Medicare Enrolled

Dr. Ayham Shneker, MD

Internal Medicine · San Antonio, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
1032 S WW WHITE RD, San Antonio, TX 78220
2104473033
In practice since 2006 (19 years)
NPI: 1871557454 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. Shneker 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. Shneker

Dr. Ayham Shneker is an internal medicine specialist in San Antonio, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Shneker performed 1,837 Medicare services across 1,152 unique beneficiaries.

Between the years covered by Open Payments, Dr. Shneker received a total of $12,520 from 74 pharmaceutical and/or device companies across 730 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal 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. Shneker 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 20% volume in TX $12,520 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,837
Medicare services
Top 20% in TX for internal medicine
1,152
Unique beneficiaries
$47
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~97 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) 621 $76 $178
Office visit, established patient (20-29 min) 234 $55 $119
Testing for presence of drug, read by direct observation 128 $12 $48
Drug injection, under skin or into muscle 113 $9 $39
Dexamethasone injection (steroid) 98 $0 $7
Annual wellness visit, follow-up 91 $124 $183
Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage 86 $21 $30
Flu vaccine administration 86 $29 $33
Detection test by immunoassay with direct visual observation for influenza virus 80 $15 $33
Urinalysis, manual 58 $3 $10
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 50 $30 $59
Office visit, established patient (10-19 min) 48 $38 $73
Blood draw (venipuncture) 32 $8 $10
New patient office visit (30-44 min) 28 $43 $180
Electrocardiogram (EKG), 12-lead 27 $9 $39
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment 17 $91 $265
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 14 $25 $77
Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation; booster dose 13 $39 $40
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 13 $18 $39
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 ↗
$12,520
Total received (2018-2024)
Avg $1,789/year across 7 years
Top 7% in TX for internal medicine
74
Companies
730
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
$12,470 (99.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$50 (0.4%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,209
2023
$1,345
2022
$1,740
2021
$2,398
2020
$1,658
2019
$2,762
2018
$1,408

