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
603 E AMBER ST STE 101, San Antonio, TX 78221
2106107283
In practice since 2013 (12 years)
NPI: 1467895375 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. 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 study of arm and leg arteries 302 $52 $170
Office visit, established patient (20-29 min) 262 $63 $142
Ultrasound of one leg arteries or artery grafts 126 $93 $270
New patient office visit (45-59 min) 81 $119 $320
Hospital follow-up visit, moderate complexity 74 $61 $144
Ultrasound of both sides of head and neck blood flow 56 $140 $301
Office visit, established patient, complex (40-54 min) 42 $120 $283
Ultrasound study of one arm or leg veins with compression and maneuvers 34 $86 $233
Ultrasound of aorta, vena cava, groin vessels or bypass grafts 33 $75 $234
Ultrasound study of arm or leg veins with compression and maneuvers 32 $138 $380
Ultrasound of leg arteries or artery grafts 29 $178 $505
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 26 $127 $301
Initial hospital admission, high complexity 25 $134 $401
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 24 $38 $99
Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 24 $8 $20
Ultrasonic guidance for blood vessel access 20 $30 $61
Ultrasound of hemodialysis access 19 $95 $271
Comprehensive metabolic blood panel 18 $10 $50
Prothrombin time test (blood clotting) 18 $4 $50
Review by radiologist of arm or leg artery image 17 $115 $333
Review by radiologist of abdominal aorta image 15 $87 $265
Blood count, hemoglobin 15 $2 $50
Telephone medical discussion with physician, 11-20 minutes 15 $52 $85
New patient office visit, complex (60-74 min) 13 $160 $403
Telephone medical discussion with physician, 5-10 minutes 12 $27 $44
Balloon dilation of artery of leg, initial vessel 11 $405 $1,097
Office visit, established patient (30-39 min) 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
44.2% medium
51.5% 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
Looking for a student in an organized health care education/training program specialist in San Antonio?
Compare student in an organized health care education/training programs in the San Antonio area by procedure volume, costs, and industry payment transparency.
Browse student in an organized health care education/training programs nearby

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

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 study of arm and leg arteries?
Based on Medicare claims data, Dr. Gianis performed 302 ultrasound study 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 →
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 →