Medicare Enrolled
Dr. Genaro Fernandez, MD
Cardiovascular Disease · El Cajon, 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. Fernandez 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. Fernandez
Dr. Genaro Fernandez is a cardiovascular disease specialist in El Cajon, CA, with 17 years of NPI registration. Based on federal Medicare data, Dr. Fernandez performed 5,751 Medicare services across 3,366 unique beneficiaries.
Between the years covered by Open Payments, Dr. Fernandez received a total of $22,274 from 60 pharmaceutical and/or device companies across 930 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. Fernandez 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.
✓ 17 years in practice
▲ Top 15% volume in CA
$22,274 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,751
Medicare services
Top 15% in CA for cardiovascular disease
3,366
Unique beneficiaries
$86
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~338 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 |
|---|---|---|---|
| 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. |
1,226 | $100 | $177 |
| 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. |
1,116 | $98 | $171 |
| 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. |
776 | $12 | $28 |
| 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. |
358 | $143 | $336 |
| 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. |
251 | $7 | $17 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
223 | $171 | $350 |
| 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. |
219 | $65 | $184 |
| Heart muscle strain imaging | 204 | $33 | $68 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
195 | $13 | $28 |
| 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. |
110 | $10 | $91 |
| 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. |
103 | $201 | $396 |
| 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. |
88 | $125 | $265 |
| 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. |
73 | $173 | $340 |
| Remote monitoring of implantable heart rhythm device Evaluation of data transmitted remotely from an implantable cardiovascular monitor, such as a loop recorder or subcutaneous cardiac rhythm monitor, over a period up to 30 days. |
68 | $58 | $100 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
64 | $106 | $346 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
62 | $3 | $35 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
58 | $87 | $207 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
56 | $15 | $84 |
| 3D radiographic procedure A radiographic imaging technique that creates three-dimensional representations of internal structures. |
52 | $8 | $38 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
47 | $20 | $160 |
| 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. |
36 | $220 | $434 |
| Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist | 34 | $283 | $941 |
| 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. |
33 | $169 | $333 |
| 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. |
31 | $18 | $40 |
| 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. |
31 | $12 | $42 |
| Cardiac catheterization | 26 | $177 | $537 |
| 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 | $173 | $500 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
23 | $71 | $120 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
21 | $21 | $95 |
| 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. |
21 | $782 | $1,515 |
| Ultrasound of heart blood vessel or graft An ultrasound exam to evaluate blood flow in a heart blood vessel or graft, including a radiologist's review of the initial vessel. |
18 | $74 | $172 |
| 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. |
15 | $72 | $122 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
14 | $174 | $303 |
| Ultrasound of abdominal aorta An imaging test that uses sound waves to create pictures of the abdominal aorta, the large blood vessel that carries blood from the heart to the lower body. |
13 | $122 | $194 |
| Additional heart vessel ultrasound evaluation An additional ultrasound assessment of a specific heart blood vessel or graft, including radiologist review. |
13 | $59 | $145 |
| Transcatheter aortic valve replacement via femoral artery A minimally invasive procedure to replace a diseased aortic heart valve using a catheter inserted through the skin and femoral artery. |
12 | $587 | $2,000 |
| 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 | $513 | $1,155 |
| Transesophageal echocardiogram during heart surgery An ultrasound of the heart performed using a probe inserted into the esophagus while surgery on the heart or major blood vessels is taking place, including a written report. |
12 | $183 | $370 |
| 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. |
11 | $152 | $237 |
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.
6.3% high complexity
12.6% medium
81.1% routine
Industry Payment Transparency
Open Payments through 2024 ↗$22,274
Total received (2018-2024)
Avg $3,182/year across 7 years
Top 16% in CA for cardiovascular disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
60
Companies
930
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
$22,220 (99.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$54 (0.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$3,997
2023
$4,029
2022
$3,482
2021
$3,982
2020
$2,703
2019
$2,271
2018
$1,810
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$1,425
Edwards Lifesciences Corporation
$807
Novartis Pharmaceuticals Corporation
$218
Boston Scientific Corporation
$191
SCPHARMACEUTICALS INC.
$183
CVRx, Inc.
$150
Merck Sharp & Dohme LLC
$100
PFIZER INC.
$99
Amgen Inc.
$99
Boehringer Ingelheim Pharmaceuticals, Inc.
$95
Actelion Pharmaceuticals US, Inc.
$76
Kiniksa Pharmaceuticals International, plc
$76
Medtronic, Inc.
$70
Novo Nordisk Inc
$70
Janssen Pharmaceuticals, Inc
$69
ABIOMED
$58
Chiesi USA, Inc.
$42
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$40
AstraZeneca Pharmaceuticals LP
$38
Lexicon Pharmaceuticals, Inc.
$30
Philips North America LLC
$21
Tactile Systems Technology Inc
$20
Kestra Medical Technology Services, Inc.
$18
Top 3 companies account for 61.3% of 2024 payments
All-time payments by company (2018-2024) ›
Abbott Laboratories
$2,809
Boston Scientific Corporation
$2,375
Medtronic, Inc.
$1,949
Edwards Lifesciences Corporation
$1,650
Novartis Pharmaceuticals Corporation
$1,461
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$1,127
Actelion Pharmaceuticals US, Inc.
$970
Amgen Inc.
$960
Janssen Pharmaceuticals, Inc
$953
AstraZeneca Pharmaceuticals LP
$721
CVRx, Inc.
$694
Boehringer Ingelheim Pharmaceuticals, Inc.
$574
ABIOMED
$558
Philips Electronics North America Corporation
$448
PFIZER INC.
$440
Merck Sharp & Dohme LLC
$435
Medtronic Vascular, Inc.
$354
BOSTON SCIENTIFIC CORPORATION
$324
Esperion Therapeutics, Inc.
