Medicare Enrolled
Dr. Manuel Ybarra, MD
Anesthesiology · Schertz, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
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. Ybarra 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. Ybarra
Dr. Manuel Ybarra is an anesthesiology in Schertz, TX, with 17 years in practice. Based on federal Medicare data, Dr. Ybarra performed 11,390 Medicare services across 4,066 unique beneficiaries.
Between the years covered by Open Payments, Dr. Ybarra received a total of $37,671 from 58 pharmaceutical and/or device companies across 1126 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in anesthesiology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Ybarra is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 17 years in practice▲ Top 0% volume in TX$ $37,671 industry payments
Medicare Practice Summary
Medicare Utilization ↗11,390
Medicare services
Top 0% in TX for anesthesiology
4,066
Unique beneficiaries
$67
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~670 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 |
|---|---|---|---|
| Dexamethasone injection (steroid) | 2,622 | $0 | $1 |
| Injection, midazolam hydrochloride, per 1 mg | 1,949 | $0 | $1 |
| Office visit, established patient (20-29 min) | 1,654 | $66 | $266 |
| Office visit, established patient (30-39 min) | 1,367 | $92 | $376 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 350 | $38 | $149 |
| Injection, methylprednisolone acetate, 40 mg | 346 | $6 | $21 |
| Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 260 | $217 | $739 |
| Injection of lower or sacral spine facet joint using imaging guidance, single level | 218 | $194 | $519 |
| Injection, methylprednisolone acetate, 80 mg | 213 | $9 | $35 |
| Injection of lower or sacral spine facet joint using imaging guidance, second level | 192 | $97 | $270 |
| Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 187 | $488 | $1,330 |
| New patient office visit (30-44 min) | 181 | $82 | $327 |
| Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 179 | $143 | $483 |
| Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint | 175 | $222 | $736 |
| Joint injection, major joint | 172 | $53 | $189 |
| Fluoroscopic guidance for needle placement | 167 | $86 | $347 |
| Injection, ketorolac tromethamine, per 15 mg | 112 | $0 | $2 |
| New patient office visit (45-59 min) | 99 | $119 | $489 |
| Injection of upper or middle spine facet joint using imaging guidance, single level | 96 | $209 | $566 |
| Office visit, established patient (10-19 min) | 93 | $43 | $165 |
| Injection of substance into middle or upper spine canal using imaging guidance | 92 | $197 | $787 |
| Injection of upper or middle spine facet joint using imaging guidance, second level | 89 | $104 | $286 |
| Injection of trigger points, 3 or more muscles | 80 | $45 | $181 |
| Telephone medical discussion with physician, 11-20 minutes | 71 | $64 | $265 |
| Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint | 57 | $228 | $794 |
| Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level | 56 | $88 | $335 |
| Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 56 | $471 | $1,317 |
| Injection of substance into lower spine canal using imaging guidance | 52 | $192 | $775 |
| Drug injection, under skin or into muscle | 42 | $10 | $42 |
| Insertion of spinal neurostimulator electrode array through skin | 38 | $1,596 | $7,021 |
| Telephone medical discussion with physician, 21-30 minutes | 28 | $94 | $295 |
| Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes | 25 | $8 | $31 |
| Insertion of spinal neurostimulator electrode array using fluoroscopic guidance | 22 | $511 | $2,030 |
| New patient office or other outpatient visit, 15-29 minutes | 22 | $54 | $213 |
| Telephone medical discussion with physician, 5-10 minutes | 17 | $43 | $164 |
| Injection of trigger points, 1-2 muscles | 11 | $41 | $157 |
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 ↗$37,671
Total received (2018-2024)
Avg $5,382/year across 7 years
Top 1% in TX for anesthesiology
58
Companies
1,126
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
$37,671 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024$6,899
2023$7,771
2022$4,588
2021$4,879
2020$3,493
2019$6,839
2018$3,202
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Nevro Corp.
$14,483
Abbott Laboratories
$7,864
PAINTEQ LLC
$1,760
BOSTON SCIENTIFIC CORPORATION
$1,337
Boston Scientific Corporation
$1,254
Teva Pharmaceuticals USA, Inc.
$1,162
Vertiflex, Inc.
$1,052
SI-BONE, Inc.
$993
Nalu Medical, Inc.
$910
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$731
ABBVIE INC.
$493
MML US, Inc.
$358
Amgen Inc.
$352
SPR Therapeutics, Inc
$338
Biohaven Pharmaceuticals, Inc.
$311
Saluda Medical Americas, Inc.
$285
BIOTRONIK NRO, Inc.
$277
SI-BONE, INC.
$254
Zyla Life Sciences
$234
Horizon Therapeutics plc
$202
AbbVie Inc.
