Medicare Enrolled

Dr. Antonio Serna, MD

Gastroenterology · San Antonio, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Consulting-driven
520 E EUCLID AVE, San Antonio, TX 78212
2102710606
In practice since 2007 (19 years)
NPI: 1538208541 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. Serna 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. Serna? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Serna

Dr. Antonio Serna is a gastroenterology in San Antonio, TX, with 19 years in practice. Based on federal Medicare data, Dr. Serna performed 2,243 Medicare services across 1,784 unique beneficiaries.

Between the years covered by Open Payments, Dr. Serna received a total of $16,414 from 41 pharmaceutical and/or device companies across 466 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Serna 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.

✓ 19 years in practice▲ Top 5% volume in TX$ $16,414 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,243
Medicare services
Top 5% in TX for gastroenterology
1,784
Unique beneficiaries
$86
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~118 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.

ProcedureVolumeAvg. paidAvg. submitted
Hospital follow-up visit, moderate complexity755$59$146
Initial hospital admission, moderate complexity433$98$278
Upper GI endoscopy with biopsy205$87$680
Office visit, established patient (20-29 min)185$61$148
Office visit, established patient (30-39 min)143$89$217
Colonoscopy with biopsy111$117$847
Removal of stone or debris from bile or pancreatic duct using a flexible endoscope44$208$1,537
Removal of polyps or growths of large bowel using an endoscope with mechanical snare44$185$1,067
Insertion of stomach tube using a flexible endoscope40$151$844
New patient office visit (45-59 min)38$100$332
Diagnostic exam of large bowel using a flexible endoscope36$127$781
Incision of pancreatic outlet using a flexible endoscope33$34$1,509
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes31$63$206
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope29$87$518
Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope24$144$848
Hospital follow-up visit, low complexity18$38$80
Office visit, established patient (10-19 min)15$43$100
Insertion of stent into pancreatic or bile duct using a flexible endoscope13$348$1,955
Review by radiologist of image from tube placement into bile duct using an endoscope13$18$173
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm11$111$649
Colorectal cancer screening; colonoscopy on individual at high risk11$174$778
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk11$158$781
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.
0.6% high complexity
15.1% medium
84.4% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$16,414
Total received (2018-2024)
Avg $2,345/year across 7 years
Top 12% in TX for gastroenterology
41
Companies
466
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.

Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$8,870 (54.0%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$7,032 (42.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$512 (3.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$571
2023
$731
2022
$1,069
2021
$2,926
2020
$696
2019
$1,978
2018
$8,442

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
GI Supply, Inc.
$7,657
RedHill Biopharma Inc.
$1,998
ABBVIE INC.
$876
AbbVie Inc.
$846
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$806
Allergan Inc.
$499
Gilead Sciences, Inc.
$471
AbbVie, Inc.
$424
Olympus America Inc.
$404
Shionogi Inc
$301
Janssen Biotech, Inc.
$216
Intercept Pharmaceuticals, Inc.
$215
PFIZER INC.
$202
Synergy Pharmaceuticals Inc
$166
Axonics, Inc.
$153
Ironwood Pharmaceuticals, Inc
$135
Celgene Corporation
$110
Takeda Pharmaceuticals U.S.A., Inc.
$79
Nestle HealthCare Nutrition Inc.
$76
Ferring Pharmaceuticals Inc.
$75
QOL Medical, LLC
$73
Micro-tech Endoscopy USA, Inc.
$63
Shire North American Group Inc
$59
Merck Sharp & Dohme LLC
$53
Braintree Laboratories, Inc.
$52
UCB, Inc.
$47
NESTLE HEALTHCARE NUTRITION INC.
$47
Allergan, Inc.
$45
Alfasigma USA, Inc.
$36
CONMED Corporation
$34
EVOKE PHARMA, INC.
$30
Romark Laboratories, LC
$26
Ethicon US, LLC
$23
Lilly USA, LLC
$20
Medtronic USA, Inc.
$17
IRONWOOD PHARMACEUTICALS, INC
$17
Medtronic, Inc.
$15
Evoke Pharma, Inc.
$14
Cumberland Pharmaceuticals, Inc.
$13
GENZYME CORPORATION
$13
Endogastric Solutions, Inc
$8
Top 3 companies account for 64.2% of total payments
Associated products mentioned in payments ›
ALINIA · APRISO · Aemcolo · All Products · Amitiza · Axonics · BYSTOLIC · Balloons · CLENPIQ · CONMED Biliary · CREON · Cimzia · Creon · DIFICID · DISPOSABLE BIOPSY FORCEPS · DUPIXENT · Dexilant · ENTERRA · ERCP V-System · ESOPHYX · EUS Devices · Epclusa · GATTEX · GI GENIUS · GIMOTI · HANAROSTENT LowAxTM Colon/Rectum(NNN) · HUMIRA · Humira · LINX Reflux Management System · LINZESS · Linzess · Lockado · MAVYRET · MOTEGRITY · Mavyret · Movantik · Mulpleta · OCALIVA · OMVOH · Omeclamox-Pak · RELISTOR · RINVOQ · SKYRIZI · STELARA · SUCRAID · SUPREP · SUPREP BOWEL PREP · SUTAB · Single Use Biliary Stent V · Single Use Electrosurgical Knife KD-655 · Sucraid · Symproic · TALICIA · TREMFYA · TRULANCE · Talicia · Trulance · VIBERZI · VISIGLIDE · VOWST · WIDE-EYE Polyptrap · XELJANZ · XIFAXAN · XIFIXAN · ZENPEP · ZEPOSIA · Zelnorm
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 →

The majority of payments (54%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers.

Equivalent to $732 per 100 Medicare services performed
Looking for a gastroenterology in San Antonio?
Compare gastroenterologys in the San Antonio area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Gastroenterologys within 10 mi
103
Per 100K population
5.1
County median income
$70,571
Nearest hospital
BAPTIST MEDICAL CENTER
2.8 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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. Serna is a clinical cardiology specialist, with above-average Medicare volume (top 5% in TX), and high industry engagement (consulting-driven, top 12%), with 19 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

Is Dr. Serna experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Serna performed 755 hospital follow-up visit, moderate complexity 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. Serna receive payments from pharmaceutical companies?
Yes. Dr. Serna received a total of $16,414 from 41 companies across 466 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. Serna's costs compare to other gastroenterologys in San Antonio?
Dr. Serna's average Medicare payment per service is $86. 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. Serna) 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 →