Medicare Enrolled
Dr. Adrian Pay, M.D.
Internal Medicine · Amarillo, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Pay 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. Pay
Dr. Adrian Pay is an internal medicine specialist in Amarillo, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Pay performed 9,347 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Pay received a total of $8,099 from 41 pharmaceutical and/or device companies across 376 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. Pay 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.
✓ 19 years of NPI registration
▲ Top 4% volume in TX
$8,099 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗9,347
Medicare services
Top 4% in TX for internal medicine
Not available
Unique patients (not deduplicated)
$20
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 |
|---|---|---|---|
| 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. |
901 | $86 | $230 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
717 | $8 | $13 |
| 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. |
716 | $8 | $26 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
681 | $8 | $42 |
| Liver function blood test panel | 673 | $8 | $50 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
654 | $16 | $37 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
651 | $9 | $68 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
607 | $3 | $19 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
577 | $9 | $42 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
316 | $13 | $59 |
| Erythrocyte sedimentation rate (ESR) test A blood test that measures how quickly red blood cells settle in a test tube to detect inflammation in the body. This specific method is performed manually rather than using an automated machine. |
231 | $4 | $20 |
| C-reactive protein test (inflammation marker) A blood test that measures the level of C-reactive protein to detect the presence of infection or inflammation in the body. |
229 | $5 | $26 |
| 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. |
191 | $6 | $90 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
191 | $5 | $16 |
| Cardiac enzyme level (CK-MB) test A blood test that measures the total level of creatine kinase, specifically the cardiac enzyme fraction, to help evaluate heart muscle damage. |
163 | $6 | $26 |
| Free T3 thyroid hormone test A blood test that measures the level of free triiodothyronine (T3) hormone in your body. This helps assess how well your thyroid gland is functioning. |
120 | $17 | $60 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
98 | $30 | $31 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
96 | $125 | $310 |
| 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. |
95 | $72 | $134 |
| 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. |
94 | $10 | $55 |
| 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. |
87 | $4 | $18 |
| PSA test (prostate cancer screening) | 84 | $18 | $72 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
77 | $1 | $10 |
| 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. |
74 | $16 | $65 |
| Rheumatoid factor level | 74 | $5 | $36 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
72 | $7 | $18 |
| Adm sarscv2 bvl 50mcg/.5ml a | 65 | $39 | $88 |
| X-ray of lower and sacral spine, minimum of 4 views An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints. |
54 | $27 | $133 |
| Lipase level test A blood test that measures the amount of lipase, a fat-digesting enzyme, in your body. |
53 | $7 | $33 |
| Amylase enzyme level test A blood test that measures the amount of amylase, an enzyme produced by the pancreas and salivary glands, to help evaluate pancreatic health. |
52 | $6 | $25 |
| 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. |
52 | $11 | $54 |
| Knee X-ray, 3 views An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures. |
51 | $22 | $79 |
| Abdominal X-ray, 2 views An X-ray imaging test of the abdomen using two different angles to visualize internal structures. |
49 | $18 | $70 |
| X-ray of upper spine, 4-5 views An X-ray imaging test of the upper spine using 4 to 5 different views to visualize the bones and structures in that area. |
45 | $27 | $116 |
| 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. |
44 | $0 | $25 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus. |
38 | $14 | $25 |
| 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. |
33 | $64 | $164 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
30 | $18 | $76 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
30 | $13 | $57 |
| Paranasal sinus X-ray, minimum 3 views An X-ray imaging test of the paranasal sinuses using at least three different views to visualize the sinus cavities. |
28 | $17 | $101 |
| X-ray of foot, 2 views An X-ray imaging test of the foot using two different angles to create pictures of the bones and joints. |
26 | $16 | $60 |
| Ear wax removal by washing This procedure involves the removal of impacted ear wax using a washing technique. |
25 | $11 | $52 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
24 | $35 | $124 |
| New patient office visit, complex (60-74 min) | 23 | $157 | $445 |
| Iron level test | 20 | $6 | $17 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
20 | $4 | $20 |
| Iron binding capacity test A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron. |
19 | $9 | $44 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
18 | $25 | $85 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
15 | $52 | $101 |
| Ankle X-ray, minimum 3 views An X-ray imaging test of the ankle that captures at least three different angles to evaluate the bones and joints. |
15 | $21 | $72 |
| Vaccine administration The process of giving a vaccine to a patient. This code covers the administration service only and does not include the cost of the vaccine itself. |
14 | $16 | $35 |
| X-ray of both hips, 3-4 views An X-ray imaging test that captures 3 to 4 views of both hip joints to visualize the bones and surrounding structures. |
12 | $30 | $70 |
| 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 | $214 | $385 |
| 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. |
11 | $18 | $30 |
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 ↗$8,099
Total received (2018-2024)
Avg $1,157/year across 7 years
Top 11% in TX for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
41
Companies
376
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
$1,257
2023
$1,796
2022
$1,271
2021
$979
2020
$558
2019
$1,658
2018
$580
Payments by company (2024)
Phathom Pharmaceuticals, Inc.
