Medicare Enrolled
Dr. Javier Roman-Gonzalez, M.D.
Clinical Cardiac Electrophysiology Physician · San Antonio, TX
Practice pattern: Remote & Electrophysiology— Practice combining remote and electrophysiology services
Consulting-driven
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. Roman-Gonzalez 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. Roman-Gonzalez
Dr. Javier Roman-Gonzalez is a clinical cardiac electrophysiology physician in San Antonio, TX, with 20 years in practice. Based on federal Medicare data, Dr. Roman-Gonzalez performed 10,752 Medicare services across 4,672 unique beneficiaries.
Between the years covered by Open Payments, Dr. Roman-Gonzalez received a total of $69,251 from 33 pharmaceutical and/or device companies across 350 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in clinical cardiac electrophysiology physician. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Roman-Gonzalez is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years in practice▲ Top 1% volume in TX$ $69,251 industry payments
Medicare Practice Summary
Medicare Utilization ↗10,752
Medicare services
Top 1% in TX for clinical cardiac electrophysiology physician
4,672
Unique beneficiaries
$49
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~538 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 |
|---|---|---|---|
| Remote pacemaker/defibrillator monitoring, 90 days | 1,921 | $16 | $81 |
| Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec | 1,803 | $26 | $144 |
| Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days | 1,774 | $18 | $66 |
| Electrocardiogram (EKG), 12-lead | 859 | $10 | $50 |
| Office visit, established patient, complex (40-54 min) | 827 | $127 | $347 |
| Remote pacemaker monitoring, 90 days | 793 | $21 | $88 |
| Programming of dual lead pacemaker system | 520 | $56 | $156 |
| Hospital follow-up visit, high complexity | 342 | $90 | $252 |
| Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days | 336 | $27 | $173 |
| Office visit, established patient (30-39 min) | 223 | $99 | $258 |
| Programming of multiple lead implantable defibrillator system | 187 | $77 | $238 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 161 | $10 | $32 |
| New patient office visit, complex (60-74 min) | 117 | $161 | $498 |
| Programming of dual lead implantable defibrillator system | 87 | $67 | $215 |
| Initial hospital admission, high complexity | 80 | $130 | $492 |
| Repair of left upper heart chamber with implant with review by radiologist | 67 | $497 | $2,099 |
| Evaluation of single, dual, multiple lead or leadless pacemaker system | 66 | $16 | $57 |
| Ultrasound evaluation of heart blood vessel with review by radiologist | 50 | $58 | $866 |
| Programming of multiple lead pacemaker system | 45 | $62 | $182 |
| Electrocardiogram (ecg) 2-day continuous with review and report by health care professional | 43 | $49 | $261 |
| Programming of single lead pacemaker system | 43 | $48 | $133 |
| Insertion of pacemaker and upper and lower heart chamber electrode | 39 | $387 | $1,416 |
| Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation | 39 | $727 | $2,733 |
| Insertion of catheters and destruction of tissue to treat abnormal heart rhythm | 38 | $235 | $1,024 |
| Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days | 36 | $17 | $60 |
| Heart rhythm recording continous external ekg over more than 48 hours up to 7 days | 34 | $8 | $38 |
| Programming of single lead implantable defibrillator system | 24 | $33 | $113 |
| Destruction of tissue of upper heart chamber through tube to treat abnormal heart rhythm | 24 | $235 | $1,025 |
| Hospital follow-up visit, moderate complexity | 23 | $61 | $176 |
| Removal and replacement of dual lead permanent pacemaker | 20 | $264 | $888 |
| Evaluation of single or dual chamber pacing cardioverter-defibrillator and generator at time of implantation or replacement | 18 | $125 | $1,407 |
| Insertion of left lower heart electrode for pacemaker or defibrillator | 17 | $354 | $1,239 |
| Removal and replacement of multiple lead defibrillator | 17 | $291 | $998 |
| Insertion of implantable defibrillator system | 15 | $700 | $2,453 |
| External shock to heart to regulate heart beat | 14 | $75 | $325 |
| Removal of permanent pacemaker pulse generator | 13 | $90 | $642 |
| Destruction of heart conduction tissue to create heart block | 13 | $429 | $1,585 |
| Electrocardiogram (ecg) 2-day continuous with review by health care professional | 12 | $10 | $69 |
| Initial hospital admission, moderate complexity | 12 | $102 | $335 |
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.
