Medicare Enrolled
Dr. Shay Fish, D.P.M.
Foot & Ankle Surgery Podiatrist · Kerrville, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Fish 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 →
Are you Dr. Fish?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Fish
Dr. Shay Fish is a foot & ankle surgery podiatrist in Kerrville, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Fish performed 5,318 Medicare services across 2,690 unique beneficiaries.
Between the years covered by Open Payments, Dr. Fish received a total of $23,332 from 19 pharmaceutical and/or device companies across 81 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in foot & ankle surgery podiatrist. Payments are distributed across multiple categories and often reflect legitimate professional engagement with the medical industry. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Fish is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 2% volume in TX
$23,332 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,318
Medicare services
Top 2% in TX for foot & ankle surgery podiatrist
2,690
Unique beneficiaries
$48
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~280 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 |
|---|---|---|---|
| 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. |
1,085 | $65 | $90 |
| Removal of inflamed or infected skin, up to 10% of body surface This procedure involves the surgical removal of skin affected by inflammation or infection. It is performed when the affected area covers up to 10 percent of the patient's total body surface area. |
581 | $39 | $58 |
| Foot X-ray, 3+ views An X-ray imaging test of the foot that captures at least three different views to evaluate the bones and joints. |
472 | $25 | $36 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
352 | $40 | $65 |
| Trimming of dystrophic nails Trimming of dystrophic nails, any number |
255 | $14 | $25 |
| Wound tissue removal, 20 sq cm or less This procedure involves the removal of tissue from a wound area measuring 20 square centimeters or less. |
253 | $72 | $115 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
238 | $74 | $116 |
| Toenail/fingernail removal, 1-5 nails This procedure involves the removal of one to five fingernails or toenails. |
232 | $24 | $34 |
| 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. |
210 | $89 | $135 |
| Ankle or foot strapping Application of supportive bandages or tape to the ankle or foot to provide stability and protection. |
209 | $18 | $33 |
| Toenail/fingernail removal, 6+ nails Surgical removal of six or more fingernails or toenails. This procedure involves the excision of multiple nails during a single session. |
195 | $30 | $47 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
180 | $1 | $2 |
| Toe strapping Application of strapping to the toes for support or stabilization. |
132 | $11 | $22 |
| Manual therapy (hands-on treatment), per 15 min | 122 | $20 | $29 |
| Shaving of skin growth, 0.5 cm or less Removal of a small skin growth by shaving it off the surface. This procedure is performed on the scalp, neck, hands, feet, or genitals. |
65 | $76 | $108 |
| 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. |
63 | $120 | $169 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
60 | $0 | $2 |
| Permanent removal fingernail or toenail | 56 | $111 | $166 |
| X-ray of foot, 2 views An X-ray imaging test of the foot using two different angles to create pictures of the bones and joints. |
50 | $21 | $29 |
| Removal of thickened skin growths, 2-4 This procedure involves the removal of two to four benign, thickened skin growths. It is a minor surgical intervention to eliminate non-cancerous skin lesions. |
49 | $53 | $85 |
| Heel X-ray, minimum 2 views An X-ray imaging test of the heel bone using at least two different angles to evaluate the structure. |
46 | $21 | $35 |
| Removal of fingernail or toenail skin This procedure involves the removal of the skin associated with a fingernail or toenail. |
44 | $112 | $174 |
| Destruction of skin growths (warts/lesions), 1-14 This procedure involves the removal or destruction of one to fourteen skin growths. It is a minor surgical intervention performed on the skin surface. |
44 | $80 | $115 |
| Correction of toe joint deformity A surgical procedure to correct a deformity in a toe joint. This involves realigning the joint structure to restore proper function and appearance. |
40 | $192 | $544 |
| Removal of noncancer thickened skin growth, 1 growth This procedure involves the removal of a single benign, thickened skin growth. It is a minor surgical intervention to eliminate the lesion. |
37 | $46 | $75 |
| Simple separation of fingernail or toenail from nail bed, first nail A procedure to separate the first fingernail or toenail from the underlying nail bed. |
35 | $75 | $115 |
| Insertion of wire or pin to bone for traction A wire or pin is inserted into the bone to apply traction. This procedure is used to align or stabilize the bone. |
34 | $62 | $219 |
| Fingernail or toenail biopsy A small sample of tissue is taken from a fingernail or toenail for laboratory examination. |
26 | $53 | $76 |
| Ankle X-ray, minimum 3 views An X-ray imaging test of the ankle that captures at least three different angles to evaluate the bones and joints. |
25 | $24 | $45 |
| Removal of surface implant from bone A surgical procedure to remove an implant that is attached to the surface of a bone. |
24 | $254 | $377 |
| Imaging guidance for procedure, 60 minutes or less Use of imaging technology to guide a medical procedure. This service lasts 60 minutes or less. |
24 | $11 | $19 |
| Tendon or ligament injection A procedure involving the injection of medication into a tendon or ligament. |
18 | $36 | $65 |
| Joint fluid aspiration or injection, small joint Removal of fluid from a small joint or injection of medication into a small joint. |
18 | $33 | $53 |
| Simple drainage of skin abscess A minor procedure to drain a localized collection of pus from the skin. The abscess is opened to allow the fluid to escape and promote healing. |
17 | $83 | $137 |
| 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. |
15 | $23 | $32 |
| Bunion removal at fifth toe joint Surgical removal of a bunion deformity located at the joint of the fifth toe. |
12 | $139 | $476 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$23,332
Total received (2018-2024)
Avg $3,333/year across 7 years
Top 9% in TX for foot & ankle surgery podiatrist
19
Companies
81
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.
