Medicare Enrolled

Dr. Ryan Kochanski, M.D.

Neurological Surgery · San Antonio, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Research-focused
5282 MEDICAL DR STE 600, San Antonio, TX 78229
2103753399
In practice since 2013 (12 years)
NPI: 1568809622 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. Kochanski 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. Kochanski? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Kochanski

Dr. Ryan Kochanski is a neurological surgery specialist in San Antonio, TX, with 12 years of NPI registration. Based on federal Medicare data, Dr. Kochanski performed 64 Medicare services across 60 unique beneficiaries.

Between the years covered by Open Payments, Dr. Kochanski received a total of $33,182 from 30 pharmaceutical and/or device companies across 115 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurological surgery. The majority of payments are classified as research and scientific activities (grants and research funding). Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Kochanski 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.

✓ 12 years in practice ▲ 64 Medicare services $33,182 industry payments

Medicare Practice Summary

Medicare Utilization ↗
64
Medicare services
Bottom 14% in TX for neurological surgery
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
60
Unique beneficiaries
$146
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~5 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
New patient office visit, complex (60-74 min) 35 $168 $498
Office visit, established patient, complex (40-54 min) 15 $138 $347
Initial hospital admission, moderate complexity 14 $99 $335
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 ↗
$33,182
Total received (2018-2024)
Avg $4,740/year across 7 years
Top 17% in TX for neurological surgery
30
Companies
115
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.

Scientific / Research
Research funding and grants
$25,087 (75.6%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$7,775 (23.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$320 (1.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,678
2023
$3,861
2022
$686
2021
$611
2020
$25,208
2019
$788
2018
$351

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Medtronic USA, Inc.
$25,333
ClearPoint Neuro, Inc.
$1,629
Brainlab, Inc.
$1,438
Medtronic, Inc.
$989
Boston Scientific Corporation
$622
Abbott Laboratories
$537
ABBVIE INC.
$337
Medical Device Business Services, Inc.
$320
BOSTON SCIENTIFIC CORPORATION
$265
Globus Medical, Inc.
$186
Intrinsic Therapeutics
$167
INSIGHTEC,INC
$159
Stryker Corporation
$138
Kuros Biosciences USA, Inc
$127
DePuy Synthes Sales Inc.
$121
BAXTER HEALTHCARE
$110
Zimmer Biomet Holdings, Inc.
$107
LivaNova USA, Inc.
$98
UCB, Inc.
$91
Janssen Pharmaceuticals, Inc
$90
Grifols USA, LLC
$65
Integra LifeSciences Corporation
$36
GE HEALTHCARE
$36
Monteris Medical Corporation
$33
Teva Pharmaceuticals USA, Inc.
$30
ARGENX US, INC.
$29
Neurelis, Inc.
$25
NEUROPACE, INC.
$23
AstraZeneca Pharmaceuticals LP
$22
Davol Inc.
$20
Top 3 companies account for 85.6% of total payments
Associated products mentioned in payments ›
ACF · ACTIVA · AJOVY · AQUAMANTYS · Austedo XR · Avitene Ultrafoam · BARRICAID ACD (ANNULAR CLOSURE DEVICE) · BOTOX · Briviact · CATALYFT PL EXPANDABLE INTERBODY SYSTEM · CLEARPOINT · CODMAN CERTAS · CREO · ES2 · EXCELSIUS GPS · Exablate · Excelsius - GPS · Excelsius Robotics System · FLOSEAL · GENERAL DBS · GENERAL - DBS · Gamunex-C · INFINITY · INTELLIS ADAPTIVESTIM · Image Guided Surgical Device · Infinity DBS Pulse Generators · KYPHON EXPRESS II KYPHOPAK TRAY · MAGNETOS · Nayzilam · Neuroblate · PERCEPT PC BRAINSENSE · PRESTIGE · Proclaim IPG · QULIPTA · RNS Neurostimulator Kit · SENSIGHT · SPRAVATO · STEALTHSTATION S8 PLATFORM · SYNCHROMEDII · SenSight · UBRELVY · VALTOCO · VNS THERAPY SENTIVA MODEL 1000 GENERATOR · VYVGART HYTRULO · Vercise · Vitality Power
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 (76%) are classified as scientific/research, suggesting involvement in clinical studies, grants, or innovation-related work.

Equivalent to $51,847 per 100 Medicare services performed
Looking for a neurological surgery specialist in San Antonio?
Compare neurological surgerists in the San Antonio area by procedure volume, costs, and industry payment transparency.
Browse neurological surgerists nearby

Geographic Context

Neurological surgerists within 10 mi
64
Per 100K population
3.1
County median income
$70,571
Nearest hospital
UNIVERSITY HEALTH SYSTEM
0.0 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. Kochanski is a clinical cardiology specialist, with moderate Medicare volume, with research-focused industry engagement in the top 17% of TX peers.

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. Kochanski experienced with new patient office visit, complex (60-74 min)?
Based on Medicare claims data, Dr. Kochanski performed 35 new patient office visit, complex (60-74 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. Kochanski receive payments from pharmaceutical companies?
Yes. Dr. Kochanski received a total of $33,182 from 30 companies across 115 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. Kochanski's costs compare to other neurological surgerists in San Antonio?
Dr. Kochanski's average Medicare payment per service is $146. 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. Kochanski) 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 →

Explore related providers

Same specialty & city
Neurological Surgerists in San Antonio
Browse neurological surgerists in San Antonio ranked by procedure volume and transparency data.
Highest volume
Top Neurological Surgerists in TX
Neurological surgerists ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Neurological Surgerists in TX
Which TX neurological surgerists receive the most from drug and device companies.
By company
Medtronic USA, Inc. Payments to Doctors
See all physicians who received payments from Medtronic USA, Inc.
By company
ClearPoint Neuro, Inc. Payments to Doctors
See all physicians who received payments from ClearPoint Neuro, Inc.
By company
Brainlab, Inc. Payments to Doctors
See all physicians who received payments from Brainlab, Inc.
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 →