Dr. Daniel Fleming, M.D.
What this data tells you about Dr. Fleming
Dr. Daniel Fleming is an otolaryngology specialist in San Antonio, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Fleming performed 1,500 Medicare services across 1,221 unique beneficiaries.
Between the years covered by Open Payments, Dr. Fleming received a total of $156 from 7 pharmaceutical and/or device companies across 7 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in otolaryngology. 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. Fleming 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 (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. |
380 | $62 | $140 |
| 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. |
271 | $89 | $212 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
160 | $34 | $138 |
| 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. |
105 | $107 | $310 |
| Middle ear function test A diagnostic test used to evaluate how well the middle ear is functioning. |
82 | $11 | $27 |
| Nasal endoscopy A diagnostic procedure that uses a thin, lighted tube to examine the inside of the nasal passages. |
59 | $135 | $326 |
| Eardrum and muscle function test A diagnostic test used to evaluate the function of the eardrum and associated muscles. |
57 | $16 | $60 |
| Comprehensive hearing and speech recognition test A diagnostic evaluation that assesses hearing ability and the capacity to understand spoken words. The test measures how well a patient can detect sounds and recognize speech. |
53 | $25 | $66 |
| 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. |
52 | $74 | $200 |
| Flexible laryngoscopy A diagnostic exam of the voice box using a flexible endoscope to visualize the larynx. |
51 | $89 | $240 |
| Ear probe test for repeated sounds A probe is placed in the ear to measure how the ear responds to repeated sounds. The results are interpreted and a report is provided. |
50 | $22 | $125 |
| CT scan of face, without contrast A computed tomography scan that creates detailed images of the facial structures. This procedure is performed without the use of intravenous contrast dye. |
31 | $99 | $500 |
| Vocal cord movement assessment with endoscope This procedure uses an endoscope to examine the movement of the vocal cords. It allows for the visual assessment of how the vocal cord flaps function. |
26 | $150 | $323 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
21 | $37 | $88 |
| Auditory brainstem response test A test that measures how the brain responds to sound to help diagnose nervous system disorders. The results are interpreted and reported by a medical professional. |
17 | $65 | $300 |
| Vestibular function test with thermal irrigation A test that assesses balance by irrigating both ears with warm and cool fluids to evaluate inner ear function. |
16 | $31 | $125 |
| Balance testing with recording A procedure to evaluate balance function by recording the results during testing. |
16 | $84 | $184 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
14 | $8 | $50 |
| VEMP testing of lower inner ear nerve branch A diagnostic test that evaluates the function of the lower branch of the inner ear nerve. The procedure includes interpretation of the results and a written report. |
14 | $59 | $160 |
| Test to assess electrical potentials generated in the inner ear as a result of sound stimulation | 13 | $86 | $200 |
| Impacted earwax removal by physician Removal of impacted earwax from one or both ears by a physician on the same day as audiologic testing. |
12 | $35 | $100 |
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 ›
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
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. Fleming is a clinical cardiology specialist, with above-average Medicare volume (top 27% in TX), with low-engagement industry engagement, with 20 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
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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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