https://doctransparency.com/doctor/tx/san-antonio/james-lehmann-1861432114
Medicare Enrolled

Dr. James Lehmann, MD

Ophthalmology · San Antonio, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Speaking/Promotional
4775 HAMILTON WOLFE RD STE 2, San Antonio, TX 78229
2106143600
In practice since 2006 (19 years)
NPI: 1861432114 verify on NPPES ↗
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. Lehmann 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 →
Are you Dr. Lehmann? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Lehmann

Dr. James Lehmann is an ophthalmology in San Antonio, TX, with 19 years in practice. Based on federal Medicare data, Dr. Lehmann performed 3,628 Medicare services across 2,589 unique beneficiaries.

Between the years covered by Open Payments, Dr. Lehmann received a total of $170,180 from 36 pharmaceutical and/or device companies across 197 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in ophthalmology. 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. Lehmann 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.

✓ 19 years in practice▲ Top 25% volume in TX$ $170,180 industry payments

Medicare Practice Summary

Medicare Utilization ↗
3,628
Medicare services
Top 25% in TX for ophthalmology
2,589
Unique beneficiaries
$150
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~191 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.

ProcedureVolumeAvg. paidAvg. submitted
Corneal topography and eye depth measurement921$27$120
Cataract surgery with lens implant707$368$900
New patient office visit (45-59 min)426$106$202
Office visit, established patient (30-39 min)391$85$146
Removal of recurring cataract in lens capsule using a laser212$235$400
Ct scan of cornea192$24$50
Retinal imaging (OCT scan)172$28$50
Comprehensive eye exam, established patient75$79$150
Eye exam, established patient, focused69$59$120
Office visit, established patient (20-29 min)59$60$100
Incision to improve eye fluid flow52$561$1,200
Comprehensive eye exam, new patient47$97$208
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye46$436$950
Dilation of fluid outflow drainage within eye42$224$1,300
Optic nerve imaging (OCT scan)40$22$50
Ultrasound scan to determine eye length and lens power31$42$120
Transplantation of outer layer of corneal tissue29$860$1,307
Fitting of contact lens for treatment of eye surface disease27$26$50
Retinal photography (fundus photo)27$26$100
Laser repair to improve eye fluid flow24$162$420
Complex removal of cataract with insertion of prosthetic lens21$474$1,176
Exam of visual field with limited testing18$25$100
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.
20.3% high complexity
12.0% medium
67.7% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$170,180
Total received (2018-2024)
Avg $24,311/year across 7 years
Top 2% in TX for ophthalmology
36
Companies
197
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
$121,978 (71.7%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$33,790 (19.9%)
Other
Charitable contributions, space rental, and other categories
$8,713 (5.1%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,699 (3.3%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$123,093
2023
$14,708
2022
$9,412
2021
$8,953
2020
$12,439
2019
$655
2018
$920

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
RxSight Inc
$137,163
LENSAR, Inc.
$15,245
Glaukos Corporation
$9,123
Johnson & Johnson Surgical Vision, Inc.
$5,420
Alcon Vision LLC
$443
ABBVIE INC.
$347
Novartis Pharmaceuticals Corporation
$264
Carl Zeiss Meditec USA, Inc.
$211
Dompe US, Inc.
$163
GLAUKOS CORPORATION
$158
TissueTech, Inc.
$155
Johnson & Johnson Vision Care, Inc.
$139
OPTOS, INC.
$137
Oyster Point Pharma, Inc.
$131
NEW WORLD MEDICAL,INC.
$118
Bausch & Lomb, a division of Bausch Health US, LLC
$111
Bausch Health US, LLC
$102
Alcon Laboratories Inc
$100
Omeros Corporation
$78
Allergan, Inc.
$70
Avedro Inc.
$59
Eyevance Pharmaceuticals LLC
$56
Allergan Inc.
$53
BIOTISSUE HOLDINGS, INC.
$51
Shire North American Group Inc
$49
Sight Sciences, Inc.
$34
ABB Con-Cise Optical Group LLC
$28
Tarsus Pharmaceuticals, Inc.
$27
Sun Pharmaceutical Industries Inc.
$24
SUN PHARMACEUTICAL INDUSTRIES INC.
$23
EYEVANCE PHARMACEUTICALS LLC
$21
Aerie Pharmaceuticals, Inc.
$19
Optos, Inc.
$18
Horizon Therapeutics plc
$16
Ocular Therapeutix, Inc.
$14
Kala Pharmaceuticals, Inc.
$11
Top 3 companies account for 94.9% of total payments
Associated products mentioned in payments ›
ACTIVEFOCUS · AcrySof IQ PanOptix · Ahmed Glaucoma Valve · CE-marked KXLA system · CIRRUS HD-OCT · Catalys Laser System · Cequa · Contact Lens · DUREZOL · DURYSTA · Flarex · HYDRUS Microstent · IACCESS · INVELTYS · KXL System · KXL system (not refurbished) · LENSAR LASER SYSTEM · LIGHT ADJUSTABLE LENS (LAL) AND LIGHT DELIVERY DEVICE (LDD) · LOTEMAX SM · LUMIGAN · Monaco · OMNI · OXERVATE · Omidria · One Series Ultra · One Series Ultra IOL Delivery System · Oxervate · PANORAMIC OPHTHALMOSCOPE · PROKERA · Phacofragmentation Accessories · Photrexa · Prokera · RXSIGHT CONTACT LENS · RXSIGHT INJECTOR HANDPIECE · ReSure Sealant · STAR S4 IR · Simbrinza · TECNIS IOL · TEPEZZA · TYRVAYA · Tecnis IOL · Tecnis Multifocal Family of 1-piece IOLS · Tecnis Simplicity · Tecnis Symfony IOL · TobraDex ST · VERITAS Vision System · VUITY · VYZULTA · Whitestar Phacoemulsficiation System · Whitestart Phacoemulsficiation System · XDEMVY · XIIDRA · Zerviate · iDose TR · rocklatan
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 (72%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in ophthalmology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 2% for ophthalmology in TX.

Equivalent to $4,691 per 100 Medicare services performed
Looking for a ophthalmology in San Antonio?
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Geographic Context

Ophthalmologys within 10 mi
164
Per 100K population
8.0
County median income
$70,571
Nearest hospital
UNIVERSITY HEALTH SYSTEM
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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. Lehmann is a clinical cardiology specialist, with above-average Medicare volume (top 25% in TX), and high industry engagement (speaking/promotional, top 2%), with 19 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. Lehmann experienced with corneal topography and eye depth measurement?
Based on Medicare claims data, Dr. Lehmann performed 921 corneal topography and eye depth measurement 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. Lehmann receive payments from pharmaceutical companies?
Yes. Dr. Lehmann received a total of $170,180 from 36 companies across 197 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. Lehmann's costs compare to other ophthalmologys in San Antonio?
Dr. Lehmann's average Medicare payment per service is $150. 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. Lehmann) 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 →
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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →