Medicare Enrolled
Dr. Brian Starr, M.D.
Interventional Pain Medicine Physician · San Antonio, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Starr 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. Starr?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Starr
Dr. Brian Starr is an interventional pain medicine physician in San Antonio, TX, with 18 years of NPI registration. Based on federal Medicare data, Dr. Starr performed 2,844 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Starr received a total of $4,185 from 20 pharmaceutical and/or device companies across 125 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Starr is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 18 years of NPI registration
▲ Top 36% volume in TX
$4,185 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗2,844
Medicare services
Top 36% in TX for interventional pain medicine physician
Not available
Unique patients (not deduplicated)
$82
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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. |
675 | $94 | $527 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
386 | $1 | $40 |
| 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. |
300 | $66 | $400 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
212 | $0 | $1 |
| 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. |
197 | $117 | $807 |
| Midazolam injection, per 1 mg Administration of midazolam hydrochloride, a sedative medication, measured in 1 mg increments. |
141 | $0 | $2 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
107 | $9 | $40 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
85 | $211 | $4,112 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
84 | $195 | $4,000 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
76 | $185 | $2,055 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
71 | $101 | $1,042 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
66 | $38 | $650 |
| Viscosupplementation injection for joint An injection of hyaluronic acid or a derivative into a joint to provide lubrication and cushioning. |
63 | $59 | $400 |
| Ultrasound-guided large joint aspiration or injection This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint. |
56 | $89 | $1,054 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
42 | $137 | $1,600 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
40 | $470 | $5,050 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
39 | $264 | $1,526 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
36 | $86 | $800 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
35 | $60 | $743 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
30 | $88 | $1,000 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
22 | $192 | $4,200 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
20 | $189 | $2,000 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
18 | $85 | $527 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
17 | $93 | $1,000 |
| Knee nerve block injection with imaging guidance An injection of anesthetic and/or steroid medication into a nerve branch of the knee, performed using imaging guidance to ensure accurate placement. |
14 | $186 | $683 |
| Destruction of nerve branches of knee using imaging guidance | 12 | $296 | $8,000 |
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. These counts do not measure clinical quality or years of experience.
Industry Payment Transparency
Open Payments through 2024 ↗$4,185
Total received (2018-2024)
Avg $837/year across 5 years
Bottom 47% in TX for interventional pain medicine physician
20
Companies
125
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,009
2023
$562
2022
$633
2021
$416
2018
$1,564
Payments by company (2024)
Medtronic, Inc.
$338
Boston Scientific Corporation
$252
Amgen Inc.
$150
Boehringer Ingelheim Pharmaceuticals, Inc.
$111
Abbott Laboratories
$54
Teva Pharmaceuticals USA, Inc.
$43
Nevro Corp.
$23
Averitas Pharma Inc.
$21
Collegium Pharmaceutical, Inc.
$16
Top 3 companies account for 73.4% of 2024 payments
All-time payments by company (2018-2024) ›
Abbott Laboratories
$2,611
Medtronic, Inc.
$338
Amgen Inc.
$288
Boston Scientific Corporation
$252
Boehringer Ingelheim Pharmaceuticals, Inc.
$111
Relievant Medsystems, Inc.
$95
AbbVie Inc.
$69
PFIZER INC.
$46
Averitas Pharma Inc.
$43
Teva Pharmaceuticals USA, Inc.
$43
GRT US Holding, Inc.
$42
IBSA Pharma Inc.
$37
Nevro Corp.
$35
PAINTEQ LLC
$30
Collegium Pharmaceutical, Inc.
$30
ABBVIE INC.
$28
Scilex Pharmaceuticals Inc.
$27
Biohaven Pharmaceutical Holding Company Ltd.
$25
Fidia Pharma USA Inc.
$20
Biohaven Pharmaceuticals, Inc.
$14
Top 3 companies account for 77.4% of all-time payments
Associated products mentioned in payments ›
AJOVY · AXIUM · Belbuca · HYMOVIS · INTELLIS ADAPTIVESTIM · IONICRF · Intracept · KYPHON EXPRESS II KYPHOPAK TRAY · LYRICA · Licart · NURTEC ODT · Otezla · PAINTEQ · PROCLAIM · Proclaim DRG IPG · Proclaim Family of SCS IPGs · Proclaim IPG · QUTENZA · Qutenza · Senza · Senza Spinal Cord Stimulation System · TAVNEOS · Tirosint · UBRELVY · XTAMPZA · ZTLido
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Interventional pain medicine physicians in nearby ZIP areas
8
County median income
$70,571
Nearest hospital to ZIP centroid (approximate)
BAPTIST NEIGHBORHOOD HOSPITAL THOUSAND OAKS
4.0 mi
4.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Starr is a clinical cardiology specialist, with moderate Medicare volume, with 18 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Starr experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Starr performed 675 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Starr receive payments from pharmaceutical companies?
Yes. Dr. Starr received a total of $4,185 from 20 companies across 125 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Starr's costs compare to other interventional pain medicine physicians in San Antonio?
Dr. Starr's average Medicare payment per service is $82. 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. Starr) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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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