Medicare Enrolled
Dr. Ralf Augenstein, MD
Internal Medicine · Albany, GA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Augenstein 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. Augenstein
Dr. Ralf Augenstein is an internal medicine specialist in Albany, GA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Augenstein performed 5,902 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Augenstein received a total of $5,032 from 34 pharmaceutical and/or device companies across 296 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 Dr. Augenstein 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.
✓ 20 years of NPI registration
▲ Top 6% volume in GA
$5,032 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗5,902
Medicare services
Top 6% in GA for internal medicine
Not available
Unique patients (not deduplicated)
$32
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 |
|---|---|---|---|
| Denosumab injection (Prolia/Xgeva) | 1,440 | $18 | $42 |
| 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. |
888 | $82 | $256 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
539 | $8 | $10 |
| 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. |
337 | $8 | $27 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
327 | $3 | $11 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
323 | $10 | $36 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
271 | $122 | $276 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
268 | $13 | $55 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
207 | $9 | $33 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
141 | $16 | $60 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
102 | $9 | $31 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
98 | $29 | $101 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
91 | $29 | $40 |
| 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. |
88 | $72 | $120 |
| 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. |
85 | $6 | $20 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
79 | $8 | $29 |
| Screening mammography An X-ray of the breast used to detect breast cancer in women who have no signs or symptoms of the disease. |
67 | $82 | $224 |
| 3D screening mammography (tomosynthesis) A screening imaging test of the breast using 3D technology to detect potential abnormalities. |
65 | $21 | $56 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
62 | $15 | $51 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
58 | $19 | $63 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
46 | $54 | $207 |
| 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. |
44 | $94 | $395 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
40 | $12 | $45 |
| PSA test (prostate cancer screening) | 40 | $18 | $78 |
| 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. |
27 | $9 | $59 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
25 | $14 | $34 |
| 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. |
23 | $62 | $173 |
| 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. |
20 | $9 | $40 |
| CT scan of abdomen and pelvis, without contrast A computed tomography scan that creates detailed images of the abdominal and pelvic organs. The procedure is performed without the use of intravenous contrast dye. |
19 | $68 | $430 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
19 | $13 | $46 |
| 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. |
16 | $40 | $141 |
| Low dose CT scan of chest for lung cancer screening A specialized CT scan of the chest using a lower radiation dose to screen for lung cancer. |
12 | $67 | $215 |
| Total calcium level test A blood test that measures the total amount of calcium in your body. |
12 | $5 | $18 |
| 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. |
12 | $203 | $551 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
11 | $19 | $52 |
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 ↗$5,032
Total received (2018-2024)
Avg $719/year across 7 years
Top 16% in GA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
34
Companies
296
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
$151
2023
$99
2022
$104
2021
$118
2020
$573
2019
$1,788
2018
$2,199
Payments by company (2024)
Amgen Inc.
$133
Grifols USA, LLC
$18
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$627
AstraZeneca Pharmaceuticals LP
$585
Amgen Inc.
$447
Astellas Pharma US Inc
$435
Janssen Pharmaceuticals, Inc
$322
GlaxoSmithKline, LLC.
$317
Merck Sharp & Dohme Corporation
$303
Boehringer Ingelheim Pharmaceuticals, Inc.
$274
Radius Health, Inc.
$211
PFIZER INC.
$201
Lilly USA, LLC
$176
Bayer HealthCare Pharmaceuticals Inc.
$118
Harmony Biosciences LLC
$107
Averitas Pharma Inc.
$99
Takeda Pharmaceuticals U.S.A., Inc.
$96
Novartis Pharmaceuticals Corporation
$80
Philips Electronics North America Corporation
$75
Ironwood Pharmaceuticals, Inc
$62
Amarin Pharma Inc.
$57
Kowa Pharmaceuticals America, Inc.
$57
Allergan Inc.
$53
E.R. Squibb & Sons, L.L.C.
$49
Synergy Pharmaceuticals Inc
$42
ARBOR PHARMACEUTICALS, INC.
$41
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$32
AbbVie, Inc.
$30
Supernus Pharmaceuticals, Inc.
$23
JAZZ PHARMACEUTICALS INC.
$21
GENZYME CORPORATION
$20
Grifols USA, LLC
$18
KVK-Tech, Inc.
$17
SANOFI-AVENTIS U.S. LLC
$13
Egalet US Inc
$13
SANOFI PASTEUR INC.
$13
Top 3 companies account for 33.0% of all-time payments
Associated products mentioned in payments ›
ADVAIR · ANORO · ANORO ELLIPTA · ARYMO ER · Aimovig · Alice 6 LDx · Amitiza · BEVESPI AEROSPHERE · BREO · BREZTRI AEROSPHERE · BYSTOLIC · CHANTIX · Creon · ELIQUIS · ENTRESTO · EVENITY · Edarbi · FARXIGA · FLUZONE QUADRIVALENT · FORTEO · HUMALOG · INVOKANA · JANUVIA · JARDIANCE · Kerendia · LINZESS · LYRICA · Linzess · Livalo · MYRBETRIQ · Ozempic · PNEUMOVAX 23 · POMPE - DISEASE · PREVNAR - 13 · PREVNAR 13 · Prolastin-C Liquid · Prolia · QUTENZA · Repatha · Rybelsus · SHINGRIX · SPIRIVA RESPIMAT · STEGLATRO · STIOLTO · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · Saxenda · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TROKENDI XR · TRULICITY · Tresiba · Trintellix · Trulance · Tymlos · VESICARE · VIBERZI · Vascepa · Victoza · Wakix · XARELTO · XIFAXAN
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 →
Geographic Context
Internal medicine physicians in nearby ZIP areas
44
County median income
$46,784
Nearest hospital to ZIP centroid (approximate)
PHOEBE WORTH MEDICAL CENTER
15.6 mi
15.6 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
Dr. Augenstein is a clinical cardiology specialist, with above-average Medicare volume (top 6% in GA), with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Augenstein experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Dr. Augenstein performed 1,440 denosumab injection (prolia/xgeva) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Augenstein receive payments from pharmaceutical companies?
Yes. Dr. Augenstein received a total of $5,032 from 34 companies across 296 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 Dr. Augenstein's costs compare to other internal medicine physicians in Albany?
Dr. Augenstein's average Medicare payment per service is $32. 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. Augenstein) 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 →
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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.
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