Medicare Enrolled
Dr. Bruce Palmer, MD
Interventional Cardiology · Wichita Falls, TX
Practice pattern: Cardiac & Electrophysiology
— Practice combining cardiac and electrophysiology services
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. Palmer 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. Palmer
Dr. Bruce Palmer is an interventional cardiology specialist in Wichita Falls, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Palmer performed 4,549 Medicare services across 3,406 unique beneficiaries.
Between the years covered by Open Payments, Dr. Palmer received a total of $26,065 from 49 pharmaceutical and/or device companies across 513 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in interventional cardiology. 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. Palmer 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 17% volume in TX
$26,065 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,549
Medicare services
Top 17% in TX for interventional cardiology
3,406
Unique beneficiaries
$79
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~239 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. |
757 | $86 | $267 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
635 | $43 | $60 |
| 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. |
422 | $10 | $42 |
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
258 | $17 | $62 |
| 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. |
242 | $58 | $184 |
| Technetium Tc-99m sestamibi diagnostic injection A diagnostic injection of technetium Tc-99m sestamibi used for imaging studies. |
207 | $127 | $162 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
203 | $308 | $1,062 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
199 | $140 | $507 |
| 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. |
189 | $61 | $163 |
| 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. |
172 | $22 | $78 |
| 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. |
156 | $48 | $174 |
| 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. |
98 | $135 | $472 |
| Exercise or drug-induced heart stress test with ECG A test that monitors the heart's electrical activity while the patient exercises or receives medication to increase heart rate. |
96 | $21 | $81 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
93 | $100 | $330 |
| Remote evaluation of implantable defibrillator system Remote assessment of a single, dual, or multiple lead implantable defibrillator system within 90 days of the previous evaluation. |
91 | $28 | $96 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
57 | $93 | $232 |
| 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. |
56 | $50 | $206 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
54 | $184 | $615 |
| Cardiac catheterization | 52 | $182 | $735 |
| 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. |
39 | $76 | $414 |
| 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. |
37 | $6 | $44 |
| 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. |
36 | $116 | $403 |
| Critical care, first 30-74 min Emergency medical care for a critically ill or injured patient lasting between 30 and 74 minutes. This service involves direct patient care and medical decision making to stabilize the patient. |
35 | $175 | $460 |
| CT scan of heart blood vessels and grafts with contrast A CT scan that uses contrast dye to create detailed images of the heart's blood vessels and any surgical grafts. |
27 | $89 | $121 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
26 | $20 | $67 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
22 | $19 | $65 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
20 | $26 | $97 |
| 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. |
20 | $74 | $263 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
19 | $77 | $276 |
| Stress echocardiogram with ECG monitoring An ultrasound of the heart performed while monitoring heart rhythm during rest, exercise, or medication-induced stress, followed by a review and report of the findings. |
19 | $155 | $573 |
| 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. |
19 | $146 | $473 |
| 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. |
19 | $130 | $459 |
| Tc-99m radiopharmaceutical, non-highly enriched uranium source This code covers the cost of Technetium-99m radiopharmaceuticals derived from non-highly enriched uranium sources. It is billed as an add-on per study dose for full cost recovery. |
19 | $81 | $111 |
| Complete ultrasound of abdomen and pelvis blood flow This procedure uses sound waves to create images of blood flow in the arteries and veins of the abdomen and pelvis. It evaluates the rate and direction of blood movement within these vessels. |
18 | $201 | $672 |
| Pacemaker system evaluation Assessment of a pacemaker device, including single, dual, multiple lead, or leadless systems. |
17 | $14 | $54 |
| Coronary stent placement A procedure to insert a stent into a coronary artery or its branch to keep it open, using balloon dilation during the process. |
15 | $386 | $1,462 |
| Limited retroperitoneal ultrasound A focused ultrasound exam of the area behind the abdominal cavity to evaluate specific structures. |
14 | $46 | $144 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while an electrocardiogram is monitored under physician supervision. |
14 | $17 | $56 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results. |
14 | $11 | $38 |
| 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. |
14 | $189 | $650 |
| Radiologist review of arm or leg artery image A radiologist reviews images of the arteries in the arm or leg. This process involves analyzing the visual data to assess the blood vessels. |
13 | $64 | $213 |
| Radiologist review of arm or leg artery images A radiologist reviews images of the arteries in one or both arms or legs to assess blood flow and vessel health. |
12 | $72 | $237 |
| Stent placement and plaque removal in one vessel A procedure to clear plaque and blood clots from a single blood vessel, followed by the insertion of a stent and/or balloon dilation to keep the vessel open. |
12 | $500 | $1,643 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages. |
12 | $90 | $296 |
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.
18.4% high complexity
37.0% medium
44.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$26,065
Total received (2018-2024)
Avg $3,724/year across 7 years
Top 19% in TX for interventional cardiology
49
Companies
513
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
$26,065 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$14,817
2023
$3,969
2022
$1,684
2021
$1,421
2020
$614
2019
$2,129
2018
$1,432
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$10,539
Penumbra, Inc.