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Novo Nordisk AS
$1,098
Lilly USA, LLC
$1,066
AbbVie Inc.
$998
Novo Nordisk Inc
$911
Amgen Inc.
$772
ABBVIE INC.
$626
AstraZeneca Pharmaceuticals LP
$562
GlaxoSmithKline, LLC.
$496
SANOFI-AVENTIS U.S. LLC
$490
Janssen Pharmaceuticals, Inc
$376
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$364
Corcept Therapeutics
$355
Astellas Pharma US Inc
$339
Allergan, Inc.
$293
Esperion Therapeutics, Inc.
$229
Amarin Pharma Inc.
$215
PFIZER INC.
$208
Bayer Healthcare Pharmaceuticals Inc.
$201
Nestle HealthCare Nutrition Inc.
$177
Merck Sharp & Dohme Corporation
$173
Kowa Pharmaceuticals America, Inc.
$156
Abbott Laboratories
$149
Boehringer Ingelheim Pharmaceuticals, Inc.
$139
Takeda Pharmaceuticals U.S.A., Inc.
$137
Allergan Inc.
$136
Novartis Pharmaceuticals Corporation
$122
Bayer HealthCare Pharmaceuticals Inc.
$120
Merck Sharp & Dohme LLC
$111
Insulet Corporation
$89
Ironwood Pharmaceuticals, Inc
$85
Avanir Pharmaceuticals, Inc.
$74
Otsuka America Pharmaceutical, Inc.
$65
Genentech USA, Inc.
$65
Eisai Inc.
$64
Biohaven Pharmaceuticals, Inc.
$62
AbbVie, Inc.
$48
RedHill Biopharma Inc.
$44
Sumitomo Pharma America, Inc.
$43
IRONWOOD PHARMACEUTICALS, INC
$41
Nevro Corp.
$39
Althera Pharmaceuticals LLC
$39
Biohaven Pharmaceutical Holding Company Ltd.
$39
Horizon Therapeutics plc
$38
Ardelyx, Inc.
$37
Regeneron Healthcare Solutions, Inc.
$36
Shield Therapeutics Inc
$34
SCILEX PHARMACEUTICALS INC.
$33
QOL Medical, LLC
$32
Acerus Pharmaceuticals Corporation
$27
Nalpropion Pharmaceuticals LLC
$27
Kyowa Kirin, Inc.
$26
Dexcom, Inc.
$24
Currax Pharmaceuticals LLC
$23
EVOKE PHARMA, INC.
$23
Evoke Pharma, Inc.
$23
Synergy Pharmaceuticals Inc
$22
OptiNose US, Inc.
$21
SHIELD THERAPEUTICS INC
$21
Actelion Pharmaceuticals US, Inc.
$20
Xeris Pharmaceuticals, Inc.
$20
Mannkind Corporation
$19
Exact Sciences Corporation
$18
RECORDATI_RARE_DISEASES_INC.
$18
Phathom Pharmaceuticals, Inc.
$18
Tolmar, Inc.
$18
Radius Health, Inc.
$18
Nalpropion Pharmaceuticals, Inc.
$16
Biogen, Inc.
$15
ANI Pharmaceuticals, Inc.
$15
Antares Pharma, Inc.
$14
ARBOR PHARMACEUTICALS, INC.
$13
Vanda Pharmaceuticals Inc.
$13
Gilead Sciences, Inc.
$11
Horizon Pharma plc
$11
Top 3 companies account for 25.3% of total payments
Associated products mentioned in payments ›
ACCRUFER · ADUHELM · AFREZZA · ANORO · ANORO ELLIPTA · AREXVY · Aimovig · BASAGLAR · BELSOMRA · BEXSERO · BREO · BREZTRI · CHANTIX · COLOGUARD DNA CAPTURE REAGENTS · CONTRAVE · CREON · Cologuard Collection Kit · DUEXIS · Dayvigo · Dexcom G6 Transmitter · ELAPRASE · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · FARXIGA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre blood glucose Flash Monitoring System · GEMTESA · GIMOTI · HETLIOZ · Horizant · IBSRELA · INVOKANA · JANUVIA · JARDIANCE · JATENZO · Kerendia · Korlym · LINZESS · LYRICA · Linzess · Livalo · MAVYRET · MOUNJARO · MYRBETRIQ · Mavyret · Movantik · Myrbetriq · NEXLETOL · NOCDURNA · NOURIANZ · NUEDEXTA · NURTEC ODT · Natesto · OPSUMIT · Omnipod · Otezla · Ozempic · PENNSAID · PRALUENT · PREVNAR - 13 · PURIFIED CORTROPHIN GEL · Prolia · QULIPTA · RECORLEV · REXULTI · RYBELSUS · Repatha · Roszet · Rybelsus · SHINGRIX · SIGNIFOR LAR · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SYMBICORT · SYNTHROID · Saxenda · Senza Spinal Cord Stimulation System · Sucraid · Synthroid · TOUJEO · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Tresiba · Trulance · Tymlos · UBRELVY · VIBERZI · VOQUEZNA · VPRIV · VRAYLAR · VYVANSE · Vascepa · Veozah · Victoza · XARELTO · XIFAXAN · Xhance · Xofluza · ZENPEP · ZORYVE · ZTLido
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 7% for internal medicine in TX.

Equivalent to $682 per 100 Medicare services performed
Looking for an internal medicine specialist in San Antonio?
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Geographic Context

Internal medicine physicians within 10 mi
1,128
Per 100K population
55.4
County median income
$70,571
Nearest hospital
Brooke Army Medical Center (FT Sam Houston)
4.1 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. Shneker is a clinical cardiology specialist, with above-average Medicare volume (top 20% in TX), with low-engagement industry engagement in the top 7% of TX peers, with 19 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. Shneker experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Shneker performed 621 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. Shneker receive payments from pharmaceutical companies?
Yes. Dr. Shneker received a total of $12,520 from 74 companies across 730 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. Shneker's costs compare to other internal medicine physicians in San Antonio?
Dr. Shneker's average Medicare payment per service is $47. 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. Shneker) 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 →