Medicare Enrolled
Dr. Ravindra Gautam, M.D.
Internal Medicine · Barstow, CA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Gautam 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. Gautam
Dr. Ravindra Gautam is an internal medicine specialist in Barstow, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Gautam performed 21,285 Medicare services across 2,723 unique beneficiaries.
Between the years covered by Open Payments, Dr. Gautam received a total of $771 from 19 pharmaceutical and/or device companies across 35 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. Gautam 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 in practice
▲ Top 1% volume in CA
$771 industry payments
Medicare Practice Summary
Medicare Utilization ↗21,285
Medicare services
Top 1% in CA for internal medicine
2,723
Unique beneficiaries
$612
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~1,064 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 |
|---|---|---|---|
| Carepatch application, per square centimeter Application of a therapeutic patch to the skin, measured by area in square centimeters. |
11,905 | $960 | $1,305 |
| Home visit, established patient, moderate complexity A home visit for an established patient involving moderate medical decision making. The visit requires at least 40 minutes of time if time is used to determine the level of service. |
956 | $101 | $400 |
| Home visit, established patient, low complexity A physician visits an existing patient at their residence to provide care involving a low level of medical decision making. The visit lasts at least 30 minutes. |
791 | $61 | $261 |
| Amnioarmor per square centimeter A medical product applied to the amniotic membrane, measured by area. |
772 | $767 | $980 |
| Vein wound compression bandage application, lower leg, ankle, and foot Application of compression bandages to the lower leg, ankle, and foot to manage vein-related wounds. |
752 | $57 | $252 |
| 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. |
698 | $70 | $150 |
| Therapy procedure using ultrasound A therapeutic treatment that utilizes ultrasound technology. The specific clinical purpose or condition treated is not defined in the provided description. |
588 | $384 | $1,650 |
| Muscle or tissue removal, 20 sq cm or less This procedure involves the surgical removal of muscle or other tissue from the body. The total area of the removed tissue is 20.0 square centimeters or less. |
524 | $173 | $510 |
| Skin substitute graft application, 25 sq cm or less Application of a skin substitute graft to a wound on the trunk, arms, or legs covering 25 square centimeters or less. |
480 | $124 | $444 |
| 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. |
450 | $134 | $250 |
| Skin and tissue removal, 20 sq cm or less This procedure involves the surgical excision of skin and underlying tissue from an area measuring 20 square centimeters or smaller. |
423 | $63 | $265 |
| Additional tissue removal, per 20 sq cm This code covers the removal of extra muscle or tissue in increments of 20 square centimeters or less. It is used to bill for additional areas treated beyond the initial procedure. |
400 | $59 | $162 |
| Skin substitute graft, additional 25 sq cm Application of a skin substitute graft to an additional 25 square centimeters of a wound on the trunk, arms, or legs. |
205 | $20 | $84 |
| 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. |
192 | $96 | $245 |
| 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. |
190 | $40 | $100 |
| Skin substitute graft application, 25 sq cm or less Application of a skin substitute graft to a wound on the face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes. The wound area covered is 25.0 square centimeters or less. |
162 | $125 | $471 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
148 | $153 | $350 |
| Additional bone removal, per 20 sq cm This code covers the removal of bone tissue in increments of 20 square centimeters or less, billed for each additional area treated beyond the initial procedure. |
122 | $97 | $273 |
| 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. |
121 | $96 | $200 |
| Bone removal, 20 sq cm or less Surgical removal of a small area of bone, measuring 20 square centimeters or less. |
117 | $255 | $697 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
109 | $148 | $450 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
101 | $63 | $215 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
95 | $194 | $400 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
84 | $133 | $200 |
| Adenosine injection, 1 mg Administration of a 1 mg dose of adenosine medication. This code is specifically for adenosine and excludes adenosine phosphate compounds. |
83 | $0 | $100 |
| Home visit, new patient, low complexity A home visit for a new patient involving a low level of medical decision making. The visit lasts at least 30 minutes when time is used to determine the level of service. |
75 | $59 | $247 |
| Complete ultrasound of abdomen A diagnostic imaging test that uses sound waves to create detailed pictures of the organs and structures within the abdomen. |
67 | $88 | $225 |
| 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. |
61 | $8 | $45 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
56 | $144 | $400 |
| Ultrasound of head and neck soft tissue This procedure uses sound waves to create images of the soft tissues in the head and neck area. It allows for the visualization of structures beneath the skin without using radiation. |
