Medicare Enrolled
Dr. Firas Akhrass, MD
Endocrinology · San Antonio, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Speaking/Promotional
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. Akhrass 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. Akhrass
Dr. Firas Akhrass is an endocrinology specialist in San Antonio, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Akhrass performed 32,620 Medicare services across 17,793 unique beneficiaries.
Between the years covered by Open Payments, Dr. Akhrass received a total of $770,968 from 77 pharmaceutical and/or device companies across 3124 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in endocrinology. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Akhrass 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 1% volume in TX
$770,968 industry payments
Medicare Practice Summary
Medicare Utilization ↗32,620
Medicare services
Top 1% in TX for endocrinology
17,793
Unique beneficiaries
$24
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~1,631 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 |
|---|---|---|---|
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
3,324 | $6 | $6 |
| 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. |
3,168 | $88 | $209 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
2,809 | $10 | $29 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
2,580 | $9 | $27 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
2,343 | $16 | $46 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
2,271 | $13 | $37 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
2,083 | $8 | $21 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
1,618 | $9 | $25 |
| Parathyroid hormone level test A blood test that measures the amount of parathyroid hormone in your body. This hormone helps regulate calcium levels in the blood and bones. |
1,383 | $40 | $113 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
1,288 | $29 | $75 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
951 | $13 | $37 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
943 | $15 | $41 |
| Continuous glucose monitoring with interpretation This procedure involves monitoring blood sugar levels in tissue fluid using a sensor placed under the skin, along with the interpretation and reporting of the results. |
844 | $26 | $87 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
828 | $14 | $40 |
| Glycated protein level test A blood test that measures the level of glycated protein to assess average blood sugar control over time. |
540 | $16 | $41 |
| C-peptide level test A blood test that measures the amount of C-peptide, a protein produced along with insulin, to help evaluate insulin production and diabetes management. |
539 | $20 | $57 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
420 | $6 | $15 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
419 | $5 | $14 |
| 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. |
386 | $59 | $142 |
| Ultrasound of head and neck soft tissue This procedure uses sound waves to create images of the soft tissues in the head and neck area. It allows for the visualization of structures beneath the skin without using radiation. |
312 | $79 | $223 |
| Sex hormone binding globulin level test A blood test that measures the level of sex hormone binding globulin, a protein that binds to sex hormones in the bloodstream. |
263 | $21 | $60 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
239 | $37 | $78 |
| Trabecular bone score calculation This procedure calculates the trabecular bone score using imaging data to assess bone microarchitecture. It includes interpretation and a report on fracture risk. |
219 | $30 | $79 |
| Phosphate level test A blood test that measures the amount of phosphate in your body. Phosphate is a mineral that helps keep bones and teeth strong. |
198 | $5 | $13 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
170 | $8 | $23 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
149 | $10 | $49 |
| PSA test (prostate cancer screening) | 136 | $18 | $50 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
135 | $4 | $12 |
| Total cortisol level test A blood test that measures the total amount of cortisol hormone in your body. Cortisol is a hormone produced by the adrenal glands. |
134 | $15 | $45 |
| Thyroglobulin antibody blood test A blood test that measures the level of antibodies against thyroglobulin, a protein produced by the thyroid gland. |
133 | $16 | $44 |
| Microsomal antibody test A blood test that measures the level of microsomal antibodies, which are autoantibodies produced by the immune system. |
120 | $14 | $40 |
| Electrocardiogram, 1-3 leads with physician review A heart rhythm test using one to three electrodes to record electrical activity, with interpretation by a physician. |
116 | $10 | $25 |
| Ultrasound of arm and leg arteries A non-invasive imaging test that uses sound waves to examine the blood vessels in the arms and legs. It evaluates blood flow and checks for blockages or other vascular issues. |
110 | $91 | $262 |
| Cardiac enzyme level (CK-MB) test A blood test that measures the total level of creatine kinase, specifically the cardiac enzyme fraction, to help evaluate heart muscle damage. |
105 | $6 | $18 |
