Total Payments
$21,470
2024 Payments
$3,501
Companies
25
Transactions
95
Medicare Patients
2,455
Medicare Billing
$240,366

Payment Breakdown by Category

Other$16,875 (78.6%)
Food & Beverage$4,423 (20.6%)
Education$171.44 (0.8%)

Payments by Nature

Nature of Payment Amount Transactions Share
Long term medical supply or device loan $16,875 2 78.6%
Food and Beverage $4,423 91 20.6%
Education $171.44 2 0.8%

Top Paying Companies

Company Total Records Latest Year
AngioDynamics, Inc. $16,974 6 $0 (2024)
Endologix LLC $605.34 8 $0 (2023)
Medtronic Vascular, Inc. $496.34 9 $0 (2019)
Bard Peripheral Vascular, Inc. $495.55 18 $0 (2023)
W. L. Gore & Associates, Inc. $408.53 4 $0 (2021)
Janssen Pharmaceuticals, Inc $394.08 11 $0 (2024)
ShockWave Medical, Inc $308.12 3 $0 (2024)
BSN Medical Inc $270.14 1 $0 (2023)
Medtronic, Inc. $210.03 2 $0 (2024)
Cook Medical LLC $209.46 3 $0 (2022)

Payment History by Year

Year Amount Transactions Top Company
2024 $3,501 13 AngioDynamics, Inc. ($2,625)
2023 $15,480 26 AngioDynamics, Inc. ($14,330)
2022 $1,086 29 Endologix LLC ($349.92)
2021 $905.93 18 W. L. Gore & Associates, Inc. ($408.53)
2019 $433.75 8 Medtronic Vascular, Inc. ($433.75)
2018 $62.59 1 Medtronic Vascular, Inc. ($62.59)

