Medicare Enrolled
Dr. Peter Sirianni, MD
Pain Medicine · Jacksonville, TX
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. Sirianni 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. Sirianni
Dr. Peter Sirianni is a pain medicine specialist in Jacksonville, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Sirianni performed 2,453 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Sirianni received a total of $14,052 from 17 pharmaceutical and/or device companies across 147 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. Sirianni 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 32% volume in TX
$14,052 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗2,453
Medicare services
Top 32% in TX for pain medicine
Not available
Unique patients (not deduplicated)
$87
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. |
314 | $88 | $289 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
218 | $51 | $866 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
194 | $93 | $855 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
194 | $54 | $436 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
174 | $62 | $159 |
| Electronic analysis and reprogramming of spinal drug pump This procedure involves electronically analyzing and reprogramming a spinal canal drug infusion pump. It does not include the surgical insertion or removal of the device. |
140 | $33 | $150 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
139 | $169 | $1,790 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
116 | $74 | $901 |
| Ultrasound-guided large joint aspiration or injection This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint. |
112 | $53 | $393 |
| Spinal drug pump reprogramming and refill Electronic adjustment of the settings for a spinal drug infusion pump and replenishment of the medication reservoir. |
101 | $66 | $317 |
| 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. |
87 | $119 | $375 |
| Spinal scar tissue removal, multiple sessions A procedure to remove scar tissue within the spinal canal, performed in multiple sessions during a single day. |
80 | $182 | $1,534 |
| Spinal neurostimulator electrode insertion A procedure to place an electrode array into the spine through the skin. The electrode is used to deliver electrical stimulation to the nervous system. |
78 | $237 | $8,157 |
| Destruction of peripheral nerve or branch | 71 | $95 | $807 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional upper or middle spinal facet joint. |
59 | $56 | $922 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
50 | $104 | $930 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
49 | $63 | $465 |
| 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. |
42 | $56 | $204 |
| 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. |
35 | $109 | $406 |
| Facet joint nerve destruction, single joint This procedure uses imaging guidance to destroy the nerves supplying a single upper or middle spinal facet joint. It is performed to interrupt pain signals from that specific joint. |
33 | $157 | $1,733 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
32 | $39 | $86 |
| Injection of anesthetic agent and/or steroid into other nerve or branch | 28 | $41 | $336 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
27 | $79 | $915 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
27 | $20 | $104 |
| Destruction of nerve branches of knee using imaging guidance | 24 | $120 | $1,752 |
| Spinal neurostimulator generator insertion Surgical placement of a spinal neurostimulator generator or receiver device. |
17 | $149 | $1,213 |
| Insertion of programmable spinal drug infusion pump A surgical procedure to implant a programmable pump into the spinal canal for delivering medication. |
12 | $200 | $1,286 |
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.
0.5% high complexity
32.4% medium
67.1% routine
Industry Payment Transparency
Open Payments through 2024 ↗$14,052
Total received (2018-2024)
Avg $2,007/year across 7 years
Top 18% in TX for pain medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
17
Companies
147
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
$980
2023
$1,062
2022
$760
2021
$304
2020
$354
2019
$3,042
2018
$7,549
Payments by company (2024)
Medtronic, Inc.
$799
ABBVIE INC.
$120
Bioventus LLC
$38
Abbott Laboratories
$23
Top 3 companies account for 97.6% of 2024 payments
All-time payments by company (2018-2024) ›
Vertos Medical, Inc.
$8,026
Medtronic, Inc.
$2,405
Medtronic USA, Inc.
$2,141
Stryker Corporation
$508
Nevro Corp.
$204
ABBVIE INC.
$159
Janssen Pharmaceuticals, Inc
$125
Abbott Laboratories
$101
Genentech, Inc.
$95
Allergan Inc.
$86
Bioventus LLC
$38
Relievant Medsystems, Inc.
$38
AbbVie Inc.
$33
Lundbeck LLC
$32
AngioDynamics, Inc.
$25
Allergan, Inc.
$22
Amgen Inc.
$16
Top 3 companies account for 89.5% of all-time payments
Associated products mentioned in payments ›
ADAPTIVESTIM · Activase · Aimovig · Auryon Laser System 100-120 Vac · BOTOX · BOTOX THERAPEUTIC · DUROLANE · ETERNA · INTELLIS · INTELLIS ADAPTIVESTIM · IVS - MULTIGEN 2RF · IVS - MULTIGEN RF · Intracept · OSTEOCOOL RF ABLATION · PISCES · PlasmaBlade · Proclaim Family of SCS IPGs · RESTORE · SYNCHROMED · SYNCHROMEDII · Senza Spinal Cord Stimulation System · UBRELVY · VANTA ADAPTIVESTIM · VECTRIS · VYEPTI · XARELTO · mild Device Kit
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
Pain medicines in nearby ZIP areas
2
County median income
$59,830
Nearest hospital to ZIP centroid (approximate)
UT HEALTH EAST TEXAS JACKSONVILLE 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. Sirianni is a clinical cardiology specialist, with moderate Medicare volume, 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. Sirianni experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Sirianni performed 314 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. Sirianni receive payments from pharmaceutical companies?
Yes. Dr. Sirianni received a total of $14,052 from 17 companies across 147 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. Sirianni's costs compare to other pain medicines in Jacksonville?
Dr. Sirianni's average Medicare payment per service is $87. 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. Sirianni) 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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