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2026 NPPES data Clinical Cardiac Electrophysiology Physician NPI 1497730980 M.D.
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Gerald Gallinghouse, M.D.

Clinical Cardiac Electrophysiology Physician in Austin, Texas.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,668 in Clinical Cardiac Electrophysiology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
2K
Medicare Part D claims · 372 beneficiaries · Clinical Cardiac Electrophysiology Physician avg: 2K
Generic prescribing
65%
generic claims · 35% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
87.4/100
▲ 4 pts above national avg 83.5 · Above neutral
Industry payments
$3.1K
56 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Gerald Gallinghouse, M.D. reported a CMS MIPS final score of 87.4/100 - above the 83.5 national average - and filed 1,987 Medicare Part D claims in 2024.

87.4/100
MIPS score · +4 vs avg
2K
Part D claims, 2024
65%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Gerald Gallinghouse, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1497730980), first enumerated 12/07/2005.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 1,987 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 87.4/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $3.1K in reported industry payments (56 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    Texas statewide board action statistics are published annually — these figures describe aggregate state activity, not Gerald Gallinghouse, M.D.'s individual license status. Verify directly with the state medical board.

    Source: TMB annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1497730980 · Clinical Cardiac Electrophysiology Physician

NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-ABOVE · RX-MID · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1497730980
  • ENUM-LEGACY 2005
  • TAX-NARROW 1,668
  • MIPS-ABOVE 87.4/100
  • RX-MID 1,987
  • BOOK-THIN 102 in Texas
  • PHOTO-FINISH Ivan Mendoza, MD · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Gerald Gallinghouse, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

87 ≥ 52nd percentile 52% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Gerald Gallinghouse, M.D. sits

This provider among clinical cardiac electrophysiology physician peers

Across the 591 clinical cardiac electrophysiology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Gerald Gallinghouse, M.D. writes more Part D claims than 70% of them and scores higher on MIPS quality than 49% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 100Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 47Gerald Gallinghouse, M.D., Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 49
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one clinical cardiac electrophysiology physician peer from a representative sample of 60; the gold marker is Gerald Gallinghouse, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Gerald Gallinghouse, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Gerald Gallinghouse, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 12/07/2005

NPI 1497730980

Primary specialty

Clinical Cardiac Electrophysiology Physician

Niche

1,668 US NPIs in this specialty

Medicare Part D claims

1,987 20% vs specialty avg

2024 prescription claims

Specialty avg: 1,662

MIPS final score

87.4/100 3.9 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Texas

How Clinical Cardiac Electrophysiology Physician compares to other specialties among Texas providers

Texas providers
Behavior Technician6%Student in an Organized Heal…5.3%Family Nurse Practitioner4.5%Professional Counselor4.4%Pharmacist4.3%Speech-Language Pathologist3.9%Clinical Cardiac Electrophys…0%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

Gerald Gallinghouse, M.D.'s 2023 MIPS final score plotted against the Clinical Cardiac Electrophysiology Physician national average

High performer (top quartile)
MIPS Final Score
87.4/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%87.4%
MIPS final score (Clinical Cardiac Electrophysiology Physician) - 87.4/100 vs national avg 83.5
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

3000 N IH 35 STE 700
Austin, TX 78705
(512) 807-3150

Provider Details

NPI 1497730980
Specialty Clinical Cardiac Electrophysiology Physician
Credentials M.D.
Gender Male
NPI Issued 12/07/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

87.3919
Final Score
Measured-score avg: 83.5
85.1669
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where Gerald Gallinghouse, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

St Davids Heart And Vascular PLLC
Austin, TX

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Gerald Gallinghouse, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$3.1K

Largest payer

Volta Medical Inc

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - Texas TMB 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 - they are NOT specific to Gerald Gallinghouse, M.D.. To verify Gerald Gallinghouse, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

Gerald Gallinghouse, M.D. - brand share 35.0%
Clinical Cardiac Electrophysiology Physician average

35% brand-name claims vs 65% generic, on 1,987 2024 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

1,987
Total Claims
$685K
Total Drug Cost
372
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,354
Total Day Supply
98,879
Brand vs Generic
35% brand / 65% generic
Brand Drug Cost
$631K
Generic Drug Cost
$54K

