Medicare Enrolled
Dr. Sebastian Villarreal, MD
Pain Medicine · Katy, 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. Villarreal 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. Villarreal
Dr. Sebastian Villarreal is a pain medicine specialist in Katy, TX, with 18 years of NPI registration. Based on federal Medicare data, Dr. Villarreal performed 1,798 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Villarreal received a total of $7,946 from 31 pharmaceutical and/or device companies across 299 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. Villarreal 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.
✓ 18 years of NPI registration
▲ Top 40% volume in TX
$7,946 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗1,798
Medicare services
Top 40% in TX for pain medicine
Not available
Unique patients (not deduplicated)
$90
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 (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. |
742 | $62 | $250 |
| 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. |
435 | $91 | $300 |
| 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. |
81 | $121 | $400 |
| 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. |
63 | $137 | $188 |
| 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. |
63 | $73 | $96 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
60 | $68 | $95 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
51 | $48 | $66 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
49 | $48 | $197 |
| 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. |
39 | $468 | $822 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
39 | $146 | $186 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
34 | $123 | $174 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
31 | $205 | $424 |
| Lower back and sciatic nerve injection An injection of an anesthetic and/or steroid medication into the lower back and sciatic nerve. This procedure delivers medication directly to the nerve site. |
24 | $98 | $136 |
| 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. |
24 | $137 | $385 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
22 | $36 | $149 |
| Complex chronic care management, first 60 minutes This service involves clinical staff time directed by a healthcare professional to manage two or more chronic conditions over a calendar month. It covers the first 60 minutes of this coordinated care effort. |
21 | $101 | $414 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
20 | $85 | $118 |
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 ↗$7,946
Total received (2018-2024)
Avg $1,135/year across 7 years
Top 30% in TX for pain medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
31
Companies
299
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
$1,159
2023
$845
2022
$1,480
2021
$1,308
2020
$141
2019
$1,798
2018
$1,213
Payments by company (2024)
Medtronic, Inc.
$763
Collegium Pharmaceutical, Inc.
$212
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$91
DePuy Synthes Sales Inc.
$66
PAINTEQ LLC
$15
Galderma Laboratories, L.P.
$13
Top 3 companies account for 91.9% of 2024 payments
All-time payments by company (2018-2024) ›
Boston Scientific Corporation
$1,990
BOSTON SCIENTIFIC CORPORATION
$1,420
Medtronic, Inc.
$1,034
Collegium Pharmaceutical, Inc.
$884
Spinal Simplicity, LLC
$745
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$421
PFIZER INC.
$238
Abbott Laboratories
$175
SI-BONE, Inc.
$125
Assertio Therapeutics, Inc.
$114
Amniox Medical, Inc.
$111
Forte Bio-Pharma LLC
$109
BioDelivery Sciences International, Inc.
$69
DePuy Synthes Sales Inc.
$66
US WorldMeds, LLC
$64
Scilex Pharmaceuticals Inc.
$57
Stimwave Technologies Incorporated
$53
Bioventus LLC
$32
IBSA Pharma Inc.
$30
Galderma Laboratories, L.P.
$29
Kaleo, Inc.
$22
Saluda Medical Americas, Inc.
$19
SCILEX PHARMACEUTICALS INC.
$19
Nevro Corp.
$19
ASSERTIO THERAPEUTICS, Inc.
$19
AstraZeneca Pharmaceuticals LP
$16
Medline Industries, Inc.
$15
PAINTEQ LLC
$15
Radius Health, Inc.
$12
Daiichi Sankyo Inc.
$12
AKRIMAX PHARMACEUTICALS, LLC
$10
Top 3 companies account for 55.9% of all-time payments
Associated products mentioned in payments ›
BELBUCA · BUNAVAIL 2.1 mg 30-count box · Belbuca · Custom Epidural Kit · EON C · ETERNA · Evoke SCS · Evzio · FIXATE · GELSYN 3 · GENERAL PAIN MANAGEMENT · GENERAL - PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · General - Pain Management · Gralise · HA MINUTEMAN G3-R · INFINION · INTELLIS ADAPTIVESTIM · KYPHON EXPRESS II KYPHOPAK TRAY · LICART · LYRICA · Lucemyra/Lofexidine · MOVANTIK · Morphabond ER · NALOCET · NEOX · Neuromodulation Dspsbls and Accs · PAINTEQ · PROCLAIM · PRODIGY · Primlev · RELISTOR · RELISTOR ORAL · SPECTRA WAVEWRITER · SPECTRA WAVEWRITER (REFURBISHED) · Senza Spinal Cord Stimulation System · Superion · Superion Indirect Decompression System · Tymlos · VIVIGEN MIS DELIVERY SYSTEM · WAVEWRITER ALPHA · WaveWriter Alpha Prime 16 · XTAMPZA · XTAMPZAER · Xtampza ER · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zipsor · iFuse Implant
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
61
County median income
$113,409
Nearest hospital to ZIP centroid (approximate)
MEMORIAL HERMANN KATY 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. Villarreal is a clinical cardiology specialist, with moderate Medicare volume, with 18 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. Villarreal experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Villarreal performed 742 office visit, established patient (20-29 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. Villarreal receive payments from pharmaceutical companies?
Yes. Dr. Villarreal received a total of $7,946 from 31 companies across 299 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. Villarreal's costs compare to other pain medicines in Katy?
Dr. Villarreal's average Medicare payment per service is $90. 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. Villarreal) 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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