Medicare Enrolled

Dr. Charles Mouch, M.D.

Interventional Pain Medicine Physician · San Marcos, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Consulting-driven
1304 WONDER WORLD DR, San Marcos, TX 78666
8558767246
In practice since 2016 (9 years)
NPI: 1851740583 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. Mouch 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. Mouch? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Mouch

Dr. Charles Mouch is an interventional pain medicine physician in San Marcos, TX, with 9 years in practice. Based on federal Medicare data, Dr. Mouch performed 2,167 Medicare services across 1,653 unique beneficiaries.

Between the years covered by Open Payments, Dr. Mouch received a total of $52,383 from 27 pharmaceutical and/or device companies across 475 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in interventional pain medicine physician. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Mouch 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.

✓ 9 years in practice▲ Top 44% volume in TX$ $52,383 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,167
Medicare services
Top 44% in TX for interventional pain medicine physician
1,653
Unique beneficiaries
$121
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~241 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
Office visit, established patient (30-39 min)317$90$657
Injection, methylprednisolone acetate, 80 mg207$9$118
Dexamethasone injection (steroid)135$0$2
Injection of substance into lower spine canal using imaging guidance116$193$3,097
Injection, methylprednisolone acetate, 40 mg116$6$57
New patient office visit (45-59 min)110$114$850
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level108$238$2,654
Injection, methylprednisolone acetate, 20 mg105$4$44
Joint injection, major joint88$53$666
Fluoroscopic guidance for needle placement86$87$1,259
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance74$149$1,726
Injection of lower or sacral spine facet joint using imaging guidance, single level71$194$1,857
Injection of lower or sacral spine facet joint using imaging guidance, second level71$101$951
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint65$485$4,778
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint65$260$2,672
Injection of substance into middle or upper spine canal using imaging guidance60$196$2,827
Drug screening test56$61$311
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level49$86$1,197
Injection of upper or middle spine facet joint using imaging guidance, single level47$207$2,016
Injection of upper or middle spine facet joint using imaging guidance, second level47$105$1,008
Insertion of spinal neurostimulator electrode array through skin42$241$25,651
Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin32$700$9,628
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms27$105$572
Office visit, established patient (20-29 min)23$66$465
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms20$153$783
Ultrasonic guidance for needle placement17$44$608
Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance13$183$2,408
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 ↗
$52,383
Total received (2020-2024)
Avg $10,477/year across 5 years
Top 6% in TX for interventional pain medicine physician
27
Companies
475
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.

Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$22,771 (43.5%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$22,742 (43.4%)
Scientific / Research
Research funding and grants
$4,563 (8.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$2,306 (4.4%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$26,321
2023
$5,853
2022
$9,903
2021
$8,342
2020
$1,965

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Nevro Corp.
$28,255
Medtronic, Inc.
$5,946
PAINTEQ LLC
$4,028
Spinal Simplicity, LLC
$3,352
BOSTON SCIENTIFIC CORPORATION
$2,396
Medtronic USA, Inc.
$1,965
Relievant Medsystems, Inc.
$1,263
Nalu Medical, Inc.
$1,126
SI-BONE, INC.
$1,076
Abbott Laboratories
$951
Vertos Medical, Inc.
$539
SPR Therapeutics, Inc
$395
Boston Scientific Corporation
$170
Bioventus LLC
$145
Stratus Medical, LLC
$116
Averitas Pharma Inc.
$105
Biohaven Pharmaceutical Holding Company Ltd.
$102
BIOTRONIK NRO, Inc.
$84
ABBVIE INC.
$81
Stryker Corporation
$72
Collegium Pharmaceutical, Inc.
$58
Foundation Fusion Solutions, LLC
$44
Pacira Pharmaceuticals Incorporated
$39
Ultragenyx Pharmaceutical Inc.
$23
SI-BONE, Inc.
$22
Scilex Pharmaceuticals Inc.
$15
HydroCision, Inc.
$14
Top 3 companies account for 73.0% of total payments
Associated products mentioned in payments ›
BIOTRONIK · Belbuca · Crysvita · Durolane · ETERNA · GELSYN-3 · GENERAL THERAPIES · GENERAL PAIN MANAGEMENT · General - Pain Management · General - Therapies · HA MINUTEMAN G3-R · IFUSE IMPLANT SYSTEM · INTELLIS · INTELLIS ADAPTIVESTIM · Intracept · Iovera · MAKO · NURTEC ODT · Nalu Neurostimulation System · Nimbus · OCTRODE · Omnia · PAINTEQ · PROCLAIM · Proclaim IPG · Prospera · QULIPTA · QUTENZA · SPRINT PNS System · SYNCHROMED · SYNCHROMEDII · Senza · Stimrouter Implantable Kit · Superion · TENJET · UBRELVY · VANTA ADAPTIVESTIM · VENASEAL · Vanta · Vyrsa V1 · WAVEWRITER ALPHA · WaveWriter Alpha Prime 16 · mild Device Kit
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 (44%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 6% for interventional pain medicine physician in TX.

Equivalent to $2,417 per 100 Medicare services performed
Looking for a interventional pain medicine physician in San Marcos?
Compare interventional pain medicine physicians in the San Marcos area by procedure volume, costs, and industry payment transparency.
Browse interventional pain medicine physicians nearby

Geographic Context

Interventional Pain Medicine Physicians within 10 mi
4
Per 100K population
1.6
County median income
$85,827
Nearest hospital
CHRISTUS SANTA ROSA HOSPITAL-SAN MARCOS
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. Mouch is a clinical cardiology specialist, with moderate Medicare volume, and high industry engagement (consulting-driven, top 6%).

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. Mouch experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Mouch performed 317 office visit, established patient (30-39 min) 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. Mouch receive payments from pharmaceutical companies?
Yes. Dr. Mouch received a total of $52,383 from 27 companies across 475 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. Mouch's costs compare to other interventional pain medicine physicians in San Marcos?
Dr. Mouch's average Medicare payment per service is $121. 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. Mouch) 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 →