Patient Demographics

Average Patient Age
76.2 years
Avg HCC Risk Score
1.48
Gender Split
47% female / 53% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Gerald Gallinghouse, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Eliquis
Apixaban
534
Flecainide Acetate
 365
Metoprolol Succinate
 331
Dofetilide
 160
Xarelto
Rivaroxaban
97
Diltiazem 24hr Er (Cd)
Diltiazem Hcl
63
Amiodarone Hcl
 61
Sotalol
Sotalol Hcl
59
Multaq
Dronedarone Hcl
54
Metoprolol Tartrate
 45

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

More Clinical Cardiac Electrophysiology Physician in TX → All providers in Texas → Compare specialties →

Clinical Cardiac Electrophysiology Physician Overview

How Gerald Gallinghouse, M.D. fits within the Clinical Cardiac Electrophysiology Physician landscape nationally.

1,668
Clinical Cardiac Electrophysiology Physician Providers in US
52
States with Clinical Cardiac Electrophysiology Physician
1,662
Avg Claims per Provider

Gerald Gallinghouse, M.D.'s 1,987 claims are above the specialty average of 1,662.

Nationwide Clinical Cardiac Electrophysiology Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Gallinghouse, both outside Texas so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (87.4 here).

Ivan Mendoza 87.4 FL Assaf Tzur 87.4 FL Gregory Siroky 87.6 NY Archana Ramireddy 87.7 CA

Same NPPES enumeration year (2005)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Jose Baez-Escudero Fort Lauderdale, FL Rebecca Riepshoff O Fallon, IL Charles Stout Pueblo, CO Mark Krebs Dayton, OH

Nearby Clinical Cardiac Electrophysiology Physician Providers in Texas

Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Gallinghouse.

One of 102 Clinical Cardiac Electrophysiology Physician providers enrolled in Texas, 5 are shown here.

Dr. Moeen Abedin
M.D.
El Paso, TX
Dr. Hasan Ashraf
M.D.
Temple, TX
Dr. Mohammed Aslam
M.D.
Cypress, TX
Dr. Amir Azeem
M.D.
Houston, TX
Dr. Shane Bailey
M.D.
New Braunfels, TX

Compare Clinical Cardiac Electrophysiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Gerald Gallinghouse, M.D.'s specialty? ▼
Gerald Gallinghouse, M.D. specializes in Clinical Cardiac Electrophysiology Physician and practices in Austin, Texas. Credentials: M.D..
How much does Gerald Gallinghouse, M.D. prescribe under Medicare Part D? ▼
In 2024, Gerald Gallinghouse, M.D. wrote 1,987 Medicare Part D claims totaling $685K in drug costs for 372 beneficiaries.
What is Gerald Gallinghouse, M.D.'s Medicare quality score? ▼
Gerald Gallinghouse, M.D. has a CMS MIPS Final Score of 87.4/100 (Quality: 85.2). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Gerald Gallinghouse, M.D. located? ▼
Gerald Gallinghouse, M.D. is located at 3000 N IH 35 STE 700, Austin, TX, 78705. Phone: (512) 807-3150.
What is Gerald Gallinghouse, M.D.'s NPI number? ▼
Gerald Gallinghouse, M.D.'s National Provider Identifier (NPI) is 1497730980, issued on 12/07/2005.
Does Gerald Gallinghouse, M.D. prescribe more brand-name or generic drugs? ▼
Gerald Gallinghouse, M.D.'s prescribing is 35% brand-name and 65% generic drugs by claim count, with $631K in brand drug costs.
How many Clinical Cardiac Electrophysiology Physician providers are there in the US? ▼
There are 1,668 Clinical Cardiac Electrophysiology Physician providers across 52 states in the US. The average Clinical Cardiac Electrophysiology Physician provider writes 1,662 Medicare Part D claims per year.
What drugs does Gerald Gallinghouse, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Gerald Gallinghouse, M.D.'s most frequently prescribed drugs include Eliquis, Flecainide Acetate, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Gerald Gallinghouse, M.D. accept Medicare? ▼
Gerald Gallinghouse, M.D. appears in CMS Medicare data with 1,987 Part D claims and 372 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Gerald Gallinghouse, M.D.'s credentials? ▼
Gerald Gallinghouse, M.D.'s NPI is 1497730980 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.