$4,886
ABIOMED
$990
Novartis Pharmaceuticals Corporation
$905
Edwards Lifesciences Corporation
$733
Janssen Pharmaceuticals, Inc
$700
PFIZER INC.
$633
Boehringer Ingelheim Pharmaceuticals, Inc.
$623
E.R. Squibb & Sons, L.L.C.
$607
Abbott Laboratories
$599
Amgen Inc.
$554
AstraZeneca Pharmaceuticals LP
$410
Merck Sharp & Dohme LLC
$406
Bard Peripheral Vascular, Inc.
$314
Inari Medical, Inc.
$312
Amarin Pharma Inc.
$269
Philips Electronics North America Corporation
$256
REVANCE THERAPEUTICS, INC.
$206
Astellas Pharma US Inc
$186
Shockwave Medical, Inc
$162
Silk Road Medical, Inc.
$157
Gilead Sciences, Inc.
$149
W. L. Gore & Associates, Inc.
$145
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$133
SANOFI-AVENTIS U.S. LLC
$117
Medtronic Vascular, Inc.
$105
Beckman Coulter, Inc.
$93
Merck Sharp & Dohme Corporation
$85
Cardiovascular Systems Inc.
$70
Boston Scientific Corporation
$69
Lexicon Pharmaceuticals, Inc.
$67
Bayer HealthCare Pharmaceuticals Inc.
$66
Becton, Dickinson and Company
$65
Novo Nordisk Inc
$58
Kiniksa Pharmaceuticals International, plc
$51
Cook Medical LLC
$46
CHIESI USA, INC.
$43
Allergan Inc.
$37
Regeneron Healthcare Solutions, Inc.
$32
Terumo Medical Corporation
$29
SpectraWAVE, Inc
$23
Cardinal Health 200, LLC
$23
Surmodics, Inc.
$22
Corcept Therapeutics
$20
Esperion Therapeutics, Inc.
$18
Bayer Healthcare Pharmaceuticals Inc.
$14
ATRICURE, INC.
$14
Inspire Medical Systems, Inc.
$13
United Therapeutics Corporation
$13
Top 3 companies account for 63.0% of total payments
Associated products mentioned in payments ›
(6575) Coronary Undivided · (7999) SRC Undivided · (9281) Turbo Elite · ABRE · ATRICLIP LAA EXCLUSION SYSTEM · AVEIR · Arcalyst · Assurity Pacemaker · BRILINTA · BYSTOLIC · BYVALSON · CAMZYOS · CARDIOMEMS · CHANTIX · CONFIRM RX · COOK CELECT · COROFLOW · CROSSER · ClosureFast · Cook Celect · CoreValve Evolut · Corlanor · Crosser iQ · DAXXIFY · Diamondback Peripheral · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · ELIQUIS · ENROUTE .014 Guidewire · ENROUTE Transcarotid Stent · ENTRESTO · EXCLUDER Conformable AAA Endoprosthesis with Active Control · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · Endurant · FARXIGA · FLOWTRIEVER CATHETER · GALLANT · HAWKONE · HyperVue Imaging System · IGT D Peripheral · IN.PACT ADMIRAL · INSPIRE · Impella · Indigo · Indigo System · Inpefa · JARDIANCE · KENGREAL 50MG/10ML L · Kerendia · Korlym · LEQVIO · LEXISCAN · LUTONIX · LUTONIX Drug Coated Balloon · Lexiscan · LifeVest · MINI TREK · Merlin Connectivity and Remote · NEXLETOL · ONYX FRONTIER · OPTITORQUE · ORENITRAM · Ozempic · PRADAXA · PRALUENT · PRALUENT ALIROCUMAB INJECTION · Peripheral Orbital Atherectomy System · RUBY Coil · Repatha · Rybelsus · S · SAPIEN 3 Ultra RESILIA · SENSOR ENABLED · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · Sublime 014 Rx PTA Balloon Dilatation Catheter · TACTICATH ABLATION CATHETER · TURBOHAWK · UNICEL DXI ACCESS · VANTAGEVIEW · VERQUVO · Vascepa · Vascular Lithotripsy · WATCHMAN Access System · XARELTO · Xience Alpine cornary stent system · ZILVER PTX
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 $573 per 100 Medicare services performed
Geographic Context
Interventional cardiologists within 10 mi
3
Per 100K population
2.3
County median income
$62,168
Nearest hospital
UNITED REGIONAL HEALTH CARE SYSTEM
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. Palmer is a cardiac & electrophysiology specialist, with above-average Medicare volume (top 17% 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. Palmer experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Palmer performed 757 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. Palmer receive payments from pharmaceutical companies?
Yes. Dr. Palmer received a total of $26,065 from 49 companies across 513 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. Palmer's costs compare to other interventional cardiologists in Wichita Falls?
Dr. Palmer's average Medicare payment per service is $79. 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. Palmer) 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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