Medicare Enrolled
Dr. Josemaria Paterno, MD
Anesthesiology · Round Rock, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Paterno 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. Paterno
Dr. Josemaria Paterno is an anesthesiology specialist in Round Rock, TX, with 15 years of NPI registration. Based on federal Medicare data, Dr. Paterno performed 2,465 Medicare services across 1,399 unique beneficiaries.
Between the years covered by Open Payments, Dr. Paterno received a total of $24,075 from 31 pharmaceutical and/or device companies across 1139 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in anesthesiology. 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. Paterno 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.
✓ 15 years in practice
▲ Top 4% volume in TX
$24,075 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,465
Medicare services
Top 4% in TX for anesthesiology
1,399
Unique beneficiaries
$114
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~164 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 |
|---|---|---|---|
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
656 | $60 | $600 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
516 | $188 | $600 |
| 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. |
356 | $91 | $380 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
133 | $237 | $750 |
| Assessment of emotional or behavioral problems An evaluation to identify and understand emotional or behavioral issues. This process involves reviewing symptoms and behaviors to determine the nature of the concerns. |
108 | $4 | $17 |
| 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. |
47 | $100 | $526 |
| 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. |
46 | $58 | $270 |
| 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. |
46 | $69 | $267 |
| Compounded drug, not otherwise classified A medication prepared specifically for an individual patient by a pharmacist or physician, tailored to meet unique needs that cannot be fulfilled by commercially available products. |
46 | $183 | $237 |
| Spinal drug pump reprogramming and refill A physician electronically adjusts the settings of a spinal drug infusion pump and refills its medication reservoir. |
45 | $73 | $290 |
| 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. |
45 | $201 | $1,245 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
44 | $65 | $517 |
| 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. |
42 | $243 | $6,649 |
| 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. |
40 | $115 | $573 |
| 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. |
37 | $102 | $735 |
| 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. |
37 | $64 | $289 |
| 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. |
35 | $122 | $490 |
| 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. |
32 | $199 | $1,257 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional upper or middle spinal facet joint. |
27 | $72 | $567 |
| 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. |
23 | $46 | $330 |
| 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. |
20 | $81 | $489 |
| 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. |
20 | $76 | $787 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
19 | $138 | $475 |
| Spinal neurostimulator generator insertion Surgical placement of a spinal neurostimulator generator or receiver device. |
18 | $187 | $1,051 |
| 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. |
14 | $66 | $798 |
| 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. |
13 | $88 | $328 |
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 ↗$24,075
Total received (2018-2024)
Avg $3,439/year across 7 years
Top 2% in TX for anesthesiology
31
Companies
1,139
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
$24,075 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$4,298
2023
$2,643
2022
$3,600
2021
$4,745
2020
$2,109
2019
$2,564
2018
$4,116
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$19,128
Boston Scientific Corporation
$1,513
Vertiflex, Inc.
$802
Medtronic, Inc.
$515
BioDelivery Sciences International, Inc.
$316
PFIZER INC.
$296
BOSTON SCIENTIFIC CORPORATION
$264
Medtronic USA, Inc.
$183
Nalu Medical, Inc.
$122
Collegium Pharmaceutical, Inc.
$117
Radius Health, Inc.
$82
Amgen Inc.
$75
SPR Therapeutics, Inc
$68
Novartis Pharmaceuticals Corporation
$64
GRT US Holding, Inc.
$59
Celgene Corporation
$47
Scilex Pharmaceuticals Inc.
$45
Daiichi Sankyo Inc.
$42
Biohaven Pharmaceutical Holding Company Ltd.
$41
ABBVIE INC.
$36
Forte Bio-Pharma LLC
$35
IBSA Pharma Inc.
$35
Teva Pharmaceuticals USA, Inc.
$30
Kaleo, Inc.
$30
TerSera Therapeutics LLC
$26
Biohaven Pharmaceuticals, Inc.
$24
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$24
Horizon Therapeutics plc
$17
Horizon Pharma plc
$16
Pernix Therapeutics Holdings, Inc.
$12
Sentynl Therapeutics, Inc.
$11
Top 3 companies account for 89.1% of total payments
Associated products mentioned in payments ›
AIMOVIG · AJOVY · Aimovig · Axium INS DRG IPG · BELBUCA · BUNAVAIL 2.1 mg 30-count box · Belbuca · Cinch Epiducer SCS · DRG Accessories · DRG IPGs · ETERNA · Eon Family of SCS IPGs · Evzio · Exclaim SCS Leads · GENERAL PAIN MANAGEMENT · GENERAL - PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · INTELLIS · INTELLIS ADAPTIVESTIM · LICART · LINEAR · LYRICA · Lamitrode SCS Leads · Levorphanol · Morphabond ER · NURTEC ODT · Nalocet · Nalu Neurostimulation System · Neuromodulation Dspsbls and Accs · No Associated Product · Nucynta ER · OCTRODE · Octrode SCS Leads · PAXLOVID · PENNSAID · PROCLAIM · PRODIGY · PROLATE · Penta SCS Leads · Precision Xceed Pro system · Prialt · Proclaim DRG IPG · Proclaim Family of SCS IPGs · Proclaim IPG · Prodigy Family of SCS IPGs · Protege Family of SCS IPGs · QULIPTA · Qutenza · RAYOS · RELISTOR · S-Series SCS Leads · SCS IPGs · SCS leads · SPECTRA WAVEWRITER · SPRINT PNS System · SWIFT-LOCK · SYNCHROMEDII · Superion ISS · Swift-Lock SCS · Tirosint · Tripole SCS Leads · Tymlos · XTAMPZA · XTAMPZAER · ZOHYDRO ER · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH
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. Total industry engagement is in the top 2% for anesthesiology in TX.
Equivalent to $977 per 100 Medicare services performed
Geographic Context
Anesthesiologists within 10 mi
247
Per 100K population
38.4
County median income
$108,309
Nearest hospital
BAYLOR SCOTT & WHITE MEDICAL CENTER - ROUND ROCK
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. Paterno is a clinical cardiology specialist, with above-average Medicare volume (top 4% in TX), with low-engagement industry engagement in the top 2% of TX peers, with 15 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. Paterno experienced with drug screening test?
Based on Medicare claims data, Dr. Paterno performed 656 drug screening test 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. Paterno receive payments from pharmaceutical companies?
Yes. Dr. Paterno received a total of $24,075 from 31 companies across 1,139 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. Paterno's costs compare to other anesthesiologists in Round Rock?
Dr. Paterno's average Medicare payment per service is $114. 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. Paterno) 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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