Medicare Enrolled
Dr. Alexander Roka, M.D., P.A.
Family Medicine · San Antonio, 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. Roka 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. Roka
Dr. Alexander Roka is a family medicine specialist in San Antonio, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Roka performed 4,909 Medicare services across 2,767 unique beneficiaries.
Between the years covered by Open Payments, Dr. Roka received a total of $22,004 from 89 pharmaceutical and/or device companies across 1511 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. Roka 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 4% volume in TX
$22,004 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,909
Medicare services
Top 4% in TX for family medicine
2,767
Unique beneficiaries
$71
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~245 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 |
|---|---|---|---|
| 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. |
1,001 | $87 | $205 |
| COVID-19 test, self-administered An FDA-approved, authorized, or cleared test kit for nonprescription self-administered and self-collected use. This code represents the provision of one test count. |
913 | $12 | $12 |
| 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. |
790 | $60 | $155 |
| Ultrasound of arm and leg arteries A non-invasive imaging test that uses sound waves to examine the blood vessels in the arms and legs. It evaluates blood flow and checks for blockages or other vascular issues. |
336 | $87 | $300 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
311 | $124 | $127 |
| Autonomic nervous system function test This test evaluates how well the sympathetic nervous system is functioning. It assesses the automatic control of bodily processes such as heart rate and blood pressure. |
177 | $95 | $275 |
| Autonomic nervous system testing with tilt This test evaluates the function of the sympathetic and parasympathetic nervous systems. It involves monitoring the patient for at least five minutes while they are tilted. |
172 | $119 | $300 |
| Balance and posture test A test to evaluate a patient's balance and posture. This assessment measures stability and body alignment. |
151 | $37 | $150 |
| 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. |
134 | $32 | $90 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
118 | $122 | $292 |
| Complete ultrasound of abdomen and pelvis blood flow This procedure uses sound waves to create images of blood flow in the arteries and veins of the abdomen and pelvis. It evaluates the rate and direction of blood movement within these vessels. |
115 | $200 | $417 |
| Complete ultrasound of retroperitoneum An ultrasound examination of the structures located behind the abdominal cavity. |
94 | $85 | $225 |
| 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. |
83 | $135 | $280 |
| 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. |
82 | $10 | $30 |
| Ultrasound of arm and leg arteries This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries. |
71 | $48 | $279 |
| 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. |
70 | $9 | $75 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
67 | $0 | $25 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
59 | $150 | $350 |
| 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. |
34 | $162 | $181 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
32 | $111 | $350 |
| 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. |
27 | $103 | $320 |
| 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. |
24 | $162 | $180 |
| Ultrasound of head and neck soft tissue This procedure uses sound waves to create images of the soft tissues in the head and neck area. It allows for the visualization of structures beneath the skin without using radiation. |
17 | $87 | $150 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
17 | $3 | $25 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
14 | $41 | $118 |
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 ↗$22,004
Total received (2018-2024)
Avg $3,143/year across 7 years
Top 1% in TX for family medicine
89
Companies
1,511
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
$22,004 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,948
2023
$2,784
2022
$2,538
2021
$3,587
2020
$3,164
2019
$3,494
2018
$3,489
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$2,601
Lilly USA, LLC
$2,053
Novo Nordisk Inc
$1,850
PFIZER INC.
$1,528
GlaxoSmithKline, LLC.
$1,402
AbbVie Inc.
$1,099
ABBVIE INC.
$901
Amgen Inc.
$866
Janssen Pharmaceuticals, Inc
$811
Antares Pharma, Inc.
$699
Amarin Pharma Inc.
$561
Boehringer Ingelheim Pharmaceuticals, Inc.
$531
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$472
Teva Pharmaceuticals USA, Inc.
$422
Allergan Inc.
$406
Takeda Pharmaceuticals U.S.A., Inc.
$403
Allergan, Inc.
$359
Merck Sharp & Dohme Corporation
$344
Esperion Therapeutics, Inc.
$333
Bayer Healthcare Pharmaceuticals Inc.
$308
Kowa Pharmaceuticals America, Inc.
$304
Abbott Laboratories
$270
Horizon Therapeutics plc
$261
IDORSIA PHARMACEUTICALS US INC
$194
SANOFI-AVENTIS U.S. LLC
$168
Bausch Health US, LLC
$139
Eisai Inc.
$126
Astellas Pharma US Inc
$125
Gilead Sciences, Inc.
$118
Novartis Pharmaceuticals Corporation
$104
Avanir Pharmaceuticals, Inc.
$102
AbbVie, Inc.
$101
Bayer HealthCare Pharmaceuticals Inc.
$97
Genentech USA, Inc.
$94
Shire North American Group Inc
$89
Supernus Pharmaceuticals, Inc.
$84
Ardelyx, Inc.
$80
Otsuka America Pharmaceutical, Inc.
$70
Nalpropion Pharmaceuticals LLC
$70
Axsome Therapeutics, Inc.
$67
Merck Sharp & Dohme LLC
$67
Orexigen Therapeutics, Inc.
$58
Althera Pharmaceuticals LLC
$55
BIOTRONIK INC.
$55
IRONWOOD PHARMACEUTICALS, INC
$53
Dexcom, Inc.
$51
Ironshore Pharmaceuticals Inc.
$51
ARBOR PHARMACEUTICALS, INC.
$48
Pernix Therapeutics Holdings, Inc.
$47
Acerus Pharmaceuticals Corporation
$47
Scilex Pharmaceuticals Inc.
