Medicare Enrolled

Dr. Theodora Kulesza-Galvez, MD

Family Medicine · San Antonio, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
5414 FREDERICKSBURG RD STE 260, San Antonio, TX 78229
2104522669
In practice since 2014 (11 years)
NPI: 1013323450 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. Kulesza-Galvez 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. Kulesza-Galvez

Dr. Theodora Kulesza-Galvez is a family medicine specialist in San Antonio, TX, with 11 years of NPI registration. Based on federal Medicare data, Dr. Kulesza-Galvez performed 264 Medicare services across 127 unique beneficiaries.

Between the years covered by Open Payments, Dr. Kulesza-Galvez received a total of $984 from 18 pharmaceutical and/or device companies across 61 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. 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. Kulesza-Galvez 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.

✓ 11 years in practice ▲ 264 Medicare services $984 industry payments

Medicare Practice Summary

Medicare Utilization ↗
264
Medicare services
Bottom 35% in TX for family medicine
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
127
Unique beneficiaries
$79
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~24 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, complex (40-54 min) 107 $120 $311
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 53 $63 $215
Blood draw (venipuncture) 30 $8 $8
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or 23 $21 $85
Chronic care management, first 20 min/month 21 $45 $83
Advance care planning consultation, first 30 min 16 $77 $202
Annual wellness visit, follow-up 14 $124 $298
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 ↗
$984
Total received (2019-2024)
Avg $197/year across 5 years
Top 38% in TX for family medicine
18
Companies
61
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
$984 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$138
2023
$186
2022
$233
2021
$339
2019
$88

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$255
AbbVie Inc.
$177
Amgen Inc.
$133
ABBVIE INC.
$67
Lilly USA, LLC
$65
Merck Sharp & Dohme Corporation
$38
Hologic, LLC
$34
GlaxoSmithKline, LLC.
$28
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$27
PFIZER INC.
$25
Biohaven Pharmaceuticals, Inc.
$24
ALK-Abello, Inc
$19
AstraZeneca Pharmaceuticals LP
$18
Abbott Laboratories
$17
Novartis Pharmaceuticals Corporation
$17
Shield Therapeutics Inc
$14
Esperion Therapeutics, Inc.
$13
Horizon Therapeutics plc
$13
Top 3 companies account for 57.4% of total payments
Associated products mentioned in payments ›
ACCRUFER · AIRSUPRA · APTIMA · AREXVY · ELIQUIS · FreeStyle Libre · Grastek · KRYSTEXXA · LEQVIO · MOUNJARO · NEXLETOL · NEXPLANON · NURTEC ODT · Otezla · Ozempic · PENNSAID · PREVNAR - 13 · QULIPTA · RYBELSUS · Rybelsus · TRELEGY ELLIPTA · TRULICITY · Tresiba · UBRELVY · VRAYLAR · Wegovy · XIFAXAN
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 $373 per 100 Medicare services performed
Looking for a family medicine specialist in San Antonio?
Compare family medicine physicians in the San Antonio area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family medicine physicians within 10 mi
948
Per 100K population
46.5
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. Kulesza-Galvez is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement.

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. Kulesza-Galvez experienced with office visit, established patient, complex (40-54 min)?
Based on Medicare claims data, Dr. Kulesza-Galvez performed 107 office visit, established patient, complex (40-54 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. Kulesza-Galvez receive payments from pharmaceutical companies?
Yes. Dr. Kulesza-Galvez received a total of $984 from 18 companies across 61 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. Kulesza-Galvez's costs compare to other family medicine physicians in San Antonio?
Dr. Kulesza-Galvez's average Medicare payment per service is $79. 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. Kulesza-Galvez) 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 →