$188
Almatica Pharma LLC
$185
Biohaven Pharmaceutical Holding Company Ltd.
$185
Medtronic, Inc.
$179
ASSERTIO THERAPEUTICS, Inc.
$176
Egalet US Inc
$176
Novartis Pharmaceuticals Corporation
$169
Vertos Medical, Inc.
$155
Horizon Pharma plc
$152
Collegium Pharmaceutical, Inc.
$127
Zyla Life Sciences, Inc.
$123
Medtronic USA, Inc.
$117
Stimwave Technologies Incorporated
$107
Assertio Therapeutics, Inc.
$107
Lundbeck LLC
$80
Daiichi Sankyo Inc.
$76
Scilex Pharmaceuticals Inc.
$68
Flowonix Medical Incorporated
$65
Averitas Pharma Inc.
$50
Vertical Pharmaceuticals, LLC
$48
PFIZER INC.
$47
Pernix Therapeutics Holdings, Inc.
$45
ARBOR PHARMACEUTICALS, INC.
$40
Lilly USA, LLC
$38
Azurity Pharmaceuticals, Inc.
$38
Spinal Simplicity, LLC
$37
Sentynl Therapeutics, Inc.
$30
UPSHER-SMITH LABORATORIES LLC
$27
IMPEL PHARMACEUTICALS INC.
$27
GRT US Holding, Inc.
$26
INSYS Therapeutics Inc
$22
IBSA Pharma Inc.
$20
BioDelivery Sciences International, Inc.
$20
US WorldMeds, LLC
$17
Flexion Therapeutics, Inc.
$17
Pacira Pharmaceuticals Incorporated
$13
RedHill Biopharma Inc.
$12
Allergan, Inc.
$12
Top 3 companies account for 64.0% of total payments
Associated products mentioned in payments ›
ADAPTIVESTIM · AIMOVIG · AJOVY · Aimovig · BUNAVAIL 2.1 mg 30-count box · BYSTOLIC · Belbuca · Cambia · DRG IPGs · DUEXIS · EMBLEM MRI S-ICD · EMGALITY · ETERNA · Evoke · GENERAL PAIN MANAGEMENT · GENERAL THERAPIES · GENERAL - PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · GRALISE · General - Pain Management · General - Therapies · Gralise · HA MINUTEMAN G3-R · HORIZANT · Horizant · IFUSE IMPLANT · INTELLIS · INTELLIS ADAPTIVESTIM · IONICRF · IonicRF Generator · Iovera · LORZONE · LYRICA · Levorphanol · Lucemyra/Lofexidine · METHYLPHENIDATE 72 · Morphabond ER · Movantik · NAPRELAN · NURTEC ODT · Nalu Neurostimulation System · Neuromodulation Dspsbls and Accs · Nucynta · OCTRODE · Omnia · PAINTEQ · PROCLAIM · Prism · Proclaim DRG IPG · Proclaim Family of SCS IPGs · Proclaim IPG · Prometra II · Prospera · Protege Family of SCS IPGs · QULIPTA · QUTENZA · Qutenza · RAYOS · RELISTOR · RELISTOR ORAL · ReActiv8 · SCS leads · SPECTRA WAVEWRITER · SPRINT PNS System · SPRIX · SUBSYS · SUPERION · Senza · Senza Spinal Cord Stimulation System · Superion · Superion ISS · Superion Indirect Decompression System · TOSYMRA · Tirosint · Trudhesa · UBRELVY · VANTA ADAPTIVESTIM · VYEPTI · Vanta · WAVEWRITER ALPHA · WaveWriter Alpha Prime 16 · XTAMPZA · ZIPSOR · ZOHYDRO ER · ZORVOLEX · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zilretta · Zipsor · iFuse Implant · 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 →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 1% for anesthesiology in TX.
Equivalent to $331 per 100 Medicare services performed
Geographic Context
Anesthesiologys within 10 mi
466
Per 100K population
22.9
County median income
$70,571
Nearest hospital
LAUREL RIDGE TREATMENT CENTER
11.0 mi
11.0 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. Ybarra is a clinical cardiology specialist, with above-average Medicare volume (top 0% in TX), and high industry engagement (low-engagement, top 1%), with 17 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. Ybarra experienced with dexamethasone injection (steroid)?
Based on Medicare claims data, Dr. Ybarra performed 2,622 dexamethasone injection (steroid) 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. Ybarra receive payments from pharmaceutical companies?
Yes. Dr. Ybarra received a total of $37,671 from 58 companies across 1,126 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. Ybarra's costs compare to other anesthesiologys in Schertz?
Dr. Ybarra's average Medicare payment per service is $67. 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. Ybarra) 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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