Medicare Enrolled

Dr. Irvin Sahni, MD.,P.A.

Orthopaedic Surgery of the Spine Physician · Seguin, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
1006 E. KINGSBURY ST, Seguin, TX 78155
8303798800
Registered in NPPES since 2006
NPI: 1154373074 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. Sahni 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. Sahni

Dr. Irvin Sahni is an orthopaedic surgery of the spine physician in Seguin, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Sahni performed 2,585 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Sahni received a total of $4,250 from 20 pharmaceutical and/or device companies across 78 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. Sahni 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.

✓ 20 years of NPI registration ▲ Top 1% volume in TX $4,250 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
2,585
Medicare services
Top 1% in TX for orthopaedic surgery of the spine physician
Not available
Unique patients (not deduplicated)
$59
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
Dexamethasone injection (steroid)
An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram.
820 $0 $15
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.
771 $90 $345
X-ray of lower and sacral spine, minimum 6 views
An X-ray imaging test that captures at least six views of the lower back and sacral spine to evaluate bone structure and alignment.
156 $23 $266
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.
141 $55 $256
Pelvis X-ray, 1-2 views
An X-ray imaging test of the pelvic area using one to two different angles to visualize the bones and joints.
140 $11 $80
Injection, propofol, 10 mg 103 $0 $100
Contrast dye for imaging (iodine-based)
A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures.
75 $0 $45
X-ray of middle spine, 3 views
An X-ray imaging test that captures three different views of the middle section of the spine to evaluate its structure.
68 $16 $397
Spinal neurostimulator electrode insertion
A procedure to place an electrode array into the spine through the skin. The electrode is used to deliver electrical stimulation to the nervous system.
54 $657 $18,000
X-ray of upper spine, 6 or more views
An X-ray imaging test of the upper spine using six or more separate views to capture detailed images of the bones and structures in that area.
46 $25 $348
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.
44 $79 $458
Sacral spine nerve root injection with imaging guidance
An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement.
34 $214 $6,765
Additional sacral spine nerve root injection with imaging
An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging.
22 $87 $2,500
Injection, methylprednisolone acetate, 40 mg 20 $6 $72
Spinal neurostimulator generator insertion
Surgical placement of a spinal neurostimulator generator or receiver device.
19 $163 $18,000
Ultrasound-guided large joint aspiration or injection
This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint.
16 $73 $1,594
Facet joint nerve destruction, single joint
A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals.
16 $344 $5,312
Facet joint nerve destruction, additional joint
This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint.
15 $195 $5,333
Facet joint nerve destruction, single joint
This procedure uses imaging guidance to destroy the nerves supplying a single upper or middle spinal facet joint. It is performed to interrupt pain signals from that specific joint.
13 $288 $5,000
Injection of anesthetic or steroid into sacroiliac joint with imaging guidance
This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection.
12 $145 $7,650
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 ↗
$4,250
Total received (2019-2024)
Avg $708/year across 6 years
Bottom 35% in TX for orthopaedic surgery of the spine physician
20
Companies
78
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
$2,600
2023
$1,155
2022
$185
2021
$119
2020
$156
2019
$35

Payments by company (2024)

Nevro Corp.
$1,078
Orthofix Medical, Inc.
$680
Genesys Orthopedics Systems, L.L.C.
$500
Integra LifeSciences Corporation
$88
Boston Scientific Corporation
$59
SPINAL ELEMENTS, INC.
$51
DePuy Synthes Sales Inc.
$49
Abbott Laboratories
$35
Averitas Pharma Inc.
$23
Medtronic, Inc.
$23
Collegium Pharmaceutical, Inc.
$14
Top 3 companies account for 86.8% of 2024 payments
All-time payments by company (2019-2024) ›
Nevro Corp.
$1,682
Orthofix Medical, Inc.
$1,360
Genesys Orthopedics Systems, L.L.C.
$500
Boston Scientific Corporation
$146
Takeda Pharmaceuticals U.S.A., Inc.
$99
Integra LifeSciences Corporation
$88
SPINAL ELEMENTS, INC.
$51
DePuy Synthes Sales Inc.
$49
Abbott Laboratories
$35
Medtronic USA, Inc.
$34
Arteriocyte Medical Systems, Inc.
$29
SI-BONE, Inc.
$26
Averitas Pharma Inc.
$23
Medtronic, Inc.
$23
Baxter Healthcare
$23
SI-BONE, INC.
$21
Wenzel Spine, Inc.
$19
Spinal Simplicity, LLC
$16
Collegium Pharmaceutical, Inc.
$14
Fidia Pharma USA Inc.
$13
Top 3 companies account for 83.3% of all-time payments
Associated products mentioned in payments ›
ACell · Amitiza · FLOSEAL · HA MINUTEMAN G3-R · HYMOVIS · INTELLIS · INTELLIS ADAPTIVESTIM · MOTEGRITY · Magellan · Medical Devices · Omnia · PROCLAIM · Physio-Stim · QUTENZA · Senza · Senza Spinal Cord Stimulation System · Teligen · Varilift · WaveWriter Alpha Prime 16 · XTAMPZA · iFuse Implant
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 →
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Geographic Context

Orthopaedic surgery of the spine physicians in nearby ZIP areas
1
County median income
$93,776
Nearest hospital to ZIP centroid (approximate)
GUADALUPE REGIONAL MEDICAL CENTER
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. Sahni is a clinical cardiology specialist, with above-average Medicare volume (top 1% in TX), with 20 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. Sahni experienced with dexamethasone injection (steroid)?
Based on Medicare claims data, Dr. Sahni performed 820 dexamethasone injection (steroid) 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. Sahni receive payments from pharmaceutical companies?
Yes. Dr. Sahni received a total of $4,250 from 20 companies across 78 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. Sahni's costs compare to other orthopaedic surgery of the spine physicians in Seguin?
Dr. Sahni's average Medicare payment per service is $59. 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. Sahni) 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 →