Dr. Bryan Lai
What this data tells you about Dr. Lai
Dr. Bryan Lai is a pain medicine specialist in San Antonio, TX, with 12 years of NPI registration. Based on federal Medicare data, Dr. Lai performed 2,024 Medicare services across 986 unique beneficiaries.
Between the years covered by Open Payments, Dr. Lai received a total of $34,640 from 31 pharmaceutical and/or device companies across 272 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pain medicine. The majority of payments are classified as research and scientific activities (grants and research funding). Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Lai 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.
Medicare Practice Summary
Medicare Utilization ↗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) | 550 | $90 | $912 |
| Drug screening test | 256 | $58 | $377 |
| Contrast dye for imaging, lower concentration | 187 | $0 | $23 |
| Office visit, established patient (20-29 min) | 185 | $63 | $603 |
| Injection, methylprednisolone acetate, 80 mg | 135 | $9 | $40 |
| Injection, methylprednisolone acetate, 40 mg | 108 | $6 | $30 |
| Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, first 20 minutes per calendar month | 54 | $38 | $138 |
| Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance | 53 | $98 | $3,292 |
| New patient office visit (45-59 min) | 50 | $125 | $1,370 |
| Injection of lower or sacral spine facet joint using imaging guidance, second level | 48 | $93 | $1,688 |
| Injection of lower or sacral spine facet joint using imaging guidance, single level | 47 | $171 | $7,660 |
| Injection of substance into lower spine canal using imaging guidance | 42 | $188 | $5,000 |
| Aspiration and/or injection of fluid large joint using ultrasound guidance | 37 | $84 | $3,800 |
| Ultrasonic guidance for needle placement | 34 | $40 | $500 |
| Injection of upper or middle spine facet joint using imaging guidance, single level | 29 | $189 | $8,017 |
| Injection of upper or middle spine facet joint using imaging guidance, second level | 27 | $102 | $1,704 |
| Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 21 | $479 | $14,238 |
| Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint | 21 | $266 | $4,000 |
| Anesthesia for nerve block and injection procedure, prone position | 20 | $114 | $3,650 |
| Joint injection, major joint | 20 | $48 | $3,395 |
| Injection of trigger points, 3 or more muscles | 19 | $43 | $750 |
| Fluoroscopic guidance for needle placement | 19 | $78 | $500 |
| New patient office visit, complex (60-74 min) | 19 | $172 | $1,711 |
| Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 18 | $156 | $5,111 |
| Set-up and patient education for remote monitoring of therapy | 13 | $15 | $53 |
| Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance | 12 | $84 | $2,750 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
The majority of payments (76%) are classified as scientific/research, suggesting involvement in clinical studies, grants, or innovation-related work. Total industry engagement is in the top 7% for pain medicine in TX.
Geographic Context
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. Lai is a clinical cardiology specialist, with moderate Medicare volume, with research-focused industry engagement in the top 7% of TX peers.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
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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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