Medicare Enrolled
Dr. James Gray, M.D.
Student in an Organized Health Care Education/Training Program · La Jolla, CA
Practice pattern: Cardiac & Remote
— Practice combining cardiac and remote services
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. Gray 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. Gray
Dr. James Gray is a student in an organized health care education/training program specialist in La Jolla, CA, with 18 years of NPI registration. Based on federal Medicare data, Dr. Gray performed 3,723 Medicare services across 2,729 unique beneficiaries.
Between the years covered by Open Payments, Dr. Gray received a total of $8,266 from 26 pharmaceutical and/or device companies across 213 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in student in an organized health care education/training program. 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. Gray 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 4% volume in CA
$8,266 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,723
Medicare services
Top 4% in CA for student in an organized health care education/training program
2,729
Unique beneficiaries
$61
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~207 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 |
|---|---|---|---|
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
633 | $106 | $507 |
| Outpatient cardiac rehabilitation with ECG monitoring Supervised heart rehabilitation program including electrocardiogram monitoring and professional healthcare services. |
572 | $22 | $101 |
| 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. |
432 | $6 | $31 |
| 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. |
431 | $100 | $350 |
| Heart muscle strain imaging | 273 | $33 | $154 |
| Perflutren lipid microspheres injection Injection of perflutren lipid microspheres, measured per milliliter. |
240 | $35 | $138 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
232 | $42 | $203 |
| 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. |
187 | $143 | $491 |
| 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. |
66 | $56 | $279 |
| 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. |
57 | $133 | $453 |
| 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. |
55 | $12 | $55 |
| 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. |
54 | $98 | $269 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
50 | $55 | $262 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
45 | $21 | $96 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
39 | $87 | $401 |
| Follow-up ultrasound of heart blood flow, valves and chambers An ultrasound exam that follows up on the heart's blood flow, valves, and chambers. It uses sound waves to create images of the heart's structure and function. |
37 | $14 | $70 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
31 | $15 | $71 |
| 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. |
31 | $143 | $520 |
| 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. |
28 | $70 | $248 |
| 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. |
27 | $203 | $947 |
| 3D ultrasound of heart for congenital heart defects This procedure uses three-dimensional ultrasound imaging to evaluate the structure of the heart during an assessment for congenital heart defects. |
25 | $20 | $241 |
| External EKG monitoring, 8-15 days Continuous external electrocardiogram recording and review over a period of 8 to 15 days to monitor heart rhythm. |
24 | $21 | $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. |
22 | $93 | $354 |
| Insertion of implantable heart rhythm monitor A small device is placed under the skin to continuously record the heart's electrical activity. This helps detect irregular heart rhythms that may not appear during a standard office visit. |
21 | $70 | $19,220 |
| Routine 12-lead electrocardiogram (ECG) A test that records the electrical activity of the heart using at least 12 leads to produce a tracing. |
19 | $5 | $25 |
| Continuous EKG monitoring review, 48-7 days Review and interpretation of continuous external EKG recordings lasting more than 48 hours up to 7 days. |
18 | $19 | $91 |
| 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. |
18 | $87 | $305 |
| Removal of subcutaneous heart rhythm monitor This procedure involves the removal of a heart rhythm monitor that has been implanted under the skin. It is a minor surgical intervention to extract the device. |
15 | $54 | $516 |
| External shock to heart to regulate heart beat A procedure that delivers an electric shock to the heart from outside the body to restore a normal heart rhythm. |
15 | $89 | $607 |
| Ultrasound of heart with contrast injection An ultrasound of the heart is performed while injecting an X-ray contrast agent to improve the clarity of the images. |
14 | $31 | $135 |
| Hospital discharge day management, 30 minutes or less This service covers the final day of hospital care when the patient is being discharged. It includes coordination of care and instructions for the patient within a time frame of 30 minutes or less. |
12 | $67 | $191 |
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.
18.0% high complexity
26.8% medium
55.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$8,266
Total received (2018-2024)
Avg $1,181/year across 7 years
Top 4% in CA for student in an organized health care education/training program
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
26
Companies
213
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
$8,266 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$588
2023
$501
2022
$1,050
2021
$1,374
2020
$905
2019
$3,477
2018
$371
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$197
BIOTRONIK INC.
$132
Boston Scientific Corporation
$65
Alnylam Pharmaceuticals Inc.
$44
Kiniksa Pharmaceuticals International, plc
$42
Amgen Inc.
$30
Regeneron Healthcare Solutions, Inc.
$28
Novo Nordisk Inc
$26
Boehringer Ingelheim Pharmaceuticals, Inc.
$23
Top 3 companies account for 67.1% of 2024 payments
All-time payments by company (2018-2024) ›
Medtronic Vascular, Inc.
$3,835
Medtronic, Inc.
$1,535
Novartis Pharmaceuticals Corporation
$875
BIOTRONIK INC.
$486
Regeneron Healthcare Solutions, Inc.
$298
Amgen Inc.
$234
Boston Scientific Corporation
$126
E.R. Squibb & Sons, L.L.C.
$80
SANOFI-AVENTIS U.S. LLC
$69
Gilead Sciences, Inc.
$67
Amarin Pharma Inc.
$67
iRhythm Technologies, Inc.
$61
Kiniksa Pharmaceuticals, Ltd.
$60
Boehringer Ingelheim Pharmaceuticals, Inc.
$57
Esperion Therapeutics, Inc.
$53
AstraZeneca Pharmaceuticals LP
$51
Novo Nordisk Inc
$48
Alnylam Pharmaceuticals Inc.
$44
Kiniksa Pharmaceuticals International, plc
$42
Lantheus Medical Imaging, Inc.
$35
Abbott Laboratories
$29
Impulse Dynamics (USA) Inc.
$29
BOSTON SCIENTIFIC CORPORATION
$26
Baxter Healthcare
$26
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$18
PFIZER INC.
$14
Top 3 companies account for 75.6% of all-time payments
Associated products mentioned in payments ›
ACCOLADE · AMVIA EDGE · AMVUTTRA · Arcalyst · BIOMONITOR · BRILINTA · BYDUREON · Confirm Rx · Corlanor · DEFINITY · Definity · ELIQUIS · ENTRESTO · EVKEEZA · Edora 8 DR-T · FARXIGA · Hillrom - Cardiac Ambulatory Monitor · JARDIANCE · LEQVIO · LINQ II · LUX-DX · LUX-Dx Insertable Cardiac Monitor · LifeVest · NEXLETOL · Optimizer · Ozempic · PRALUENT · PRALUENT ALIROCUMAB INJECTION · RESONATE · Repatha · Reveal LINQ · Rybelsus · VYNDAQEL · Vascepa · 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. Total industry engagement is in the top 4% for student in an organized health care education/training program in CA.
Geographic Context
Student in an organized health care education/training programs within 10 mi
3,477
Per 100K population
105.9
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. Gray is a cardiac & remote specialist, with above-average Medicare volume (top 4% in CA), with low-engagement industry engagement in the top 4% 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. Gray experienced with echocardiogram, transthoracic?
Based on Medicare claims data, Dr. Gray performed 633 echocardiogram, transthoracic 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. Gray receive payments from pharmaceutical companies?
Yes. Dr. Gray received a total of $8,266 from 26 companies across 213 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. Gray's costs compare to other student in an organized health care education/training programs in La Jolla?
Dr. Gray's average Medicare payment per service is $61. 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. Gray) 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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