Medicare Enrolled

Dr. Joshua Durham, M.D.

Cardiovascular Disease · San Antonio, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
502 MADISON OAK DR STE 310, San Antonio, TX 78258
2104830888
In practice since 2007 (18 years)
NPI: 1689898819 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. Durham 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. Durham? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Durham

Dr. Joshua Durham is a cardiovascular disease in San Antonio, TX, with 18 years in practice. Based on federal Medicare data, Dr. Durham performed 2,660 Medicare services across 1,849 unique beneficiaries.

Between the years covered by Open Payments, Dr. Durham received a total of $1,102 from 14 pharmaceutical and/or device companies across 28 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Durham 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 40% volume in TX$ $1,102 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,660
Medicare services
Top 40% in TX for cardiovascular disease
1,849
Unique beneficiaries
$77
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~148 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
Office visit, established patient (30-39 min)955$84$298
Electrocardiogram (EKG), 12-lead355$10$58
Hospital follow-up visit, moderate complexity273$57$202
Echocardiogram, transthoracic269$135$735
Regadenoson injection (Lexiscan) for heart stress test136$42$155
Hospital follow-up visit, high complexity108$91$289
New patient office visit (45-59 min)89$106$456
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician88$45$272
Initial hospital admission, high complexity76$128$562
Nuclear medicine studies of heart muscle at rest and with stress and spect69$319$1,360
Technetium tc-99m sestamibi, diagnostic, per study dose68$45$528
Heart rhythm recording continous external ekg over more than 48 hours up to 7 days53$8$44
Initial hospital admission, moderate complexity48$92$380
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes37$9$77
Heart muscle strain imaging13$28$144
Heart rhythm recording of continous external ekg over 8-15 days12$8$44
Office visit, established patient (20-29 min)11$46$202
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.
10.1% high complexity
11.5% medium
78.4% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$1,102
Total received (2018-2024)
Avg $157/year across 7 years
Bottom 21% in TX for cardiovascular disease
14
Companies
28
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.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,102 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$62
2023
$150
2022
$211
2021
$12
2020
$79
2019
$417
2018
$172

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Janssen Pharmaceuticals, Inc
$376
ABIOMED
$179
PFIZER INC.
$140
E.R. Squibb & Sons, L.L.C.
$115
Medicure Pharma Inc.
$59
SANOFI-AVENTIS U.S. LLC
$39
Actelion Pharmaceuticals US, Inc.
$39
Braemar Manufacturing, LLC
$39
Novartis Pharmaceuticals Corporation
$28
Lantheus Medical Imaging, Inc.
$26
Philips Electronics North America Corporation
$19
AstraZeneca Pharmaceuticals LP
$17
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$14
Alnylam Pharmaceuticals Inc.
$12
Top 3 companies account for 63.0% of total payments
Associated products mentioned in payments ›
(7999) SRC Undivided · BRILINTA · CAMZYOS · Cardiac Monitoring Suite · DEFINITY · ELIQUIS · HMG-CoA reductase inhibitor. · Impella · LEQVIO · LifeVest · MULTAQ · ONPATTRO · PRALUENT · UPTRAVI · VYNDAQEL · XARELTO
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 →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $41 per 100 Medicare services performed
Looking for a cardiovascular disease in San Antonio?
Compare cardiovascular diseases in the San Antonio area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Cardiovascular Diseases within 10 mi
150
Per 100K population
7.4
County median income
$70,571
Nearest hospital
SOUTH TEXAS SPINE AND SURGICAL HOSPITAL
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. Durham is a clinical cardiology specialist, with moderate Medicare volume, and low-engagement industry engagement, with 18 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. Durham experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Durham performed 955 office visit, established patient (30-39 min) 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. Durham receive payments from pharmaceutical companies?
Yes. Dr. Durham received a total of $1,102 from 14 companies across 28 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. Durham's costs compare to other cardiovascular diseases in San Antonio?
Dr. Durham's average Medicare payment per service is $77. 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. Durham) 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 →