Medicare Enrolled
Dr. Charles Lano, M.D.
Otolaryngology · New Braunfels, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-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. Lano 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. Lano
Dr. Charles Lano is an otolaryngology specialist in New Braunfels, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Lano performed 20,928 Medicare services across 3,419 unique beneficiaries.
Between the years covered by Open Payments, Dr. Lano received a total of $2,359 from 18 pharmaceutical and/or device companies across 113 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in otolaryngology. 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. Lano 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.
✓ 20 years in practice
▲ Top 1% volume in TX
$2,359 industry payments
Medicare Practice Summary
Medicare Utilization ↗20,928
Medicare services
Top 1% in TX for otolaryngology
3,419
Unique beneficiaries
$29
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~1,046 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 |
|---|---|---|---|
| Allergy immunotherapy preparation A professional service involving the preparation and administration of one or more antigens. |
7,590 | $11 | $22 |
| Allergen injection administration Professional service for the administration of a single allergen injection. |
6,345 | $7 | $33 |
| Skin allergy test A test where small amounts of potential allergens are injected into the skin to check for allergic reactions. |
2,040 | $6 | $13 |
| 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. |
784 | $63 | $140 |
| Allergy injection therapy, multiple injections A professional service involving the administration of multiple allergen injections. |
697 | $8 | $42 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
544 | $30 | $110 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
502 | $0 | $10 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
494 | $1 | $30 |
| Nasal endoscopy A diagnostic procedure that uses a thin, lighted tube to examine the inside of the nasal passages. |
381 | $138 | $262 |
| 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. |
298 | $79 | $180 |
| Flexible laryngoscopy A diagnostic exam of the voice box using a flexible endoscope to visualize the larynx. |
283 | $93 | $262 |
| Microscopic ear examination A detailed visual inspection of the ear using a specialized microscope to examine the ear canal and eardrum. |
153 | $20 | $52 |
| CT scan of face, without contrast A computed tomography scan that creates detailed images of the facial structures. This procedure is performed without the use of intravenous contrast dye. |
122 | $98 | $900 |
| 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. |
108 | $40 | $85 |
| 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. |
105 | $94 | $181 |
| Nasal growth removal or destruction This procedure involves the removal or destruction of a growth located in the nose using an approach through the nostrils. |
85 | $398 | $1,400 |
| Endoscopic nasal polyp biopsy or removal A procedure to remove or sample nasal polyps or tissue using an endoscope. The endoscope allows the provider to view the nasal passages during the procedure. |
60 | $219 | $798 |
| 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. |
52 | $116 | $250 |
| Nasal valve repair A surgical procedure to correct a collapsed nasal valve, which is the narrowest part of the nasal airway. The surgery aims to widen the nasal passage to improve breathing. |
37 | $1,908 | $3,600 |
| Drainage of ear canal abscess A procedure to drain an abscess located in the ear canal. This involves making an incision or using a needle to remove pus from the infected area. |
36 | $165 | $471 |
| Destruction of nasal passage soft tissue A procedure to destroy abnormal or excess soft tissue within the nasal passages. |
33 | $84 | $580 |
| CT scan of head, without contrast A CT scan uses X-rays to create detailed images of the brain and skull. This specific scan is performed without the use of contrast dye. |
30 | $117 | $1,200 |
| Removal of nasal air passage under lining tissue A surgical procedure to remove tissue from the nasal air passage located beneath the lining. |
29 | $229 | $1,890 |
| New patient office visit, 15-29 minutes An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold. |
29 | $51 | $140 |
| Simple removal of skin debris and drainage of mastoid cavity This procedure involves the simple removal of skin debris and the drainage of a mastoid cavity. |
22 | $63 | $334 |
| Endoscopic dilation of sphenoid and frontal sinuses A procedure using an endoscope to widen the sphenoid and frontal sinuses. |
16 | $3,549 | $19,375 |
| Computer-assisted neurosurgery outside brain covering A surgical procedure using computer guidance to operate on areas outside the membrane covering the brain. |
16 | $132 | $1,000 |
| Endoscopic sinus dilation A procedure that widens the nasal sinuses using an endoscope to improve drainage and airflow. |
15 | $1,671 | $7,733 |
| Eustachian tube dilation, bilateral, via endoscope This procedure widens the Eustachian tubes on both sides using an endoscope inserted through the nose. |
11 | $2,172 | $6,396 |
| Sleep study with continuous airway pressure, age 6+ A sleep study conducted in a sleep lab that monitors breathing and other body functions while administering continuous airway pressure. This test is performed on patients aged 6 years or older. |
11 | $358 | $458 |
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.
0.3% high complexity
41.2% medium
58.5% routine
Industry Payment Transparency
Open Payments through 2024 ↗$2,359
Total received (2018-2024)
Avg $337/year across 7 years
Top 36% in TX for otolaryngology
18
Companies
113
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
$2,359 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$753
2023
$536
2022
$69
2021
$163
2020
$163
2019
$370
2018
$303
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Acclarent, Inc
$658
AERIN MEDICAL INC.
$633
Stryker Corporation
$269
Integra LifeSciences Corporation
$174
Regeneron Healthcare Solutions, Inc.
$161
OptiNose US, Inc.
$82
GENZYME CORPORATION
$67
ARBOR PHARMACEUTICALS, INC.
$56
Novartis Pharmaceuticals Corporation
$51
Medtronic, Inc.
$33
Arrinex, Inc.
$30
Optinose US, Inc.
$24
Kaleo, Inc.
$24
Entellus Medical, Inc.
$23
Merck Sharp & Dohme LLC
$22
GlaxoSmithKline, LLC.
$19
Smith & Nephew, Inc.
$19
AstraZeneca Pharmaceuticals LP
$12
Top 3 companies account for 66.1% of total payments
Associated products mentioned in payments ›
ACCLARENT AERA · ACCLARENT AERA EUSTACHIAN TUBE BALLOON DILATION SYSTEM · ACCLARENT Balloon Inflation Device · ACCLARENT NAVWIRE SINUS NAVIGATION GUIDEWIRE · ACCLARENT NAVWIRE Sinus Navigation Guidewire · ACCLARENT SE Inflation Device · Acclarent Aera · Acclarent ENT Navigation System · Auvi-Q · Clarifix · Coblation - Tonsil Wands · DUPIXENT · ENTELLUS - XPRESS ENT DILATION SYSTEM · FASENRA · NUCALA · Otovel · PROPEL · RELIEVA CIRCA Ethmoid Punch · RELIEVA SPINPLUS Balloon Sinuplasty System · Relieva Spinplus · SCOPIS ENT · SPIROX - LATERA · SpinPlus Navigation · TruDi · TruDi NAV Cable · VIVAER STYLUS · XOLAIR · XPRESS ENT DILATION SYSTEM · Xhance
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $11 per 100 Medicare services performed
Geographic Context
Otolaryngologists within 10 mi
8
Per 100K population
4.5
County median income
$93,776
Nearest hospital
RESOLUTE HEALTH HOSPITAL
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. Lano is a mixed practice specialist, with above-average Medicare volume (top 1% in TX), with low-engagement industry engagement, with 20 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. Lano experienced with allergy immunotherapy preparation?
Based on Medicare claims data, Dr. Lano performed 7,590 allergy immunotherapy preparation 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. Lano receive payments from pharmaceutical companies?
Yes. Dr. Lano received a total of $2,359 from 18 companies across 113 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. Lano's costs compare to other otolaryngologists in New Braunfels?
Dr. Lano's average Medicare payment per service is $29. 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. Lano) 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. 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.
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