| Autonomic nervous system function test This test evaluates how well the sympathetic nervous system is functioning. It assesses the automatic control of bodily processes such as heart rate and blood pressure. |
101 | $94 | $270 |
| 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. |
94 | $113 | $319 |
| Free T3 thyroid hormone test A blood test that measures the level of free triiodothyronine (T3) hormone in your body. This helps assess how well your thyroid gland is functioning. |
84 | $17 | $46 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
83 | $130 | $282 |
| Autonomic nervous system testing with tilt This test evaluates the function of the sympathetic and parasympathetic nervous systems. It involves monitoring the patient for at least five minutes while they are tilted. |
76 | $96 | $296 |
| Quadrivalent influenza vaccine, preservative-free A flu shot containing four strains of the influenza virus, formulated without preservatives, administered in a 0.5 ml dose. |
68 | $22 | $45 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
68 | $29 | $30 |
| Kidney function blood test panel | 67 | $8 | $24 |
| Adrenocorticotropic hormone (ACTH) level test A blood test that measures the amount of adrenocorticotropic hormone in your body. |
64 | $37 | $106 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
59 | $3 | $9 |
| Liver stiffness measurement A non-invasive test that uses ultrasound or similar technology to measure the stiffness of liver tissue. This measurement helps assess the degree of liver fibrosis or scarring. |
53 | $21 | $120 |
| Ultrasound scan of organ tissue for measuring elasticity This procedure uses ultrasound technology to assess the stiffness or elasticity of organ tissues. It helps evaluate tissue characteristics without invasive methods. |
52 | $78 | $203 |
| LDL cholesterol level test A blood test that measures the amount of low-density lipoprotein (LDL) cholesterol in your blood. LDL is often referred to as "bad" cholesterol. |
52 | $10 | $26 |
| Continuous glucose monitoring, sensor under skin This procedure involves continuous monitoring of blood sugar levels in tissue fluid using a sensor placed under the skin with provider-supplied equipment. |
49 | $104 | $296 |
| Prolactin level test A blood test that measures the amount of prolactin, a hormone produced by the pituitary gland that stimulates milk production, in the body. |
43 | $19 | $53 |
| Sed rate test (inflammation marker) This automated test measures how quickly red blood cells settle in a tube to detect inflammation in the body. |
38 | $3 | $7 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
35 | $1 | $20 |
| Follicle stimulating hormone (FSH) level A blood test to measure the level of follicle stimulating hormone, a reproductive hormone. |
32 | $18 | $51 |
| Luteinizing hormone level test A blood test that measures the level of luteinizing hormone, a reproductive hormone. This test helps evaluate hormonal balance and reproductive function. |
32 | $18 | $51 |
| DHEA-S hormone level test A blood test that measures the level of dehydroepiandrosterone sulfate (DHEA-S), a hormone produced by the adrenal glands. |
29 | $22 | $61 |
| Blood glucose test using reagent strip A test that measures the level of sugar in the blood using a chemical reagent strip. |
26 | $5 | $9 |
| Liver function blood test panel | 21 | $8 | $22 |
| High-sensitivity C-reactive protein test A blood test that measures high-sensitivity C-reactive protein to detect infection or inflammation. |
19 | $13 | $36 |
| Bone density scan (DEXA) of forearm, finger, hand, or foot A DEXA scan measures bone mineral density in the forearm, finger, hand, or foot. This test helps assess bone strength and risk of fracture. |
16 | $31 | $54 |
| New patient office visit, complex (60-74 min) | 16 | $118 | $402 |
| Qualitative ketone body test A test that checks for the presence of ketone bodies in a sample. It determines whether ketones are detected or not. |
15 | $4 | $12 |
| Ultrasound of arm and leg arteries This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries. |
15 | $59 | $168 |
| 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. |
13 | $44 | $84 |
| Telephone medical discussion, 21-30 minutes A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone. |
13 | $73 | $127 |
| Ultrasound-guided fine needle aspiration biopsy, first lesion A biopsy procedure where a thin needle is used to collect tissue samples from a growth, guided by ultrasound imaging. This code applies to the first lesion or mass sampled during the session. |
11 | $99 | $372 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$770,968
Total received (2018-2024)
Avg $128,495/year across 6 years
Top 3% in TX for endocrinology
77
Companies
3,124
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.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$741,855 (96.2%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$21,066 (2.7%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$8,048 (1.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$134,369
2023
$115,475
2022
$157,836
2020
$75,577
2019
$133,840
2018
$153,870
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Lilly USA, LLC
$259,884
Novo Nordisk Inc
$111,008
Corcept Therapeutics
$68,730
AstraZeneca Pharmaceuticals LP
$55,465
Amgen Inc.
