Medicare Enrolled

Dr. Timothy Palomera, MD

Family Medicine · San Antonio, TX
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
21 SPURS LN, San Antonio, TX 78240
2106998326
Registered in NPPES since 2007
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 specialist in San Antonio, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Palomera performed 8,815 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Palomera received a total of $4,590 from 24 pharmaceutical and/or device companies across 111 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. 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. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years of NPI registration ▲ Top 2% volume in TX $4,590 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
8,815
Medicare services
Top 2% in TX for family medicine
Not available
Unique patients (not deduplicated)
$19
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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
Joint lubricant injection (TriVisc)
An injection of hyaluronan or a derivative into a joint space. The dose specified is 1 milligram.
3,800 $7 $38
Hymovis intra-articular injection
An injection of Hymovis, a hyaluronan derivative, administered directly into a joint space.
1,920 $14 $35
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
1,218 $1 $11
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.
469 $86 $251
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
443 $54 $241
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.
393 $60 $177
Knee X-ray, 4 or more views
An imaging test using X-rays to create multiple pictures of the knee joint from different angles.
202 $31 $137
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
119 $68 $218
Shoulder X-ray, 2+ views
An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures.
57 $24 $102
X-ray of lower and sacral spine, 2-3 views
An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area.
40 $28 $118
Hip X-ray, 2-3 views
An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures.
37 $33 $139
Trigger point injection, 1-2 muscles
A procedure involving the injection of medication into one or two specific muscles to treat trigger points.
31 $35 $157
Foot X-ray, 3+ views
An X-ray imaging test of the foot that captures at least three different views to evaluate the bones and joints.
21 $24 $102
MRI of leg joint, without contrast
A magnetic resonance imaging scan of a joint in the leg performed without the use of contrast dye.
15 $105 $435
X-ray of hand, minimum of 3 views
An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints.
14 $24 $108
Ankle X-ray, minimum 3 views
An X-ray imaging test of the ankle that captures at least three different angles to evaluate the bones and joints.
13 $24 $109
X-ray of upper spine, 2-3 views
An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures.
12 $30 $117
New patient office visit, 15-29 minutes
An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold.
11 $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. These counts do not measure clinical quality or years of experience.

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
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
24
Companies
111
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

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)

Pacira Pharmaceuticals Incorporated
$383
Bioventus LLC
$149
VERTEX PHARMACEUTICALS INCORPORATED
$14
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
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 all-time 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? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
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 in nearby ZIP areas
978
County median income
$70,571
Nearest hospital to ZIP centroid (approximate)
SAN ANTONIO BEHAVIORAL HEALTHCARE HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Palomera is a mixed practice specialist, with above-average Medicare volume (top 2% in TX), with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. 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. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Palomera receive payments from pharmaceutical companies?
Yes. Dr. Palomera received a total of $4,590 from 24 companies across 111 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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 medicine physicians 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →