Medicare Enrolled

Dr. Solomon Paley, MD

Family Medicine · San Antonio, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Speaking/Promotional
434 N LOOP 1604 W, San Antonio, TX 78232
2109466677
In practice since 2006 (19 years)
NPI: 1952409831 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. Paley 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. Paley? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Paley

Dr. Solomon Paley is a family medicine in San Antonio, TX, with 19 years in practice. Based on federal Medicare data, Dr. Paley performed 3,024 Medicare services across 2,021 unique beneficiaries.

Between the years covered by Open Payments, Dr. Paley received a total of $114,815 from 75 pharmaceutical and/or device companies across 1416 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Paley 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.

✓ 19 years in practice▲ Top 8% volume in TX$ $114,815 industry payments

Medicare Practice Summary

Medicare Utilization ↗
3,024
Medicare services
Top 8% in TX for family medicine
2,021
Unique beneficiaries
$85
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~159 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)1,286$91$160
Office visit, established patient (20-29 min)425$62$110
Annual wellness visit, follow-up416$124$160
Flu vaccine, high-dose118$69$70
Flu vaccine administration111$24$25
New patient office visit (45-59 min)68$117$180
Transitional care management services for problem of high complexity68$190$300
Detection test by immunoassay technique for influenza virus62$13$25
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional55$17$30
Urinalysis, manual54$3$20
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use53$282$300
Administration of vaccine44$15$30
Pneumonia vaccine administration44$24$25
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus37$34$50
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit37$158$195
Electrocardiogram (EKG), 12-lead35$11$40
Assessment of emotional or behavioral problems27$3$10
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a26$31$126
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment26$158$190
Removal of impacted ear wax by washing16$11$90
Drug injection, under skin or into muscle16$11$30
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 ↗
$114,815
Total received (2018-2024)
Avg $16,402/year across 7 years
Top 0% in TX for family medicine
75
Companies
1,416
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$95,621 (83.3%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$18,202 (15.9%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$993 (0.9%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$15,776
2023
$44,378
2022
$20,827
2021
$19,981
2020
$7,126
2019
$3,374
2018
$3,355

