Medicare Enrolled
Dr. William Trigoso, MD
Endocrinology · San Antonio, TX
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Speaking/Promotional
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. Trigoso 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. Trigoso
Dr. William Trigoso is an endocrinology in San Antonio, TX, with 19 years in practice. Based on federal Medicare data, Dr. Trigoso performed 21,387 Medicare services across 12,245 unique beneficiaries.
Between the years covered by Open Payments, Dr. Trigoso received a total of $193,202 from 77 pharmaceutical and/or device companies across 1848 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in endocrinology. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Trigoso is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice▲ Top 2% volume in TX$ $193,202 industry payments
Medicare Practice Summary
Medicare Utilization ↗21,387
Medicare services
Top 2% in TX for endocrinology
12,245
Unique beneficiaries
$22
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~1,126 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 |
|---|---|---|---|
| Blood draw (venipuncture) | 2,270 | $6 | $6 |
| Office visit, established patient (30-39 min) | 2,140 | $88 | $209 |
| Comprehensive metabolic blood panel | 1,832 | $10 | $29 |
| Hemoglobin A1c test (diabetes monitoring) | 1,625 | $9 | $27 |
| Thyroid stimulating hormone (TSH) test | 1,566 | $16 | $46 |
| Free thyroxine (T4) test | 1,486 | $9 | $25 |
| Lipid panel (cholesterol and triglycerides) | 1,431 | $13 | $37 |
| Complete blood count (CBC) with differential | 1,189 | $8 | $21 |
| Parathyroid hormone level test | 903 | $40 | $113 |
| Vitamin D level test | 811 | $29 | $75 |
| Creatine kinase (cardiac enzyme) level, total | 714 | $6 | $18 |
| Phosphate level test | 695 | $5 | $13 |
| Uric acid level test | 666 | $4 | $12 |
| Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 522 | $26 | $87 |
| Glycated protein level | 356 | $16 | $41 |
| Urine microalbumin test (kidney screening) | 304 | $6 | $15 |
| Creatinine test (kidney function) | 302 | $5 | $14 |
| Office visit, established patient (20-29 min) | 270 | $64 | $142 |
| Vitamin B-12 level test | 201 | $15 | $41 |
| Ferritin level test (iron stores) | 187 | $13 | $37 |
| Folic acid level test | 164 | $14 | $40 |
| Thyroglobulin (thyroid protein) antibody measurement | 129 | $16 | $44 |
| Ultrasound scan of head and neck soft tissue | 120 | $79 | $223 |
| Bone density scan (DEXA) | 119 | $37 | $78 |
| Basic metabolic blood panel | 119 | $8 | $23 |
| Calculation of trabecular bone score (tbs) using imaging data with interpretation and report on fracture risk | 104 | $30 | $79 |
| C-peptide (protein) level | 104 | $20 | $57 |
| Drug injection, under skin or into muscle | 97 | $10 | $49 |
| Insulin measurement, total | 81 | $11 | $31 |
| Microsomal antibodies (autoantibody) measurement | 73 | $14 | $40 |
| New patient office visit (45-59 min) | 69 | $115 | $319 |
| Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment | 65 | $109 | $296 |
| Kidney function blood test panel | 54 | $9 | $24 |
| Sex hormone binding globulin (protein) level | 53 | $21 | $60 |
| Office visit, established patient, complex (40-54 min) | 52 | $117 | $282 |
| Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | 46 | $21 | $45 |
| Flu vaccine administration | 45 | $29 | $30 |
| Ldl cholesterol level | 37 | $10 | $26 |
| Prolactin (milk producing hormone) level | 36 | $19 | $53 |
| Cortisol (hormone) measurement, total | 33 | $16 | $45 |
| Dehydroepiandrosterone (dhea-s) hormone level | 33 | $22 | $61 |
| Thyroid hormone, t3 measurement, free | 33 | $16 | $46 |
| PSA test (prostate cancer screening) | 30 | $18 | $50 |
| Blood glucose (sugar) measurement using reagent strip | 28 | $5 | $9 |
| Urinalysis with microscopic exam | 24 | $3 | $9 |
| Ultrasound scan of organ tissue for measuring elasticity | 20 | $67 | $203 |
| Measurement of liver stiffness | 18 | $20 | $120 |
| Fine needle aspiration biopsy using ultrasound guidance, first growth | 16 | $97 | $372 |
| Gonadotropin, follicle stimulating (reproductive hormone) level | 16 | $18 | $51 |
| Gonadotropin, luteinizing (reproductive hormone) level | 16 | $18 | $51 |
| Ultrasound study of arm and leg arteries | 15 | $64 | $168 |
| Office visit, established patient (10-19 min) | 15 | $35 | $84 |
| Ketone bodies analysis, qualitative | 14 | $4 | $12 |
| Sed rate test (inflammation marker) | 14 | $3 | $7 |
| Dxa bone density measurement of forearm, finger, hand, or foot | 13 | $31 | $54 |
| Adrenocorticotropic hormone (acth) level | 12 | $38 | $106 |
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 ↗$193,202
Total received (2018-2024)
Avg $27,600/year across 7 years
Top 7% in TX for endocrinology
77
Companies
1,848
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.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$153,299 (79.3%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$31,177 (16.1%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$8,726 (4.5%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024$23,283
2023$17,772
2022$18,435
2021$22,926
2020$19,974
2019$48,106
2018$42,707
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Lilly USA, LLC
$61,480
Boehringer Ingelheim Pharmaceuticals, Inc.
