Medicare Enrolled
Dr. Oscar Paniagua, MD
Cardiovascular Disease · Tyler, TX
Practice pattern: Cardiac Imaging
— Practice with significant diagnostic imaging and stress testing
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. Paniagua 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. Paniagua
Dr. Oscar Paniagua is a cardiovascular disease specialist in Tyler, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Paniagua performed 6,121 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Paniagua received a total of $2,093 from 24 pharmaceutical and/or device companies across 92 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. Paniagua 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 12% volume in TX
$2,093 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗6,121
Medicare services
Top 12% in TX for cardiovascular disease
Not available
Unique patients (not deduplicated)
$34
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 |
|---|---|---|---|
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
3,319 | $6 | $19 |
| 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. |
623 | $78 | $289 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
539 | $49 | $687 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
276 | $92 | $228 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while an electrocardiogram is monitored under physician supervision. |
199 | $16 | $49 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results. |
196 | $10 | $33 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
190 | $54 | $265 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
106 | $105 | $375 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
93 | $10 | $173 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
74 | $132 | $441 |
| Cardiac catheterization | 71 | $189 | $3,680 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
47 | $2 | $48 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
42 | $62 | $159 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
41 | $13 | $177 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
40 | $19 | $340 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
33 | $109 | $406 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
27 | $79 | $831 |
| Critical care, first 30-74 min Emergency medical care for a critically ill or injured patient lasting between 30 and 74 minutes. This service involves direct patient care and medical decision making to stabilize the patient. |
26 | $162 | $624 |
| Continuous EKG monitoring review, 48-7 days Review and interpretation of continuous external EKG recordings lasting more than 48 hours up to 7 days. |
22 | $16 | $56 |
| External shock to heart to regulate heart beat A procedure that delivers an electric shock to the heart from outside the body to restore a normal heart rhythm. |
21 | $76 | $534 |
| External EKG monitoring, 8-15 days Continuous external electrocardiogram recording and review over a period of 8 to 15 days to monitor heart rhythm. |
21 | $18 | $61 |
| New patient office visit, complex (60-74 min) | 20 | $134 | $496 |
| Hospital discharge management, 30+ min This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge. |
19 | $90 | $234 |
| Coronary stent placement A procedure to insert a stent into a coronary artery or its branch to keep it open, using balloon dilation during the process. |
16 | $404 | $1,938 |
| Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist | 14 | $209 | $3,956 |
| Stent placement and plaque removal in one vessel A procedure to clear plaque and blood clots from a single blood vessel, followed by the insertion of a stent and/or balloon dilation to keep the vessel open. |
12 | $489 | $2,178 |
| Stress echocardiogram with ECG monitoring An ultrasound of the heart performed while monitoring heart rhythm during rest, exercise, or medication-induced stress, followed by a review and report of the findings. |
12 | $54 | $809 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
11 | $10 | $54 |
| 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. |
11 | $52 | $204 |
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.
11.3% high complexity
11.6% medium
77.1% routine
Industry Payment Transparency
Open Payments through 2024 ↗$2,093
Total received (2018-2024)
Avg $349/year across 6 years
Bottom 31% in TX for cardiovascular disease
24
Companies
92
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
$679
2023
$225
2022
$157
2021
$288
2019
$299
2018
$445
Payments by company (2024)
Medtronic, Inc.
$272
Abbott Laboratories
$83
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$80
Amgen Inc.
$51
PFIZER INC.
$42
Boston Scientific Corporation
$28
ABIOMED
$27
Merck Sharp & Dohme LLC
$25
SANOFI-AVENTIS U.S. LLC
$23
CVRx, Inc.
$19
Janssen Pharmaceuticals, Inc
$17
Novartis Pharmaceuticals Corporation
$13
Top 3 companies account for 64.0% of 2024 payments
All-time payments by company (2018-2024) ›
Medtronic, Inc.
$285
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$267
Janssen Pharmaceuticals, Inc
$181
Medtronic Vascular, Inc.
$149
HeartFlow, Inc.
$142
Novartis Pharmaceuticals Corporation
$129
SANOFI-AVENTIS U.S. LLC
$129
AstraZeneca Pharmaceuticals LP
$111
Abbott Laboratories
$98
Boston Scientific Corporation
$93
Amgen Inc.
$76
PFIZER INC.
$68
E.R. Squibb & Sons, L.L.C.
$60
Merck Sharp & Dohme LLC
$57
Cardiovascular Systems Inc.
$52
Terumo Medical Corporation
$45
ABIOMED
$42
iRhythm Technologies, Inc.
$21
Boehringer Ingelheim Pharmaceuticals, Inc.
$19
CVRx, Inc.
$19
Astellas Pharma US Inc
$15
Siemens Medical Solutions USA, Inc.
$14
AtriCure, Inc.
$13
ACIST MEDICAL SYSTEMS, INC.
$6
Top 3 companies account for 35.1% of all-time payments
Associated products mentioned in payments ›
ARTIS icono biplane · Asahi Fielder XT cornary guide wire · BRILINTA · Barostim Neo System · CAMZYOS · CHANTIX · COREVALVE EVOLUT R · CVI SYSTEMS · Corlanor · Diamondback Coronary · ELIQUIS · ELUVIA · ENTRESTO · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · EkoSonic · FFRct · Impella · LEQVIO · LEXISCAN · LifeVest · MITRACLIP · MULTAQ · ONYX FRONTIER · PRADAXA · PRALUENT · Repatha · Resolute · SYMPLICITY G3 · TR BAND · VERQUVO · VYNDAQEL · WATCHMAN FLX · XARELTO · ZIO Patch
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 →
Geographic Context
Cardiologists in nearby ZIP areas
29
County median income
$71,923
Nearest hospital to ZIP centroid (approximate)
UT HEALTH EAST TEXAS TYLER REGIONAL HOSPITAL
0.0 mi
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. Paniagua is a cardiac imaging specialist, with above-average Medicare volume (top 12% 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. Paniagua experienced with ekg interpretation and report?
Based on Medicare claims data, Dr. Paniagua performed 3,319 ekg interpretation and report 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. Paniagua receive payments from pharmaceutical companies?
Yes. Dr. Paniagua received a total of $2,093 from 24 companies across 92 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. Paniagua's costs compare to other cardiologists in Tyler?
Dr. Paniagua's average Medicare payment per service is $34. 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. Paniagua) 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 →
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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.
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