · Edarbi · Edarbyclor · Epclusa · FARXIGA · FLUZONE QUADRIVALENT · FREESTYLE LIBRE 3 · Heplisav-B · INJECTAFER · INVOKANA · JANUVIA · JARDIANCE · KEVEYIS · Kerendia · Korlym · LINZESS · LOKELMA · Livalo · MAKO · MOUNJARO · MYRBETRIQ · Octrode SCS Leads · Omnipod · Otezla · Ozempic · PNEUMOVAX 23 · PRALUENT · PROCLAIM · Proclaim Family of SCS IPGs · Prolia · QSYMIA · Repatha · SCS IPGs · SHINGRIX · SOLIQUA · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SUNOSI · SYNTHROID · Saxenda · Superion ISS · Synthroid · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · TUDORZA PRESSAIR · Tirosint · Tymlos · UNITHROID · VYVANSE · Vascepa · Victoza · XYREM
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 $79 per 100 Medicare services performed
Looking for an internal medicine specialist in West Lake Hills?
Compare internal medicine physicians in the West Lake Hills area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal medicine physicians within 10 mi
850
Per 100K population
65.0
County median income
$97,169
Nearest hospital
THE HOSPITAL AT WESTLAKE MEDICAL CENTER
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. Paxton is a mixed practice specialist, with above-average Medicare volume (top 6% in TX), with low-engagement industry engagement in the top 19% of TX peers, with 19 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. Paxton experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Dr. Paxton performed 1,020 denosumab injection (prolia/xgeva) 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. Paxton receive payments from pharmaceutical companies?
Yes. Dr. Paxton received a total of $4,020 from 41 companies across 310 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. Paxton's costs compare to other internal medicine physicians in West Lake Hills?
Dr. Paxton's average Medicare payment per service is $35. 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. Paxton) 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 →
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.

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. Payments from industry are legal and do not indicate wrongdoing. 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 →