Medicare Enrolled
Dr. Ricardo Gomez, M.D.
Internal Medicine · Apple Valley, CA
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. Gomez 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. Gomez
Dr. Ricardo Gomez is an internal medicine specialist in Apple Valley, CA, with 14 years of NPI registration. Based on federal Medicare data, Dr. Gomez performed 4,133 Medicare services across 1,632 unique beneficiaries.
Between the years covered by Open Payments, Dr. Gomez received a total of $9,350 from 33 pharmaceutical and/or device companies across 339 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. 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. Gomez 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.
✓ 14 years in practice
▲ Top 7% volume in CA
$9,350 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,133
Medicare services
Top 7% in CA for internal medicine
1,632
Unique beneficiaries
$113
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~295 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 |
|---|---|---|---|
| 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. |
1,913 | $98 | $450 |
| 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. |
887 | $173 | $1,000 |
| 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. |
364 | $140 | $800 |
| 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. |
359 | $104 | $300 |
| 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. |
168 | $71 | $200 |
| Spirometry test before and after medication A test that measures the amount of air you can exhale and the speed of your breathing before and after taking a medication. |
79 | $32 | $200 |
| Exercise-induced lung stress test A test performed to evaluate how the lungs function during physical exertion. It helps identify breathing difficulties or lung conditions that occur specifically when exercising. |
76 | $27 | $150 |
| 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. |
54 | $134 | $400 |
| Chest fluid aspiration with imaging guidance This procedure involves removing fluid from the chest cavity using imaging technology to guide the needle placement. |
41 | $89 | $800 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
31 | $25 | $200 |
| Insertion of non-tunneled central venous catheter A procedure to place a central venous catheter for infusion in patients aged 5 years or older. The catheter is inserted directly into a large vein without being tunneled under the skin. |
30 | $67 | $600 |
| Lung volume test using sensors A test that measures the amount of air in the lungs using sensors. |
25 | $9 | $200 |
| Pulmonary gas exchange test A test to examine how well the lungs exchange gases. |
24 | $7 | $200 |
| New patient office visit, complex (60-74 min) | 22 | $180 | $800 |
| 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. |
22 | $140 | $450 |
| Expiratory airflow and volume test A test that measures the amount of air you can exhale and the speed at which you can breathe it out. It evaluates lung function by assessing expiratory airflow and volume. |
19 | $20 | $150 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
19 | $43 | $150 |
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.
0.7% high complexity
3.6% medium
95.7% routine
Industry Payment Transparency
Open Payments through 2024 ↗$9,350
Total received (2018-2024)
Avg $1,336/year across 7 years
Top 10% in CA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
33
Companies
339
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
$9,171 (98.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$179 (1.9%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$3,011
2023
$1,847
2022
$1,117
2021
$933
2020
$278
2019
$1,175
2018
$989
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
GlaxoSmithKline, LLC.
$796
AstraZeneca Pharmaceuticals LP
$713
Actelion Pharmaceuticals US, Inc.
$342
GENZYME CORPORATION
$264
Merck Sharp & Dohme LLC
$247
United Therapeutics Corporation
$206
Regeneron Healthcare Solutions, Inc.
$190
SANOFI-AVENTIS U.S. LLC
$79
Grifols USA, LLC
$55
Baxter Healthcare
$29
Philips North America LLC
$20
Mylan Specialty L.P.
$19
Bayer Healthcare Pharmaceuticals Inc.
$19
Insmed, Inc.
$18
Electromed, Inc.
$15
Top 3 companies account for 61.5% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$2,387
GlaxoSmithKline, LLC.
$1,901
Regeneron Healthcare Solutions, Inc.
$591
Actelion Pharmaceuticals US, Inc.
$526
Merck Sharp & Dohme Corporation
$506
GENZYME CORPORATION
$383
Merck Sharp & Dohme LLC
$334
Grifols USA, LLC
$312
United Therapeutics Corporation
$310
Gilead Sciences, Inc.
$228
Janssen Pharmaceuticals, Inc
$208
Boehringer Ingelheim Pharmaceuticals, Inc.
$206
SANOFI-AVENTIS U.S. LLC
$179
Bayer HealthCare Pharmaceuticals Inc.
$170
Baxter Healthcare
$164
La Jolla Pharmaceutical Company
$161
Allergan, Inc.
$115
Chiesi USA, Inc.
$85
Allergan Inc.
$85
Philips Electronics North America Corporation
$74
PFIZER INC.
$60
Advanced Respiratory, Inc
$59
Insmed, Inc.
$51
Vapotherm Inc
$47
Mylan Specialty L.P.
$35
Genentech USA, Inc.
$33
Circassia Pharmaceuticals Inc
$26
Otsuka America Pharmaceutical, Inc.
$23
Philips North America LLC
$20
Olympus America Inc.
$20
Bayer Healthcare Pharmaceuticals Inc.
$19
Melinta Therapeutics, LLC
$16
Electromed, Inc.
$15
Top 3 companies account for 52.2% of all-time payments
Associated products mentioned in payments ›
(8874) inCourage · (8876) Vest Therapy Und · AIRSUPRA · ANDEXXA · ANORO · ANORO ELLIPTA · AREXVY · AVYCAZ · Adempas · Arikayce · BEXSERO · BREO · BREZTRI · BREZTRI AEROSPHERE · CHANTIX · CLEVIPREX · DALVANCE · DIFICID · DUPIXENT · ELIQUIS · Esbriet · FASENRA · GIAPREZA · Hillrom - Life 2000 Ventilation System · Hillrom - Monarch Airway Clearance System · Hillrom - Vest System Model 105 Home Care · HyperRAB · INVOKANA · Life 2000 Ventilation System · NUCALA · OFEV · OPSUMIT · OPSUMIT MACITENTAN · ORENITRAM · Orbactiv · PRADAXA · Precision Flow · Prolastin-C Liquid · RECARBRIO · Respiratoriy Care Undiv · S&RC Und · SAMSCA · SMARTVEST · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SYMBICORT · TEZSPIRE · TRELEGY ELLIPTA · TUDORZA PRESSAIR · TYVASO · The Vest System Model 105 Home Care · UPTRAVI · WINREVAIR · XARELTO · Xolair · YUPELRI · Yupelri · ZERBAXA · inCourage
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 (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 10% for internal medicine in CA.
Geographic Context
Internal medicine physicians within 10 mi
82
Per 100K population
3.7
County median income
$82,184
Nearest hospital
PROVIDENCE ST MARY MEDICAL CENTER
0.0 mi
0.0 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 reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Gomez is a clinical cardiology specialist, with above-average Medicare volume (top 7% in CA), with low-engagement industry engagement in the top 10% of CA peers.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Gomez experienced with hospital follow-up visit, high complexity?
Based on Medicare claims data, Dr. Gomez performed 1,913 hospital follow-up visit, high complexity 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. Gomez receive payments from pharmaceutical companies?
Yes. Dr. Gomez received a total of $9,350 from 33 companies across 339 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. Gomez's costs compare to other internal medicine physicians in Apple Valley?
Dr. Gomez's average Medicare payment per service is $113. 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. Gomez) 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. 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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