Medicare Enrolled

Dr. Oscar Paniagua, MD

Cardiovascular Disease · Tyler, TX
Practice pattern: Cardiac & Cardiac— Practice combining cardiac and cardiac services
Low-engagement
703 S FLEISHEL AVE, Tyler, TX 75701
9036067000
In practice since 2006 (19 years)
NPI: 1831261809 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. 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 in Tyler, TX, with 19 years in practice. Based on federal Medicare data, Dr. Paniagua performed 2,789 Medicare services across 2,532 unique beneficiaries.

Between the years covered by Open Payments, Dr. Paniagua received a total of $2,093 from 24 pharmaceutical and/or device companies across 92 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. 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. Paniagua 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 38% volume in TX$ $2,093 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,789
Medicare services
Top 38% in TX for cardiovascular disease
2,532
Unique beneficiaries
$57
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~147 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
Echocardiogram, transthoracic539$49$687
EKG interpretation and report404$6$19
Office visit, established patient (30-39 min)294$88$289
Hospital follow-up visit, high complexity276$92$228
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician199$16$49
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician196$10$33
Nuclear medicine studies of heart muscle at rest and with stress and spect190$54$265
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes93$10$173
Initial hospital admission, high complexity74$132$441
Cardiac catheterization71$189$3,680
Ultrasound of heart with color-depicted blood flow, rate and valve function47$2$48
Hospital follow-up visit, moderate complexity42$62$159
Ultrasound of heart blood flow, valves and chambers41$13$177
Ultrasound of heart, follow-up40$19$340
New patient office visit (45-59 min)39$118$375
Ultrasound of heart with probe in esophagus, with report27$79$831
Critical care, first 30-74 min26$162$624
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days22$16$56
External shock to heart to regulate heart beat21$76$534
Heart rhythm review and interpretation of continous external ekg over 8-15 days21$18$61
New patient office visit, complex (60-74 min)20$134$496
Hospital discharge management, 30+ min19$90$234
Coronary stent placement16$404$1,938
Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist14$209$3,956
Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel12$489$2,178
Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report12$54$809
Office visit, established patient, complex (40-54 min)12$118$406
Electrocardiogram (EKG), 12-lead11$10$54
Office visit, established patient (20-29 min)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. A higher procedure volume generally indicates more experience with that procedure.
26.5% high complexity
23.8% medium
49.7% 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
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
$2,093 (100.0%)

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)

Consulting
Speaking
Meals & Travel
Research
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 total 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? 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.

Equivalent to $75 per 100 Medicare services performed
Looking for a cardiovascular disease in Tyler?
Compare cardiovascular diseases in the Tyler area by procedure volume, costs, and industry payment transparency.
Browse cardiovascular diseases nearby

Geographic Context

Cardiovascular Diseases within 10 mi
29
Per 100K population
12.2
County median income
$71,923
Nearest hospital
UT HEALTH EAST TEXAS TYLER REGIONAL HOSPITAL
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. Paniagua is a cardiac & cardiac specialist, with moderate Medicare volume, and low-engagement industry engagement, 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. Paniagua experienced with echocardiogram, transthoracic?
Based on Medicare claims data, Dr. Paniagua performed 539 echocardiogram, transthoracic 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. Paniagua receive payments from pharmaceutical companies?
Yes. Dr. Paniagua received a total of $2,093 from 24 companies across 92 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. Paniagua's costs compare to other cardiovascular diseases in Tyler?
Dr. Paniagua's average Medicare payment per service is $57. 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 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 →