Medicare Enrolled
Dr. Solomon Paley, MD
Family Medicine · San Antonio, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Speaking/Promotional
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 →
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What this data tells you about Dr. Paley
Dr. Solomon Paley is a family medicine specialist in San Antonio, TX, with 19 years of NPI registration. 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.
| 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. |
1,286 | $91 | $160 |
| 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. |
425 | $62 | $110 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
416 | $124 | $160 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
118 | $69 | $70 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
111 | $24 | $25 |
| 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. |
68 | $117 | $180 |
| 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. |
68 | $190 | $300 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus. |
62 | $13 | $25 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
55 | $17 | $30 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
54 | $3 | $20 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
53 | $282 | $300 |
| Vaccine administration The process of giving a vaccine to a patient. This code covers the administration service only and does not include the cost of the vaccine itself. |
44 | $15 | $30 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
44 | $24 | $25 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
37 | $34 | $50 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
37 | $158 | $195 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
35 | $11 | $40 |
| Assessment of emotional or behavioral problems An evaluation to identify and understand emotional or behavioral issues. This process involves reviewing symptoms and behaviors to determine the nature of the concerns. |
27 | $3 | $10 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
26 | $31 | $126 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
26 | $158 | $190 |
| Ear wax removal by washing This procedure involves the removal of impacted ear wax using a washing technique. |
16 | $11 | $90 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
16 | $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
Geographic Context
Family medicine physicians within 10 mi
988
Per 100K population
48.5
County median income
$70,571
Nearest hospital
BAPTIST NEIGHBORHOOD HOSPITAL THOUSAND OAKS
0.0 mi
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. Paley is a clinical cardiology specialist, with above-average Medicare volume (top 8% in TX), with speaking/promotional industry engagement in the top 0% of TX peers, with 19 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. 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 medicine physicians 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 →
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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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