Medicare Enrolled

Dr. Lauren Karbach, M.D.

Surgery of the Hand · San Antonio, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
19138 US HIGHWAY 281 N, San Antonio, TX 78258
2104897225
In practice since 2013 (12 years)
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 in San Antonio, TX, with 12 years in practice. Based on federal Medicare data, Dr. Karbach performed 3,109 Medicare services across 1,797 unique beneficiaries.

Between the years covered by Open Payments, Dr. Karbach received a total of $7,085 from 14 pharmaceutical and/or device companies across 33 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in surgery of the hand. 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. Karbach 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.

✓ 12 years in practice▲ Top 16% volume in TX$ $7,085 industry payments

Medicare Practice Summary

Medicare Utilization ↗
3,109
Medicare services
Top 16% in TX for surgery of the hand
1,797
Unique beneficiaries
$40
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~259 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
Steroid injection (triamcinolone)886$1$25
Office visit, established patient (20-29 min)590$63$178
X-ray of hand, minimum of 3 views241$26$89
New patient office visit (30-44 min)199$68$262
X-ray of wrist, minimum of 3 views183$30$102
Shoulder X-ray, 2+ views164$25$84
Injection into tendon or ligament121$43$141
X-ray of finger, minimum of 2 views115$26$90
Office visit, established patient (30-39 min)103$85$262
Joint injection, major joint83$44$148
Aspiration and/or injection of fluid from small joint69$40$146
X-ray of elbow, minimum of 3 views44$22$90
Initial hospital admission, high complexity34$134$500
X-ray of elbow, 2 views33$23$78
Incision of tendon covering of finger29$169$2,670
Release of wrist ligament using an endoscope29$357$2,503
Aspiration and/or injection of fluid from medium joint28$40$127
Mri scan of arm joint without contrast28$99$680
Application of elbow to finger cast27$63$169
Cast supplies, short arm cast, adult (11 years +), fiberglass26$18$25
Ct scan of arm without contrast18$76$464
Cast supplies, short arm splint, adult (11 years +), fiberglass18$11$16
New patient office visit (45-59 min)17$104$400
Application of nonmoveable forearm to hand splint13$47$125
Mri scan of arm without contrast11$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. A higher procedure volume generally indicates more experience with that procedure.

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
14
Companies
33
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
$6,269 (88.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$816 (11.5%)

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)

Consulting
Speaking
Meals & Travel
Research
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 total 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? 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 (88%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $228 per 100 Medicare services performed
Looking for a surgery of the hand 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 within 10 mi
4
Per 100K population
0.2
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 2022
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. Karbach is a clinical cardiology specialist, with above-average Medicare volume (top 16% in TX), and low-engagement industry engagement.

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. Karbach experienced with steroid injection (triamcinolone)?
Based on Medicare claims data, Dr. Karbach performed 886 steroid injection (triamcinolone) 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. Karbach receive payments from pharmaceutical companies?
Yes. Dr. Karbach received a total of $7,085 from 14 companies across 33 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. 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 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 →