Medicare Enrolled
Dr. Gilbert Dominguez, M.D.
Family Medicine · La Jolla, 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. Dominguez 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. Dominguez
Dr. Gilbert Dominguez is a family medicine specialist in La Jolla, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Dominguez performed 13,003 Medicare services across 6,972 unique beneficiaries.
Between the years covered by Open Payments, Dr. Dominguez received a total of $12,379 from 77 pharmaceutical and/or device companies across 643 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family 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. Dominguez 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.
✓ 19 years in practice
▲ Top 1% volume in CA
$12,379 industry payments
Medicare Practice Summary
Medicare Utilization ↗13,003
Medicare services
Top 1% in CA for family medicine
6,972
Unique beneficiaries
$46
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~684 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 |
|---|---|---|---|
| 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. |
1,173 | $34 | $65 |
| Assessment of emotional or behavioral problems An evaluation to identify and understand emotional or behavioral issues. This process involves reviewing symptoms and behaviors to determine the nature of the concerns. |
1,084 | $4 | $35 |
| 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. |
1,060 | $98 | $211 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
973 | $41 | $60 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
876 | $43 | $82 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
862 | $0 | $10 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
731 | $53 | $100 |
| 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. |
663 | $47 | $90 |
| 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. |
582 | $115 | $328 |
| Annual alcohol misuse screening, 5 to 15 minutes | 355 | $21 | $30 |
| 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. |
353 | $11 | $52 |
| Ceftriaxone antibiotic injection This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered. |
340 | $0 | $40 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
339 | $142 | $250 |
| Annual depression screening | 337 | $21 | $30 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
334 | $0 | $20 |
| Multiplex PCR test for SARS-CoV-2 and influenza A and B A laboratory test that uses a multiplex amplified probe technique to detect the presence of SARS-CoV-2 (COVID-19) and influenza virus types A and B in a single sample. |
273 | $138 | $175 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
267 | $2 | $20 |
| 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. |
267 | $139 | $243 |
| New patient office visit, complex (60-74 min) | 226 | $157 | $375 |
| 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. |
222 | $25 | $85 |
| 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. |
179 | $72 | $162 |
| Albuterol inhalation solution, 1 mg A unit dose of FDA-approved albuterol solution administered via durable medical equipment for inhalation. |
134 | $0 | $25 |
| 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. |
132 | $11 | $57 |
| Remote physiologic monitoring setup and education Initial setup of remote monitoring equipment and patient education on its use. |
127 | $18 | $40 |
| Inhalation treatment for airway obstruction or sputum production A treatment involving the inhalation of medication to help clear airway obstructions or reduce sputum production. |
114 | $7 | $42 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
91 | $16 | $35 |
| Inhaled ipratropium bromide, unit dose Administration of FDA-approved ipratropium bromide inhalation solution via durable medical equipment in a unit dose form. |
61 | $0 | $25 |
| Inhaled albuterol and ipratropium bromide via DME Administration of FDA-approved albuterol and ipratropium bromide medication through durable medical equipment. |
54 | $0 | $45 |
| 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. |
49 | $27 | $76 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
37 | $32 | $84 |
| Wrist X-ray, minimum 3 views An imaging test using X-rays to capture at least three different angles of the wrist bones and joints. |
36 | $34 | $89 |
| 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. |
36 | $28 | $78 |
| 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. |
36 | $29 | $102 |
| Vaccine administration The process of giving a vaccine to a patient. This code covers the administration service only and does not include the cost of the vaccine itself. |
36 | $16 | $55 |
| Home health agency supervision, complex multidisciplinary care Supervision by a physician or allowed practitioner for a patient receiving Medicare-covered services from a participating home health agency. This involves complex and multidisciplinary care modalities, with the patient not present during the supervision. |
34 | $90 | $170 |
| Ankle X-ray, minimum 3 views An X-ray imaging test of the ankle that captures at least three different angles to evaluate the bones and joints. |
32 | $32 | $82 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
31 | $8 | $10 |