$35,107
Boehringer Ingelheim Pharmaceuticals, Inc.
$32,349
Mannkind Corporation
$30,841
Xeris Pharmaceuticals, Inc.
$24,431
Janssen Pharmaceuticals, Inc
$24,044
Amarin Pharma Inc.
$21,473
Merck Sharp & Dohme Corporation
$16,757
MannKind Corporation
$15,995
Madrigal Pharmaceuticals
$11,469
Tandem Diabetes Care, Inc.
$10,038
Dexcom, Inc.
$9,478
Strongbridge US INC.
$8,883
CeQur Corporation
$8,864
Esperion Therapeutics, Inc.
$6,628
Bayer HealthCare Pharmaceuticals Inc.
$3,514
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$1,935
Abbott Laboratories
$1,594
SANOFI-AVENTIS U.S. LLC
$1,461
Radius Health, Inc.
$1,277
Medtronic, Inc.
$1,235
Novartis Pharmaceuticals Corporation
$1,174
Ascensia Diabetes Care Us Inc.
$859
Medtronic MiniMed, Inc.
$656
Antares Pharma, Inc.
$517
Valeritas, Inc.
$490
Bayer Healthcare Pharmaceuticals Inc.
$371
AbbVie Inc.
$326
Allergan Inc.
$304
Insulet Corporation
$283
ABBVIE INC.
$267
AbbVie, Inc.
$260
Becton, Dickinson and Company
$203
KVK-Tech, Inc.
$197
OPKO Pharmaceuticals, LLC
$195
Companion Medical, Inc.
$192
BETA BIONICS, INC.
$190
AKRIMAX PHARMACEUTICALS, LLC
$186
Allergan, Inc.
$155
Regeneron Healthcare Solutions, Inc.
$149
Sequel Med Tech, LLC
$128
Ultragenyx Pharmaceutical Inc.
$114
Kyowa Kirin, Inc.
$112
Zealand Pharma US, Inc.
$111
RECORDATI_RARE_DISEASES_INC.
$108
PFIZER INC.
$73
Tolmar, Inc.
$66
Eisai Inc.
$60
Merck Sharp & Dohme LLC
$57
Acerus Pharmaceuticals Corporation
$57
Organogenesis Inc.
$55
Shire North American Group Inc
$50
Nalpropion Pharmaceuticals LLC
$48
Bigfoot Biomedical Inc
$42
VIVUS, Inc.
$41
Amphastar Pharmaceuticals, Inc.
$39
IBSA Pharma Inc.
$38
Orexigen Therapeutics, Inc.
$31
Nalpropion Pharmaceuticals, Inc.
$29
Alexion Pharmaceuticals, Inc.
$28
Almatica Pharma LLC
$24
Roche Diabetes Care, Inc.
$24
LifeScan, Inc.
$22
Chiesi USA, Inc.
$22
GRT US Holding, Inc.
$20
Nestle HealthCare Nutrition Inc.
$19
Supernus Pharmaceuticals, Inc.
$18
EUSA Pharma (US) LLC
$18
Horizon Therapeutics plc
$17
VIVUS LLC
$15
LIFESCAN, INC.
$15
Ipsen Biopharmaceuticals, Inc
$14
Kowa Pharmaceuticals America, Inc.
$11
Echosens North America, Inc.
