Medicare Enrolled

Dr. Richard Otero, MD

Gastroenterology · San Antonio, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
520 E EUCLID AVE, San Antonio, TX 78212
2102710606
In practice since 2005 (20 years)
NPI: 1881699734 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. Otero 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. Otero

Dr. Richard Otero is a gastroenterology specialist in San Antonio, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Otero performed 930 Medicare services across 815 unique beneficiaries.

Between the years covered by Open Payments, Dr. Otero received a total of $6,996 from 40 pharmaceutical and/or device companies across 470 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. 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. Otero 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 28% volume in TX $6,996 industry payments

Medicare Practice Summary

Medicare Utilization ↗
930
Medicare services
Top 28% in TX for gastroenterology
815
Unique beneficiaries
$100
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~46 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 (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.
186 $59 $148
Upper GI endoscopy with biopsy
A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities.
184 $63 $680
Colonoscopy with biopsy
A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease.
126 $120 $847
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.
116 $82 $217
Colonoscopy for colorectal cancer screening, high risk
A colonoscopy performed to screen for colorectal cancer in individuals identified as being at high risk for the disease.
78 $172 $778
Balloon dilation of esophagus, stomach, or upper small bowel, less than 3.0 cm
A procedure using a flexible endoscope to widen a narrowed section of the esophagus, stomach, or upper small bowel with a balloon that is less than 3.0 cm in length.
64 $110 $649
Colon polyp removal with endoscopic snare
This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination.
58 $197 $1,067
Colonoscopy for colorectal cancer screening
A colonoscopy performed to screen for colorectal cancer in individuals who are not at high risk for the disease.
37 $169 $781
Colonoscopy
A diagnostic exam of the large bowel using a flexible endoscope to visualize the interior of the colon.
22 $131 $781
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
19 $41 $100
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.
15 $85 $332
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.
13 $79 $219
Colon polyp removal with endoscope and cautery
This procedure removes polyps or growths from the large bowel using a flexible tube with a camera. Electrical cautery is used to stop bleeding during the removal.
12 $144 $955
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 ↗
$6,996
Total received (2018-2024)
Avg $999/year across 7 years
Top 29% in TX for gastroenterology
40
Companies
470
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
$6,996 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,240
2023
$943
2022
$1,277
2021
$1,162
2020
$498
2019
$913
2018
$964

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$1,471
Janssen Biotech, Inc.
$752
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$731
AbbVie Inc.
$519
Gilead Sciences, Inc.
$494
PFIZER INC.
$367
Allergan Inc.
$355
AbbVie, Inc.
$276
Nestle HealthCare Nutrition Inc.
$169
Takeda Pharmaceuticals U.S.A., Inc.
$165
Intercept Pharmaceuticals, Inc.
$146
Shionogi Inc
$140
Boston Scientific Corporation
$128
Lilly USA, LLC
$125
QOL Medical, LLC
$121
GI Supply, Inc.
$115
RedHill Biopharma Inc.
$108
Celgene Corporation
$106
Phathom Pharmaceuticals, Inc.
$81
EVOKE PHARMA, INC.
$62
Allergan, Inc.
$59
Synergy Pharmaceuticals Inc
$58
Ferring Pharmaceuticals Inc.
$41
UCB, Inc.
$39
Merck Sharp & Dohme Corporation
$36
Alfasigma USA, Inc.
$36
AstraZeneca Pharmaceuticals LP
$34
AIMMUNE THERAPEUTICS, INC.
$32
Janssen Pharmaceuticals, Inc
$30
Ipsen Biopharmaceuticals, Inc
$29
IRONWOOD PHARMACEUTICALS, INC
$26
Dova Pharmaceuticals
$24
Ardelyx, Inc.
$20
SHIELD THERAPEUTICS INC
$17
Ironwood Pharmaceuticals, Inc
$15
Merck Sharp & Dohme LLC
$15
NESTLE HEALTHCARE NUTRITION INC.
$15
Celltrion USA Inc.
$13
Evoke Pharma, Inc.
$13
Cumberland Pharmaceuticals, Inc.
$12
Top 3 companies account for 42.2% of total payments
Associated products mentioned in payments ›
ACCRUFER · APRISO · Amitiza · CLENPIQ · CREON · Cimzia · Creon · DIFICID · Dexilant · Doptelet · Entyvio · GIMOTI · HUMIRA · Humira · IBSRELA · IQIRVO · LINZESS · Linzess · MAVYRET · MOVANTIK · Mavyret · Movantik · Mulpleta · OCALIVA · OMVOH · ORISE · Omeclamox · REBYOTA · REMICADE · RINVOQ · SKYRIZI · STELARA · SUCRAID · Sucraid · Symproic · TREMFYA · TRULANCE · Talicia · Trulance · VEGZELMA · VIBERZI · VOQUEZNA · VRAYLAR · XELJANZ · XIFAXAN · XIFAXANIBSD · ZENPEP · ZEPATIER · ZEPOSIA · Zelnorm
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 $752 per 100 Medicare services performed
Looking for a gastroenterology specialist in San Antonio?
Compare gastroenterologists in the San Antonio area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Gastroenterologists within 10 mi
103
Per 100K population
5.1
County median income
$70,571
Nearest hospital
BAPTIST MEDICAL CENTER
2.8 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. Otero is a clinical cardiology specialist, with above-average Medicare volume (top 28% 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. Otero experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Otero performed 186 office visit, established patient (20-29 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. Otero receive payments from pharmaceutical companies?
Yes. Dr. Otero received a total of $6,996 from 40 companies across 470 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. Otero's costs compare to other gastroenterologists in San Antonio?
Dr. Otero's average Medicare payment per service is $100. 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. Otero) 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 →