Medicare Enrolled

Dr. Avie Grunspan, MD

Sleep Medicine (Internal Medicine) Physician · San Antonio, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
4114 POND HILL ROAD, San Antonio, TX 78231
2102495020
In practice since 2005 (20 years)
NPI: 1881695542 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. Grunspan 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. Grunspan

Dr. Avie Grunspan is a sleep medicine (internal medicine) physician in San Antonio, TX, with 20 years in practice. Based on federal Medicare data, Dr. Grunspan performed 1,123 Medicare services across 1,025 unique beneficiaries.

Between the years covered by Open Payments, Dr. Grunspan received a total of $3,118 from 25 pharmaceutical and/or device companies across 136 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in sleep medicine (internal medicine) physician. 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. Grunspan 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 46% volume in TX$ $3,118 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,123
Medicare services
Top 46% in TX for sleep medicine (internal medicine) physician
1,025
Unique beneficiaries
$72
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~56 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
Office visit, established patient (30-39 min)436$75$242
Office visit, established patient (20-29 min)273$48$162
New patient office visit (45-59 min)145$101$375
Sleep study in sleep lab (6 years or older)115$90$477
Sleep study in sleep lab with continuous airway pressure (6 years or older)64$92$545
Sleep study including heart rate, breathing, and sleep time38$34$526
New patient office visit (30-44 min)31$61$219
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation21$34$545
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 ↗
$3,118
Total received (2018-2024)
Avg $445/year across 7 years
Top 42% in TX for sleep medicine (internal medicine) physician
25
Companies
136
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
$3,085 (98.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$33 (1.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$687
2023
$829
2022
$525
2021
$184
2020
$130
2019
$562
2018
$200

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Harmony Biosciences LLC
$833
HARMONY BIOSCIENCES LLC
$377
JAZZ PHARMACEUTICALS INC.
$352
Jazz Pharmaceuticals Inc.
$272
Regeneron Healthcare Solutions, Inc.
$163
Fisher & Paykel Healthcare Inc
$161
Axsome Therapeutics, Inc.
$122
Avadel CNS Pharmaceuticals, LLC
$119
Avadel Specialty Pharmaceuticals, LLC
$113
Philips Electronics North America Corporation
$75
IDORSIA PHARMACEUTICALS US INC
$73
AstraZeneca Pharmaceuticals LP
$70
Resmed Corp
$58
Almatica Pharma LLC
$40
Vanda Pharmaceuticals Inc.
$38
UCB, Inc.
$33
Inspire Medical Systems, Inc.
$30
Eisai Inc.
$29
Merck Sharp & Dohme LLC
$29
Azurity Pharmaceuticals, Inc.
$28
ARBOR PHARMACEUTICALS, INC.
$23
Itamar Medical Inc
$22
Sobi, Inc
$20
Kaleo, Inc.
$20
Baxter Healthcare
$17
Top 3 companies account for 50.1% of total payments
Associated products mentioned in payments ›
(2383) SleepUndivided · AIRSENSE · Astral · Auvi-Q · BELSOMRA · DUPIXENT · Dayvigo · FASENRA · FISHER & PAYKEL HEALTHCARE · HETLIOZ · HORIZANT · Hillrom - Vest System Model 105 Home Care · Horizant · INSPIRE · LOREEV XR · LUMRYZ · Neupro · Noctiva · QUVIVIQ · Respiratoriy Care Undiv · SYNAGIS · Sleep Other · Sunosi · Synagis · Trilogy 100 · WAKIX · Wakix · WatchPAT · XYREM · XYWAV · Xyrem · inCourage
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 (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $278 per 100 Medicare services performed
Looking for a sleep medicine (internal medicine) physician in San Antonio?
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Geographic Context

Sleep Medicine (Internal Medicine) Physicians within 10 mi
8
Per 100K population
0.4
County median income
$70,571
Nearest hospital
BAPTIST NEIGHBORHOOD HOSPITAL THOUSAND OAKS
4.0 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. Grunspan is a clinical cardiology specialist, with moderate Medicare volume, and low-engagement industry engagement, with 20 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. Grunspan experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Grunspan performed 436 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. Grunspan receive payments from pharmaceutical companies?
Yes. Dr. Grunspan received a total of $3,118 from 25 companies across 136 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. Grunspan's costs compare to other sleep medicine (internal medicine) physicians in San Antonio?
Dr. Grunspan's average Medicare payment per service is $72. 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. Grunspan) 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 →