Medicare Enrolled

Dr. Lauren Karbach, M.D.

Surgery of the Hand · San Antonio, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
19138 US HIGHWAY 281 N, San Antonio, TX 78258
2104897225
Registered in NPPES since 2013
NPI: 1013350164 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. Karbach 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. Karbach

Dr. Lauren Karbach is a surgery of the hand specialist in San Antonio, TX, with 13 years of NPI registration. Based on federal Medicare data, Dr. Karbach performed 3,109 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Karbach received a total of $7,085 from 14 pharmaceutical and/or device companies across 33 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Karbach is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 13 years of NPI registration ▲ Top 16% volume in TX $7,085 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
3,109
Medicare services
Top 16% in TX for surgery of the hand
Not available
Unique patients (not deduplicated)
$40
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
886 $1 $25
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
590 $63 $178
X-ray of hand, minimum of 3 views
An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints.
241 $26 $89
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
199 $68 $262
Wrist X-ray, minimum 3 views
An imaging test using X-rays to capture at least three different angles of the wrist bones and joints.
183 $30 $102
Shoulder X-ray, 2+ views
An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures.
164 $25 $84
Tendon or ligament injection
A procedure involving the injection of medication into a tendon or ligament.
121 $43 $141
X-ray of finger, minimum of 2 views
An X-ray imaging test of a finger using at least two different angles to visualize the bones and surrounding structures.
115 $26 $90
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
103 $85 $262
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
83 $44 $148
Joint fluid aspiration or injection, small joint
Removal of fluid from a small joint or injection of medication into a small joint.
69 $40 $146
Elbow X-ray, minimum 3 views
An X-ray imaging test of the elbow joint that captures at least three different angles to visualize the bones and surrounding structures.
44 $22 $90
Initial hospital admission, high complexity
Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter.
34 $134 $500
Elbow X-ray, 2 views
An X-ray imaging test of the elbow joint using two different angles to visualize the bones and surrounding structures.
33 $23 $78
Incision of finger tendon sheath
A surgical procedure to cut open the protective covering of a finger tendon.
29 $169 $2,670
Endoscopic release of wrist ligament
A minimally invasive procedure using a small camera to cut and release ligaments in the wrist.
29 $357 $2,503
Joint fluid aspiration or injection, medium joint
Removal of fluid from a medium-sized joint or injection of medication into the joint space.
28 $40 $127
MRI of arm joint, without contrast
An MRI scan uses magnetic fields and radio waves to create detailed images of the arm joint. This specific procedure is performed without the use of a contrast dye.
28 $99 $680
Elbow to finger cast application
Application of a cast extending from the elbow to the fingers to immobilize the arm.
27 $63 $169
Adult short arm fiberglass cast supplies
Materials used to apply a short arm cast made of fiberglass for patients aged 11 and older.
26 $18 $25
CT scan of arm, without contrast
A CT scan of the arm that uses X-rays to create detailed images of the arm's internal structures without the use of contrast dye.
18 $76 $464
Adult fiberglass short arm splint supplies
Materials for creating a fiberglass splint for an adult's short arm.
18 $11 $16
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
17 $104 $400
Nonremovable forearm to hand splint application
A healthcare provider applies a rigid splint that extends from the forearm to the hand to immobilize and support the area.
13 $47 $125
MRI of arm without contrast
An MRI scan of the arm that uses magnetic fields and radio waves to create detailed images of internal structures without the use of contrast dye.
11 $190 $834
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. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2022 ↗
$7,085
Total received (2019-2022)
Avg $1,771/year across 4 years
Top 23% in TX for surgery of the hand
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
14
Companies
33
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2022
$1,468
2021
$866
2020
$3,054
2019
$1,697

Payments by company (2022)

ACUMED LLC
$1,446
Kerecis Limited
$22
Top 3 companies account for 100.0% of 2022 payments
All-time payments by company (2019-2022) ›
TriMed, Inc.
$2,157
ACUMED LLC
$1,506
ENCORE MEDICAL, LP
$1,006
Crossroads Orthopedics, LLC
$816
AXOGEN
$510
Integra LifeSciences Corporation
$389
Stryker Corporation
$183
Radius Health, Inc.
$125
Endo Pharmaceuticals Inc.
$123
Exactech, Inc.
$83
Zimmer Biomet Holdings, Inc.
$81
DJO, LLC
$47
Skeletal Dynamics Inc
$39
Kerecis Limited
$22
Top 3 companies account for 65.9% of all-time payments
Associated products mentioned in payments ›
ACUMED · Anatomic Radial Head System · AxoGuard Nerve Protector · CMF SPINALOGIC · DJO SURGICAL · DJO Surgical AltiVate Anatomic System · DJO Surgical AltiVate Reverse · DJO Surgical Discovery Elbow System · DJO Surgical Empowr Knee System · EQUINOXE · FREEDOM WRIST · Geminus · Kerecis Omega3 SurgiClose · PSI Anatomical Shoulder · TRAUMA · Tymlos · VARIAX · XIAFLEX
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for a surgery of the hand specialist in San Antonio?
Compare surgery of the hands in the San Antonio area by procedure volume, costs, and industry payment transparency.
Browse surgery of the hands nearby

Geographic Context

Surgery of the hands in nearby ZIP areas
4
County median income
$70,571
Nearest hospital to ZIP centroid (approximate)
SOUTH TEXAS SPINE AND SURGICAL HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2022
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Karbach is a clinical cardiology specialist, with above-average Medicare volume (top 16% in TX).

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Karbach experienced with steroid injection (triamcinolone)?
Based on Medicare claims data, Dr. Karbach performed 886 steroid injection (triamcinolone) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Karbach receive payments from pharmaceutical companies?
Yes. Dr. Karbach received a total of $7,085 from 14 companies across 33 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Karbach's costs compare to other surgery of the hands in San Antonio?
Dr. Karbach's average Medicare payment per service is $40. 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. Karbach) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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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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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →