Medicare Enrolled
Dr. Thomas Gianis, M.D.
Student in an Organized Health Care Education/Training Program · San Antonio, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Mixed engagement
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. Gianis 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. Gianis?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Gianis
Dr. Thomas Gianis is a student in an organized health care education/training program specialist in San Antonio, TX, with 12 years of NPI registration. Based on federal Medicare data, Dr. Gianis performed 1,354 Medicare services across 1,079 unique beneficiaries.
Between the years covered by Open Payments, Dr. Gianis received a total of $21,470 from 26 pharmaceutical and/or device companies across 95 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in student in an organized health care education/training program. Payments are distributed across multiple categories and often reflect legitimate professional engagement with the medical industry. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Gianis 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
▲ Top 14% volume in TX
$21,470 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,354
Medicare services
Top 14% in TX for student in an organized health care education/training program
1,079
Unique beneficiaries
$80
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~113 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 |
|---|---|---|---|
| Ultrasound of arm and leg arteries This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries. |
302 | $52 | $170 |
| 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. |
262 | $63 | $142 |
| Ultrasound of leg arteries or grafts An ultrasound exam that uses sound waves to create images of the arteries in one leg or any grafts present in that leg. |
126 | $93 | $270 |
| 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. |
81 | $119 | $320 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
74 | $61 | $144 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
56 | $140 | $301 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
42 | $120 | $283 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages. |
34 | $86 | $233 |
| Ultrasound of aorta, vena cava, groin vessels or bypass grafts This procedure uses sound waves to create images of the aorta, vena cava, groin vessels, or bypass grafts. It allows for the visualization of these blood vessels and any surgical grafts. |
33 | $75 | $234 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
32 | $138 | $380 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
29 | $178 | $505 |
| Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts A complete ultrasound exam of the aorta, vena cava, groin vessels, or bypass grafts. This imaging test uses sound waves to visualize these blood vessels. |
26 | $127 | $301 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
25 | $134 | $401 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
24 | $38 | $99 |
| Additional sedation, per 15 minutes Administration of a drug to deepen sedation during a procedure. This code covers each additional 15-minute increment of sedation beyond the initial period. |
24 | $8 | $20 |
| Ultrasound guidance for blood vessel access Use of ultrasound imaging to help locate and access a blood vessel. This guidance assists healthcare providers in performing procedures such as inserting IV lines or drawing blood. |
20 | $30 | $61 |
| Ultrasound of hemodialysis access An ultrasound imaging test used to evaluate the blood flow and structure of a hemodialysis access site. |
19 | $95 | $271 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
18 | $10 | $50 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
18 | $4 | $50 |
| Radiologist review of arm or leg artery image A radiologist reviews images of the arteries in the arm or leg. This process involves analyzing the visual data to assess the blood vessels. |
17 | $115 | $333 |
| Radiologist review of abdominal aorta image A radiologist reviews images of the abdominal aorta to evaluate the blood vessel. |
15 | $87 | $265 |
| Hemoglobin blood test A blood test that measures the amount of hemoglobin, the protein in red blood cells that carries oxygen. |
15 | $2 | $50 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
15 | $52 | $85 |
| New patient office visit, complex (60-74 min) | 13 | $160 | $403 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
12 | $27 | $44 |
| Balloon angioplasty of leg artery, initial vessel A procedure to widen a narrowed or blocked artery in the leg using a balloon catheter. This is performed on the first vessel treated during the session. |
11 | $405 | $1,097 |
| 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. |
11 | $99 | $219 |
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.
4.4% high complexity
45.6% medium
50.0% routine
Industry Payment Transparency
Open Payments through 2024 ↗$21,470
Total received (2018-2024)
Avg $3,578/year across 6 years
Top 2% in TX for student in an organized health care education/training program
26
Companies
95
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.
Other
Charitable contributions, space rental, and other categories
$16,955 (79.0%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$4,514 (21.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$3,501
2023
$15,480
2022
$1,086
2021
$906
2019
$434
2018
$63
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AngioDynamics, Inc.
$16,974
Endologix LLC
$605
Medtronic Vascular, Inc.
$496
Bard Peripheral Vascular, Inc.
$496
W. L. Gore & Associates, Inc.
$409
Janssen Pharmaceuticals, Inc
$394
BSN Medical Inc
$270
ShockWave Medical, Inc
$257
Medtronic, Inc.
$210
Cook Medical LLC
$209
Philips Electronics North America Corporation
$179
Silk Road Medical, Inc.
$140
Siemens Medical Solutions USA, Inc.
$137
Philips North America LLC
$108
Penumbra, Inc.
$86
Tactile Systems Technology Inc
$79
Bolton Medical Inc
$71
Innovation Technologies Inc
$67
Resmed Corp
$63
Shockwave Medical, Inc
$51
Boston Scientific Corporation
$46
BioTissue Holdings, Inc.
$42
Surmodics, Inc.
$26
CashFlow Solutions, LLC
$22
Kerecis Limited
$17
ConvaTec Inc.
$13
Top 3 companies account for 84.2% of total payments
Associated products mentioned in payments ›
(4066) Tack Endo Sys ATK · (4067) Tack Endo Sys BTK · (6536) Phoenix · (9260) QC · (9547) IGT Systems Und · (BR5) Peripheral IVUS · (DD1) Duo Hybrid · AFX2 Bifurcated Endograft System · AURYON LASER SYSTEM 100-120 VAC · AirMini · Alto Abdominal Stent Graft System · Auryon Laser System 100-120 Vac · COOK · Cios Alpha · Crosser iQ · ENROUTE Transcarotid Neuroprotection System · ENROUTE Transcarotid Stent · EXCLUDER Conformable AAA Endoprosthesis with Active Control · Endurant · EverFlex · Flexitouch Plus · Fluency Endovascular Stent Graft · GORE EXCLUDER AAA Endoprosthesis · Grafts · IN.PACT Admiral · INNOVAMATRIX PD · IRRISEPT · Indigo System · JOBST FORMEN AMBITION · Kerecis Omega3 SurgiClose · LIFESTREAM · LUTONIX · LUTONIX Drug Coated Balloon · LYMPHA PRESS OPTIMAL PLUS(US) BT · LifeStent Solo Vascular Stent · Lympha Press Optimal Plus(US) BT · NEOX · Relay Grafts · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · Stents · Sublime 014 Rx PTA Balloon Dilatation Catheter · VENACURE 1470 PRO · VENASEAL · VENOVO · Varithena Administration Pack · XARELTO · ZENITH · Zenith
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 →
Payments are distributed across multiple categories with no single dominant type. Total industry engagement is in the top 2% for student in an organized health care education/training program in TX.
Equivalent to $1,586 per 100 Medicare services performed
Geographic Context
Student in an organized health care education/training programs within 10 mi
2,318
Per 100K population
113.8
County median income
$70,571
Nearest hospital
SAN ANTONIO STATE HOSP STATE SCHOOL
5.8 mi
5.8 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. Gianis is a clinical cardiology specialist, with above-average Medicare volume (top 14% in TX), with mixed engagement industry engagement in the top 2% 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. Gianis experienced with ultrasound of arm and leg arteries?
Based on Medicare claims data, Dr. Gianis performed 302 ultrasound of arm and leg arteries 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. Gianis receive payments from pharmaceutical companies?
Yes. Dr. Gianis received a total of $21,470 from 26 companies across 95 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. Gianis's costs compare to other student in an organized health care education/training programs in San Antonio?
Dr. Gianis's average Medicare payment per service is $80. 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. Gianis) 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
Student In An Organized Health Care Education/training Programs in San Antonio
Browse student in an organized health care education/training programs in San Antonio ranked by procedure volume and transparency data.
Highest volume
Top Student In An Organized Health Care Education/training Programs in TX
Student in an organized health care education/training programs ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Student In An Organized Health Care Education/training Programs in TX
Which TX student in an organized health care education/training programs receive the most from drug and device companies.
By company
AngioDynamics, Inc. Payments to Doctors
See all physicians who received payments from AngioDynamics, Inc.
By company
Endologix LLC Payments to Doctors
See all physicians who received payments from Endologix LLC.
By company
Medtronic Vascular, Inc. Payments to Doctors
See all physicians who received payments from Medtronic Vascular, 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