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Amgen Inc.
$96,336
AstraZeneca Pharmaceuticals LP
$3,175
Novartis Pharmaceuticals Corporation
$1,729
Lilly USA, LLC
$1,648
Novo Nordisk Inc
$1,536
ABBVIE INC.
$1,119
Janssen Pharmaceuticals, Inc
$793
Allergan Inc.
$573
AbbVie, Inc.
$553
AbbVie Inc.
$504
GlaxoSmithKline, LLC.
$487
Boehringer Ingelheim Pharmaceuticals, Inc.
$462
Bayer Healthcare Pharmaceuticals Inc.
$440
Amarin Pharma Inc.
$410
SANOFI-AVENTIS U.S. LLC
$364
PFIZER INC.
$360
Bayer HealthCare Pharmaceuticals Inc.
$330
Allergan, Inc.
$329
Esperion Therapeutics, Inc.
$279
Nevro Corp.
$262
Avanir Pharmaceuticals, Inc.
$254
Merck Sharp & Dohme Corporation
$179
Antares Pharma, Inc.
$178
Abbott Laboratories
$165
Kowa Pharmaceuticals America, Inc.
$155
Merck Sharp & Dohme LLC
$152
Gilead Sciences, Inc.
$150
Mannkind Corporation
$135
Supernus Pharmaceuticals, Inc.
$99
Takeda Pharmaceuticals U.S.A., Inc.
$99
Teva Pharmaceuticals USA, Inc.
$98
Shionogi Inc
$96
Upsher-Smith Laboratories LLC
$90
Astellas Pharma US Inc
$76
E.R. Squibb & Sons, L.L.C.
$74
Radius Health, Inc.
$71
Acerus Pharmaceuticals Corporation
$66
Axsome Therapeutics, Inc.
$64
Althera Pharmaceuticals LLC
$61
Currax Pharmaceuticals LLC
$57
IDORSIA PHARMACEUTICALS US INC
$45
Azurity Pharmaceuticals, Inc.
$44
Horizon Therapeutics plc
$41
Bausch Health US, LLC
$40
SANOFI PASTEUR INC.
$39
Shield Therapeutics Inc
$38
ARBOR PHARMACEUTICALS, INC.
$38
Ferring Pharmaceuticals Inc.
$35
Greer Laboratories, Inc.
$35
Exact Sciences Corporation
$32
Horizon Pharma plc
$32
UPSHER-SMITH LABORATORIES LLC
$30
Zyla Life Sciences
$26
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$25
JAZZ PHARMACEUTICALS INC.
$23
Biohaven Pharmaceutical Holding Company Ltd.
$21
Phathom Pharmaceuticals, Inc.
$19
Nalpropion Pharmaceuticals LLC
$18
Otsuka America Pharmaceutical, Inc.
$18
Biogen, Inc.
$15
Vanda Pharmaceuticals Inc.
$14
Lundbeck LLC
$14
Biohaven Pharmaceuticals, Inc.
$14
Regeneron Healthcare Solutions, Inc.
$14
Almatica Pharma LLC
$14
VistaPharm, Inc.
$14
Corcept Therapeutics
$14
Noden Pharma USA Inc
$13
Corium, LLC
$13
IBSA Pharma Inc.
$13
Aytu BioScience, Inc
$13
Paratek Pharmaceuticals, Inc.
$12
Shire North American Group Inc
$12
CeQur Corporation
$10
Clarus Therapeutics Inc.
$10
Top 3 companies account for 88.2% of total payments
Associated products mentioned in payments ›
ACCRUFER · ADLARITY · ADUHELM · AFREZZA · AIRSUPRA · AJOVY · ANORO ELLIPTA · AREXVY · Aimovig · Androgel · Auvelity · BELSOMRA · BREO · BREO ELLIPTA · BREZTRI · BREZTRI AEROSPHERE · BYDUREON · BYSTOLIC · CHANTIX · CONTRAVE · CeQur Simplicity · Cologuard Collection Kit · Creon · Descovy · EDARBI · ELIQUIS · EMGALITY · ENTRESTO · EUFLEXXA · EVENITY · Edarbi · Edarbyclor · FARXIGA · FASENRA · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FLUZONE HIGH-DOSE · FREESTYLE LIBRE 3 · FreeStyle Libre · FreeStyle Libre 2 · FreeStyle Libre blood glucose Flash Monitoring System · GARDASIL 9 · GRALISE · HETLIOZ · INVOKANA · JANUVIA · JARDIANCE · JATENZO · KRYSTEXXA · Kerendia · Korlym · LEQVIO · LINZESS · LIVALO · Livalo · MIGRANAL · MOUNJARO · MYRBETRIQ · Mulpleta · Myrbetriq · NAMZARIC · NEXLETOL · NEXLIZET · NOCDURNA · NUEDEXTA · NURTEC ODT · NUZYRA · Natesto · ONZETRA XSAIL · ORALAIR · OTREXUP · Omnia · Otezla · Ozempic · PAXLOVID · PRALUENT · PREVNAR 13 · PREVNAR 20 · Prolia · QUDEXY XR Topiramate Extended Release Capsules · QULIPTA · QUVIVIQ · RAYOS · REXULTI · RYBELSUS · Repatha · Roszet · Rybelsus · SEGLENTIS · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · SPRAVATO · SPRIX · STEGLATRO · SUNOSI · SYMBICORT · SYNTHROID · Saxenda · Synthroid · TEKTURNA · TOPIRAMATE Extended Release Capsules · TOSYMRA · TOSYMRA SUMATRIPTAN NASAL SPRAY · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TROKENDI XR · TRULICITY · Thyquidity · Tirosint · Tresiba · Trintellix · Tymlos · UBRELVY · VERQUVO · VIBERZI · VOQUEZNA · VRAYLAR · VYEPTI · Vascepa · Veozah · Victoza · WELLBUTRIN · Wegovy · XARELTO · XIFAXAN · XYOSTED · Xultophy 100/3.6
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 (83%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in family medicine and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 0% for family medicine in TX.

Equivalent to $3,797 per 100 Medicare services performed
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Geographic Context

Family Medicines within 10 mi
988
Per 100K population
48.5
County median income
$70,571
Nearest hospital
BAPTIST NEIGHBORHOOD HOSPITAL THOUSAND OAKS
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. Paley is a clinical cardiology specialist, with above-average Medicare volume (top 8% in TX), and high industry engagement (speaking/promotional, top 0%), with 19 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. Paley experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Paley performed 1,286 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. Paley receive payments from pharmaceutical companies?
Yes. Dr. Paley received a total of $114,815 from 75 companies across 1,416 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. Paley's costs compare to other family medicines in San Antonio?
Dr. Paley's average Medicare payment per service is $85. 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. Paley) 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 →