Other
Charitable contributions, space rental, and other categories
$14,000 (60.0%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$8,132 (34.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$1,200 (5.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$15,773
2023
$2,759
2022
$2,592
2021
$1,278
2020
$206
2019
$411
2018
$312
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ConvaTec Inc.
$14,000
TREACE MEDICAL CONCEPTS, INC.
$4,023
Stryker Corporation
$1,235
Medinc of Texas
$1,200
Treace Medical Concepts, Inc.
$938
Mission Medical Distribution, LLC
$695
Arthrex, Inc.
$689
Smith+Nephew, Inc.
$225
MedShape, Inc.
$90
Sebela Pharmaceuticals Inc.
$71
DePuy Synthes Sales Inc.
$27
Integra LifeSciences Corporation
$23
Organogenesis Inc.
$21
Janssen Pharmaceuticals, Inc
$19
TRIAD LIFE SCIENCES INC.
$18
Wright Medical Technology, Inc.
$16
Kerecis Limited
$16
Cumberland Pharmaceuticals, Inc.
$14
Merck Sharp & Dohme Corporation
$11
Top 3 companies account for 82.5% of total payments
Associated products mentioned in payments ›
15 mm · ALLOGRAFT · ALLOWRAP · ANCHORAGE · ASNIS · AUTOFIX · AXSOS · BILAYER WOUND MATRIX (BWM) · CARTIVA · DynaNail Helix · EASY CLIP · GRAFIX PL · INNOVAMATRIX AC · Kerecis Omega3 SurgiClose · LAPIPLASTY SYSTEM · Lapiplasty · MOTOBAND · NAFTIN · ORTHOLOC 2 LAPIFUSE · PROSTEP · Puraply · REGRANEX · SIVEXTRO · Santyl · Stravix · VARIAX · VIBATIV · Washer · XARELTO
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 →
Payments are distributed across multiple categories with no single dominant type. Total industry engagement is in the top 9% for foot & ankle surgery podiatrist in TX.
Equivalent to $439 per 100 Medicare services performed
Geographic Context
Foot & ankle surgery podiatrists within 10 mi
3
Per 100K population
5.6
County median income
$67,927
Nearest hospital
PETERSON REGIONAL MEDICAL CENTER
0.0 mi
0.0 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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Fish is a clinical cardiology specialist, with above-average Medicare volume (top 2% in TX), with mixed engagement industry engagement in the top 9% of TX peers, with 19 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Fish experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Fish performed 1,085 office visit, established patient (20-29 min) 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. Fish receive payments from pharmaceutical companies?
Yes. Dr. Fish received a total of $23,332 from 19 companies across 81 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. Fish's costs compare to other foot & ankle surgery podiatrists in Kerrville?
Dr. Fish's average Medicare payment per service is $48. 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. Fish) 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 →
Explore related providers
Same specialty & city
Foot & Ankle Surgery Podiatrists in Kerrville
Browse foot & ankle surgery podiatrists in Kerrville ranked by procedure volume and transparency data.
Highest volume
Top Foot & Ankle Surgery Podiatrists in TX
Foot & ankle surgery podiatrists ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Foot & Ankle Surgery Podiatrists in TX
Which TX foot & ankle surgery podiatrists receive the most from drug and device companies.
By company
ConvaTec Inc. Payments to Doctors
See all physicians who received payments from ConvaTec Inc.
By company
TREACE MEDICAL CONCEPTS, INC. Payments to Doctors
See all physicians who received payments from TREACE MEDICAL CONCEPTS, INC.
By company
Stryker Corporation Payments to Doctors
See all physicians who received payments from Stryker Corporation.
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. The Transparency Score measures 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.
Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology