Medicare Enrolled

Dr. Brian Ayuste, M.D.

Internal Medicine · Granada Hills, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
10605 BALBOA BLVD, Granada Hills, CA 91344
8183664626
In practice since 2008 (18 years)
NPI: 1104003458 verify on NPPES ↗
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. Ayuste 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. Ayuste

Dr. Brian Ayuste is an internal medicine specialist in Granada Hills, CA, with 18 years of NPI registration. Based on federal Medicare data, Dr. Ayuste performed 3,688 Medicare services across 1,056 unique beneficiaries.

Between the years covered by Open Payments, Dr. Ayuste received a total of $4,557 from 26 pharmaceutical and/or device companies across 205 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. Ayuste 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.

✓ 18 years in practice ▲ Top 8% volume in CA $4,557 industry payments

Medicare Practice Summary

Medicare Utilization ↗
3,688
Medicare services
Top 8% in CA for internal medicine
1,056
Unique beneficiaries
$101
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~205 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.
1,062 $102 $250
Remote vital sign monitoring management, each additional 20 minutes
This code covers the time spent by a provider managing patient data from remote vital sign monitoring devices. It applies to each additional 20-minute increment beyond the initial monthly service period.
549 $35 $200
Remote patient monitoring management, 20 min/month
Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month.
499 $43 $150
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.
435 $128 $270
Remote patient monitoring device, 30 days
Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period.
311 $47 $200
Dialysis services for patients 20 or older
Dialysis treatment provided to patients aged 20 years or older, involving four or more physician visits per month.
258 $302 $1,268
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.
218 $147 $425
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.
90 $68 $220
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.
85 $180 $450
Remote physiologic monitoring setup and education
Initial setup of remote monitoring equipment and patient education on its use.
44 $18 $105
Dialysis services for adults, 2-3 visits per month
This code covers dialysis services for patients aged 20 or older who have 2 to 3 physician visits per month.
43 $253 $1,268
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.
36 $103 $195
New patient office visit, complex (60-74 min) 24 $188 $455
Complete ultrasound of retroperitoneum
An ultrasound examination of the structures located behind the abdominal cavity.
17 $100 $280
Complete pelvic ultrasound
An imaging test using sound waves to create pictures of the organs and structures within the pelvis.
17 $62 $275
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 ↗
$4,557
Total received (2018-2024)
Avg $651/year across 7 years
Top 17% in CA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
26
Companies
205
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
$4,557 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,391
2023
$1,234
2022
$661
2021
$193
2020
$160
2019
$365
2018
$553

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Amgen Inc.
$405
AstraZeneca Pharmaceuticals LP
$191
Aurinia Pharma U.S., Inc.
$112
Boehringer Ingelheim Pharmaceuticals, Inc.
$111
GlaxoSmithKline, LLC.
$93
Novartis Pharmaceuticals Corporation
$90
Otsuka America Pharmaceutical, Inc.
$90
AKEBIA THERAPEUTICS INC
$81
Bayer Healthcare Pharmaceuticals Inc.
$60
Mallinckrodt Hospital Products Inc.
$49
CALLIDITAS THERAPEUTICS US INC.
$39
OPKO Pharmaceuticals, LLC
$20
Vifor Pharma, Inc.
$20
Lilly USA, LLC
$18
Travere Therapeutics, Inc.
$12
Top 3 companies account for 51.0% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$945
Otsuka America Pharmaceutical, Inc.
$550
GlaxoSmithKline, LLC.
$474
Amgen Inc.
$405
Horizon Therapeutics plc
$395
Aurinia Pharma U.S., Inc.
$254
OPKO Pharmaceuticals, LLC
$234
Mallinckrodt Hospital Products Inc.
$169
Boehringer Ingelheim Pharmaceuticals, Inc.
$167
Relypsa, Inc.
$125
Bayer HealthCare Pharmaceuticals Inc.
$96
Novartis Pharmaceuticals Corporation
$90
Vifor Pharma, Inc.
$83
AKEBIA THERAPEUTICS INC
$81
Bayer Healthcare Pharmaceuticals Inc.
$79
Boston Scientific Corporation
$74
Travere Therapeutics, Inc.
$70
Calliditas Therapeutics US Inc.
$42
CALLIDITAS THERAPEUTICS US INC.
$39
PFIZER INC.
$38
Alexion Pharmaceuticals, Inc.
$37
Mallinckrodt Enterprises LLC
$33
Alnylam Pharmaceuticals Inc.
$24
Genentech USA, Inc.
$19
Lilly USA, LLC
$18
Amarin Pharma Inc.
$15
Top 3 companies account for 43.2% of all-time payments
Associated products mentioned in payments ›
ACTHAR · ANORO · Auryxia · BENLYSTA · BRILINTA · ELIQUIS · FARXIGA · Fabhalta · INNOVA · JARDIANCE · JESDUVROQ · JYNARQUE · KRYSTEXXA · Kerendia · LOKELMA · LUPKYNIS · MOUNJARO · ONPATTRO · RAYALDEE · Rayaldee · Rituxan · SAMSCA · SOLIRIS · TARPEYO · TAVNEOS · TERLIVAZ · Ultomiris · Vafseo · Vascepa · Veltassa
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.

Looking for an internal medicine specialist in Granada Hills?
Compare internal medicine physicians in the Granada Hills area by procedure volume, costs, and industry payment transparency.
Browse internal medicine physicians nearby

Geographic Context

Internal medicine physicians within 10 mi
3,527
Per 100K population
35.8
County median income
$87,760
Nearest hospital
NORTHRIDGE HOSPITAL MEDICAL CENTER
3.7 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. Ayuste is a clinical cardiology specialist, with above-average Medicare volume (top 8% in CA), with low-engagement industry engagement in the top 17% of CA peers, with 18 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. Ayuste experienced with hospital follow-up visit, high complexity?
Based on Medicare claims data, Dr. Ayuste performed 1,062 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. Ayuste receive payments from pharmaceutical companies?
Yes. Dr. Ayuste received a total of $4,557 from 26 companies across 205 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. Ayuste's costs compare to other internal medicine physicians in Granada Hills?
Dr. Ayuste's average Medicare payment per service is $101. 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. Ayuste) 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 →
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

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →