Medicare Enrolled

Dr. Joshua Shroll, MD, MPH

Optician · San Antonio, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
110 STONE OAK LOOP STE 103, San Antonio, TX 78258
2102680129
In practice since 2010 (16 years)
NPI: 1942524806 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. Shroll 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. Shroll? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Shroll

Dr. Joshua Shroll is an optician specialist in San Antonio, TX, with 16 years of NPI registration. Based on federal Medicare data, Dr. Shroll performed 2,374 Medicare services across 1,055 unique beneficiaries.

Between the years covered by Open Payments, Dr. Shroll received a total of $13,237 from 19 pharmaceutical and/or device companies across 415 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optician. 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. Shroll 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.

✓ 16 years in practice ▲ Top 27% volume in TX $13,237 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,374
Medicare services
Top 27% in TX for optician
1,055
Unique beneficiaries
$64
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.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (30-39 min) 496 $96 $367
Steroid injection (triamcinolone) 456 $1 $10
Dexamethasone injection (steroid) 330 $0 $5
Office visit, established patient (20-29 min) 270 $61 $330
Testing for presence of drug, read by direct observation 137 $12 $200
New patient office visit (45-59 min) 69 $125 $548
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms 58 $153 $2,000
Injection, methylprednisolone acetate, 80 mg 52 $9 $25
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 38 $205 $4,974
Insertion of spinal neurostimulator electrode array through skin 37 $243 $5,200
Injection, midazolam hydrochloride, per 1 mg 34 $0 $25
Office visit, established patient (10-19 min) 32 $44 $282
Injection of substance into lower spine canal using imaging guidance 26 $75 $2,475
Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint 26 $76 $4,246
Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 25 $206 $6,458
Insertion of spinal neurostimulator generator or receiver 22 $204 $6,000
Injection of upper or middle spine facet joint using imaging guidance, single level 22 $112 $4,476
Injection of upper or middle spine facet joint using imaging guidance, second level 22 $64 $1,933
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint 22 $264 $2,687
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 21 $74 $2,100
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 21 $486 $6,757
New patient office visit (30-44 min) 19 $77 $505
Joint injection, major joint 18 $57 $1,672
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 17 $126 $2,682
Injection, methylprednisolone acetate, 40 mg 17 $6 $12
Injection of substance into middle or upper spine canal using imaging guidance 16 $78 $3,550
Fluoroscopic guidance for needle placement 16 $91 $800
Injection of lower or sacral spine facet joint using imaging guidance, single level 15 $200 $4,853
Injection of lower or sacral spine facet joint using imaging guidance, second level 15 $103 $1,851
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms 13 $112 $1,500
Injection, fentanyl citrate, 0.1 mg 12 $1 $5
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.

Industry Payment Transparency

Open Payments through 2024 ↗
$13,237
Total received (2018-2024)
Avg $1,891/year across 7 years
Top 14% in TX for optician
19
Companies
415
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
$13,237 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$779
2023
$1,258
2022
$2,029
2021
$1,708
2020
$1,507
2019
$5,143
2018
$812

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$8,033
Vertiflex, Inc.
$1,907
Flowonix Medical Incorporated
$1,006
Medtronic, Inc.
$736
Nevro Corp.
$608
PFIZER INC.
$195
SI-BONE, Inc.
$181
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$145
Boston Scientific Corporation
$98
Cardiovascular Systems Inc.
$92
Nalu Medical, Inc.
$59
Shionogi Inc
$36
SI-BONE, INC.
$34
Collegium Pharmaceutical, Inc.
$31
Medtronic USA, Inc.
$23
Assertio Therapeutics, Inc.
$15
AstraZeneca Pharmaceuticals LP
$14
Orthogenrx Inc.
$13
Daiichi Sankyo Inc.
$11
Top 3 companies account for 82.7% of total payments
Associated products mentioned in payments ›
ADAPTIVESTIM · Cambia · EMBEDA · EON C · ETERNA · EXCLAIM · Exclaim SCS Leads · FLECTOR · FLECTOR PATCH · GENERAL PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · GenVisc 850 · INTELLIS · INTELLIS ADAPTIVESTIM · IONICRF · KYPHON EXPRESS II KYPHOPAK TRAY · LAMITRODE · LUCEMYRA · LYRICA · Lamitrode SCS Leads · MOVANTIK · Morphabond ER · NA · Nalu Neurostimulation System · Neuromodulation Dspsbls and Accs · OCTRODE · Octrode SCS Leads · Omnia · PENTA · PROCLAIM · PRODIGY · Penta SCS Leads · Proclaim Family of SCS IPGs · Proclaim IPG · Proclaim Plus SCS with FlexBurst360 · Prodigy Family of SCS IPGs · Prometra II · RELISTOR · REYVOW · SWIFT-LOCK · SYNCHROMEDII · Senza · Senza Spinal Cord Stimulation System · Superion ISS · Symproic · VANTA ADAPTIVESTIM · VECTRIS SURESCAN · XTAMPZA · iFuse Implant
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 $558 per 100 Medicare services performed
Looking for an optician specialist in San Antonio?
Compare opticians in the San Antonio area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Opticians within 10 mi
195
Per 100K population
9.6
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. Shroll is a clinical cardiology specialist, with above-average Medicare volume (top 27% in TX), with low-engagement industry engagement in the top 14% of TX peers, with 16 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. Shroll experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Shroll performed 496 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. Shroll receive payments from pharmaceutical companies?
Yes. Dr. Shroll received a total of $13,237 from 19 companies across 415 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. Shroll's costs compare to other opticians in San Antonio?
Dr. Shroll's average Medicare payment per service is $64. 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. Shroll) 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 →