$217
Boehringer Ingelheim Pharmaceuticals, Inc.
$192
Novo Nordisk Inc
$167
PFIZER INC.
$141
GlaxoSmithKline, LLC.
$104
Eisai Inc.
$98
Lilly USA, LLC
$68
Exact Sciences Corporation
$65
AstraZeneca Pharmaceuticals LP
$60
Theratechnologies Inc.
$41
Merck Sharp & Dohme LLC
$36
Lundbeck LLC
$28
E.R. Squibb & Sons, L.L.C.
$25
ViiV Healthcare Company
$15
Top 3 companies account for 45.8% of 2024 payments
All-time payments by company (2018-2024) ›
Boehringer Ingelheim Pharmaceuticals, Inc.
$1,608
Novo Nordisk Inc
$1,001
AstraZeneca Pharmaceuticals LP
$696
GlaxoSmithKline, LLC.
$570
PFIZER INC.
$498
Lilly USA, LLC
$397
Janssen Pharmaceuticals, Inc
$320
E.R. Squibb & Sons, L.L.C.
$250
Phathom Pharmaceuticals, Inc.
$217
Astellas Pharma US Inc
$197
Allergan Inc.
$192
Mylan Specialty L.P.
$188
Novartis Pharmaceuticals Corporation
$184
Lundbeck LLC
$181
Takeda Pharmaceuticals U.S.A., Inc.
$177
ViiV Healthcare Company
$130
Otsuka America Pharmaceutical, Inc.
$125
Ferring Pharmaceuticals Inc.
$125
Eisai Inc.
$123
Exact Sciences Corporation
$111
ABBVIE INC.
$74
Merck Sharp & Dohme LLC
$62
Avanir Pharmaceuticals, Inc.
$60
Theratechnologies Inc.
$58
Bayer Healthcare Pharmaceuticals Inc.
$54
Alexion Pharmaceuticals, Inc.
$52
Amgen Inc.
$51
Supernus Pharmaceuticals, Inc.
$50
Merck Sharp & Dohme Corporation
$41
Teva Pharmaceuticals USA, Inc.
$34
Biogen, Inc.
$34
Allergan, Inc.
$34
Sunovion Pharmaceuticals Inc.
$32
Bayer HealthCare Pharmaceuticals Inc.
$31
SANOFI PASTEUR INC.
$25
Acorda Therapeutics, Inc
$24
Amneal Pharmaceuticals LLC
$23
SK Life Science, Inc.
$23
UCB, Inc.
$20
INTERCEPT PHARMACEUTICALS, INC.
$14
Nestle HealthCare Nutrition Inc.
$13
Top 3 companies account for 40.8% of all-time payments
Associated products mentioned in payments ›
ADUHELM · AIMOVIG · AIRSUPRA · AJOVY · ANORO · AREXVY · AVYCAZ · Aimovig · AirDuo Digihaler · BASAGLAR · BREO · BREZTRI · BREZTRI AEROSPHERE · CHANTIX · COLOGUARD · CRESEMBA · Cimzia · Cologuard Collection Kit · Cresemba · DALVANCE · DOVATO · EGRIFTA · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · FARXIGA · FASENRA · FLUZONE QUADRIVALENT NORTHERN HEMISPHERE · INBRIJA · INVOKANA · JARDIANCE · Kerendia · LEQVIO · LONHALA MAGNAIR · LYRICA · Leqembi · NUEDEXTA · OCALIVA · OFEV · OXTELLAR XR · Ozempic · PIFELTRO · PREVNAR 20 · REBYOTA · REXULTI · RYBELSUS · RYTARY · Rybelsus · SOLIRIS · SPIRIVA RESPIMAT · SPRAVATO · STIOLTO RESPIMAT · Saxenda · TEFLARO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TROGARZO · TROKENDI XR · TRULICITY · TYSABRI · Tresiba · Trintellix · UBRELVY · ULTOMIRIS · UTIBRON · VOQUEZNA · Victoza · Wegovy · XARELTO · YUPELRI · Yupelri · ZENPEP · ZEPBOUND
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
104
County median income
$50,448
Nearest hospital to ZIP centroid (approximate)
NORTHWEST TEXAS HOSPITAL
0.0 mi
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
Dr. Pay is a mixed practice specialist, with above-average Medicare volume (top 4% in TX), with 19 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. Pay experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Pay performed 901 office visit, established patient (30-39 min) 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. Pay receive payments from pharmaceutical companies?
Yes. Dr. Pay received a total of $8,099 from 41 companies across 376 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. Pay's costs compare to other internal medicine physicians in Amarillo?
Dr. Pay's average Medicare payment per service is $20. 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. Pay) 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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