Medicare Enrolled
Dr. Isaac Zoch, MD
Anesthesiology · San Antonio, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Zoch 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. Zoch
Dr. Isaac Zoch is an anesthesiology specialist in San Antonio, TX, with 9 years of NPI registration. Based on federal Medicare data, Dr. Zoch performed 12,715 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Zoch received a total of $15,748 from 22 pharmaceutical and/or device companies across 216 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Zoch is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 9 years of NPI registration
▲ Top 0% volume in TX
$15,748 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗12,715
Medicare services
Top 0% in TX for anesthesiology
Not available
Unique patients (not deduplicated)
$54
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 |
|---|---|---|---|
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
4,070 | $0 | $1 |
| 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. |
1,342 | $84 | $254 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
1,171 | $195 | $402 |
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
1,157 | $61 | $162 |
| Joint lubricant injection (TriVisc) An injection of hyaluronan or a derivative into a joint space. The dose specified is 1 milligram. |
730 | $7 | $41 |
| Intravenous drug injection A procedure involving the administration of a medication or substance directly into a vein. |
461 | $26 | $78 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
352 | $34 | $99 |
| Assessment of emotional or behavioral problems An evaluation to identify and understand emotional or behavioral issues. This process involves reviewing symptoms and behaviors to determine the nature of the concerns. |
342 | $3 | $17 |
| 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. |
265 | $59 | $180 |
| Anti-nausea injection (ondansetron/Zofran) | 244 | $0 | $5 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
191 | $0 | $2 |
| 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. |
159 | $105 | $379 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
158 | $80 | $180 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
156 | $52 | $169 |
| Additional sedation, per 15 minutes Administration of a drug to deepen sedation during a procedure. This code covers each additional 15-minute increment of sedation beyond the initial period. |
147 | $7 | $22 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
129 | $210 | $914 |
| 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. |
123 | $10 | $31 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
117 | $171 | $712 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
113 | $90 | $358 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
100 | $1 | $14 |
| Intravenous injection of additional new drug or substance Administration of an additional new medication or substance directly into a vein. |
98 | $11 | $34 |
| Blood glucose test using hand-held instrument A test that measures the level of sugar in the blood using a portable device. The result helps monitor blood glucose levels. |
94 | $3 | $8 |
| Imaging guidance for procedure, 60 minutes or less Use of imaging technology to guide a medical procedure. This service lasts 60 minutes or less. |
75 | $28 | $91 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
69 | $176 | $780 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
66 | $175 | $792 |
| 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. |
66 | $71 | $221 |
| Spinal and pelvic nerve injection with imaging guidance An anesthetic and/or steroid medication is injected into nerves in the spine or pelvis while using imaging to guide the needle placement. |
64 | $165 | $480 |
| Methylprednisolone acetate injection, 20 mg A 20 mg injection of methylprednisolone acetate, a corticosteroid medication. This code specifies the drug and dosage administered. |
58 | $5 | $9 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
53 | $405 | $1,509 |
| 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. |
52 | $122 | $358 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
51 | $86 | $418 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
49 | $220 | $635 |
| Intravenous infusion, 1 hour or less Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less. |
49 | $44 | $139 |
| Normal saline infusion, 1000 cc Administration of 1000 cc of normal saline solution into a vein. This procedure involves the intravenous delivery of a sterile saltwater solution. |
49 | $2 | $21 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
45 | $242 | $513 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
44 | $183 | $782 |
| Injection of anesthetic agent and/or steroid into other nerve or branch | 41 | $45 | $215 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
41 | $96 | $395 |
| Destruction of peripheral nerve or branch | 29 | $145 | $491 |
| Knee nerve block injection with imaging guidance An injection of anesthetic and/or steroid medication into a nerve branch of the knee, performed using imaging guidance to ensure accurate placement. |
21 | $147 | $781 |
| Trigger point injection, 3 or more muscles Injection of medication into three or more specific muscle trigger points to relieve pain. |
18 | $40 | $142 |
| Arterial line insertion A tube is inserted into an artery through the skin to allow for blood sampling or infusion. |
17 | $31 | $176 |
| Facet joint nerve destruction, single joint This procedure uses imaging guidance to destroy the nerves supplying a single upper or middle spinal facet joint. It is performed to interrupt pain signals from that specific joint. |
14 | $418 | $1,714 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional upper or middle spinal facet joint. |
13 | $247 | $805 |
| 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. |
12 | $36 | $112 |
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. These counts do not measure clinical quality or years of experience.
