Medicare Enrolled
Dr. Ricardo Aguilar, M.D.
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician · San Antonio, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Aguilar 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. Aguilar?
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What this data tells you about Dr. Aguilar
Dr. Ricardo Aguilar is an undersea and hyperbaric medicine physician in San Antonio, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Aguilar performed 4,144 Medicare services across 1,514 unique beneficiaries.
Between the years covered by Open Payments, Dr. Aguilar received a total of $2,675 from 30 pharmaceutical and/or device companies across 77 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in undersea and hyperbaric medicine (preventive medicine) 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. Aguilar 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.
✓ 20 years in practice
▲ Top 9% volume in TX
$2,675 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,144
Medicare services
Top 9% in TX for undersea and hyperbaric medicine (preventive medicine) physician
1,514
Unique beneficiaries
$61
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~207 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 (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. |
596 | $79 | $213 |
| Infectious disease DNA/RNA test A laboratory test that uses a specific technique to detect the genetic material of an organism. This method amplifies the target DNA or RNA to identify the presence of the organism. |
432 | $34 | $128 |
| Home visit, established patient, moderate complexity A home visit for an established patient involving moderate medical decision making. The visit requires at least 40 minutes of time if time is used to determine the level of service. |
353 | $93 | $255 |
| Chronic care management, first 30 minutes This service covers the initial 30 minutes of care coordination for patients with two or more chronic conditions. It is provided personally by a healthcare professional each calendar month. |
339 | $61 | $164 |
| Chronic care management, additional 30 minutes This service covers an extra 30 minutes of care management provided by a healthcare professional for patients with two or more chronic conditions. It is billed per calendar month in addition to the standard chronic care management time. |
320 | $44 | $120 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
298 | $46 | $82 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
290 | $35 | $70 |
| 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. |
168 | $52 | $145 |
| Yeast/candida DNA test A laboratory test that uses an amplified probe technique to detect the presence of Candida species, a type of yeast, in a patient sample. |
120 | $34 | $79 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
108 | $58 | $214 |
| Skin and tissue removal, 20 sq cm or less This procedure involves the surgical excision of skin and underlying tissue from an area measuring 20 square centimeters or smaller. |
86 | $42 | $184 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
78 | $54 | $168 |
| Neuropsychological test evaluation, first hour A professional assessment of cognitive and behavioral functioning using standardized tests. This service covers the initial hour of the evaluation process. |
46 | $72 | $262 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
46 | $90 | $405 |
| Additional chronic care management time, 60 minutes This service covers an additional 60 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions, billed per calendar month. |
46 | $53 | $90 |
| Psychological test administration, first 30 minutes A technician administers psychological or neuropsychological testing for the first 30 minutes. |
44 | $24 | $73 |
| Complex chronic care management, first 60 minutes This service involves clinical staff time directed by a healthcare professional to manage two or more chronic conditions over a calendar month. It covers the first 60 minutes of this coordinated care effort. |
44 | $99 | $179 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
42 | $124 | $228 |
| Home visit, established patient, low complexity A physician visits an existing patient at their residence to provide care involving a low level of medical decision making. The visit lasts at least 30 minutes. |
36 | $58 | $167 |
| Psychiatric collaborative care follow-up, first 60 minutes A follow-up psychiatric care management visit for subsequent calendar months. The service covers the first 60 minutes of collaborative care coordination. |
35 | $108 | $249 |
| 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. |
32 | $97 | $340 |
| VRE nucleic acid detection test A laboratory test that uses amplified probe techniques to detect vancomycin-resistant Enterococcus (VRE) DNA in a patient sample. |
30 | $34 | $53 |
| MRSA nucleic acid detection test A laboratory test that uses amplified probe techniques to detect the genetic material of methicillin-resistant Staphylococcus aureus (MRSA) bacteria. |
30 | $34 | $53 |
| Group B Strep DNA test A laboratory test that uses DNA amplification to detect the presence of Group B Streptococcus bacteria. |
30 | $34 | $53 |
| Ultrasound of arm and leg arteries A non-invasive imaging test that uses sound waves to examine the blood vessels in the arms and legs. It evaluates blood flow and checks for blockages or other vascular issues. |
30 | $97 | $514 |
| 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. |
30 | $99 | $349 |
| Home visit, established patient, high complexity A home visit for an established patient involving high-level medical decision making, lasting at least 60 minutes. |
30 | $132 | $354 |
| Respiratory virus nucleic acid test, 3-5 targets A laboratory test that uses nucleic acid detection to identify multiple types or subtypes of respiratory viruses. The test analyzes 3 to 5 specific viral targets. |
28 | $140 | $214 |
| Strep A nucleic acid amplification test A laboratory test that uses nucleic acid amplification to detect the presence of Group A Streptococcus bacteria. This method identifies the genetic material of the bacteria to determine if an infection is present. |
28 | $34 | $53 |
| 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. |
28 | $122 | $599 |
| Staphylococcus aureus DNA test A laboratory test that uses DNA amplification to detect the presence of Staphylococcus aureus bacteria in a sample. |
27 | $34 | $53 |
| Inhalation treatment for airway obstruction or sputum production A treatment involving the inhalation of medication to help clear airway obstructions or reduce sputum production. |
26 | $7 | $35 |
| Autonomic nervous system function test This test evaluates how well the sympathetic nervous system is functioning. It assesses the automatic control of bodily processes such as heart rate and blood pressure. |
26 | $94 | $250 |
| Balance and posture test A test to evaluate a patient's balance and posture. This assessment measures stability and body alignment. |
25 | $36 | $186 |
| Autonomic nervous system testing with heart rate response to deep breathing This test evaluates the function of the autonomic nervous system by measuring how the heart rate changes in response to deep breathing. |
25 | $67 | $164 |
| Inhaled albuterol and ipratropium bromide via DME Administration of FDA-approved albuterol and ipratropium bromide medication through durable medical equipment. |
24 | $0 | $33 |
| Multiple eye pressure measurements over time This procedure involves taking several measurements of the fluid pressure inside the eye across an extended period. It is used to monitor intraocular pressure levels. |
23 | $65 | $160 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
22 | $87 | $309 |
| Assessment of and care planning for patient with impaired thought processing, typically 60 minutes | 22 | $186 | $508 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
19 | $197 | $453 |
| COVID-19 viral test, high throughput A laboratory test to detect the SARS-CoV-2 virus using high-throughput technology. This test identifies multiple types or subtypes of the virus and is performed by non-CDC laboratories. |
19 | $74 | $113 |
| COVID-19 nucleic acid test, high throughput A laboratory test that detects the genetic material of the SARS-CoV-2 virus using amplified probe techniques. This method utilizes high-throughput technologies to process samples efficiently. |
19 | $24 | $38 |
| Spirometry test before and after medication A test that measures the amount of air you can exhale and the speed of your breathing before and after taking a medication. |
17 | $29 | $115 |
| Home visit, new patient, moderate complexity A home visit for a new patient involving moderate medical decision making, lasting at least 60 minutes. |
15 | $97 | $361 |
| Initial psychiatric collaborative care management, first 70 minutes This service covers the first 70 minutes of psychiatric collaborative care management during the initial calendar month of treatment. |
12 | $114 | $311 |
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 ↗$2,675
Total received (2018-2024)
Avg $382/year across 7 years
Top 26% in TX for undersea and hyperbaric medicine (preventive medicine) physician
30
Companies
77
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
$2,675 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$491
2023
$922
2022
$305
2021
$373
2020
$257
2019
$116
2018
$210
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ORGANOGENESIS INC.
$290
Kerecis Limited
$241
Smith+Nephew, Inc.
$239
AbbVie Inc.
$210
Organogenesis Inc.
$200
Teva Pharmaceuticals USA, Inc.
$186
Ardelyx, Inc.
$124
Amgen Inc.
$122
Next Science LLC
$114
Reapplix Inc.
$104
ABBVIE INC.
$98
Novartis Pharmaceuticals Corporation
$94
Acera Surgical, Inc.
$80
Hydrofera LLC
$70
Integra LifeSciences Corporation
$63
TEI Medical Inc.
$58
ALK-Abello, Inc
$56
KCI USA, Inc.
$55
ConvaTec Inc.
$35
Smith & Nephew, Inc.
$34
Janssen Pharmaceuticals, Inc
$32
Bayer Healthcare Pharmaceuticals Inc.
$27
Otsuka America Pharmaceutical, Inc.
$24
Melinta Therapeutics, LLC
$20
Lifenet Health
$19
Tactile Systems Technology Inc
$19
Abbott Laboratories
$18
OVIK Health, LLC
$17
MEDLINE INDUSTRIES LP
$16
Musculoskeletal Transplant Foundation Inc.
$11
Top 3 companies account for 28.7% of total payments
Associated products mentioned in payments ›
3C Patch Kit - Box · ABILIFY MAINTENA · ACTIVAC · AQUACEL · AUSTEDO · Apligraf · Austedo XR · COLLAGENASE SANTYL · Coflex TLC · DALVANCE · ENTRESTO · FLEXITOUCH · GRAFIX PL · Grafix PL PRIME · Grastek · HYDROFERA BLUE · HYDROFERA BLUE READY - BORDER · IBSRELA · INC. · INNOVAMATRIX AC · INVEGA SUSTENNA · Integra · Kerecis Omega3 SurgiClose · Kerecis Omega3 Wound · Kerendia · Kimyrsa · MEDLINE INDUSTRIES · OMNIGRAFT · PICO · PICO Single Use Negative Pressure Wound Therapy · PRIMATRIX · PROCLAIM · Puraply · Puraply Antimicrobial · REGRANEX · Repatha · Restrata Wound Matrix · Santyl · Stravix · SurgX · TEFLARO · Triple Bundle · VRAYLAR
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 $65 per 100 Medicare services performed
Geographic Context
Undersea and hyperbaric medicine physicians within 10 mi
9
Per 100K population
0.4
County median income
$70,571
Nearest hospital
CHILDREN'S HOSPITAL OF SAN ANTONIO
2.4 mi
2.4 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. Aguilar is a clinical cardiology specialist, with above-average Medicare volume (top 9% in TX), with low-engagement industry engagement, 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
Is Dr. Aguilar experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Aguilar performed 596 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. Aguilar receive payments from pharmaceutical companies?
Yes. Dr. Aguilar received a total of $2,675 from 30 companies across 77 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. Aguilar's costs compare to other undersea and hyperbaric medicine physicians in San Antonio?
Dr. Aguilar's average Medicare payment per service is $61. 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. Aguilar) 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 →
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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.
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