Medicare Enrolled
Dr. Viki Forlano, MD
Family Medicine · San Angelo, 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. Forlano 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. Forlano
Dr. Viki Forlano is a family medicine specialist in San Angelo, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Forlano performed 6,257 Medicare services across 1,656 unique beneficiaries.
Between the years covered by Open Payments, Dr. Forlano received a total of $5,932 from 34 pharmaceutical and/or device companies across 270 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. 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. Forlano 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 2% volume in TX
$5,932 industry payments
Medicare Practice Summary
Medicare Utilization ↗6,257
Medicare services
Top 2% in TX for family medicine
1,656
Unique beneficiaries
$31
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~313 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 |
|---|---|---|---|
| Denosumab injection (Prolia/Xgeva) | 3,480 | $18 | $33 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
743 | $8 | $8 |
| 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. |
504 | $78 | $217 |
| 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. |
264 | $56 | $149 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
240 | $9 | $58 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
179 | $126 | $230 |
| Home visit, established patient, straightforward decision making A home visit for an established patient involving straightforward medical decision making. The visit lasts at least 15 minutes when time is used to determine the level of service. |
154 | $31 | $108 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
120 | $11 | $50 |
| Home visit, established patient, low complexity A physician visits an existing patient at their residence to provide care involving a low level of medical decision making. The visit lasts at least 30 minutes. |
85 | $52 | $164 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
75 | $61 | $63 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
75 | $17 | $17 |
| Nursing facility visit, low complexity A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care. |
54 | $46 | $135 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
35 | $156 | $330 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
27 | $214 | $439 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
25 | $27 | $50 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
24 | $158 | $311 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
19 | $10 | $67 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
18 | $143 | $316 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
17 | $13 | $81 |
| 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. |
17 | $23 | $88 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
15 | $10 | $87 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
14 | $241 | $529 |
| Injection, methylprednisolone acetate, 40 mg | 14 | $5 | $12 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
13 | $122 | $284 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
12 | $8 | $59 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
12 | $8 | $34 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
11 | $3 | $19 |
| Pneumococcal vaccine, 23-valent A vaccine that protects against 23 types of pneumococcal bacteria. It is used to prevent infections caused by these bacteria. |
11 | $131 | $190 |
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 ↗$5,932
Total received (2018-2024)
Avg $847/year across 7 years
Top 11% in TX for family medicine
34
Companies
270
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
$4,152 (70.0%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$1,560 (26.3%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$220 (3.7%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$474
2023
$289
2022
$1,724
2021
$1,009
2020
$954
2019
$669
2018
$813
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$1,260
AstraZeneca Pharmaceuticals LP
$561
GlaxoSmithKline, LLC.
$543
Janssen Pharmaceuticals, Inc
$526
Lilly USA, LLC
$354
Amgen Inc.
$351
Amarin Pharma Inc.
$279
SANOFI-AVENTIS U.S. LLC
$257
Novo Nordisk Inc
$227
Boehringer Ingelheim Pharmaceuticals, Inc.
$199
Novartis Pharmaceuticals Corporation
$174
Takeda Pharmaceuticals U.S.A., Inc.
$115
PFIZER INC.
$95
Biohaven Pharmaceuticals, Inc.
$84
Allergan, Inc.
$83
Radius Health, Inc.
$81
AbbVie Inc.
$78
ARBOR PHARMACEUTICALS, INC.
$74
ABBVIE INC.
$70
Astellas Pharma US Inc
$61
MAYNE PHARMA INC.
$59
Merck Sharp & Dohme Corporation
$55
Allergan Inc.
$53
Biohaven Pharmaceutical Holding Company Ltd.
$49
Kowa Pharmaceuticals America, Inc.
$46
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$37
Biogen, Inc.
$35
Sumitomo Pharma America, Inc.
$25
Esperion Therapeutics, Inc.
$20
ITI, Inc.
$19
Exact Sciences Corporation
$17
Medicure Pharma Inc.
$15
Xeris Pharmaceuticals, Inc.
$14
Genentech USA, Inc.
$13
Top 3 companies account for 39.9% of total payments
Associated products mentioned in payments ›
ADUHELM · AIRSUPRA · ANORO ELLIPTA · AREXVY · Aimovig · BELSOMRA · BEXSERO · BREZTRI · BYDUREON · CAPLYTA · CHANTIX · Cologuard Collection Kit · EMGALITY · ENTRESTO · EVENITY · Edarbi · Edarbyclor · FARXIGA · GEMTESA · GVOKE PFS · INVOKANA · JANUVIA · JARDIANCE · LINZESS · Livalo · MAVYRET · MOUNJARO · MYRBETRIQ · NEXLETOL · NURTEC ODT · Otezla · Ozempic · PREVNAR - 13 · PREVNAR 20 · Prolia · Repatha · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · SYMBICORT · Saxenda · TOUJEO · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Tresiba · Trintellix · Tymlos · UBRELVY · VIBERZI · VRAYLAR · Vascepa · Veozah · Victoza · XARELTO · XIFAXAN · Xofluza · ZEPBOUND · ZYPITAMAG
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 (70%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $95 per 100 Medicare services performed
Geographic Context
Family medicine physicians within 10 mi
57
Per 100K population
47.7
County median income
$66,254
Nearest hospital
RIVER CREST HOSP
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. Forlano is a mixed practice specialist, with above-average Medicare volume (top 2% in TX), with low-engagement industry engagement in the top 11% of TX peers, 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. Forlano experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Dr. Forlano performed 3,480 denosumab injection (prolia/xgeva) 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. Forlano receive payments from pharmaceutical companies?
Yes. Dr. Forlano received a total of $5,932 from 34 companies across 270 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. Forlano's costs compare to other family medicine physicians in San Angelo?
Dr. Forlano's average Medicare payment per service is $31. 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. Forlano) 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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