0.8% high complexity
55.7% medium
43.5% routine
Industry Payment Transparency
Open Payments through 2024 ↗$15,748
Total received (2021-2024)
Avg $3,937/year across 4 years
Top 3% in TX for anesthesiology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
22
Companies
216
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,824
2023
$1,916
2022
$1,578
2021
$10,429
Payments by company (2024)
Abbott Laboratories
$723
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$290
Collegium Pharmaceutical, Inc.
$215
Nevro Corp.
$170
Boston Scientific Corporation
$161
Averitas Pharma Inc.
$88
Nalu Medical, Inc.
$73
Saluda Medical Americas, Inc.
$45
Medtronic, Inc.
$40
SCILEX PHARMACEUTICALS INC.
$20
Top 3 companies account for 67.2% of 2024 payments
All-time payments by company (2021-2024) ›
Medtronic, Inc.
$10,053
Abbott Laboratories
$1,528
Boston Scientific Corporation
$1,378
Nevro Corp.
$662
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$355
Collegium Pharmaceutical, Inc.
$347
BOSTON SCIENTIFIC CORPORATION
$294
Nalu Medical, Inc.
$175
Averitas Pharma Inc.
$157
Zynex Medical, Inc.
$138
Relievant Medsystems, Inc.
$130
Pacira Pharmaceuticals Incorporated
$122
SI-BONE, Inc.
$120
Scilex Pharmaceuticals Inc.
$67
Saluda Medical Americas, Inc.
$45
IBSA Pharma Inc.
$33
SI-BONE, INC.
$32
Bioventus LLC
$31
Takeda Pharmaceuticals U.S.A., Inc.
$26
SCILEX PHARMACEUTICALS INC.
$20
PAINTEQ LLC
$18
INTERCEPT PHARMACEUTICALS, INC.
$15
Top 3 companies account for 82.3% of all-time payments
Associated products mentioned in payments ›
Belbuca · ENTYVIO · ETERNA · Evoke · Exparel · GENERAL PAIN MANAGEMENT · General - Pain Management · Intracept · KYPHON Balloon Kyphoplasty · KYPHON EXPRESS II KYPHOPAK TRAY · LICART · Nalu Neurostimulation System · Nexwave · Nucynta · OCALIVA · Omnia · PAINTEQ · PROCLAIM · QUTENZA · RELISTOR · SPECTRA WAVEWRITER · SYNCHROMED · Senza · Supartz FX Sodium Hyaluronate · Superion · Superion Indirect Decompression System · Vyrsa V1 · WaveWriter Alpha Prime 16 · XTAMPZA · ZTLido
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Anesthesiologists in nearby ZIP areas
467
County median income
$70,571
Nearest hospital to ZIP centroid (approximate)
UNIVERSITY HEALTH SYSTEM
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Zoch is a mixed practice specialist, with above-average Medicare volume (top 0% in TX).
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Zoch experienced with dexamethasone injection (steroid)?
Based on Medicare claims data, Dr. Zoch performed 4,070 dexamethasone injection (steroid) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Zoch receive payments from pharmaceutical companies?
Yes. Dr. Zoch received a total of $15,748 from 22 companies across 216 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Zoch's costs compare to other anesthesiologists in San Antonio?
Dr. Zoch's average Medicare payment per service is $54. 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. Zoch) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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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