| Rib X-ray, minimum 3 views An X-ray imaging test of the ribs on one side of the body. The procedure includes a minimum of three different views to capture detailed images. |
31 | $34 | $92 |
| Routine 12-lead ECG screening A standard 12-lead electrocardiogram performed as part of an initial preventive physical examination. The service includes both the performance of the test and the physician's interpretation and report. |
30 | $12 | $60 |
| Ear wax removal by washing This procedure involves the removal of impacted ear wax using a washing technique. |
27 | $14 | $55 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
27 | $283 | $300 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
26 | $44 | $45 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
26 | $30 | $30 |
| 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. |
25 | $38 | $92 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
25 | $30 | $30 |
| Methylprednisolone injection, up to 125 mg An injection of methylprednisolone sodium succinate, a corticosteroid medication, with a dosage of up to 125 mg. |
24 | $4 | $10 |
| X-ray of upper spine, 2-3 views An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures. |
22 | $33 | $84 |
| 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 | $89 | $206 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
20 | $35 | $122 |
| 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. |
19 | $27 | $74 |
| DTaP vaccine (ages 7+) A vaccine that protects against diphtheria, tetanus, and pertussis (whooping cough) for individuals aged 7 years and older. |
19 | $28 | $160 |
| X-ray of lower leg, 2 views An X-ray imaging test of the lower leg using two different angles to visualize the bones and surrounding structures. |
18 | $28 | $71 |
| Diphtheria and tetanus vaccine (7 years or older) A vaccine administered to individuals aged 7 and older to provide protection against diphtheria and tetanus infections. |
18 | $20 | $45 |
| X-ray of finger, minimum of 2 views An X-ray imaging test of a finger using at least two different angles to visualize the bones and surrounding structures. |
17 | $32 | $85 |
| Simple repair of small surface wound A minor surgical procedure to close a small cut or wound on the scalp, neck, trunk, arms, or legs that is 2.5 cm or less in length. |
16 | $72 | $186 |
| Nonremovable forearm to hand splint application A healthcare provider applies a rigid splint that extends from the forearm to the hand to immobilize and support the area. |
15 | $57 | $141 |
| X-ray of forearm, 2 views An X-ray imaging test of the forearm using two different angles to visualize the bones and surrounding structures. |
14 | $24 | $68 |
| 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. |
14 | $180 | $343 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
13 | $16 | $40 |
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 ↗$12,379
Total received (2018-2024)
Avg $1,768/year across 7 years
Top 3% in CA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
77
Companies
643
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
$12,270 (99.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$110 (0.9%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,196
2023
$1,830
2022
$1,663
2021
$1,868
2020
$1,516
2019
$1,616
2018
$1,692
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
GlaxoSmithKline, LLC.
$285
PFIZER INC.
$204
Novartis Pharmaceuticals Corporation
$197
Amgen Inc.
$175
ABBVIE INC.
$169
AstraZeneca Pharmaceuticals LP
$153
SI-BONE, INC.
$145
Novo Nordisk Inc
$119
Esperion Therapeutics, Inc.
$90
Neurent Medical Limited
$79
SANOFI-AVENTIS U.S. LLC
$72
Astellas Pharma US Inc
$56
Gilead Sciences, Inc.
$53
Exact Sciences Corporation
$45
Otsuka America Pharmaceutical, Inc.
$45
Lilly USA, LLC
$43
Lundbeck LLC
$40
Verity Pharmaceuticals Inc.
$34
Medicure Pharma Inc.
$26
Philips North America LLC
$24
IDORSIA PHARMACEUTICALS US INC
$23
Azurity Pharmaceuticals, Inc.
$23
Neurocrine Biosciences, Inc.
$21
ViiV Healthcare Company
$17
Phadia US Inc.
$15
SANOFI PASTEUR INC.
$14
Currax Pharmaceuticals LLC
$14
Acella Pharmaceuticals, LLC
$14
Top 3 companies account for 31.2% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$1,006
AbbVie Inc.
$886
GlaxoSmithKline, LLC.
$750
Novo Nordisk Inc
$715
PFIZER INC.
$674
Amgen Inc.
$653
Takeda Pharmaceuticals U.S.A., Inc.
$606
Amarin Pharma Inc.
$506
ABBVIE INC.
$443
Lilly USA, LLC
$431
Novartis Pharmaceuticals Corporation
$382
Merck Sharp & Dohme Corporation
$345
Kowa Pharmaceuticals America, Inc.
$284
ARBOR PHARMACEUTICALS, INC.
$221
Allergan, Inc.
$205
Esperion Therapeutics, Inc.
$202
Currax Pharmaceuticals LLC
$200
Neurent Medical Limited
$193
Boehringer Ingelheim Pharmaceuticals, Inc.
$193
Gilead Sciences, Inc.
$187
Antares Pharma, Inc.
$174
Zyla Life Sciences
$160
Bayer HealthCare Pharmaceuticals Inc.
$155
AbbVie, Inc.
$151
SI-BONE, INC.
$145
Otsuka America Pharmaceutical, Inc.
$129
SANOFI-AVENTIS U.S. LLC
$127
Astellas Pharma US Inc
$122
Exact Sciences Corporation
$108
SANOFI PASTEUR INC.
$97
IMPEL PHARMACEUTICALS INC.
$97
Medicure Pharma Inc.
$93
Biohaven Pharmaceuticals, Inc.
$92
Genentech USA, Inc.
$88
Eisai Inc.
$79
Arbor Pharmaceuticals, Inc.
$76
Lundbeck LLC
$74
Teva Pharmaceuticals USA, Inc.
$71
Axsome Therapeutics, Inc.
$67
Allergan Inc.
$62
Azurity Pharmaceuticals, Inc.
$62
Shire North American Group Inc
$60
Bayer Healthcare Pharmaceuticals Inc.
$59
IDORSIA PHARMACEUTICALS US INC
$57
Janssen Pharmaceuticals, Inc
$54
Acerus Pharmaceuticals Corporation
$54
Acella Pharmaceuticals, LLC
$44
TherapeuticsMD, Inc.
$41
IBSA Pharma Inc.
$41
Sunovion Pharmaceuticals Inc.
$40
Biohaven Pharmaceutical Holding Company Ltd.
$39
Tolmar, Inc.
$35
Bausch Health US, LLC
$34
Verity Pharmaceuticals Inc.
$34
Phadia US Inc.
$33
Horizon Therapeutics plc
$33
Almatica Pharma LLC
$29
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$24
Philips North America LLC
$24
E.R. Squibb & Sons, L.L.C.
$22
Aytu BioScience, Inc
$22
EISAI INC.
$22
Neurocrine Biosciences, Inc.
$21
Neurelis, Inc.
$21
AMAG Pharmaceuticals, Inc.
$21
Terumo BCT, Inc.
$20
Supernus Pharmaceuticals, Inc.
$20
VIVUS, Inc.
$20
Iroko Pharmaceuticals, LLC
$19
Abbott Laboratories
$19
DERMIRA, INC.
$17
ViiV Healthcare Company
$17
Boston Scientific Corporation
$16
Duchesnay USA Incorporated
$15
Adlon Therapeutics L.P.
$15
JAZZ PHARMACEUTICALS INC.
$15
AKRIMAX PHARMACEUTICALS, LLC
$12
Top 3 companies account for 21.3% of all-time payments
Associated products mentioned in payments ›
(5044) MCOT · ADHANSIA XR · AIRSUPRA · AJOVY · ANNOVERA · ANORO · APLENZIN · APRETUDE · AREXVY · ASMANEX · Adthyza · Aimovig · Amitiza · Androgel · Auvelity · BELSOMRA · BEVESPI AEROSPHERE · BIJUVA · BREO · BREZTRI · BREZTRI AEROSPHERE · CHANTIX · CONTRAVE · CUVITRU · Cologuard Collection Kit · DUEXIS · Dayvigo · Descovy · Dexilant · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EVENITY · Edarbi · Edarbyclor · Entyvio · FARXIGA · FASENRA · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FLUZONE HIGH-DOSE · FLUZONE QUADRIVALENT · FLUZONE QUADRIVALENT NORTHERN HEMISPHERE · FreeStyle Libre blood glucose Flash Monitoring System · HARVEST BMAC · HORIZANT · HUMIRA · Horizant · INVOKANA · ImmunoCAP · JANUVIA · JARDIANCE · JATENZO · Kerendia · LEQVIO · LINZESS · LOREEV XR · LYRICA · Livalo · MOUNJARO · MYRBETRIQ · NEUROMARK Device · NEXLETOL · NP Thyroid 60 · NURTEC ODT · Natesto · Osphena · Otezla · Otovel · Otrexup · Ozempic · PAXLOVID · PENNSAID · PRALUENT · PREVNAR 13 · PREVNAR 20 · Prolia · QBREXZA · QSYMIA · QULIPTA · QUVIVIQ · REXULTI · REYVOW · REZUM · Repatha · Rybelsus · SPIRIVA · SPRIX · STEGLUJAN · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · SYNTHROID · Saxenda · Stendra · Synthroid · TLANDO · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · TZIELD · Tirosint · Tlando · Tresiba · Trintellix · Trudhesa · UBRELVY · UTIBRON · VALTOCO · VERQUVO · VIIBRYD · VIVLODEX · VPRIV · VRAYLAR · VYLEESI · Vascepa · Veozah · Victoza · WELLBUTRIN · Wegovy · XIFAXAN · XYOSTED · Xofluza · ZORVOLEX · ZYPITAMAG · Zypitamag
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 (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 3% for family medicine in CA.
Geographic Context
Family medicine physicians within 10 mi
1,395
Per 100K population
42.5
County median income
$102,285
Nearest hospital
SCRIPPS MEMORIAL HOSPITAL LA JOLLA
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. Dominguez is a clinical cardiology specialist, with above-average Medicare volume (top 1% in CA), with low-engagement industry engagement in the top 3% of CA peers, with 19 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. Dominguez experienced with remote vital sign monitoring management, each additional 20 minutes?
Based on Medicare claims data, Dr. Dominguez performed 1,173 remote vital sign monitoring management, each additional 20 minutes 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. Dominguez receive payments from pharmaceutical companies?
Yes. Dr. Dominguez received a total of $12,379 from 77 companies across 643 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. Dominguez's costs compare to other family medicine physicians in La Jolla?
Dr. Dominguez's average Medicare payment per service is $46. 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. Dominguez) 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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