$42,206
Amgen Inc.
$26,068
SANOFI-AVENTIS U.S. LLC
$19,160
Amarin Pharma Inc.
$7,511
Regeneron Healthcare Solutions, Inc.
$3,895
AstraZeneca Pharmaceuticals LP
$3,241
Medtronic, Inc.
$3,233
Novo Nordisk Inc
$2,968
Medtronic MiniMed, Inc.
$2,741
Abbott Laboratories
$1,521
Radius Health, Inc.
$1,472
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$1,397
Mannkind Corporation
$1,363
Novartis Pharmaceuticals Corporation
$859
MannKind Corporation
$811
Xeris Pharmaceuticals, Inc.
$796
Dexcom, Inc.
$785
Esperion Therapeutics, Inc.
$760
Antares Pharma, Inc.
$744
Regeneron Pharmaceuticals, Inc.
$729
Ascensia Diabetes Care Us Inc.
$715
CeQur Corporation
$665
Insulet Corporation
$634
Janssen Scientific Affairs, LLC
$594
Valeritas, Inc.
$520
RECORDATI_RARE_DISEASES_INC.
$462
Tandem Diabetes Care, Inc.
$452
AbbVie Inc.
$438
Merck Sharp & Dohme Corporation
$433
KVK-Tech, Inc.
$368
AbbVie, Inc.
$346
Bayer Healthcare Pharmaceuticals Inc.
$311
Kyowa Kirin, Inc.
$291
Zealand Pharma US, Inc.
$274
Shire North American Group Inc
$231
Corcept Therapeutics
$227
Alexion Pharmaceuticals, Inc.
$210
OPKO Pharmaceuticals, LLC
$192
Janssen Pharmaceuticals, Inc
$182
BETA BIONICS, INC.
$162
DEXCOM, INC.
$136
ABBVIE INC.
$131
Companion Medical, Inc.
$127
Ultragenyx Pharmaceutical Inc.
$124
Becton, Dickinson and Company
$110
Merck Sharp & Dohme LLC
$93
Orexigen Therapeutics, Inc.
$85
PFIZER INC.
$78
Nalpropion Pharmaceuticals LLC
$74
Bayer HealthCare Pharmaceuticals Inc.
$66
Ipsen Biopharmaceuticals, Inc
$55
Acerus Pharmaceuticals Corporation
$48
Almatica Pharma LLC
$46
LIFESCAN, INC.
$42
Tolmar, Inc.
$42
LifeScan, Inc.
$41
Nestle HealthCare Nutrition Inc.
$40
IBSA Pharma Inc.
$38
Strongbridge US INC.
$36
Nevro Corp.
$35
Nalpropion Pharmaceuticals, Inc.
$29
Currax Pharmaceuticals LLC
$28
Neurocrine Biosciences, Inc.
$25
Roche Diabetes Care, Inc.
$24
Eisai Inc.
$24
EUSA Pharma (US) LLC
$23
Bigfoot Biomedical Inc
$22
Supernus Pharmaceuticals, Inc.
$21
Amphastar Pharmaceuticals, Inc.
$18
Clarus Therapeutics Inc.
$17
Horizon Therapeutics plc
$17
Intuity Medical Inc
$14
Senseonics, Incorporated
$14
GRT US Holding, Inc.
$13
Kowa Pharmaceuticals America, Inc.
$11
Althera Pharmaceuticals LLC
$5
Top 3 companies account for 67.2% of total payments
Associated products mentioned in payments ›
AFREZZA · Aimovig · Androgel · BAQSIMI · BASAGLAR · BD NANO · BD Nano · BD Nano 2nd Gen Pen Needle · BYDUREON · Belviq · CHANTIX · CONTRAVE · CREON · CYCLOSET · Cables · CeQur Simplicity · Crysvita · Cryvista · DC ACCU-CHEK Diabetes Management Solutions · DEXCOM CGM · DEXCOM G6 CGM SYSTEM · DEXCOM G6 TRANSMITTER · DIABETES - DISEASE · Dexcom CGM · Dexcom G6 Transmitter · Dojolvi · ENTRESTO · EVENITY · EVERSENSE 365 SENSOR KIT (RETAIL) · EVERSENSE E3 SENSOR KIT - RETAIL · Eversense · FARXIGA · FIASP · FORTEO · FREESTYLE LIBRE 3 · FreeStyle Libre · FreeStyle Libre 2 · FreeStyle Libre blood glucose Flash Monitoring System · GLYXAMBI · GVOKE HYPOPEN · GVOKE PFS · HUMALOG · HUMULIN · HUMULIN R 500 · HUMULIN U · HYPERLIPIDEMIA - DISEASE · INPEN SMART INSULIN DELIVERY SYSTEM · INTELLIS ADAPTIVESTIM · INVOKAMET · INVOKANA · InPen · JANUVIA · JARDIANCE · JATENZO · Kerendia · Kits and Accessories · Korlym · LEQVIO · LINZESS · LYRICA · Levemir · Livalo · MACRILEN · MINIMED 770G · MINIMED 780G · MOUNJARO · Macrilen · Minimed 630G · Minimed 670G System · Minimed 770G System · NATPARA · NATPARA (PARATHYROID HORMONE) · NEXLETOL · NEXLIZET · NOCDURNA · NURTEC ODT · Natesto · OT Verio Reflect "One Touch Meter and Strips" · OTREXUP · Omnia · Omnipod · OneTouch Verio Reflect · Otrexup · Ozempic · PNEUMOVAX 23 · PRALUENT · PRALUENT ALIROCUMAB INJECTION · Pogo Automatic Blood Glucose Monitoring System · Proclaim Family of SCS IPGs · Prolia · Qutenza · RAYALDEE · RYBELSUS · Rayaldee · Repatha · Roszet · Rybelsus · SIGNIFOR LAR · SOLIQUA · SOLIQUA 100/33 · SOMATULINE DEPOT · SOMAVERT · STEGLATRO · STEGLUJAN · SYNTHROID · Saxenda · Senza · Software · Sogroya · Somatuline Depot · Strensiq · Sylvant · Synthroid · TEPEZZA · TERIPARATIDE · TLANDO · TOUJEO · TOVIAZ · TRADJENTA · TRULICITY · TZIELD · Tirosint · Tresiba · Tymlos · UBRELVY · UNITY DIABETES MANAGEMENT SYSTEM · V-GO · V-GO DISPOSABLE INSULIN DELIVERY · VANTA ADAPTIVESTIM · Vascepa · Victoza · Wegovy · XARELTO · XYOSTED · Xultophy 100/3.6 · ZEGALOGUE · ZENPEP · iLet Bionic Pancreas · t-slim insulin pump · t:slim X2 Insulin Pump with Control-IQ
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 →
The majority of payments (79%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in endocrinology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 7% for endocrinology in TX.
Equivalent to $903 per 100 Medicare services performed
Geographic Context
Endocrinologys within 10 mi
62
Per 100K population
3.0
County median income
$70,571
Nearest hospital
UNIVERSITY HEALTH SYSTEM
0.0 mi
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. Trigoso is a mixed practice specialist, with above-average Medicare volume (top 2% in TX), and high industry engagement (speaking/promotional, top 7%), 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. Trigoso experienced with blood draw (venipuncture)?
Based on Medicare claims data, Dr. Trigoso performed 2,270 blood draw (venipuncture) 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. Trigoso receive payments from pharmaceutical companies?
Yes. Dr. Trigoso received a total of $193,202 from 77 companies across 1,848 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. Trigoso's costs compare to other endocrinologys in San Antonio?
Dr. Trigoso's average Medicare payment per service is $22. 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. Trigoso) 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 →
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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.
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