Medicare Enrolled

Dr. Jane Ayala, M.D.

Internal Medicine · San Antonio, TX
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Speaking/Promotional
19272 STONE OAK PKWY, San Antonio, TX 78258
2102658851
In practice since 2007 (18 years)
NPI: 1093914681 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. Ayala 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. Ayala

Dr. Jane Ayala is an internal medicine specialist in San Antonio, TX, with 18 years of NPI registration. Based on federal Medicare data, Dr. Ayala performed 125,139 Medicare services across 2,990 unique beneficiaries.

Between the years covered by Open Payments, Dr. Ayala received a total of $66,710 from 46 pharmaceutical and/or device companies across 1099 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. 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. Ayala 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.

✓ 18 years in practice ▲ Top 0% volume in TX $66,710 industry payments

Medicare Practice Summary

Medicare Utilization ↗
125,139
Medicare services
Top 0% in TX for internal medicine
2,990
Unique beneficiaries
$14
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~6,952 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
Certolizumab injection (Cimzia) 44,200 $4 $19
Golimumab infusion (Simponi Aria) 25,251 $10 $48
Tocilizumab injection (Actemra) 18,969 $5 $17
Abatacept infusion (Orencia) 17,700 $34 $134
Denosumab injection (Prolia/Xgeva) 4,380 $18 $42
Infliximab infusion (Remicade) 3,395 $26 $114
Injection, rituximab, 10 mg 2,714 $56 $257
Injection, infliximab-abda, biosimilar, (renflexis), 10 mg 1,720 $30 $119
Office visit, established patient (30-39 min) 876 $89 $253
Measurement of antibody for assessment of autoimmune disorder, any method 757 $18 $44
Comprehensive metabolic blood panel 725 $10 $26
C-reactive protein test (inflammation marker) 694 $5 $14
Complete blood count (CBC) with differential 688 $8 $20
Sed rate test (inflammation marker) 626 $3 $6
Administration of chemotherapy into vein, 1 hour or less 560 $100 $399
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 297 $56 $222
Measurement of complement (immune system proteins), antigen, 238 $12 $29
Administration of chemotherapy into vein, each additional hour 171 $21 $85
Measurement of dna antibody, native or double stranded 148 $13 $35
Measurement of dna antibody, single stranded 148 $12 $29
Uric acid level test 107 $4 $12
Analysis of substance using immunoassay technique, multiple step method 92 $11 $28
Vitamin D level test 89 $28 $72
Creatine kinase (cardiac enzyme) level, total 73 $6 $17
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose 64 $101 $311
Injection of additional new drug or substance into vein 51 $12 $47
Aspiration and/or injection of fluid large joint using ultrasound guidance 49 $97 $304
Drug injection, under skin or into muscle 49 $11 $42
Injection, methylprednisolone acetate, 40 mg 49 $6 $15
Rheumatoid factor level 46 $6 $15
New patient office visit (45-59 min) 36 $109 $497
Measurement of antibody for rheumatoid arthritis assessment 34 $13 $32
Injection, methylprednisolone acetate, 80 mg 34 $9 $28
Flu vaccine administration 32 $30 $61
Office visit, established patient (20-29 min) 28 $58 $166
Flu vaccine, quadrivalent 27 $74 $75
Injection, methylprednisolone sodium succinate, up to 40 mg 22 $3 $13
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.
37.0% high complexity
58.6% medium
4.4% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$66,710
Total received (2018-2024)
Avg $9,530/year across 7 years
Top 2% in TX for internal medicine
46
Companies
1,099
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
$46,645 (69.9%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$20,065 (30.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,647
2023
$2,728
2022
$7,146
2021
$20,794
2020
$15,262
2019
$14,934
2018
$3,199

