Medicare Enrolled

Dr. Timothy Palomera, MD

Family Medicine · San Antonio, TX
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Low-engagement
21 SPURS LN, San Antonio, TX 78240
2106998326
In practice since 2007 (19 years)
NPI: 1841347614 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. Palomera 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. Palomera

Dr. Timothy Palomera is a family medicine in San Antonio, TX, with 19 years in practice. Based on federal Medicare data, Dr. Palomera performed 8,815 Medicare services across 1,360 unique beneficiaries.

Between the years covered by Open Payments, Dr. Palomera received a total of $4,590 from 24 pharmaceutical and/or device companies across 111 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. Palomera 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 2% volume in TX$ $4,590 industry payments

Medicare Practice Summary

Medicare Utilization ↗
8,815
Medicare services
Top 2% in TX for family medicine
1,360
Unique beneficiaries
$19
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~464 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
Joint lubricant injection (TriVisc)3,800$7$38
Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg1,920$14$35
Steroid injection (triamcinolone)1,218$1$11
Office visit, established patient (30-39 min)469$86$251
Joint injection, major joint443$54$241
Office visit, established patient (20-29 min)393$60$177
X-ray of knee, 4 or more views202$31$137
New patient office visit (30-44 min)119$68$218
Shoulder X-ray, 2+ views57$24$102
X-ray of lower and sacral spine, 2-3 views40$28$118
Hip X-ray, 2-3 views37$33$139
Injection of trigger points, 1-2 muscles31$35$157
Foot X-ray, 3+ views21$24$102
Mri scan of leg joint without contrast15$105$435
X-ray of hand, minimum of 3 views14$24$108
X-ray of ankle, minimum of 3 views13$24$109
X-ray of upper spine, 2-3 views12$30$117
New patient office or other outpatient visit, 15-29 minutes11$29$142
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 ↗
$4,590
Total received (2018-2024)
Avg $656/year across 7 years
Top 14% in TX for family medicine
24
Companies
111
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
$3,374 (73.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$1,216 (26.5%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$546
2023
$122
2022
$213
2021
$2,351
2020
$208
2019
$299
2018
$851

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Arthrex, Inc.
$1,216
Medinc of Texas
$884
Pacira Pharmaceuticals Incorporated
$383
Horizon Pharma plc
$282
Ferring Pharmaceuticals Inc.
$245
Flexion Therapeutics, Inc.
$198
Fidia Pharma USA Inc.
$173
FIDIA PHARMA USA INC.
$169
Bioventus LLC
$149
DePuy Synthes Sales Inc.
$143
SI-BONE, INC.
$125
Integra LifeSciences Corporation
$120
IDORSIA PHARMACEUTICALS US INC
$117
SANOFI-AVENTIS U.S. LLC
$102
Orthogenrx Inc.
$52
Abbott Laboratories
$50
DJO, LLC
$47
Pacira Therapeutics, Inc.
$39
Zyla Life Sciences
$26
PFIZER INC.
$20
Egalet US Inc
$16
VERTEX PHARMACEUTICALS INCORPORATED
$14
Horizon Therapeutics plc
$12
Orthofix Medical, Inc.
$6
Top 3 companies account for 54.1% of total payments
Associated products mentioned in payments ›
BIOFIX · DUEXIS · DUROLANE · EUFLEXXA · FLECTOR · GenVisc 850 · HYALGAN · HYM/HYN · HYMOVIS · Hymovis · IFUSE IMPLANT · Iovera · MONOVISC · NO_PRODUCT · Physio-Stim · Physio-Stim Osteogenesis Stimulator · QUVIVIQ · RAYOS · SPRIX · SYNVISC-ONE · SlimTip lead DRG Lead · TRILURON · ZORVOLEX · Zilretta
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 (74%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $52 per 100 Medicare services performed
Looking for a family medicine in San Antonio?
Compare family medicines in the San Antonio area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family Medicines within 10 mi
978
Per 100K population
48.0
County median income
$70,571
Nearest hospital
SAN ANTONIO BEHAVIORAL HEALTHCARE HOSPITAL
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. Palomera is a mixed practice specialist, with above-average Medicare volume (top 2% in TX), and high industry engagement (low-engagement, top 14%), 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. Palomera experienced with joint lubricant injection (trivisc)?
Based on Medicare claims data, Dr. Palomera performed 3,800 joint lubricant injection (trivisc) 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. Palomera receive payments from pharmaceutical companies?
Yes. Dr. Palomera received a total of $4,590 from 24 companies across 111 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. Palomera's costs compare to other family medicines in San Antonio?
Dr. Palomera's average Medicare payment per service is $19. 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. Palomera) 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 →