All Payment Transactions

95 individual payment records from CMS Open Payments — Page 1 of 4

Date Company Product Nature Form Amount Type
11/19/2024 Siemens Medical Solutions USA, Inc. Cios Alpha (Device), Cios Spin Food and Beverage In-kind items and services $137.20 General
Category: AT - Mobile interventional x-ray/angiography fluoroscopy
10/12/2024 Boston Scientific Corporation Varithena Administration Pack (Device) Food and Beverage In-kind items and services $46.48 General
Category: Varithena_PI
10/12/2024 Philips North America LLC (DD1) Duo Hybrid (Device) Food and Beverage Cash or cash equivalent $43.86 General
Category: Medical Device
10/11/2024 Medtronic, Inc. VENASEAL (Device) Food and Beverage In-kind items and services $187.46 General
Category: EndoVenous Therapies
10/11/2024 Philips North America LLC (DD1) Duo Hybrid (Device) Food and Beverage Cash or cash equivalent $43.07 General
Category: Medical Device
10/11/2024 Tactile Systems Technology Inc Flexitouch Plus (Device), Entre Plus Food and Beverage In-kind items and services $35.16 General
Category: PNEUMATIC COMPRESSOR
09/18/2024 Janssen Pharmaceuticals, Inc XARELTO (Drug) Food and Beverage In-kind items and services $27.11 General
Category: Cardiovascular & Metabolism
08/16/2024 Innovation Technologies Inc IRRISEPT (Device) Food and Beverage In-kind items and services $67.39 General
Category: JET LAVAGE DEVICE WITH CHG
04/13/2024 Philips North America LLC (BR5) Peripheral IVUS (Device) Food and Beverage Cash or cash equivalent $20.95 General
Category: Medical Device
04/04/2024 ShockWave Medical, Inc Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter (Device) Food and Beverage In-kind items and services $147.03 General
Category: Lithoplasty
03/25/2024 CashFlow Solutions, LLC LYMPHA PRESS OPTIMAL PLUS(US) BT (Device), PCD-51 731A (US) - White, PCD-52 737A (US) White Food and Beverage In-kind items and services $9.57 General
Category: Pneumatic Compressor
03/04/2024 AngioDynamics, Inc. Auryon Laser System 100-120 Vac (Device) Long term medical supply or device loan In-kind items and services $2,625.00 General
Category: ET
01/16/2024 ShockWave Medical, Inc Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter (Device) Food and Beverage In-kind items and services $110.29 General
Category: Lithoplasty
12/31/2023 AngioDynamics, Inc. Auryon Laser System 100-120 Vac (Device) Long term medical supply or device loan In-kind items and services $14,250.00 General
Category: ET
12/21/2023 Bard Peripheral Vascular, Inc. LUTONIX Drug Coated Balloon (Device) Food and Beverage In-kind items and services $36.34 General
Category: Vascular/Oncology
11/29/2023 Janssen Pharmaceuticals, Inc XARELTO (Drug) Food and Beverage In-kind items and services $17.17 General
Category: Cardiovascular & Metabolism
10/24/2023 BSN Medical Inc JOBST FORMEN AMBITION (Device) Food and Beverage In-kind items and services $270.14 General
Category: COMPRESSION
09/30/2023 Bard Peripheral Vascular, Inc. LUTONIX Drug Coated Balloon (Device) Food and Beverage In-kind items and services $19.73 General
Category: Vascular/Oncology
09/02/2023 ConvaTec Inc. INNOVAMATRIX PD (Device), AQUACEL AG+ EXTRA Food and Beverage In-kind items and services $13.47 General
Category: ADVANCED WOUND CARE
07/27/2023 Janssen Pharmaceuticals, Inc XARELTO (Drug) Food and Beverage In-kind items and services $121.82 General
Category: Cardiovascular & Metabolism
05/02/2023 Bard Peripheral Vascular, Inc. Crosser iQ (Device) Food and Beverage In-kind items and services $15.40 General
Category: Vascular/Oncology
04/18/2023 Endologix LLC AFX2 Bifurcated Endograft System (Device) Food and Beverage In-kind items and services $86.36 General
Category: Cardiology/Vascular Diseases
04/10/2023 Resmed Corp AirMini (Device) Food and Beverage Cash or cash equivalent $63.41 General
Category: Sleep
04/07/2023 Bard Peripheral Vascular, Inc. Fluency Endovascular Stent Graft (Device) Food and Beverage In-kind items and services $13.98 General
Category: Vascular/Oncology
03/29/2023 Bard Peripheral Vascular, Inc. LUTONIX Drug Coated Balloon (Device) Food and Beverage In-kind items and services $10.07 General
Category: Vascular/Oncology

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2023 27 1,122 1,397 $295,464 $110,063
2022 24 1,015 1,284 $266,383 $99,384
2021 8 318 352 $78,334 $30,918
Total Patients
2,455
Total Services
3,033
Medicare Billing
$240,366
Procedure Codes
62