39.4% high complexity
0.5% medium
60.1% routine
Industry Payment Transparency
Open Payments through 2024 ↗$69,251
Total received (2018-2024)
Avg $9,893/year across 7 years
Top 21% in TX for clinical cardiac electrophysiology physician
33
Companies
350
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.
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$47,118 (68.0%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$12,841 (18.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$9,293 (13.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024$1,464
2023$5,880
2022$10,901
2021$2,295
2020$5,009
2019$17,631
2018$26,072
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$47,632
Janssen Pharmaceuticals, Inc
$9,410
CardioFocus, Inc.
$7,483
Medtronic, Inc.
$1,170
Boston Scientific Corporation
$897
Biosense Webster, Inc.
$758
CVRx, Inc.
$264
Medtronic Vascular, Inc.
$241
BOSTON SCIENTIFIC CORPORATION
$240
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$194
Novartis Pharmaceuticals Corporation
$146
Impulse Dynamics (USA) Inc.
$137
SANOFI-AVENTIS U.S. LLC
$72
PFIZER INC.
$70
Lundbeck LLC
$56
Amgen Inc.
$54
Merck Sharp & Dohme LLC
$53
Merck Sharp & Dohme Corporation
$43
Boehringer Ingelheim Pharmaceuticals, Inc.
$36
iRhythm Technologies, Inc.
$34
Braemar Manufacturing, LLC
$33
Bardy Diagnostics, Inc.
$28
Allergan, Inc.
$24
Itamar Medical Inc
$23
Actelion Pharmaceuticals US, Inc.
$22
Lexicon Pharmaceuticals, Inc.
$21
NOVARTIS PHARMACEUTICALS CORPORATION
$19
Aziyo Biologics, Inc.
$19
SCPHARMACEUTICALS INC.
$18
Ethicon US, LLC
$18
Cook Medical LLC
$13
E.R. Squibb & Sons, L.L.C.
$12
ARBOR PHARMACEUTICALS, INC.
$12
Top 3 companies account for 93.2% of total payments
Associated products mentioned in payments ›
ACCENT · ALLURE · AMPLATZER Occluders · ASSURITY · AVEIR · Accent Pacemaker · Allure CRT Pacemaker · Amplia MRI · Assurity Pacemaker · Azure · Barostim Neo System · CARTO 3 · CONFIRM RX · Cardiac Mapping System · Cardiac Monitoring Suite · CareLink · Carnation Ambulatory Monitor · Carto 3 System · CartoSound · Confirm Rx · Corlanor · ECM · ELIQUIS · ENSITE PRECISION · ENTRESTO · EVOLUTION · Edarbi · Ellipse ICD · Ensite Cardiac Mapping System · FUROSCIX · FlexAbility Ablation Catheter · Fortify Assura · GALLANT · GENERAL PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · Inpefa · JARDIANCE · LINQ II · LifeVest · MICRA · MULTAQ · Micra · NORTHERA · OPSUMIT · OPTIMIZER · Optimizer · PRADAXA · PULSESELECT · Pacemakers · Pentaray Nav · Perclose ProGlide suture mediated closure system · Quadra Allure MP RF CRT Pacemkr · Quadra Assura CRT Defibrillator · Quartet CRT Lead · Repatha · SENSOR ENABLED · SURGICEL NU-KNIT · TACTICATH ABLATION CATHETER · UBRELVY · Unify Assura CRT Defibrillator · VERQUVO · VersaCross Access Solution · Visia AF · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX · WatchPATONE · XARELTO · ZIO XT Patch
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 (68%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers.
Equivalent to $644 per 100 Medicare services performed
Geographic Context
Clinical Cardiac Electrophysiology Physicians within 10 mi
15
Per 100K population
0.7
County median income
$70,571
Nearest hospital
CHILDREN'S HOSPITAL OF SAN ANTONIO
3.2 mi
3.2 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. Roman-Gonzalez is a remote & electrophysiology specialist, with above-average Medicare volume (top 1% in TX), and consulting-driven industry engagement, 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. Roman-Gonzalez experienced with remote pacemaker/defibrillator monitoring, 90 days?
Based on Medicare claims data, Dr. Roman-Gonzalez performed 1,921 remote pacemaker/defibrillator monitoring, 90 days 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. Roman-Gonzalez receive payments from pharmaceutical companies?
Yes. Dr. Roman-Gonzalez received a total of $69,251 from 33 companies across 350 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. Roman-Gonzalez's costs compare to other clinical cardiac electrophysiology physicians in San Antonio?
Dr. Roman-Gonzalez's average Medicare payment per service is $49. 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. Roman-Gonzalez) 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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