https://doctransparency.com/doctor/tx/san-antonio/randall-marx-1790980068
Medicare Enrolled

Dr. Randall Marx, M.D.

Orthopaedic Foot and Ankle Surgery Physician · San Antonio, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
2829 BABCOCK RD STE 700, San Antonio, TX 78229
2105931480
In practice since 2007 (18 years)
NPI: 1790980068 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. Marx 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. Marx? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Marx

Dr. Randall Marx is an orthopaedic foot and ankle surgery physician in San Antonio, TX, with 18 years in practice. Based on federal Medicare data, Dr. Marx performed 4,612 Medicare services across 3,037 unique beneficiaries.

Between the years covered by Open Payments, Dr. Marx received a total of $2,852 from 4 pharmaceutical and/or device companies across 26 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopaedic foot and ankle surgery 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. Marx 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.

✓ 18 years in practice▲ Top 2% volume in TX$ $2,852 industry payments

Medicare Practice Summary

Medicare Utilization ↗
4,612
Medicare services
Top 2% in TX for orthopaedic foot and ankle surgery physician
3,037
Unique beneficiaries
$62
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~256 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
Office visit, established patient (30-39 min)874$88$262
Steroid injection (triamcinolone)872$1$25
Foot X-ray, 3+ views540$24$84
X-ray of ankle, minimum of 3 views316$27$91
Aspiration and/or injection of fluid large joint using ultrasound guidance245$79$573
New patient office visit (45-59 min)242$102$400
Office visit, established patient (20-29 min)238$64$178
Knee X-ray, 3 views193$30$103
Hyaluronan or derivative, monovisc, for intra-articular injection, per dose122$556$1,500
Joint injection, major joint95$51$174
Cast supplies, short leg splint, adult (11 years +), fiberglass95$17$24
Mri scan of leg joint without contrast64$108$679
Hip X-ray, 2-3 views63$34$119
Shoulder X-ray, 2+ views62$25$84
Application of short leg cast55$59$160
Injection, ketorolac tromethamine, per 15 mg50$0$29
X-ray of knee, 4 or more views48$32$114
X-ray of lower and sacral spine, minimum of 4 views45$39$141
Correction of toe joint deformity38$149$2,638
Aspiration and/or injection of fluid from medium joint36$36$126
Application of walking cast covering below knee to toe33$56$153
Drug injection, under skin or into muscle31$11$61
Ct scan of leg without contrast25$65$464
Mri scan of leg without contrast25$134$833
X-ray of wrist, minimum of 3 views21$28$102
X-ray of hand, minimum of 3 views20$24$89
Removal of noncancer thickened skin growth, 1 growth17$52$115
Injection into tendon or ligament17$43$144
Harvest of graft from small bone17$70$2,004
X-ray of toe, minimum of 2 views17$21$80
X-ray of elbow, minimum of 3 views16$25$90
Transfer of deep tendon of foot with muscle rerouting15$423$3,679
X-ray of upper spine, 4-5 views14$36$131
New patient office visit (30-44 min)14$81$262
Mri scan of arm joint without contrast13$120$680
X-ray of lower and sacral spine, 2-3 views12$29$101
Cast supplies, short arm splint, adult (11 years +), fiberglass12$10$16
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 ↗
$2,852
Total received (2018-2024)
Avg $407/year across 7 years
Bottom 18% in TX for orthopaedic foot and ankle surgery physician
4
Companies
26
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
$2,852 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$216
2023
$290
2022
$258
2021
$155
2020
$452
2019
$56
2018
$1,426

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Stryker Corporation
$1,387
Medinc of Texas
$763
Arthrex, Inc.
$663
Organogenesis Inc.
$39
Top 3 companies account for 98.6% of total payments
Associated products mentioned in payments ›
ALLOWRAP · ALPHAVENT · ANCHORAGE · ASNIS · AUGMENT INJECTABLE · FIXOS · HOFFMANN · INFINITY ADAPTIS · MAKO · ORTHOLOC 3DI · Puraply · STAR · VARIAX
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 $62 per 100 Medicare services performed
Looking for a orthopaedic foot and ankle surgery physician in San Antonio?
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Geographic Context

Orthopaedic Foot and Ankle Surgery Physicians within 10 mi
6
Per 100K population
0.3
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. Marx is a clinical cardiology specialist, with above-average Medicare volume (top 2% in TX), and low-engagement industry engagement, with 18 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. Marx experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Marx performed 874 office visit, established patient (30-39 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. Marx receive payments from pharmaceutical companies?
Yes. Dr. Marx received a total of $2,852 from 4 companies across 26 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. Marx's costs compare to other orthopaedic foot and ankle surgery physicians in San Antonio?
Dr. Marx's average Medicare payment per service is $62. 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. Marx) 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 →