Dr. Michael Middlebrook, M.D.
What this data tells you about Dr. Middlebrook
Dr. Michael Middlebrook is a radiation oncology specialist in San Antonio, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Middlebrook performed 2,029 Medicare services across 1,775 unique beneficiaries.
Between the years covered by Open Payments, Dr. Middlebrook received a total of $38,658 from 19 pharmaceutical and/or device companies across 197 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in radiation oncology. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Middlebrook 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 |
|---|---|---|---|
| Chest X-ray, 1 view | 543 | $6 | $35 |
| Ct scan of abdomen and pelvis without contrast | 110 | $61 | $337 |
| CT scan of head/brain, without contrast | 108 | $30 | $164 |
| CT scan of abdomen and pelvis with contrast | 94 | $63 | $353 |
| Ultrasonic guidance for needle placement | 88 | $23 | $125 |
| Drainage of fluid from abdominal cavity using imaging guidance | 82 | $76 | $426 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 75 | $9 | $98 |
| Needle biopsy of kidney | 71 | $95 | $508 |
| Ct scan of abdomen before and after contrast | 69 | $50 | $272 |
| CT scan of chest, without contrast | 58 | $37 | $226 |
| X-ray of abdomen, 1 view | 56 | $7 | $34 |
| Ultrasound scan of transplanted kidney | 56 | $27 | $147 |
| Ct scan of blood vessels of chest with contrast | 54 | $66 | $352 |
| Limited ultrasound scan of abdomen | 49 | $21 | $114 |
| Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch | 40 | $145 | $1,199 |
| Ct scan of chest with contrast | 32 | $39 | $240 |
| Chest X-ray, 2 views | 31 | $7 | $42 |
| Nuclear medicine study, spect imaging, 1 area or single acquisition, single day imaging | 31 | $37 | $200 |
| Complete ultrasound of abdomen and pelvis artery and vein blood flow | 30 | $41 | $224 |
| Aspiration of fluid from chest cavity using imaging guidance | 28 | $83 | $438 |
| Occlusion of growths or obstructed vessels with review by radiologist | 28 | $421 | $2,226 |
| Ct scan of blood vessels of abdomen and pelvis with contrast | 25 | $80 | $421 |
| Review by radiologist of abdominal artery image | 24 | $73 | $213 |
| Ct scan of upper spine without contrast | 22 | $36 | $206 |
| Ct scan of abdomen and pelvis before and after contrast | 19 | $73 | $387 |
| Ultrasonic guidance for blood vessel access | 19 | $11 | $56 |
| Hip X-ray, 2-3 views | 18 | $8 | $43 |
| Foot X-ray, 3+ views | 18 | $6 | $33 |
| Complex radiation therapy planning for delivery of internal radiation | 17 | $117 | $514 |
| Radioactive drug therapy through a tube inserted in an artery | 17 | $84 | $443 |
| Ultrasound study of one arm or leg veins with compression and maneuvers | 17 | $15 | $87 |
| Shoulder X-ray, 2+ views | 16 | $6 | $37 |
| Knee X-ray, 3 views | 16 | $7 | $37 |
| 3d radiographic procedure with computerized image postprocessing | 16 | $29 | $154 |
| X-ray of knee, 1-2 views | 14 | $6 | $33 |
| Placement of tube of kidney using imaging guidance with review by radiologist | 13 | $154 | $815 |
| Fluoroscopic guidance for insertion or removal of central vein access device | 13 | $14 | $72 |
| Limited ultrasound scan behind abdominal cavity | 12 | $20 | $111 |
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 ›
The majority of payments (50%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 3% for radiation oncology in TX.
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. Middlebrook is a mixed practice specialist, with moderate Medicare volume, with consulting-driven industry engagement in the top 3% of TX peers, with 20 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
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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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