$296
BIOTRONIK INC.
$190
SCPHARMACEUTICALS INC.
$183
Penumbra, Inc.
$182
Novo Nordisk Inc
$176
ATRICURE, INC.
$175
Bayer HealthCare Pharmaceuticals Inc.
$170
Cardinal Health 200, LLC
$135
Inari Medical, Inc.
$132
Merck Sharp & Dohme Corporation
$131
Kiniksa Pharmaceuticals, Ltd.
$130
Chiesi USA, Inc.
$128
Braemar Manufacturing, LLC
$123
Cardiovascular Systems Inc.
$104
ZOLL Circulation Inc
$98
Bardy Diagnostics, Inc.
$91
Amarin Pharma Inc.
$88
Itamar Medical Inc
$78
Kiniksa Pharmaceuticals International, plc
$76
E.R. Squibb & Sons, L.L.C.
$75
Gilead Sciences, Inc.
$73
CARDIVA MEDICAL, INC.
$62
SANOFI-AVENTIS U.S. LLC
$61
Lexicon Pharmaceuticals, Inc.
$51
Kestra Medical Technology Services, Inc.
$51
NOVARTIS PHARMACEUTICALS CORPORATION
$40
AngioDynamics, Inc.
$38
Acist Medical Systems, Inc.
$30
Claret Medical, Inc.
$29
Maquet Cardiovascular U.S. Sales, L.L.C.
$27
Daiichi Sankyo Inc.
$26
CHIESI USA, INC.
$25
Ultragenyx Pharmaceutical Inc.
$24
Medtronic USA, Inc.
$24
ACELL, INC.
$24
Terumo Medical Corporation
$23
Philips North America LLC
$21
Tactile Systems Technology Inc
$20
iRhythm Technologies, Inc.
$17
Regeneron Healthcare Solutions, Inc.
$16
Cardinal Health 200 LLC
$16
Lilly USA, LLC
$11
Top 3 companies account for 32.0% of all-time payments
Associated products mentioned in payments ›
(7999) SRC Undivided · (8333) IGT D Coronary · (CK4) MCOT · ACCOLADE · ALPHAVAC · AMPLATZER · AMPLATZER AMULET · ATRICLIP LAA EXCLUSION SYSTEM · Adempas · Arcalyst · Assure WCD · Astron; Pulsar; AstronPulsar · Attain · BASAGLAR · BIOMONITOR · BRILINTA · Barostim Neo System · CAMZYOS · CARDIOHELP · CARDIOMEMS · CARDIVA VASCADE 6/7F VCS · CHANTIX · COMET · CONFIRM RX · COREVALVE EVOLUT R · CROME DR MRI SURESCAN · CT THROMBECTOMY SYSTEM KIT · Cardiac Monitoring Suite · CardioMEMS HF System · Cardiva VASCADE MVP VVCS 6-12F · Carnation Ambulatory Monitor · Confirm Rx · CoreValve Evolut · Corlanor · Coronary Orbital Atherectomy System · Crome · Diamondback Peripheral · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · ELCA · ELIQUIS · EMBLEM · EMBLEM S ICD ELECTRODE DELIVERY SYSTEM · ENTRESTO · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · FARXIGA · FLOWTRIEVER CATHETER · FUROSCIX · Flexitouch Plus · GALLANT · GENERAL - THERAPIES · GENERAL STENTS · GENERAL THERAPIES · GENERAL VASCULAR ACCESS · General Therapies · HAWKONE · HawkOne · IGT D Coronary · IGT D Peripheral · IGT_D Peripheral · IN.PACT Admiral · INJECTAFER · Image Guided Therapy Devices _ Coronary · Impella · Indigo · Indigo System · Inpefa · JARDIANCE · JETI ALL IN ONE NON-STERILE KIT · JOT DX · JUXTAPID · KENGREAL · KENGREAL 50MG/10ML L · Kerendia · LEQVIO · LINQ II · LUX DX · LUX-DX · LUX-Dx Insertable Cardiac Monitor · LifeVest · MICRA · MITRACLIP · MULTAQ · MYLUX · Micra · Mitra Clip system · MitraClip System · MynxGrip Vascular Closure Device · NAVITOR · NEXLETOL · NEXLIZET · ONYX FRONTIER · OPSUMIT · Ozempic · PORTICO · PRALUENT · PREVNAR 20 · Peripheral Orbital Atherectomy System · PlasmaBlade · QUADRA ASSURA · Quadra Assura CRT Defibrillator · RXi Systems · Repatha · Resolute · Reveal LINQ · Rybelsus · S · SAPIEN 3 Ultra RESILIA · STIOLTO RESPIMAT · SYMPLICITY G3 · Solia · TherOx DS2 Console · Trilogy 100 · UPTRAVI · VADO · VERQUVO · VYNDAQEL · Vascepa · VersaCross Access Solution · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX · WINREVAIR · WatchPAT · WatchPATONE · XARELTO · Xience Sierra Coronary Stent System · ZIO XT 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.
Geographic Context
Cardiologists within 10 mi
239
Per 100K population
7.3
County median income
$102,285
Nearest hospital
GROSSMONT HOSPITAL
3.3 mi
3.3 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. Fernandez is a clinical cardiology specialist, with above-average Medicare volume (top 15% in CA), with low-engagement industry engagement in the top 16% of CA peers, with 17 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. Fernandez experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Fernandez performed 1,226 office visit, established patient (30-39 min) 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. Fernandez receive payments from pharmaceutical companies?
Yes. Dr. Fernandez received a total of $22,274 from 60 companies across 930 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. Fernandez's costs compare to other cardiologists in El Cajon?
Dr. Fernandez's average Medicare payment per service is $86. 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. Fernandez) 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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