Dr. James Alaly, MD
What this data tells you about Dr. Alaly
Dr. James Alaly is a radiation oncology in San Angelo, TX, with 16 years in practice. Based on federal Medicare data, Dr. Alaly performed 2,784 Medicare services across 2,665 unique beneficiaries.
Between the years covered by Open Payments, Dr. Alaly received a total of $657 from 6 pharmaceutical and/or device companies across 9 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in radiation oncology. 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. Alaly 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.
Medicare Practice Summary
Medicare Utilization ↗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 |
|---|---|---|---|
| Chest X-ray, 1 view | 353 | $6 | $37 |
| Bone density scan (DEXA) | 256 | $9 | $44 |
| 3D screening mammography (tomosynthesis) | 218 | $28 | $50 |
| Screening mammography | 218 | $35 | $146 |
| CT scan of abdomen and pelvis with contrast | 123 | $64 | $365 |
| Chest X-ray, 2 views | 116 | $21 | $117 |
| CT scan of chest, without contrast | 114 | $36 | $284 |
| CT scan of head/brain, without contrast | 108 | $28 | $210 |
| Ct scan of abdomen and pelvis without contrast | 70 | $61 | $353 |
| Ct scan of blood vessels of chest with contrast | 63 | $65 | $368 |
| X-ray of knee, 4 or more views | 56 | $25 | $135 |
| Ct scan of upper spine without contrast | 47 | $34 | $284 |
| Shoulder X-ray, 2+ views | 45 | $20 | $135 |
| Ct scan of chest with contrast | 39 | $36 | $304 |
| Mri scan of brain before and after contrast | 37 | $78 | $485 |
| Nuclear medicine study from skull base to mid-thigh with ct scan | 35 | $87 | $400 |
| Hip X-ray, 2-3 views | 34 | $29 | $152 |
| Ct scan of blood vessels of head with contrast | 32 | $63 | $304 |
| X-ray of hand, minimum of 3 views | 32 | $23 | $101 |
| X-ray of wrist, minimum of 3 views | 30 | $27 | $101 |
| Ct scan of blood vessels of neck with contrast | 29 | $59 | $287 |
| Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 28 | $17 | $50 |
| Foot X-ray, 3+ views | 27 | $24 | $107 |
| Ct scan of soft tissue of neck with contrast | 26 | $48 | $338 |
| Ct scan of lower spine without contrast | 26 | $33 | $284 |
| X-ray of lower and sacral spine, 2-3 views | 24 | $30 | $126 |
| Limited ultrasound scan of abdomen | 24 | $20 | $129 |
| Ct scan of blood vessels of abdomen and pelvis with contrast | 23 | $79 | $409 |
| Ct scan of middle spine without contrast | 20 | $30 | $284 |
| Complete ultrasound scan behind abdominal cavity | 20 | $27 | $165 |
| Injection of lower or sacral spine facet joint using imaging guidance, single level | 19 | $84 | $939 |
| X-ray of abdomen, 1 view | 19 | $21 | $105 |
| Ct scan of abdomen and pelvis before and after contrast | 19 | $71 | $420 |
| Limited ultrasound scan of 1 breast | 19 | $20 | $142 |
| Injection of lower or sacral spine facet joint using imaging guidance, second level | 18 | $48 | $479 |
| Ultrasound study of one arm or leg veins with compression and maneuvers | 18 | $17 | $114 |
| Ultrasound scan of head and neck soft tissue | 17 | $52 | $316 |
| Mri scan of brain without contrast | 16 | $45 | $381 |
| X-ray of upper spine, 2-3 views | 16 | $24 | $139 |
| Mri scan of upper spinal canal without contrast | 16 | $51 | $381 |
| X-ray of knee, 1-2 views | 16 | $14 | $102 |
| Review by radiologist of ct guidance for needle placement | 16 | $55 | $157 |
| Injection of substance into lower spine canal using imaging guidance | 15 | $69 | $704 |
| Mri scan of lower spinal canal without contrast | 15 | $55 | $381 |
| X-ray of pelvis, 1-2 views | 15 | $6 | $46 |
| Knee X-ray, 3 views | 15 | $19 | $119 |
| Diagnostic mammography of both breasts | 15 | $22 | $193 |
| Fine needle aspiration biopsy using ultrasound guidance, first growth | 14 | $55 | $372 |
| Aspiration of fluid from chest cavity using imaging guidance | 13 | $68 | $1,805 |
| Ct scan of pelvis without contrast | 13 | $38 | $266 |
| X-ray of elbow, minimum of 3 views | 13 | $23 | $112 |
| Mri scan of abdomen before and after contrast | 13 | $79 | $457 |
| Diagnostic mammography of 1 breast | 13 | $28 | $155 |
| Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 12 | $100 | $1,041 |
| X-ray of lower and sacral spine, minimum of 4 views | 12 | $30 | $184 |
| Ct scan of abdomen before and after contrast | 12 | $47 | $344 |
| Complete ultrasound scan of 1 breast | 12 | $37 | $280 |
| Dxa bone density measurement of forearm, finger, hand, or foot | 12 | $10 | $35 |
| Ct scan of cranial cavity without contrast | 11 | $47 | $316 |
| X-ray of ribs on side of body, 2 views | 11 | $22 | $134 |
| X-ray of thigh bone, minimum 2 views | 11 | $6 | $38 |
| X-ray of ankle, minimum of 3 views | 11 | $23 | $107 |
| Imaging for evaluation of swallowing function | 11 | $20 | $118 |
| Ct scan of abdominal aorta and both leg arteries with contrast | 11 | $84 | $788 |
| Fluoroscopic guidance for needle placement | 11 | $15 | $106 |
| Ultrasound study of arm or leg veins with compression and maneuvers | 11 | $25 | $162 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
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. Alaly is a mixed practice specialist, with moderate Medicare volume, and low-engagement industry engagement, with 16 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
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How do Dr. Alaly's costs compare to other radiation oncologys in San Angelo?
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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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