Medicare Enrolled

Dr. Charles Lano, M.D.

Otolaryngology · New Braunfels, TX
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Low-engagement
42 GRUENE PARK DR, New Braunfels, TX 78130
8306295830
In practice since 2006 (20 years)
NPI: 1124092671 verify on NPPES ↗
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 →
Are you Dr. Lano? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Lano

Dr. Charles Lano is an otolaryngology in New Braunfels, TX, with 20 years in practice. 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.

ProcedureVolumeAvg. paidAvg. submitted
Allergy immunotherapy preparation7,590$11$22
Professional service for single injection of allergen6,345$7$33
Test for allergy using allergenic extract injected into skin2,040$6$13
Office visit, established patient (20-29 min)784$63$140
Allergy injection therapy, multiple injections697$8$42
Removal of impacted ear wax544$30$110
Dexamethasone injection (steroid)502$0$10
Steroid injection (triamcinolone)494$1$30
Diagnostic exam of nasal passages using an endoscope381$138$262
New patient office visit (30-44 min)298$79$180
Diagnostic exam of voice box using a flexible endoscope283$93$262
Exam of ear using a microscope153$20$52
Ct scan of face without contrast122$98$900
Office visit, established patient (10-19 min)108$40$85
Office visit, established patient (30-39 min)105$94$181
Removal or destruction of growth of nose through nose85$398$1,400
Biopsy or removal of nasal polyp or tissue using an endoscope60$219$798
New patient office visit (45-59 min)52$116$250
Repair of collapsed nasal valve37$1,908$3,600
Drainage of abscess of ear canal36$165$471
Destruction of soft tissue of nasal passages33$84$580
Ct scan of cranial cavity without contrast30$117$1,200
Removal of nasal air passage under lining tissue29$229$1,890
New patient office or other outpatient visit, 15-29 minutes29$51$140
Simple removal of skin debris and drainage of mastoid cavity22$63$334
Dilation of sphenoid and frontal nasal sinus using an endoscope16$3,549$19,375
Computer-assisted procedure outside membrane covering brain16$132$1,000
Dilation of nasal sinus using an endoscope15$1,671$7,733
Dilation of canal between middle ear and throat (eustachian tube) on both sides of body, using endoscope inserted through nose11$2,172$6,396
Sleep study in sleep lab with continuous airway pressure (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.
0.2% high complexity
39.4% medium
60.4% 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
Looking for a otolaryngology in New Braunfels?
Compare otolaryngologys in the New Braunfels area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Otolaryngologys within 10 mi
8
Per 100K population
4.5
County median income
$93,776
Nearest hospital
RESOLUTE HEALTH HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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), and low-engagement industry engagement, with 20 years of practice experience.

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 otolaryngologys 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 →
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

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →