Medicare Enrolled
Dr. Carlos Roman, MD
Clinical Cardiac Electrophysiology Physician · San Antonio, TX
Practice pattern: Electrophysiology & Remote— Practice combining electrophysiology and remote services
Low-engagement
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. Roman 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. Roman
Dr. Carlos Roman is a clinical cardiac electrophysiology physician in San Antonio, TX, with 20 years in practice. Based on federal Medicare data, Dr. Roman performed 5,045 Medicare services across 2,922 unique beneficiaries.
Between the years covered by Open Payments, Dr. Roman received a total of $26,157 from 26 pharmaceutical and/or device companies across 599 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in clinical cardiac electrophysiology physician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Roman is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years in practice▲ Top 21% volume in TX$ $26,157 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,045
Medicare services
Top 21% in TX for clinical cardiac electrophysiology physician
2,922
Unique beneficiaries
$49
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~252 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 |
|---|---|---|---|
| Remote pacemaker/defibrillator monitoring, 90 days | 728 | $17 | $81 |
| Remote pacemaker monitoring, 90 days | 690 | $22 | $88 |
| Office visit, established patient (30-39 min) | 676 | $89 | $258 |
| EKG interpretation and report | 543 | $6 | $23 |
| Electrocardiogram (EKG), 12-lead | 404 | $10 | $50 |
| Programming of dual lead pacemaker system | 307 | $40 | $127 |
| Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days | 264 | $27 | $173 |
| Evaluation of cardiac rhythm monitor system, remote up to 30 days | 211 | $18 | $71 |
| Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec | 194 | $26 | $144 |
| Office visit, established patient, complex (40-54 min) | 138 | $129 | $347 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 82 | $10 | $32 |
| Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days | 76 | $19 | $66 |
| Programming of dual lead implantable defibrillator system | 69 | $52 | $178 |
| Programming of multiple lead implantable defibrillator system | 69 | $56 | $194 |
| Hospital follow-up visit, high complexity | 69 | $92 | $252 |
| Hospital follow-up visit, moderate complexity | 68 | $61 | $176 |
| Programming of multiple lead pacemaker system | 65 | $46 | $150 |
| Office visit, established patient (20-29 min) | 65 | $63 | $174 |
| New patient office visit, complex (60-74 min) | 54 | $168 | $498 |
| Initial hospital admission, high complexity | 42 | $136 | $492 |
| Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation | 32 | $727 | $2,733 |
| Repair of left upper heart chamber with implant with review by radiologist | 29 | $504 | $2,099 |
| Electrocardiogram (ecg) 2-day continuous with review by health care professional | 26 | $11 | $69 |
| Insertion of catheters and destruction of tissue to treat abnormal heart rhythm | 25 | $235 | $1,024 |
| Insertion of heart rhythm monitor under skin | 23 | $58 | $235 |
| Insertion of pacemaker and upper and lower heart chamber electrode | 22 | $361 | $1,416 |
| External shock to heart to regulate heart beat | 19 | $84 | $325 |
| Ultrasound evaluation of heart blood vessel with review by radiologist | 19 | $58 | $866 |
| Echocardiogram, transthoracic | 12 | $54 | $171 |
| Comprehensive electrophysiologic evaluation with catheter destruction of abnormality of upper chamber of heart causing supraventricular tachycardia (rapid heart rate) | 12 | $641 | $2,047 |
| Hospital discharge management, 30+ min | 12 | $82 | $256 |
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.
45.5% high complexity
0.4% medium
54.1% routine
Industry Payment Transparency
Open Payments through 2024 ↗$26,157
Total received (2018-2024)
Avg $3,737/year across 7 years
Top 46% in TX for clinical cardiac electrophysiology physician
26
Companies
599
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
$21,887 (83.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$4,270 (16.3%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024$1,647
2023$3,614
2022$4,160
2021$5,838
2020$1,105
2019$4,055
2018$5,738
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$6,080
Abbott Laboratories
$5,792
Boston Scientific Corporation
$3,195
Medtronic Vascular, Inc.
$3,055
BIOTRONIK INC.
$1,989
Medical Device Business Services, Inc.
$1,929
Biosense Webster, Inc.
$1,047
BOSTON SCIENTIFIC CORPORATION
$1,021
Acutus Medical, Inc.
$755
Janssen Pharmaceuticals, Inc
$278
CardioFocus, Inc.
$194
PFIZER INC.
$193
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$123
Amgen Inc.
$78
SANOFI-AVENTIS U.S. LLC
$74
CARDIVA MEDICAL, INC.
$61
Impulse Dynamics (USA) Inc.
$52
AtriCure, Inc.
$44
E.R. Squibb & Sons, L.L.C.
$41
Boehringer Ingelheim Pharmaceuticals, Inc.
$31
Novartis Pharmaceuticals Corporation
$29
ATRICURE, INC.
$25
AltaThera Pharmaceuticals LLC
$24
Actelion Pharmaceuticals US, Inc.
$18
Lundbeck LLC
$16
Alnylam Pharmaceuticals Inc.
$14
Top 3 companies account for 57.6% of total payments
Associated products mentioned in payments ›
ACCENT · ACCOLADE · ACCOLADE SR · ACUITY · ACUITY Steerable · ADVISOR · AMPLATZER · AMPLATZER AMULET · AZURE XT DR MRI SURESCAN · Accent Pacemaker · Acticor · Advisor Catheter · Amplia MRI · Arctic Front · AtriCure Synergy Ablation System · Azure · BodyGuardian · CAMZYOS · CARDIVA VASCADE MVP VVCS 6-12F · CARTO 3 · CLARIA MRI QUAD CRT-D SURESCAN · COBALT DR MRI SURESCAN · CRT-Ps · CareLink · Carto 3 · Carto 3 System · CartoSound · Claria MRI · Cobalt · Confidense · Corlanor · DIAMONDTEMP BIDIRECTIONAL ABLATION CATHETER · DYNAGEN · ELIQUIS · EMBLEM · EMBLEM MRI S-ICD · EMBLEM S ICD ELECTRODE DELIVERY SYSTEM · EMBLEM S-ICD ELECTRODE DELIVERY SYSTEM · ENSITE PRECISION · ENTRESTO · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · Edora · Ellipse ICD · EnSite Precision Cardiac Mapping System · Ensite Cardiac Mapping System · FINELINE · Fortify Assura · GENERAL EP · GENERAL TACHY · GENERAL THERAPIES · GENERAL - THERAPIES · GENERAL THERAPIES · General - Therapies · HEARTLIGHT SYSTEM · HeartLight System · INGEVITY · INGEVITY MRI · INTELLANAV · JARDIANCE · JOT DX · LARIAT SUTURE DELIVERY DEVICE · LATITUDE · LINQ II · LUX DX · LUX-DX · LUX-Dx Insertable Cardiac Monitor · LifeVest · MICRA · MULTAQ · MYCARELINK · MYLUX · Merlin Connectivity and Remote · Micra · MyCareLink Smart · NA · NORTHERA · ONPATTRO · OPSUMIT · OPTIMIZER · Optimizer · PULSESELECT · Pacemakers · Paso · Percepta · Quadra Assura CRT Defibrillator · RELIANCE 4 FRONT · RELIANCE 4-FRONT · RESONATE · RHYTHMIA · Renamic Neo · Repatha · Rhythmia Mapping System · SENSOR ENABLED · SQ RX · SelectSecure · Sotalol Hydrochloride · Soundstar · TACTICATH · TACTICATH ABLATION CATHETER · VIEWMATE · VersaCross Access Solution · ViewMate Intracardiac Echo · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX · XARELTO · myLUX Patient Kit with mobile device
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 (84%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $518 per 100 Medicare services performed
Geographic Context
Clinical Cardiac Electrophysiology Physicians within 10 mi
15
Per 100K population
0.7
County median income
$70,571
Nearest hospital
UNIVERSITY HEALTH SYSTEM
0.0 mi
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. Roman is a electrophysiology & remote specialist, with above-average Medicare volume (top 21% in TX), 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. Roman experienced with remote pacemaker/defibrillator monitoring, 90 days?
Based on Medicare claims data, Dr. Roman performed 728 remote pacemaker/defibrillator monitoring, 90 days 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. Roman receive payments from pharmaceutical companies?
Yes. Dr. Roman received a total of $26,157 from 26 companies across 599 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. Roman's costs compare to other clinical cardiac electrophysiology physicians in San Antonio?
Dr. Roman's average Medicare payment per service is $49. 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. Roman) 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 →
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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.
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