Medicare Enrolled
Dr. Robert Gousse, M.D.
Sports Medicine (Family Medicine) Physician · Fresno, 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. Gousse 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 →
Are you Dr. Gousse?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Gousse
Dr. Robert Gousse is a sports medicine physician in Fresno, CA, with 14 years of NPI registration. Based on federal Medicare data, Dr. Gousse performed 2,296 Medicare services across 1,318 unique beneficiaries.
Between the years covered by Open Payments, Dr. Gousse received a total of $1,783 from 23 pharmaceutical and/or device companies across 83 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in sports medicine (family medicine) physician. 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. Gousse 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 21% volume in CA
$1,783 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,296
Medicare services
Top 21% in CA for sports medicine (family medicine) physician
1,318
Unique beneficiaries
$62
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~164 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. |
816 | $94 | $405 |
| Injection, methylprednisolone acetate, 40 mg | 238 | $6 | $22 |
| 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. |
140 | $58 | $285 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
108 | $9 | $32 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
79 | $46 | $672 |
| Ultrasound-guided large joint aspiration or injection This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint. |
71 | $83 | $378 |
| MRI of lower spine, without contrast A magnetic resonance imaging scan of the lower spinal canal that does not use contrast dye to create detailed images of the spine. |
60 | $73 | $340 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
59 | $55 | $260 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
55 | $135 | $417 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
52 | $8 | $21 |
| Knee X-ray, 3 views An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures. |
51 | $31 | $130 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
48 | $25 | $107 |
| MRI of leg joint, without contrast A magnetic resonance imaging scan of a joint in the leg performed without the use of contrast dye. |
44 | $90 | $388 |
| X-ray of lower and sacral spine, minimum of 4 views An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints. |
40 | $41 | $163 |
| 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. |
31 | $11 | $76 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
26 | $39 | $177 |
| X-ray of upper spine, 4-5 views An X-ray imaging test of the upper spine using 4 to 5 different views to visualize the bones and structures in that area. |
26 | $46 | $170 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
25 | $29 | $110 |
| Foot X-ray, 3+ views An X-ray imaging test of the foot that captures at least three different views to evaluate the bones and joints. |
25 | $24 | $110 |
| MRI of arm joint, without contrast An MRI scan uses magnetic fields and radio waves to create detailed images of the arm joint. This specific procedure is performed without the use of a contrast dye. |
24 | $91 | $626 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
24 | $39 | $170 |
| 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. |
23 | $8 | $69 |
| Ultrasound-guided small joint aspiration or injection This procedure involves removing fluid from or injecting medication into a small joint while using ultrasound imaging to guide the needle placement. |
21 | $55 | $280 |
| X-ray of hand, minimum of 3 views An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints. |
21 | $30 | $117 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
21 | $3 | $16 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
21 | $72 | $350 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
20 | $76 | $100 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
20 | $32 | $69 |
| Tendon or ligament injection A procedure involving the injection of medication into a tendon or ligament. |
19 | $37 | $175 |
| Injection of anesthetic agent and/or steroid into other nerve or branch | 18 | $64 | $248 |
| Injection of carpal tunnel | 15 | $53 | $304 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
15 | $172 | $523 |
| Ultrasound-guided joint aspiration or injection Removal of fluid from or injection into a medium-sized joint using ultrasound guidance to ensure accurate placement. |
14 | $66 | $300 |
| 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 | $131 | $521 |
| 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. |
13 | $149 | $564 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$1,783
Total received (2018-2024)
Avg $357/year across 5 years
Top 23% in CA for sports medicine (family medicine) physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
23
Companies
83
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
$1,783 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,005
2023
$355
2022
$58
2019
$69
2018
$296
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$184
AstraZeneca Pharmaceuticals LP
$154
Lilly USA, LLC
$137
PFIZER INC.
$91
Amgen Inc.
$86
PAINTEQ LLC
$78
Exact Sciences Corporation
$50
Takeda Pharmaceuticals U.S.A., Inc.
$39
Bioventus LLC
$32
Radius Health, Inc.
$29
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$24
Novo Nordisk Inc
$24
VERTEX PHARMACEUTICALS INCORPORATED
$23
Boehringer Ingelheim Pharmaceuticals, Inc.
$21
Kowa Pharmaceuticals America, Inc.
$19
Dexcom, Inc.
$14
Top 3 companies account for 47.3% of 2024 payments
All-time payments by company (2018-2024) ›
Lilly USA, LLC
$226
AstraZeneca Pharmaceuticals LP
$202
ABBVIE INC.
$184
Amgen Inc.
$140
Takeda Pharmaceuticals U.S.A., Inc.
$133
PFIZER INC.
$112
Bioventus LLC
$87
Medtronic USA, Inc.
$79
PAINTEQ LLC
$78
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$73
Kowa Pharmaceuticals America, Inc.
$67
FIDIA PHARMA USA INC.
$62
Novo Nordisk Inc
$58
Exact Sciences Corporation
$50
Boehringer Ingelheim Pharmaceuticals, Inc.
$45
ARBOR PHARMACEUTICALS, INC.
$40
Shire North American Group Inc
$33
Radius Health, Inc.
$29
VERTEX PHARMACEUTICALS INCORPORATED
$23
Flexion Therapeutics, Inc.
$21
Ferring Pharmaceuticals Inc.
$14
Dexcom, Inc.
$14
Merck Sharp & Dohme Corporation
$13
Top 3 companies account for 34.3% of all-time payments
Associated products mentioned in payments ›
ADAPTIVESTIM · AIRSUPRA · Cologuard Collection Kit · Dexcom G6 Transmitter · Durolane · EUFLEXXA · EVENITY · EXOGEN ULTRASOUND BONE HEALING SYSTEM · Edarbi · Exogen Ultrasound Bone Healing System · FARXIGA · GELSYN 3 · HYALGAN · Hymovis · JANUVIA · JARDIANCE · KRYSTEXXA · LIVALO · MOUNJARO · MYDAYIS · NURTEC ODT · Otezla · Ozempic · PAINTEQ · PAXLOVID · Rybelsus · SEGLENTIS · TRINTELLIX · Trintellix · UBRELVY · VRAYLAR · VYVANSE · Victoza · XIFAXAN · ZEPBOUND · ZORYVE · Zilretta
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
Sports medicine physicians within 10 mi
7
Per 100K population
0.7
County median income
$71,434
Nearest hospital
SAINT AGNES 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. Gousse is a clinical cardiology specialist, with above-average Medicare volume (top 21% in CA), with low-engagement industry engagement.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Gousse experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Gousse performed 816 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. Gousse receive payments from pharmaceutical companies?
Yes. Dr. Gousse received a total of $1,783 from 23 companies across 83 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. Gousse's costs compare to other sports medicine physicians in Fresno?
Dr. Gousse's average Medicare payment per service is $62. 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. Gousse) 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 →
Explore related providers
Same specialty & city
Sports Medicine Physicians in Fresno
Browse sports medicine physicians in Fresno ranked by procedure volume and transparency data.
Highest volume
Top Sports Medicine Physicians in CA
Sports medicine physicians ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Sports Medicine Physicians in CA
Which CA sports medicine physicians receive the most from drug and device companies.
By company
Lilly USA, LLC Payments to Doctors
See all physicians who received payments from Lilly USA, LLC.
By company
AstraZeneca Pharmaceuticals LP Payments to Doctors
See all physicians who received payments from AstraZeneca Pharmaceuticals LP.
By company
ABBVIE INC. Payments to Doctors
See all physicians who received payments from ABBVIE INC.
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.
Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology