Medicare Enrolled
Dr. Abram Trevino, MD
Internal Medicine · New Braunfels, 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. Trevino 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. Trevino
Dr. Abram Trevino is an internal medicine specialist in New Braunfels, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Trevino performed 35,904 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Trevino received a total of $6,678 from 50 pharmaceutical and/or device companies across 467 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. Trevino 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 1% volume in TX
$6,678 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗35,904
Medicare services
Top 1% in TX for internal medicine
Not available
Unique patients (not deduplicated)
$9
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 |
|---|---|---|---|
| Contrast dye for imaging (iodine-based) A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures. |
9,858 | $0 | $3 |
| Iron sucrose injection (Venofer) An injection of iron sucrose used to replenish iron levels in the body. |
8,500 | $0 | $2 |
| Anti-nausea injection (fosaprepitant) An injection of fosaprepitant, a medication used to prevent nausea and vomiting. |
6,300 | $0 | $5 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
1,216 | $10 | $64 |
| 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. |
1,181 | $8 | $36 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
1,179 | $8 | $20 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
844 | $0 | $1 |
| 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. |
680 | $89 | $368 |
| Injection, granisetron hydrochloride, 100 mcg | 670 | $0 | $24 |
| Anti-nausea injection (Aloxi/palonosetron) | 520 | $1 | $114 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
308 | $13 | $60 |
| Iron level test | 306 | $6 | $27 |
| 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. |
306 | $9 | $35 |
| Intensity-modulated radiation therapy delivery Delivery of radiation therapy using narrow beams that are spatially and temporally modulated to target specific areas. This process is performed per treatment session. |
274 | $272 | $2,762 |
| 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. |
271 | $129 | $496 |
| 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. |
247 | $60 | $250 |
| Immunoglobulin level test A blood test that measures the level of gammaglobulins, which are immune system proteins. |
225 | $9 | $56 |
| Additional sequential IV infusion, 1 hour or less This code represents an additional intravenous infusion administered sequentially to a primary infusion. It covers the administration time of one hour or less. |
221 | $22 | $157 |
| Immunoglobulin light chain measurement A blood test that measures the levels of immunoglobulin light chains, which are proteins produced by plasma cells. |
210 | $17 | $60 |
| Lactate dehydrogenase (LDH) level test A blood test that measures the amount of lactate dehydrogenase, an enzyme found in many body tissues. It helps assess tissue damage or disease. |
208 | $6 | $31 |
| Intravenous chemotherapy infusion, 1 hour or less Administration of chemotherapy medication directly into a vein. The procedure takes one hour or less to complete. |
186 | $98 | $707 |
| Zoledronic acid injection, 1 mg An injection of zoledronic acid administered at a dose of 1 mg. |
166 | $6 | $431 |
| Non-hormonal chemotherapy injection This procedure involves administering non-hormonal anti-neoplastic chemotherapy medication via injection into the skin or muscle tissue. |
159 | $54 | $211 |
| PSA test (prostate cancer screening) | 112 | $18 | $94 |
| Immunologic analysis for detection of tumor antigen, quantitative; ca 15-3 | 105 | $20 | $128 |
| 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. |
99 | $10 | $96 |
| CT scan of chest with contrast A computed tomography scan of the chest using a contrast dye to enhance the visibility of internal structures. |
94 | $45 | $821 |
| CT scan of abdomen and pelvis with contrast A CT scan that uses dye to create detailed images of the abdomen and pelvis. This imaging test helps doctors examine internal organs and structures in these areas. |
89 | $164 | $1,067 |
| Intravenous infusion of new drug or substance, 1 hour or less This procedure involves administering a new medication or substance directly into a vein through an existing access site. The infusion is completed within one hour or less. |
88 | $48 | $344 |
| Radiation therapy, 3+ areas, 11-19 MeV Delivery of high-energy radiation (11-19 MeV) to three or more separate treatment areas using custom blocking, tangential ports, wedges, rotational beams, and compensators. |
82 | $178 | $700 |
