Medicare Enrolled

Dr. David Rios, M.D.

Family Medicine · Laguna Hills, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
24953 PASEO DE VALENCIA, Laguna Hills, CA 92653
9498377521
In practice since 2006 (19 years)
NPI: 1083797435 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. Rios 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. Rios? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Rios

Dr. David Rios is a family medicine specialist in Laguna Hills, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Rios performed 694 Medicare services across 400 unique beneficiaries.

Between the years covered by Open Payments, Dr. Rios received a total of $10,607 from 62 pharmaceutical and/or device companies across 603 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. Rios 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 33% volume in CA $10,607 industry payments

Medicare Practice Summary

Medicare Utilization ↗
694
Medicare services
Top 33% in CA for family medicine
400
Unique beneficiaries
$47
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~37 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.
237 $90 $222
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
62 $8 $10
Comprehensive metabolic blood panel
A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers.
52 $10 $32
Thyroid stimulating hormone (TSH) test
A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function.
46 $16 $50
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.
45 $56 $149
Lipid panel (cholesterol and triglycerides)
A blood test that measures cholesterol and triglyceride levels.
42 $13 $40
LDL cholesterol level test
A blood test that measures the amount of low-density lipoprotein (LDL) cholesterol in your blood. LDL is often referred to as "bad" cholesterol.
39 $10 $28
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
36 $140 $252
High-sensitivity C-reactive protein test
A blood test that measures high-sensitivity C-reactive protein to detect infection or inflammation.
32 $13 $38
Complete blood count (CBC) with differential
An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells.
30 $8 $25
Creatinine test (kidney function)
A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury.
28 $5 $18
Hemoglobin A1c test (diabetes monitoring)
A blood test that measures your average blood sugar levels over the past two to three months.
26 $10 $30
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.
19 $2 $8
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 2023 ↗
$10,607
Total received (2018-2023)
Avg $1,768/year across 6 years
Top 4% in CA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
62
Companies
603
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
$10,607 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2023
$769
2022
$1,833
2021
$2,568
2020
$1,469
2019
$1,778
2018
$2,190

Payments by company (2023)