All Medicare Procedures & Services

62 procedure records from CMS Medicare Utilization — Page 1 of 3

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2023 189 262 $37,271 $16,463 44.2%
93922 Ultrasound study of arm and leg arteries Office 2023 239 302 $51,340 $15,647 30.5%
93926 Ultrasound of one leg arteries or artery grafts Office 2023 109 126 $34,020 $11,695 34.4%
99204 New patient office or other outpatient visit, 45-59 minutes Office 2023 81 81 $25,920 $9,624 37.1%
93880 Ultrasound of both sides of head and neck blood flow Office 2023 53 56 $16,856 $7,867 46.7%
93925 Ultrasound of leg arteries or artery grafts Office 2023 26 29 $14,645 $5,172 35.3%
99215 Established patient office or other outpatient visit, 40-54 minutes Office 2023 35 42 $11,886 $5,059 42.6%
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes Facility 2023 34 74 $10,656 $4,488 42.1%
37228 Balloon dilation of artery of leg, initial vessel Facility 2023 11 11 $12,067 $4,450 36.9%
93970 Ultrasound study of arm or leg veins with compression and maneuvers Office 2023 32 32 $12,160 $4,421 36.4%
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes Facility 2023 25 25 $10,025 $3,361 33.5%
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts Office 2023 20 26 $7,826 $3,311 42.3%
93971 Ultrasound study of one arm or leg veins with compression and maneuvers Office 2023 29 34 $7,922 $2,913 36.8%
93979 Ultrasound of aorta, vena cava, groin vessels or bypass grafts Office 2023 18 33 $7,722 $2,484 32.2%
99205 New patient office or other outpatient visit, 60-74 minutes Office 2023 13 13 $5,239 $2,086 39.8%
75710 Review by radiologist of arm or leg artery image Office 2023 16 17 $5,661 $1,960 34.6%
93990 Ultrasound of hemodialysis access Office 2023 12 19 $5,149 $1,811 35.2%
75625 Review by radiologist of abdominal aorta image Office 2023 14 15 $3,975 $1,301 32.7%
99214 Established patient office or other outpatient visit, 30-39 minutes Office 2023 11 11 $2,410 $1,085 45.0%
99152 Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes Office 2023 15 24 $2,376 $922.74 38.8%
75710 Review by radiologist of arm or leg artery image Facility 2023 14 14 $2,394 $886.20 37.0%
99442 Telephone medical discussion with physician, 11-20 minutes Office 2023 11 15 $1,275 $782.00 61.3%
75625 Review by radiologist of abdominal aorta image Facility 2023 13 13 $1,443 $670.02 46.4%
76937 Ultrasonic guidance for blood vessel access Office 2023 17 20 $1,220 $606.80 49.7%
99441 Telephone medical discussion with physician, 5-10 minutes Office 2023 11 12 $528.00 $324.60 61.5%

About Dr. Thomas Gianis, M.D

Dr. Thomas Gianis, M.D is a Student in an Organized Health Care Education/Training Program healthcare provider based in San Antonio, Texas. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 04/10/2013. The National Provider Identifier (NPI) number assigned to this provider is 1467895375.

According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Thomas Gianis, M.D has received a total of $21,470 in payments from pharmaceutical and medical device companies, with $3,501 received in 2024. These payments were reported across 95 transactions from 25 companies. The most common payment nature is "Long term medical supply or device loan" ($16,875).

As a Medicare-enrolled provider, Gianis has provided services to 2,455 Medicare beneficiaries, totaling 3,033 services with total Medicare billing of $240,366. Data is available for 3 years (2021–2023), covering 62 distinct procedure/service records.

Practice Information

Products in Payments

  • Auryon Laser System 100-120 Vac (Device) $16,875
  • XARELTO (Drug) $394.08
  • Alto Abdominal Stent Graft System (Device) $347.71
  • LUTONIX Drug Coated Balloon (Device) $274.25
  • JOBST FORMEN AMBITION (Device) $270.14
  • AFX2 Bifurcated Endograft System (Device) $257.63
  • Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter (Device) $257.32
  • EXCLUDER Conformable AAA Endoprosthesis with Active Control (Device) $251.42
  • Endurant (Device) $241.35
  • VENASEAL (Device) $210.03
  • GORE EXCLUDER AAA Endoprosthesis (Device) $157.11
  • Cios Alpha (Device) $137.20
  • COOK (Device) $124.71
  • (DD1) Duo Hybrid (Device) $86.93
  • Indigo System (Device) $86.33
  • ENROUTE Transcarotid Neuroprotection System (Device) $83.39
  • (9547) IGT Systems Und (Device) $80.52
  • AURYON LASER SYSTEM 100-120 VAC (Device) $80.19
  • Flexitouch Plus (Device) $79.32
  • ZENITH (Device) $71.72

Data Sources

Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.

Student in an Organized Health Care Education/Training Program Doctors in San Antonio