| Manual white blood cell count A laboratory test that involves examining a sample under a microscope to manually count the number of white blood cells present. |
79 | $4 | $22 |
| Complete blood count (CBC), automated An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood. |
79 | $6 | $34 |
| Intravenous infusion, 1 hour or less Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less. |
78 | $46 | $313 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
75 | $15 | $76 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
67 | $14 | $73 |
| Reticulated platelet measurement A blood test that measures the level of young, newly formed platelets in the body. |
63 | $35 | $143 |
| Total testosterone level test A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women. |
58 | $25 | $143 |
| Additional hour of intravenous chemotherapy This code represents the administration of chemotherapy medication into a vein for each additional hour beyond the initial period. |
58 | $21 | $161 |
| Carcinoembryonic antigen (CEA) level test A blood test that measures the level of carcinoembryonic antigen (CEA) protein. This test is used to monitor certain types of cancer. |
55 | $19 | $99 |
| Automated red blood cell count with calculations A blood test that automatically counts red blood cells and performs additional calculations to assess blood health. |
53 | $5 | $26 |
| Additional hour of intravenous infusion This code represents each additional hour of intravenous infusion beyond the initial hour for therapy, prevention, or diagnosis. |
51 | $15 | $100 |
| 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. |
49 | $4 | $30 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
47 | $16 | $80 |
| Diphenhydramine injection, up to 50 mg An injection of diphenhydramine hydrochloride, an antihistamine medication, administered in a dose of up to 50 milligrams. |
42 | $1 | $7 |
| New patient office visit, complex (60-74 min) | 40 | $165 | $709 |
| CT scan of chest, without contrast A computed tomography scan of the chest area that uses X-rays to create detailed images without the use of contrast dye. |
33 | $40 | $686 |
| Sed rate test (inflammation marker) This automated test measures how quickly red blood cells settle in a tube to detect inflammation in the body. |
33 | $3 | $36 |
| 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. |
32 | $5 | $33 |
| Subcutaneous or intramuscular chemotherapy injection This procedure involves administering anti-cancer hormonal medication through an injection into the tissue under the skin or into a muscle. |
30 | $23 | $145 |
| Unclassified drug A medication that does not fit into standard HCPCS or CPT classification categories. |
29 | $1 | $8 |
| Haptoglobin level test A blood test that measures the amount of haptoglobin, a protein in the serum. It helps evaluate red blood cell breakdown. |
26 | $12 | $66 |
| Serum protein measurement A blood test that measures the total amount of protein in the serum. It helps evaluate overall health and nutritional status. |
24 | $11 | $99 |
| 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. |
23 | $76 | $560 |
| Serum immunofixation test A laboratory test that analyzes a blood serum sample to identify specific abnormal proteins. The procedure uses an immunologic technique to detect and characterize these proteins. |
22 | $22 | $160 |
| Irrigation of implanted venous access device This procedure involves flushing an implanted venous access device to clear blockages or maintain patency. It ensures the device remains functional for delivering medications or fluids. |
21 | $19 | $114 |
| Intravenous injection of additional new drug or substance Administration of an additional new medication or substance directly into a vein. |
18 | $12 | $108 |
| Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 15 | $91 | $657 |
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.
1.7% high complexity
77.6% medium
20.7% routine
Industry Payment Transparency
Open Payments through 2024 ↗$6,678
Total received (2018-2024)
Avg $954/year across 7 years
Top 13% in TX for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
50
Companies
467
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
$48
2023
$121
2022
$66
2021
$140
2020
$428
2019
$2,782
2018
$3,093
Payments by company (2024)
Alexion Pharmaceuticals, Inc.
$30
Novartis Pharmaceuticals Corporation
$18
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
E.R. Squibb & Sons, L.L.C.
$897
Novartis Pharmaceuticals Corporation
$781
Janssen Biotech, Inc.
$534
Merck Sharp & Dohme Corporation
$452
Eisai Inc.
$422
Genentech USA, Inc.
$420
PFIZER INC.
$407
Janssen Pharmaceuticals, Inc
$208
Lilly USA, LLC
$205
Incyte Corporation
$189
GENZYME CORPORATION
$180
Bayer HealthCare Pharmaceuticals Inc.
$177
Amgen Inc.