$45
ALK-Abello, Inc
$44
Azurity Pharmaceuticals, Inc.
$43
Aytu Bioscience, Inc
$41
MannKind Corporation
$36
Sunovion Pharmaceuticals Inc.
$32
Phathom Pharmaceuticals, Inc.
$32
Currax Pharmaceuticals LLC
$28
Ironwood Pharmaceuticals, Inc
$27
Horizon Pharma plc
$27
Nalpropion Pharmaceuticals, Inc.
$26
Adlon Therapeutics L.P.
$25
Aytu BioScience, Inc
$24
Radius Health, Inc.
$24
Corium, LLC
$23
Almatica Pharma LLC
$22
Boston Scientific Corporation
$21
Biohaven Pharmaceuticals, Inc.
$20
Lupin Inc.
$18
Upsher-Smith Laboratories LLC
$18
Corcept Therapeutics
$18
Sumitomo Pharma America, Inc.
$18
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$17
EMD Serono, Inc.
$17
Clarus Therapeutics Inc.
$16
Alnylam Pharmaceuticals Inc.
$16
Medtronic, Inc.
$16
Mannkind Corporation
$16
Melinta Therapeutics, Inc.
$15
VistaPharm, Inc.
$15
Exact Sciences Corporation
$15
Medtronic Vascular, Inc.
$15
SHIELD THERAPEUTICS INC
$14
Egalet US Inc
$14
Smith+Nephew, Inc.
$13
UPSHER-SMITH LABORATORIES LLC
$13
OptiNose US, Inc.
$13
Neuronetics, Inc.
$12
IBSA Pharma Inc.
$12
Top 3 companies account for 29.6% of total payments
Associated products mentioned in payments ›
ABILIFY MAINTENA · ACCRUFER · ADHANSIA XR · ADLARITY · AFREZZA · AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · APLENZIN · AREXVY · AUSTEDO · Adempas · Aimovig · Amitiza · Auvelity · BELSOMRA · BREO · BREZTRI · BREZTRI AEROSPHERE · BYSTOLIC · Baxdela · Belviq · CAPLYTA · CHANTIX · COLLAGENASE SANTYL · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · CONTRAVE · CYCLOSET · ClosureFast · Cologuard Collection Kit · DUEXIS · Dayvigo · Dexcom G6 Transmitter · Dexilant · EDARBI · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · Edarbi · FARXIGA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · FreeStyle Libre blood glucose Flash Monitoring System · GARDASIL · GARDASIL 9 · GEMTESA · GIVLAARI · Grastek · HORIZANT · Horizant · IBSRELA · INTELLIS · INVOKANA · JANUVIA · JARDIANCE · JATENZO · JORNAY PM · Jornay PM 20mg capsules (Bottle of 100) · KRYSTEXXA · Kerendia · Korlym · LEQVIO · LINZESS · LIVALO · LOREEV XR · LYRICA · Linzess · Livalo · MOUNJARO · MYDAYIS · MYRBETRIQ · NAMZARIC · NEUROSTAR TMS THERAPY SYSTEM · NEXLETOL · NOCDURNA · NUEDEXTA · NURTEC ODT · Natesto · Neuromodulation Dspsbls and Accs · ONZETRA XSAIL · OTREXUP · Orsiro Mission · Otezla · Otrexup · Ozempic · PENNSAID · PNEUMOVAX 23 · PREVNAR - 13 · PREVNAR 13 · PROCLAIM · Proclaim Family of SCS IPGs · Prolia · QELBREE · QULIPTA · QUVIVIQ · RAYOS · RYBELSUS · Repatha · Roszet · Rybelsus · SEGLENTIS · SHINGRIX · SILENOR · SOLIQUA · SOLIQUA 100/33 · SOLOSEC · SPIRIVA RESPIMAT · SPRIX · STIOLTO RESPIMAT · SYMBICORT · SYNTHROID · Saxenda · Serostim · Sunosi · Synthroid · TLANDO · TOSYMRA · TOSYMRA SUMATRIPTAN NASAL SPRAY · TOUJEO · TOVIAZ · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TROKENDI XR · TRULANCE · TRULICITY · Thyquidity · Tirosint · Tresiba · Trintellix · Tymlos · UBRELVY · UTIBRON · VIBERZI · VOQUEZNA · VRAYLAR · VYVANSE · Vascepa · Victoza · WATCHMAN FLX · WELLBUTRIN · Wegovy · XARELTO · XIFAXAN · XYOSTED · Xhance · Xofluza · Xultophy 100/3.6 · ZEPBOUND · ZOHYDRO ER · ZORYVE · ZOSTAVAX · 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 1% for family medicine in TX.
Equivalent to $448 per 100 Medicare services performed
Geographic Context
Family medicine physicians within 10 mi
988
Per 100K population
48.5
County median income
$70,571
Nearest hospital
SOUTH TEXAS SPINE AND SURGICAL HOSPITAL
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. Roka is a clinical cardiology specialist, with above-average Medicare volume (top 4% in TX), with low-engagement industry engagement in the top 1% 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. Roka experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Roka performed 1,001 office visit, established patient (30-39 min) 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. Roka receive payments from pharmaceutical companies?
Yes. Dr. Roka received a total of $22,004 from 89 companies across 1,511 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. Roka's costs compare to other family medicine physicians in San Antonio?
Dr. Roka's average Medicare payment per service is $71. 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. Roka) 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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