Medicare Enrolled

Dr. Raymond Skunda, MD

Orthopedic Surgery · San Antonio, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
6800 W IH 10 STE 250, San Antonio, TX 78201
2106927400
Registered in NPPES since 2013
NPI: 1144664962 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. Skunda 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. Skunda

Dr. Raymond Skunda is an orthopedic surgery specialist in San Antonio, TX, with 13 years of NPI registration. Based on federal Medicare data, Dr. Skunda performed 3,745 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Skunda received a total of $9,146 from 18 pharmaceutical and/or device companies across 70 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Skunda is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 13 years of NPI registration ▲ Top 14% volume in TX $9,146 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
3,745
Medicare services
Top 14% in TX for orthopedic surgery
Not available
Unique patients (not deduplicated)
$29
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
2,092 $1 $10
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.
599 $60 $90
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
404 $49 $188
Knee X-ray, 3 views
An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures.
298 $29 $105
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.
120 $76 $140
Hip X-ray, 2-3 views
An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures.
87 $31 $105
Shoulder X-ray, 2+ views
An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures.
67 $24 $70
Total knee replacement 29 $946 $4,400
Knee X-ray, 1-2 views
An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures.
17 $25 $85
Home health plan of care certification
Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians.
17 $39 $75
Initial hospital admission, high complexity
Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter.
15 $123 $240
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. These counts do not measure clinical quality or years of experience.
0.8% high complexity
66.6% medium
32.6% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$9,146
Total received (2018-2024)
Avg $1,307/year across 7 years
Top 37% in TX for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
18
Companies
70
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$808
2023
$745
2022
$667
2021
$733
2020
$47
2019
$2,289
2018
$3,855

Payments by company (2024)

Stryker Corporation
$618
Anika Therapeutics, Inc.
$73
DePuy Synthes Sales Inc.
$40
VERTEX PHARMACEUTICALS INCORPORATED
$29
Ethicon US, LLC
$27
Orthofix Medical, Inc.
$22
Top 3 companies account for 90.4% of 2024 payments
All-time payments by company (2018-2024) ›
Stryker Corporation
$3,550
Medinc of Texas
$3,152
Pylant Medical
$1,502
DePuy Synthes Sales Inc.
$166
ACUMED LLC
$147
Nevro Corp.
$142
Smith & Nephew, Inc.
$110
Anika Therapeutics, Inc.
$73
Orthofix Medical, Inc.
$63
Bioventus LLC
$53
AXOGEN
$39
Zimmer Biomet Holdings, Inc.
$31
VERTEX PHARMACEUTICALS INCORPORATED
$29
Ethicon US, LLC
$27
Conformis, Inc.
$19
Smith+Nephew, Inc.
$15
Avanos Medical
$14
KCI USA, Inc
$13
Top 3 companies account for 89.7% of all-time payments
Associated products mentioned in payments ›
ACUMED · ATTUNE · AxoGuard Nerve Protector · Biomet SpinalPak · DERMABOND PRINEO · Exogen · GELSYN-3 · INSPACE · Integrity · MAKO · MONOVISC · NONE · NOVOSTITCH · ON-Q* PUMP AND ACCESSORIES · OVO Motion · Omnia · PREVENA · Physio-Stim · Physio-Stim Osteogenesis Stimulator · Q-FIX · REUNION · Regeneten · Santyl · TRAUMA · TRIATHLON · TRUESPAN ORTHOCORD · iTotal CR
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for an orthopedic surgery specialist in San Antonio?
Compare orthopedic surgeons in the San Antonio area by procedure volume, costs, and industry payment transparency.
Browse orthopedic surgeons nearby

Geographic Context

Orthopedic surgeons in nearby ZIP areas
173
County median income
$70,571
Nearest hospital to ZIP centroid (approximate)
CHILDREN'S HOSPITAL OF SAN ANTONIO
3.2 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Skunda is a clinical cardiology specialist, with above-average Medicare volume (top 14% in TX).

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Skunda experienced with steroid injection (triamcinolone)?
Based on Medicare claims data, Dr. Skunda performed 2,092 steroid injection (triamcinolone) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Skunda receive payments from pharmaceutical companies?
Yes. Dr. Skunda received a total of $9,146 from 18 companies across 70 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Skunda's costs compare to other orthopedic surgeons in San Antonio?
Dr. Skunda's average Medicare payment per service is $29. 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. Skunda) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →