Dr. Justin Vigil, M.D.
What this data tells you about Dr. Vigil
Dr. Justin Vigil is a pain medicine in San Antonio, TX, with 20 years in practice. Based on federal Medicare data, Dr. Vigil performed 8,628 Medicare services across 2,337 unique beneficiaries.
Between the years covered by Open Payments, Dr. Vigil received a total of $4,005 from 26 pharmaceutical and/or device companies across 128 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pain medicine. 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. Vigil 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.
Medicare Practice Summary
Medicare Utilization ↗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 |
|---|---|---|---|
| Steroid injection (triamcinolone) | 3,336 | $1 | $10 |
| Injection, midazolam hydrochloride, per 1 mg | 699 | $0 | $25 |
| Injection, propofol, 10 mg | 664 | $0 | $5 |
| Office visit, established patient (30-39 min) | 568 | $94 | $365 |
| Injection, fentanyl citrate, 0.1 mg | 410 | $1 | $5 |
| Office visit, established patient (20-29 min) | 385 | $54 | $330 |
| Testing for presence of drug, read by direct observation | 342 | $12 | $200 |
| Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 176 | $245 | $5,334 |
| 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 | 176 | $110 | $1,500 |
| Joint injection, major joint | 144 | $58 | $1,682 |
| Anti-nausea injection (ondansetron/Zofran) | 144 | $0 | $0 |
| Injection, methylprednisolone acetate, 40 mg | 143 | $6 | $12 |
| Injection, diphenhydramine hcl, up to 50 mg | 142 | $1 | $10 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 138 | $38 | $700 |
| Fluoroscopic guidance for needle placement | 135 | $89 | $800 |
| Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level | 132 | $116 | $2,744 |
| Injection of lower or sacral spine facet joint using imaging guidance, single level | 66 | $189 | $4,537 |
| Injection of lower or sacral spine facet joint using imaging guidance, second level | 66 | $100 | $1,730 |
| Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 63 | $154 | $2,990 |
| Injection of upper or middle spine facet joint using imaging guidance, single level | 55 | $198 | $4,112 |
| Injection of upper or middle spine facet joint using imaging guidance, second level | 55 | $102 | $1,776 |
| Injection of substance into lower spine canal using imaging guidance | 49 | $192 | $2,475 |
| Injection of trigger points, 3 or more muscles | 45 | $41 | $385 |
| Telephone medical discussion with physician, 5-10 minutes | 45 | $37 | $300 |
| Injection, methylprednisolone acetate, 80 mg | 44 | $9 | $24 |
| Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | 43 | $59 | $700 |
| Injection of substance into middle or upper spine canal using imaging guidance | 40 | $195 | $3,550 |
| Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint | 39 | $274 | $2,800 |
| 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 | 37 | $146 | $1,963 |
| New patient office visit (45-59 min) | 36 | $118 | $543 |
| Injection of anesthetic agent and/or steroid into suprascapular shoulder nerve | 33 | $79 | $1,137 |
| Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 33 | $490 | $6,821 |
| Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes | 29 | $8 | $200 |
| Injection, methylprednisolone acetate, 20 mg | 22 | $4 | $7 |
| New patient office visit (30-44 min) | 21 | $69 | $500 |
| Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 16 | $489 | $6,831 |
| Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint | 16 | $287 | $4,400 |
| Office visit, established patient (10-19 min) | 16 | $38 | $278 |
| Telephone medical discussion with physician, 11-20 minutes | 13 | $49 | $300 |
| Destruction of peripheral nerve or branch | 12 | $233 | $2,115 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
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. Vigil is a mixed practice specialist, with above-average Medicare volume (top 7% in TX), and low-engagement 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. Vigil experienced with steroid injection (triamcinolone)?
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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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