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
GlaxoSmithKline, LLC.
$44,154
Horizon Therapeutics plc
$3,955
Amgen Inc.
$2,782
PFIZER INC.
$1,411
UCB, Inc.
$1,391
Janssen Biotech, Inc.
$1,379
Novartis Pharmaceuticals Corporation
$1,372
E.R. Squibb & Sons, L.L.C.
$1,225
Lilly USA, LLC
$1,116
Mallinckrodt Hospital Products Inc.
$1,090
Genentech USA, Inc.
$985
GENZYME CORPORATION
$841
AstraZeneca Pharmaceuticals LP
$622
Flexion Therapeutics, Inc.
$617
Ferring Pharmaceuticals Inc.
$413
ANI Pharmaceuticals, Inc.
$381
Mallinckrodt Enterprises LLC
$295
Exeltis, USA Inc.
$284
SANOFI-AVENTIS U.S. LLC
$217
Horizon Pharma plc
$192
Mallinckrodt LLC
$187
Celgene Corporation
$183
Pacira Therapeutics, Inc.
$180
Actelion Pharmaceuticals US, Inc.
$166
Antares Pharma, Inc.
$157
AbbVie Inc.
$155
Boehringer Ingelheim Pharmaceuticals, Inc.
$146
Hikma Pharmaceuticals USA
$141
Radius Health, Inc.
$94
MEDEXUS PHARMA, INC.
$88
Organon Llc
$56
Merck Sharp & Dohme Corporation
$49
Bayer HealthCare Pharmaceuticals Inc.
$45
Abbott Laboratories
$45
ABBVIE INC.
$43
Takeda Pharmaceuticals U.S.A., Inc.
$34
Alexion Pharmaceuticals, Inc.
$30
MEDAC PHARMA, INC.
$28
Aurinia Pharma U.S., Inc.
$27
Fresenius Kabi USA, LLC
$25
FIDIA PHARMA USA INC.
$25
Octapharma USA, Inc.
$20
Sandoz Inc.
$17
Kiniksa Pharmaceuticals International, plc
$17
Avion Pharmaceuticals
$14
Supernus Pharmaceuticals, Inc.
$14
Top 3 companies account for 76.3% of total payments
Associated products mentioned in payments ›
ACTHAR · AMJEVITA · AVSOLA · Actemra · Adempas · Arcalyst · BENLYSTA · Balcoltra · Bimzelx · Briviact · COSENTYX · CYLTEZO · Cimzia · EUFLEXXA · EVENITY · EVUSHELD · Enbrel · FORTEO · HADLIMA · HYALGAN · HYRIMOZ · IDACIO · INFLECTRA · KEVZARA · KRYSTEXXA · LUPKYNIS · LYRICA · Mitigare · NUCALA · OCTAGAM IMMUNE GLOBULIN (HUMAN) · OFEV · OPSUMIT · ORENCIA · Otezla · Otrexup · PREVNAR 13 · PREVNAR 20 · PROCLAIM · PURIFIED CORTROPHIN GEL · Proclaim Family of SCS IPGs · Prolia · RAYOS · REMICADE · RENFLEXIS · RINVOQ · Rasuvo · Rituxan · SAPHNELO · SIMPONI · SIMPONI ARIA · SKYRIZI · SYNVISC-ONE · TALTZ · TAVNEOS · TREMFYA · TROKENDI XR · Tymlos · UPTRAVI · Uloric · XELJANZ · Zilretta
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 (70%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in internal medicine and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 2% for internal medicine in TX.

Equivalent to $53 per 100 Medicare services performed
Looking for an internal medicine specialist in San Antonio?
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Geographic Context

Internal medicine physicians within 10 mi
1,149
Per 100K population
56.4
County median income
$70,571
Nearest hospital
SOUTH TEXAS SPINE AND SURGICAL HOSPITAL
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. Ayala is a mixed practice specialist, with above-average Medicare volume (top 0% in TX), with speaking/promotional industry engagement in the top 2% of TX peers, with 18 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. Ayala experienced with certolizumab injection (cimzia)?
Based on Medicare claims data, Dr. Ayala performed 44,200 certolizumab injection (cimzia) 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. Ayala receive payments from pharmaceutical companies?
Yes. Dr. Ayala received a total of $66,710 from 46 companies across 1,099 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. Ayala's costs compare to other internal medicine physicians in San Antonio?
Dr. Ayala's average Medicare payment per service is $14. 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. Ayala) 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 →