$8
Top 3 companies account for 57.0% of total payments
Associated products mentioned in payments ›
AFREZZA · Aimovig · BAQSIMI · BD NANO · BD Nano · BD Nano 2nd Gen Pen Needle · BYDUREON · BYSTOLIC · Belviq · CHANTIX · CONTRAVE · CYCLOSET · Cables · CeQur Simplicity · Creon · Crysvita · Cryvista · DC ACCU-CHEK Diabetes Management Solutions · DEXCOM CGM · DEXCOM G6 CGM SYSTEM · DIABETES - DISEASE · Dexcom CGM · Dexcom G6 Transmitter · ENTRESTO · EVENITY · EVERSENSE 365 SENSOR KIT (RETAIL) · EVERSENSE E3 SENSOR KIT - RETAIL · EVKEEZA · FARXIGA · FIASP · FORTEO · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FibroScan · FreeStyle Libre · FreeStyle Libre Pro · FreeStyle Libre blood glucose Flash Monitoring System · GLYXAMBI · GVOKE HYPOPEN · GVOKE PFS · HUMALOG · HUMULIN · HUMULIN R 500 · HUMULIN U · INPEN SMART INSULIN DELIVERY SYSTEM · INTELLIS ADAPTIVESTIM · INVOKAMET · INVOKANA · InPen · JANUVIA · JARDIANCE · JATENZO · Kerendia · Kits and Accessories · Korlym · LEQVIO · LINZESS · LOKELMA · Levemir · Livalo · MACRILEN · MINIMED 770G · MINIMED 780G · MOUNJARO · MYCAPSSA · Macrilen · Minimed 630G · Minimed 670G System · Minimed 770G System · NATPARA · NEXLETOL · NEXLIZET · NOCDURNA · NURTEC ODT · Natesto · OT Verio Reflect "One Touch Meter and Strips" · OTREXUP · Omnipod · Otrexup · Ozempic · PRALUENT · PRALUENT ALIROCUMAB INJECTION · Proclaim Family of SCS IPGs · Prolia · Puraply · QSYMIA · QULIPTA · Qutenza · RAYALDEE · RECORLEV · RESMETIROM · REZDIFFRA · RYBELSUS · Rayaldee · Repatha · Rybelsus · SIGNIFOR LAR · SOLIQUA · SOLIQUA 100/33 · SOMATULINE DEPOT · SOMAVERT · STEGLATRO · STEGLUJAN · SYNTHROID · Saxenda · Software · Sogroya · Sylvant · Synthroid · TEPEZZA · TERIPARATIDE · TLANDO · TOUJEO · TRADJENTA · TRULICITY · TZIELD · Tirosint · Tresiba · Tymlos · UBRELVY · UNITY DIABETES MANAGEMENT SYSTEM · V-GO · V-GO DISPOSABLE INSULIN DELIVERY · VANTA ADAPTIVESTIM · VIBERZI · Vascepa · Victoza · Wegovy · XARELTO · XYOSTED · Xultophy 100/3.6 · ZAVZPRET · ZEGALOGUE · ZENPEP · ZEPBOUND · iLet Bionic Pancreas · t-slim insulin pump · t:slim X2 Insulin Pump with Control-IQ · t:slim X2 insulin pump
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 →
The majority of payments (96%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in endocrinology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 3% for endocrinology in TX.
Equivalent to $2,363 per 100 Medicare services performed
Geographic Context
Endocrinologists within 10 mi
62
Per 100K population
3.0
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. Akhrass is a mixed practice specialist, with above-average Medicare volume (top 1% in TX), with speaking/promotional industry engagement in the top 3% of TX peers, 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
Is Dr. Akhrass experienced with blood draw (venipuncture)?
Based on Medicare claims data, Dr. Akhrass performed 3,324 blood draw (venipuncture) 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. Akhrass receive payments from pharmaceutical companies?
Yes. Dr. Akhrass received a total of $770,968 from 77 companies across 3,124 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. Akhrass's costs compare to other endocrinologists in San Antonio?
Dr. Akhrass's average Medicare payment per service is $24. 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. Akhrass) 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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