Dr. David Hirsch, D.O.
What this data tells you about Dr. Hirsch
Dr. David Hirsch is a physical medicine & rehabilitation in San Antonio, TX, with 20 years in practice. Based on federal Medicare data, Dr. Hirsch performed 3,348 Medicare services across 946 unique beneficiaries.
Between the years covered by Open Payments, Dr. Hirsch received a total of $2,962 from 32 pharmaceutical and/or device companies across 165 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in physical medicine & rehabilitation. 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. Hirsch 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 |
|---|---|---|---|
| Steroid injection (triamcinolone) | 1,801 | $1 | $8 |
| Office visit, established patient (30-39 min) | 485 | $90 | $167 |
| Dexamethasone injection (steroid) | 315 | $0 | $15 |
| Drug screening test | 172 | $61 | $175 |
| Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 67 | $143 | $627 |
| Aspiration and/or injection of fluid large joint using ultrasound guidance | 66 | $72 | $245 |
| Injection of lower or sacral spine facet joint using imaging guidance, second level | 52 | $103 | $415 |
| Injection of lower or sacral spine facet joint using imaging guidance, single level | 51 | $191 | $987 |
| New patient office visit (45-59 min) | 50 | $116 | $273 |
| Office visit, established patient, complex (40-54 min) | 44 | $127 | $267 |
| Injection of substance into lower spine canal using imaging guidance | 37 | $176 | $624 |
| X-ray of lower and sacral spine, minimum of 4 views | 37 | $38 | $150 |
| Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 28 | $495 | $1,473 |
| Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint | 28 | $275 | $786 |
| Destruction of nerves supplying joint between spine and pelvis using imaging guidance | 26 | $482 | $1,747 |
| Ultrasonic guidance for needle placement | 22 | $39 | $350 |
| Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 21 | $206 | $1,013 |
| Injection of anesthetic agent and/or steroid into spine and pelvis nerve using imaging guidance | 17 | $227 | $983 |
| Injection of upper or middle spine facet joint using imaging guidance, single level | 15 | $174 | $1,131 |
| Assessment of emotional or behavioral problems | 14 | $4 | $20 |
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. Hirsch is a clinical cardiology specialist, with above-average Medicare volume (top 19% in TX), and high industry engagement (low-engagement, top 18%), 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. Hirsch experienced with steroid injection (triamcinolone)?
Does Dr. Hirsch receive payments from pharmaceutical companies?
How do Dr. Hirsch's costs compare to other physical medicine & rehabilitations in San Antonio?
What does Data Coverage mean?
Is this data up to date?
Explore related providers
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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