Medicare Enrolled

Dr. Maria Geraldine Zuniga Manrique, M.D.

Otology & Neurotology Physician · San Antonio, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
21 SPURS LN STE 245, San Antonio, TX 78240
2105471550
In practice since 2013 (12 years)
NPI: 1215370077 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. Zuniga Manrique 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. Zuniga Manrique? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Zuniga Manrique

Dr. Maria Geraldine Zuniga Manrique is an otology & neurotology physician in San Antonio, TX, with 12 years of NPI registration. Based on federal Medicare data, Dr. Zuniga Manrique performed 3,062 Medicare services across 2,440 unique beneficiaries.

Between the years covered by Open Payments, Dr. Zuniga Manrique received a total of $554 from 11 pharmaceutical and/or device companies across 20 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in otology & neurotology physician. 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. Zuniga Manrique 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 11% volume in TX $554 industry payments

Medicare Practice Summary

Medicare Utilization ↗
3,062
Medicare services
Top 11% in TX for otology & neurotology physician
2,440
Unique beneficiaries
$57
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~255 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 (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.
915 $56 $102
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.
478 $83 $158
Impacted earwax removal by physician
Removal of impacted earwax from one or both ears by a physician on the same day as audiologic testing.
384 $34 $112
Ear wax removal
A procedure to remove impacted ear wax from the ear canal.
246 $33 $90
Microscopic ear examination
A detailed visual inspection of the ear using a specialized microscope to examine the ear canal and eardrum.
200 $19 $65
Allergy injection therapy, multiple injections
A professional service involving the administration of multiple allergen injections.
161 $8 $34
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.
144 $115 $263
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.
107 $71 $185
Head repositioning exercises for dizziness
A series of exercises performed to reposition the head, used to treat dizziness. The procedure is administered on a daily basis.
99 $30 $100
Simple removal of skin debris and drainage of mastoid cavity
This procedure involves the simple removal of skin debris and the drainage of a mastoid cavity.
54 $49 $186
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
51 $120 $232
Eardrum incision with tube insertion
A small cut is made in the eardrum to insert a ventilation tube, performed under local or topical anesthesia.
41 $168 $337
Inner ear fluid canal incision with drug infusion
A surgical procedure involving an incision into the fluid-filled canal of the inner ear followed by the infusion of medication.
41 $161 $1,248
Middle ear function test
A diagnostic test used to evaluate how well the middle ear is functioning.
30 $10 $42
Test to assess electrical potentials generated in the inner ear as a result of sound stimulation 19 $86 $194
Balance testing with recording
A procedure to evaluate balance function by recording the results during testing.
17 $84 $192
Vestibular function test with thermal irrigation
A test that assesses balance by irrigating both ears with warm and cool fluids to evaluate inner ear function.
16 $29 $220
Vestibular function test using rotating chair
This test evaluates eye movement and balance function by having the patient sit in a rotating chair. It helps assess how the inner ear and brain coordinate to maintain stability.
16 $96 $186
Comprehensive hearing and speech recognition test
A diagnostic evaluation that assesses hearing ability and the capacity to understand spoken words. The test measures how well a patient can detect sounds and recognize speech.
15 $19 $95
Balance and posture test with motor control
A test that evaluates balance and posture by assessing motor control and adaptive responses.
14 $50 $94
Auditory brainstem response test
A test that measures how the brain responds to sound to help diagnose nervous system disorders. The results are interpreted and reported by a medical professional.
14 $65 $199
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.
1.3% high complexity
5.3% medium
93.4% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$554
Total received (2022-2024)
Avg $185/year across 3 years
Bottom 28% in TX for otology & neurotology physician
11
Companies
20
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
$554 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$239
2023
$82
2022
$234

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$195
Biohaven Pharmaceutical Holding Company Ltd.
$67
MED-EL Corporation
$47
Cochlear Americas
$44
Dentsply Sirona Inc
$39
Hikma Pharmaceuticals USA
$38
Teva Pharmaceuticals USA, Inc.
$36
ALK-Abello, Inc
$35
Lundbeck LLC
$22
PFIZER INC.
$17
Medtronic, Inc.
$14
Top 3 companies account for 55.7% of total payments
Associated products mentioned in payments ›
AJOVY · COCHLEAR NUCLEUS CI632 COCHLEAR IMPLANT WITH SLIM MODIOLAR ELECTRODE · Grastek · Implant Dentistry · Mi1250 SYNCHRONY 2 FLEXsoft · NURTEC ODT · NUVENT · Ryaltris · UBRELVY · VYEPTI
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 $18 per 100 Medicare services performed
Looking for an otology & neurotology physician in San Antonio?
Compare otology & neurotology physicians in the San Antonio area by procedure volume, costs, and industry payment transparency.
Browse otology & neurotology physicians nearby

Geographic Context

Otology & neurotology physicians within 10 mi
4
Per 100K population
0.2
County median income
$70,571
Nearest hospital
SAN ANTONIO BEHAVIORAL HEALTHCARE 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. Zuniga Manrique is a clinical cardiology specialist, with above-average Medicare volume (top 11% in TX), with 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. Zuniga Manrique experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Zuniga Manrique performed 915 office visit, established patient (20-29 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. Zuniga Manrique receive payments from pharmaceutical companies?
Yes. Dr. Zuniga Manrique received a total of $554 from 11 companies across 20 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. Zuniga Manrique's costs compare to other otology & neurotology physicians in San Antonio?
Dr. Zuniga Manrique's average Medicare payment per service is $57. 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. Zuniga Manrique) 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 →