Medicare Enrolled
Dr. David Snow, M.D.
Rheumatology · Delco, NC
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Mixed 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. Snow 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. Snow
Dr. David Snow is a rheumatology specialist in Delco, NC, with 21 years of NPI registration. Based on federal Medicare data, Dr. Snow performed 348,354 Medicare services across 2,402 unique beneficiaries.
Between the years covered by Open Payments, Dr. Snow received a total of $47,627 from 43 pharmaceutical and/or device companies across 1120 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in rheumatology. 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. Snow 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.
✓ 21 years in practice
▲ Top 1% volume in NC
$47,627 industry payments
Medicare Practice Summary
Medicare Utilization ↗348,354
Medicare services
Top 1% in NC for rheumatology
2,402
Unique beneficiaries
$10
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~16,588 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 |
|---|---|---|---|
| Tocilizumab injection (Actemra) | 106,550 | $5 | $11 |
| Certolizumab injection (Cimzia) An injection of certolizumab pegol administered under the direct supervision of a physician. |
95,600 | $4 | $15 |
| Romosozumab injection (Evenity) for osteoporosis | 54,180 | $8 | $18 |
| Golimumab infusion (Simponi Aria) Administration of golimumab medication directly into a vein. This code specifies the dosage amount of 1 milligram for intravenous delivery. |
39,601 | $11 | $40 |
| Abatacept infusion (Orencia) An injection of abatacept administered under the direct supervision of a physician. This code is used for Medicare when the drug is not self-administered. |
28,525 | $33 | $99 |
| Denosumab injection (Prolia/Xgeva) | 11,040 | $18 | $40 |
| Infliximab infusion (Remicade) An injection of infliximab, excluding biosimilar versions, administered in a 10 mg dose. |
4,940 | $26 | $99 |
| Infliximab-abda biosimilar injection, 10 mg This code represents the administration of a 10 mg dose of infliximab-abda, a biosimilar medication. It covers the injection of this specific pharmaceutical product. |
2,720 | $32 | $130 |
| Non-hormonal chemotherapy injection This procedure involves administering non-hormonal anti-neoplastic chemotherapy medication via injection into the skin or muscle tissue. |
1,159 | $55 | $142 |
| Intravenous chemotherapy infusion, 1 hour or less Administration of chemotherapy medication directly into a vein. The procedure takes one hour or less to complete. |
1,016 | $98 | $232 |
| 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. |
505 | $84 | $201 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
414 | $8 | $12 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
300 | $1 | $4 |
| Injection, methylprednisolone acetate, 40 mg | 183 | $6 | $11 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
178 | $0 | $1 |
| Additional hour of intravenous chemotherapy This code represents the administration of chemotherapy medication into a vein for each additional hour beyond the initial period. |
173 | $21 | $50 |
| Zoledronic acid injection, 1 mg An injection of zoledronic acid administered at a dose of 1 mg. |
170 | $6 | $20 |
| 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. |
161 | $127 | $279 |
| 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. |
118 | $10 | $44 |
| Methylprednisolone injection, up to 125 mg An injection of methylprednisolone sodium succinate, a corticosteroid medication, with a dosage of up to 125 mg. |
113 | $4 | $13 |
| Intravenous injection of additional new drug or substance Administration of an additional new medication or substance directly into a vein. |
111 | $12 | $38 |
| 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. |
108 | $113 | $319 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
72 | $49 | $181 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
63 | $8 | $19 |
| Physical therapy exercise, per 15 min A therapy session using exercises to improve strength, endurance, range of motion, and flexibility. Each 15-minute unit is billed separately. |
58 | $19 | $59 |
| Complete ultrasound scan of joint An ultrasound exam that uses sound waves to create detailed images of a joint. This procedure allows for the visualization of the joint's internal structures. |
54 | $41 | $238 |
| Limited ultrasound of joint or extremity A focused ultrasound exam of a specific joint or other structure in the arm or leg, excluding blood vessels. |
45 | $29 | $102 |
| 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. |
44 | $58 | $138 |
| New patient office visit, complex (60-74 min) | 36 | $155 | $372 |
| 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. |
33 | $45 | $120 |
| Evaluation for physical therapy, typically 30 minutes | 26 | $70 | $188 |
| Joint fluid aspiration or injection, small joint Removal of fluid from a small joint or injection of medication into a small joint. |
24 | $36 | $132 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
19 | $30 | $100 |
| Tendon or ligament injection A procedure involving the injection of medication into a tendon or ligament. |
15 | $41 | $105 |
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.
21.3% high complexity
78.3% medium
0.4% routine
Industry Payment Transparency
Open Payments through 2024 ↗$47,627
Total received (2018-2024)
Avg $6,804/year across 7 years
Top 11% in NC for rheumatology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
43
Companies
1,120
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
$21,173 (44.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$18,319 (38.5%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$8,135 (17.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$3,119
2023
$3,466
2022
$3,567
2021
$4,097
2020
$10,073
2019
$13,119
2018
$10,186
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$542
Amgen Inc.
