Medicare Enrolled

Dr. Agnes Palys, O.D.

Optometrist · San Antonio, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
4930 EVERS RD, San Antonio, TX 78228
2104310366
In practice since 2005 (20 years)
NPI: 1831198548 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. Palys 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. Palys? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Palys

Dr. Agnes Palys is an optometrist in San Antonio, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Palys performed 374 Medicare services across 331 unique beneficiaries.

Between the years covered by Open Payments, Dr. Palys received a total of $8,265 from 36 pharmaceutical and/or device companies across 131 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optometrist. 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. Palys 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 30% volume in TX $8,265 industry payments

Medicare Practice Summary

Medicare Utilization ↗
374
Medicare services
Top 30% in TX for optometrist
331
Unique beneficiaries
$61
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~19 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
Comprehensive eye exam, established patient 141 $85 $165
Office visit, established patient (20-29 min) 69 $57 $120
Retinal photography (fundus photo) 48 $27 $130
Visual field test, extended 33 $41 $120
Retinal imaging (OCT scan) 27 $26 $100
Office visit, established patient (30-39 min) 22 $86 $190
Optic nerve imaging (OCT scan) 21 $27 $100
Comprehensive eye exam, new patient 13 $83 $195
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 ↗
$8,265
Total received (2018-2024)
Avg $1,181/year across 7 years
Top 4% in TX for optometrist
36
Companies
131
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
$6,362 (77.0%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$965 (11.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$938 (11.4%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$500
2023
$1,013
2022
$966
2021
$607
2020
$423
2019
$1,866
2018
$2,889

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
CooperVision Inc.
$995
Glaukos Corporation
$981
Bausch & Lomb, a division of Bausch Health US, LLC
$699
Shire North American Group Inc
$576
Bausch & Lomb Americas Inc.
$535
Johnson & Johnson Vision Care, Inc.
$307
Notal Vision, Inc.
$274
Sun Pharmaceutical Industries Inc.
$247
Johnson & Johnson Surgical Vision, Inc.
$246
ABB Con-Cise Optical Group LLC
$236
Alcon Vision LLC
$231
Aerie Pharmaceuticals, Inc.
$223
TissueTech, Inc.
$216
Alcon Laboratories Inc
$197
Sight Sciences, Inc.
$196
Allergan Inc.
$191
Kala Pharmaceuticals, Inc.
$156
MacuLogix, Inc.
$154
BIOTISSUE HOLDINGS INC.
$143
Novartis Pharmaceuticals Corporation
$143
Oyster Point Pharma, Inc.
$136
Amgen Inc.
$125
Horizon Therapeutics plc
$125
Genentech USA, Inc.
$120
ABBVIE INC.
$117
SUN PHARMACEUTICAL INDUSTRIES INC.
$115
OPTOS, INC.
$105
BioTissue Holdings, Inc.
$102
RxSight Inc
$97
OPTOVUE, INC.
$87
BIOTISSUE HOLDINGS, INC.
$48
Allergan, Inc.
$32
Visioneering Technologies, Inc.
$31
Optos, Inc.
$30
TearLab Corp
$26
Carl Zeiss Meditec AG
$19
Top 3 companies account for 32.4% of total payments
Associated products mentioned in payments ›
AIR OPTIX · ALDEN SCLERAL ZENLENS · AcrySof · Acuvue · AdaptDx · BTOD · CEQUA · Cequa · Clariti Contact Lens · Contact Lens · DAILIES · EYSUVIS · INFUSE · INVELTYS · LIGHT ADJUSTABLE LENS (LAL) AND LIGHT DELIVERY DEVICE (LDD) · LOTEMAX SM · LUMIGAN · Lucentis · MIEBO · MiSight Contact Lens · Monaco · Multiple Brands Contact Lens · MyDay Contact Lens · Non-Product Brand Specific · None Specified · OZURDEX · One Series Ultra IOL Delivery System · P200DTx · PAZEO · PROKERA · Precision 1 · Prokera · RESTASIS · RESTASIS MULTIDOSE · Rhopressa · Simbrinza · TEPEZZA · TYRVAYA · TearCare · TearLab Osmolarity System · Tecnis Simplicity · ULTRA · VYZULTA · XIIDRA · XR · ZYLET · iSTENT iNJECT TRABECULAR MICRO-BYPASS STENT SYSTEM
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 (77%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 4% for optometrist in TX.

Equivalent to $2,210 per 100 Medicare services performed
Looking for an optometrist in San Antonio?
Compare optometrists in the San Antonio area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Optometrists within 10 mi
436
Per 100K population
21.4
County median income
$70,571
Nearest hospital
UNIVERSITY HEALTH SYSTEM
3.1 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. Palys is a clinical cardiology specialist, with above-average Medicare volume (top 30% in TX), with low-engagement industry engagement in the top 4% 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. Palys experienced with comprehensive eye exam, established patient?
Based on Medicare claims data, Dr. Palys performed 141 comprehensive eye exam, established patient 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. Palys receive payments from pharmaceutical companies?
Yes. Dr. Palys received a total of $8,265 from 36 companies across 131 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. Palys's costs compare to other optometrists in San Antonio?
Dr. Palys's average Medicare payment per service is $61. 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. Palys) 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 →