52 | $91 | $260 |
| 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. |
50 | $132 | $300 |
| 2-day continuous ECG with review and report A two-day continuous electrocardiogram recording that includes a professional review and written report of the results. |
44 | $56 | $200 |
| Home visit, new patient, moderate complexity A home visit for a new patient involving moderate medical decision making, lasting at least 60 minutes. |
44 | $104 | $568 |
| 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. |
41 | $93 | $179 |
| 30-day continuous ECG with patient-triggered event transmission and review This procedure involves continuous electrocardiogram monitoring for up to 30 days, including the transmission of patient-triggered events. A healthcare professional reviews the data and provides a report. |
38 | $716 | $950 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
37 | $20 | $50 |
| 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. |
34 | $18 | $60 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
34 | $10 | $50 |
| Initial nursing facility care, high complexity An initial visit by a healthcare provider to a patient in a nursing facility involving a high level of medical decision making, lasting at least 45 minutes. |
25 | $148 | $300 |
| 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. |
24 | $373 | $1,100 |
| Normal saline infusion, 250 cc Administration of 250 cubic centimeters of normal saline solution into a vein. This procedure involves the intravenous delivery of a sterile saltwater fluid. |
24 | $1 | $100 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review. |
23 | $51 | $200 |
| Complete ultrasound of retroperitoneum An ultrasound examination of the structures located behind the abdominal cavity. |
17 | $76 | $150 |
| Transrectal ultrasound of prostate An ultrasound imaging procedure where a probe is inserted into the rectum to create pictures of the prostate gland. |
15 | $119 | $400 |
| New patient office visit, complex (60-74 min) | 15 | $138 | $350 |
| Quadrivalent influenza vaccine, preservative-free A flu shot containing four strains of the influenza virus, formulated without preservatives, administered in a 0.5 ml dose. |
14 | $22 | $50 |
| Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts A complete ultrasound exam of the aorta, vena cava, groin vessels, or bypass grafts. This imaging test uses sound waves to visualize these blood vessels. |
14 | $132 | $375 |
| 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. |
13 | $107 | $300 |
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
5.6% medium
93.7% routine
Industry Payment Transparency
Open Payments through 2024 ↗$771
Total received (2018-2024)
Avg $128/year across 6 years
Top 39% in CA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
19
Companies
35
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
$771 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$107
2023
$129
2022
$204
2021
$32
2020
$88
2018
$211
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
GlaxoSmithKline, LLC.
$39
Dexcom, Inc.
$21
Amgen Inc.
$19
Bayer Healthcare Pharmaceuticals Inc.
$15
Xeris Pharmaceuticals, Inc.
$14
Top 3 companies account for 72.9% of 2024 payments
All-time payments by company (2018-2024) ›
Merck Sharp & Dohme LLC
$165
GlaxoSmithKline, LLC.
$94
Boehringer Ingelheim Pharmaceuticals, Inc.
$85
Abbott Laboratories
$71
Bayer Healthcare Pharmaceuticals Inc.
$68
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$31
Boston Scientific Corporation
$29
Novo Nordisk Inc
$28
PFIZER INC.
$22
Novartis Pharmaceuticals Corporation
$22
SANOFI-AVENTIS U.S. LLC
$21
Dexcom, Inc.
$21
Eisai Inc.
$19
Amgen Inc.
$19
Allergan, Inc.
$17
Philips Electronics North America Corporation
$16
AbbVie Inc.
$15
AstraZeneca Pharmaceuticals LP
$14
Xeris Pharmaceuticals, Inc.
$14
Top 3 companies account for 44.7% of all-time payments
Associated products mentioned in payments ›
(9061) SRC Sol Space · ACCOLADE · ANORO ELLIPTA · ASSURITY · BELSOMRA · BREO · BREZTRI AEROSPHERE · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · ENTRESTO · GVOKE HYPOPEN · JARDIANCE · Kerendia · LINZESS · Otezla · Rybelsus · SHINGRIX · SOLIQUA · TRELEGY ELLIPTA · UBRELVY · VERQUVO · Victoza · XIFAXAN
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.
Geographic Context
Internal medicine physicians within 10 mi
6
Per 100K population
0.3
County median income
$82,184
Nearest hospital
BARSTOW COMMUNITY HOSPITAL
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. Gautam is a mixed practice specialist, with above-average Medicare volume (top 1% in CA), with low-engagement industry engagement, 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. Gautam experienced with carepatch application, per square centimeter?
Based on Medicare claims data, Dr. Gautam performed 11,905 carepatch application, per square centimeter 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. Gautam receive payments from pharmaceutical companies?
Yes. Dr. Gautam received a total of $771 from 19 companies across 35 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. Gautam's costs compare to other internal medicine physicians in Barstow?
Dr. Gautam's average Medicare payment per service is $612. 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. Gautam) 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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