$443
Janssen Biotech, Inc.
$420
Novartis Pharmaceuticals Corporation
$274
UCB, Inc.
$217
Fresenius Kabi USA, LLC
$167
PFIZER INC.
$113
GENZYME CORPORATION
$112
Alexion Pharmaceuticals, Inc.
$96
E.R. Squibb & Sons, L.L.C.
$95
AstraZeneca Pharmaceuticals LP
$90
Aurinia Pharma U.S., Inc.
$85
Organon Llc
$82
Radius Health, Inc.
$77
Lilly USA, LLC
$70
Boehringer Ingelheim Pharmaceuticals, Inc.
$55
Genentech USA, Inc.
$53
Mallinckrodt Hospital Products Inc.
$39
SCILEX PHARMACEUTICALS INC.
$26
Kyowa Kirin, Inc.
$24
ANI Pharmaceuticals, Inc.
$22
GlaxoSmithKline, LLC.
$15
Top 3 companies account for 45.0% of 2024 payments
All-time payments by company (2018-2024) ›
AbbVie, Inc.
$15,352
Gilead Sciences, Inc.
$5,199
Horizon Therapeutics plc
$3,875
Amgen Inc.
$3,747
Celgene Corporation
$2,935
Janssen Biotech, Inc.
$2,161
PFIZER INC.
$1,898
Novartis Pharmaceuticals Corporation
$1,854
UCB, Inc.
$1,760
ABBVIE INC.
$1,277
AbbVie Inc.
$1,220
Radius Health, Inc.
$684
Regeneron Healthcare Solutions, Inc.
$644
AstraZeneca Pharmaceuticals LP
$606
GlaxoSmithKline, LLC.
$572
Lilly USA, LLC
$565
Aurinia Pharma U.S., Inc.
$435
E.R. Squibb & Sons, L.L.C.
$426
Fresenius Kabi USA, LLC
$297
Mallinckrodt Hospital Products Inc.
$288
GENZYME CORPORATION
$288
Horizon Pharma plc
$240
Alexion Pharmaceuticals, Inc.
$228
Organon LLC
$223
Janssen Scientific Affairs, LLC
$186
Boehringer Ingelheim Pharmaceuticals, Inc.
$152
Genentech USA, Inc.
$84
Organon Llc
$82
TerSera Therapeutics LLC
$62
Sobi, Inc
$36
SOBI, INC
$26
SCILEX PHARMACEUTICALS INC.
$26
Kyowa Kirin, Inc.
$24
FIDIA PHARMA USA INC.
$24
Octapharma USA, Inc.
$23
ANI Pharmaceuticals, Inc.
$22
BioCryst US Sales Co., LLC
$20
Ultragenyx Pharmaceutical Inc.
$18
Ironwood Pharmaceuticals, Inc
$16
Avion Pharmaceuticals
$15
ARBOR PHARMACEUTICALS, INC.
$13
Merck Sharp & Dohme Corporation
$12
MEDAC PHARMA, INC.
$11
Top 3 companies account for 51.3% of all-time payments
Associated products mentioned in payments ›
ACTHAR · AMJEVITA · AVSOLA · Actemra · BENLYSTA · Bimzelx · COSENTYX · CYLTEZO · Cimzia · Crysvita · DUZALLO · EVENITY · EVUSHELD · Enbrel · FORTEO · Gloperba · HADLIMA · HUMIRA · Horizant · Humira · Hymovis · IDACIO · INFLECTRA · KEVZARA · KEVZARA SARILUMAB INJECTION · KINERET · KRYSTEXXA · Kineret · LUPKYNIS · LYRICA · OCTAGAM IMMUNE GLOBULIN (HUMAN) · OFEV · ORENCIA · ORLADEYO · Otezla · PENNSAID · PURIFIED CORTROPHIN GEL · Quzyttir · RAYOS · REMICADE · RENFLEXIS · RINVOQ · Rasuvo · Rinvoq · Rituxan · SAPHNELO · SIMPONI · SIMPONI ARIA · SKYRIZI · SOLIRIS · STRENSIQ · Strensiq · TALTZ · TAVNEOS · TREMFYA · Tyenne · Tymlos · XELJANZ · ZTLido
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 (44%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Rheumatologists within 10 mi
11
Per 100K population
21.8
County median income
$48,184
Nearest hospital
STRATEGIC BEHAVIORAL CENTER-LELAND
9.4 mi
9.4 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 reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Snow is a mixed practice specialist, with above-average Medicare volume (top 1% in NC), with mixed engagement industry engagement in the top 11% of NC peers, with 21 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. Snow experienced with tocilizumab injection (actemra)?
Based on Medicare claims data, Dr. Snow performed 106,550 tocilizumab injection (actemra) 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. Snow receive payments from pharmaceutical companies?
Yes. Dr. Snow received a total of $47,627 from 43 companies across 1,120 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. Snow's costs compare to other rheumatologists in Delco?
Dr. Snow's average Medicare payment per service is $10. 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. Snow) 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. 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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