Medicare Enrolled

Dr. Patrick Cullinan, DO

Emergency Medicine · San Antonio, TX
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Speaking/Promotional
4502 MEDICAL DR, San Antonio, TX 78229
2103588555
In practice since 2006 (19 years)
NPI: 1043389653 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. Cullinan 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. Cullinan? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Cullinan

Dr. Patrick Cullinan is an emergency medicine in San Antonio, TX, with 19 years in practice. Based on federal Medicare data, Dr. Cullinan performed 173 Medicare services across 111 unique beneficiaries.

Between the years covered by Open Payments, Dr. Cullinan received a total of $9,395 from 21 pharmaceutical and/or device companies across 38 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in emergency medicine. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Cullinan 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.

✓ 19 years in practice▲ 173 Medicare services$ $9,395 industry payments

Medicare Practice Summary

Medicare Utilization ↗
173
Medicare services
Bottom 33% in TX for emergency medicine
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
111
Unique beneficiaries
$150
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~9 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
Critical care, first 30-74 min137$166$814
Emergency department visit, high complexity22$136$1,732
EKG interpretation and report14$6$82
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 2024 ↗
$9,395
Total received (2018-2024)
Avg $1,566/year across 6 years
Top 3% in TX for emergency medicine
21
Companies
38
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$5,952 (63.4%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$3,443 (36.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$4,312
2023
$3,754
2022
$351
2021
$115
2019
$318
2018
$545

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Fisher Scientific Company L.L.C.
$5,952
AstraZeneca Pharmaceuticals LP
$426
ABBVIE INC.
$375
AbbVie Inc.
$314
Stryker Corporation
$282
Chiesi USA, Inc.
$201
SOBI, INC
$201
Kerecis Limited
$150
Medtronic, Inc.
$133
Neurocrine Biosciences, Inc.
$128
Abbott Laboratories
$125
Actelion Pharmaceuticals US, Inc.
$125
Astute Medical, Inc.
$125
Piramal Critical Care
$125
Alexion Pharmaceuticals, Inc.
$122
Alcresta Therapeutics, Inc.
$122
Mylan Specialty L.P.
$120
La Jolla Pharmaceutical Company
$115
ZOLL Medical Corporation
$114
BTG International, Inc.
$76
Smith & Nephew, Inc.
$62
Top 3 companies account for 71.9% of total payments
Associated products mentioned in payments ›
AMPLATZER AMULET · ANDEXXA · AVYCAZ · Allevyn Life · BRILINTA · CLEVIPREX · CROFAB · GABLOFEN · GAMIFANT · GIAPREZA · Kerecis Omega3 SurgiClose · LINQ II · LOKELMA · Nephrocheck · Ongentys · PHYSIO - LUCAS · Procalcitonin · RELIZORB · SOLIRIS · TEFLARO · TREVO · UPTRAVI · Yupelri
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 →

The majority of payments (63%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in emergency medicine and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 3% for emergency medicine in TX.

Equivalent to $5,430 per 100 Medicare services performed
Looking for a emergency medicine in San Antonio?
Compare emergency medicines in the San Antonio area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Emergency Medicines within 10 mi
517
Per 100K population
25.4
County median income
$70,571
Nearest hospital
UNIVERSITY HEALTH SYSTEM
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
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. Cullinan is a mixed practice specialist, with moderate Medicare volume, and high industry engagement (speaking/promotional, top 3%), with 19 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. Cullinan experienced with critical care, first 30-74 min?
Based on Medicare claims data, Dr. Cullinan performed 137 critical care, first 30-74 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. Cullinan receive payments from pharmaceutical companies?
Yes. Dr. Cullinan received a total of $9,395 from 21 companies across 38 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. Cullinan's costs compare to other emergency medicines in San Antonio?
Dr. Cullinan's average Medicare payment per service is $150. 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. Cullinan) 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 →