$171
Astellas Pharma US Inc
$148
EISAI INC.
$136
Seattle Genetics, Inc.
$115
AbbVie, Inc.
$114
Takeda Pharmaceuticals U.S.A., Inc.
$100
Alexion Pharmaceuticals, Inc.
$89
Pharmacyclics LLC, An AbbVie Company
$87
Gilead Sciences, Inc.
$73
Puma Biotechnology, Inc.
$53
Dendreon Pharmaceuticals LLC
$52
Celgene Corporation
$52
EMD Serono, Inc.
$50
AstraZeneca Pharmaceuticals LP
$47
GlaxoSmithKline, LLC.
$44
Boehringer Ingelheim Pharmaceuticals, Inc.
$44
Ipsen Biopharmaceuticals, Inc
$32
AMAG Pharmaceuticals, Inc.
$29
Array BioPharma Inc.
$28
Octapharma USA, Inc.
$27
Sandoz Inc.
$27
Taiho Oncology, Inc.
$22
Kyowa Kirin, Inc.
$22
Dova Pharmaceuticals
$21
Helsinn Therapeutics (U.S.), Inc.
$20
Karyopharm Therapeutics Inc.
$20
Verastem, Inc.
$19
Teva Pharmaceuticals USA, Inc.
$18
Blueprint Medicines Corporation
$18
ADC Therapeutics America, Inc.
$17
SANOFI-AVENTIS U.S. LLC
$16
Kite Pharma, Inc.
$16
Seagen Inc.
$15
ARRAY BIOPHARMA INC
$14
JAZZ PHARMACEUTICALS INC.
$13
TerSera Therapeutics LLC
$13
Rigel Pharmaceuticals, Inc.
$13
Acrotech Biopharma LLC
$12
Top 3 companies account for 33.1% of all-time payments
Associated products mentioned in payments ›
ABECMA · ADCETRIS · AFINITOR · AKYNZEO · ALIMTA · AYVAKIT · Alecensa · Aliqopa · Avastin · BELEODAQ · BENDEKA · BLENREP · BOSULIF · BRAFTOVI · Balversa · Bavencio · Braftovi · CALQUENCE · CHANTIX · CYRAMZA · Copiktra · DARZALEX · Doptelet · ELIQUIS · ELITEK · EMEND · EMPLICITI · ERBITUX · Erivedge · Erleada · FARESTON · FERAHEME · GAZYVA · GILOTRIF · Halaven · IBRANCE · ICLUSIG · IMBRUVICA · IMFINZI · INLYTA · Imbruvica · JADENU · JAKAFI · JEVTANA · KEYTRUDA · KISQALI · Kyprolis · LIBTAYO · Lenvima · Lonsurf · MEKINIST · MYLOTARG · NERLYNX · NINLARO · Nerlynx · Nplate · OPDIVO · PROMACTA · PROVENGE · Perjeta · Pomalyst · REBLOZYL · RYDAPT · Reblozyl · Rituxan Hycela · SANCUSO · SCEMBLIX · SOLIRIS · SPRYCEL · SUTENT · Somatuline Depot · Stivarga · TASIGNA · TECENTRIQ · TUMOR LYSIS SYNDROME - DISEASE · Tavalisse · ULTOMIRIS · VENCLEXTA · VOTRIENT · VYXEOS · Venclexta · Vitrakvi · WILATE · XALKORI · XARELTO · XOSPATA · XPOVIO · XTANDI · Xofigo · ZARXIO · ZOLADEX
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
115
County median income
$93,776
Nearest hospital to ZIP centroid (approximate)
RESOLUTE HEALTH 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. Trevino is a mixed practice specialist, with above-average Medicare volume (top 1% 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. Trevino experienced with contrast dye for imaging (iodine-based)?
Based on Medicare claims data, Dr. Trevino performed 9,858 contrast dye for imaging (iodine-based) 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. Trevino receive payments from pharmaceutical companies?
Yes. Dr. Trevino received a total of $6,678 from 50 companies across 467 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. Trevino's costs compare to other internal medicine physicians in New Braunfels?
Dr. Trevino's average Medicare payment per service is $9. 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. Trevino) 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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