Consulting
Speaking
Meals & Travel
Research
AbbVie Inc.
$136
Exact Sciences Corporation
$102
Lilly USA, LLC
$81
AstraZeneca Pharmaceuticals LP
$80
GlaxoSmithKline, LLC.
$70
NESTLE HEALTHCARE NUTRITION INC.
$58
Bayer Healthcare Pharmaceuticals Inc.
$40
IMPEL PHARMACEUTICALS INC.
$39
Amgen Inc.
$38
Merck Sharp & Dohme LLC
$32
Novo Nordisk Inc
$23
Boehringer Ingelheim Pharmaceuticals, Inc.
$21
Novartis Pharmaceuticals Corporation
$20
Ironwood Pharmaceuticals, Inc
$16
IDORSIA PHARMACEUTICALS US INC
$13
Top 3 companies account for 41.5% of 2023 payments
All-time payments by company (2018-2023) ›
Lilly USA, LLC
$1,354
AstraZeneca Pharmaceuticals LP
$1,075
AbbVie Inc.
$890
GlaxoSmithKline, LLC.
$861
Amgen Inc.
$532
Boehringer Ingelheim Pharmaceuticals, Inc.
$458
Takeda Pharmaceuticals U.S.A., Inc.
$349
Novartis Pharmaceuticals Corporation
$333
ABBVIE INC.
$324
Janssen Pharmaceuticals, Inc
$307
Bayer HealthCare Pharmaceuticals Inc.
$307
Astellas Pharma US Inc
$299
Novo Nordisk Inc
$269
Merck Sharp & Dohme Corporation
$264
Eisai Inc.
$221
Kowa Pharmaceuticals America, Inc.
$179
AbbVie, Inc.
$166
Allergan, Inc.
$142
Biohaven Pharmaceuticals, Inc.
$136
Radius Health, Inc.
$126
Celgene Corporation
$119
Amarin Pharma Inc.
$118
PFIZER INC.
$115
Exact Sciences Corporation
$102
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$101
Nestle HealthCare Nutrition Inc.
$98
Merck Sharp & Dohme LLC
$93
VIVUS, Inc.
$77
Ironwood Pharmaceuticals, Inc
$73
ITI, Inc.
$65
Allergan Inc.
$63
Alfasigma USA, Inc.
$61
JAZZ PHARMACEUTICALS INC.
$60
Biohaven Pharmaceutical Holding Company Ltd.
$59
NESTLE HEALTHCARE NUTRITION INC.
$58
IRONWOOD PHARMACEUTICALS, INC
$46
SANOFI-AVENTIS U.S. LLC
$45
Mylan Specialty L.P.
$43
VIVUS LLC
$41
Iroko Pharmaceuticals, LLC
$40
Bayer Healthcare Pharmaceuticals Inc.
$40
IMPEL PHARMACEUTICALS INC.
$39
SANOFI PASTEUR INC.
$38
Circassia Pharmaceuticals Inc
$36
Synergy Pharmaceuticals Inc
$35
Zyla Life Sciences
$34
EISAI INC.
$31
Avadel Specialty Pharmaceuticals, LLC
$30
Currax Pharmaceuticals LLC
$26
Janssen Biotech, Inc.
$25
Teva Pharmaceuticals USA, Inc.
$24
Sun Pharmaceutical Industries Inc.
$23
Sunovion Pharmaceuticals Inc.
$19
Shire North American Group Inc
$18
Bausch Health US, LLC
$18
Dexcom, Inc.
$16
ASSERTIO THERAPEUTICS, Inc.
$16
Nalpropion Pharmaceuticals LLC
$15
IDORSIA PHARMACEUTICALS US INC
$13
Sanofi Pasteur Inc.
$13
DERMIRA, INC.
$13
Horizon Pharma plc
$12
Top 3 companies account for 31.3% of all-time payments
Associated products mentioned in payments ›
AJOVY · ANORO · ANORO ELLIPTA · AREXVY · Aimovig · Amitiza · BAQSIMI · BASAGLAR · BELSOMRA · BENLYSTA · BEVESPI AEROSPHERE · BREO · BREZTRI · BREZTRI AEROSPHERE · CAPLYTA · CHANTIX · CONTRAVE · CREON · Cambia · Cologuard Collection Kit · DEXCOM G6 CGM SYSTEM · DUAKLIR PRESSAIR · Dayvigo · Dymista · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · Enbrel · FARXIGA · FASENRA · FLUZONE HIGH-DOSE · GARDASIL 9 · Humira · JANUVIA · JARDIANCE · Kerendia · LINZESS · Linzess · Livalo · MOUNJARO · MYRBETRIQ · NO PRODUCT DISCUSSED · NURTEC ODT · Noctiva · OFEV · Otezla · Ozempic · PENNSAID · PNEUMOVAX 23 · Prolia · QBREXZA · QSYMIA · QULIPTA · QUVIVIQ · Qsymia · RIOMET ER · Repatha · Rybelsus · SHINGRIX · SOLIQUA 100/33 · SPIRIVA · SPIRIVA RESPIMAT · STELARA · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · SYNTHROID · TALTZ · TOUJEO · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Trintellix · Trudhesa · Trulance · Tymlos · UBRELVY · UTIBRON · VESICARE · VIVLODEX · VRAYLAR · VYVANSE · Vascepa · WELLBUTRIN XL · XARELTO · XIFAXAN · Yupelri · ZENPEP · ZORVOLEX · ZOSTAVAX
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 family medicine in CA.

Looking for a family medicine specialist in Laguna Hills?
Compare family medicine physicians in the Laguna Hills area by procedure volume, costs, and industry payment transparency.
Browse family medicine physicians nearby

Geographic Context

Family medicine physicians within 10 mi
1,574
Per 100K population
49.7
County median income
$113,702
Nearest hospital
MEMORIALCARE SADDLEBACK MEDICAL CENTER
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 2023
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. Rios is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 4% 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. Rios experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Rios performed 237 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. Rios receive payments from pharmaceutical companies?
Yes. Dr. Rios received a total of $10,607 from 62 companies across 603 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. Rios's costs compare to other family medicine physicians in Laguna Hills?
Dr. Rios's average Medicare payment per service is $47. 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. Rios) 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 →