Medicare Enrolled
Dr. Carla Rosal, M.D.
Family Medicine · Monterey, 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. Rosal 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. Rosal
Dr. Carla Rosal is a family medicine specialist in Monterey, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Rosal performed 3,748 Medicare services across 1,613 unique beneficiaries.
Between the years covered by Open Payments, Dr. Rosal received a total of $4,513 from 37 pharmaceutical and/or device companies across 269 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. Rosal 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 5% volume in CA
$4,513 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,748
Medicare services
Top 5% in CA for family medicine
1,613
Unique beneficiaries
$30
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~197 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 |
|---|---|---|---|
| Denosumab injection (Prolia/Xgeva) | 1,740 | $19 | $38 |
| 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. |
529 | $45 | $167 |
| 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. |
304 | $47 | $250 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
270 | $27 | $233 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
158 | $8 | $20 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
95 | $33 | $52 |
| 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. |
87 | $72 | $90 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
68 | $9 | $55 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
66 | $38 | $99 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
61 | $68 | $167 |
| 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. |
58 | $11 | $55 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
37 | $10 | $67 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
35 | $13 | $88 |
| 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 | $7 | $37 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
28 | $38 | $99 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
27 | $33 | $35 |
| 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. |
20 | $282 | $709 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
20 | $52 | $427 |
| 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. |
20 | $72 | $347 |
| 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 | $22 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
17 | $6 | $102 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
17 | $5 | $29 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
17 | $158 | $324 |
| Pneumococcal vaccine, 23-valent A vaccine that protects against 23 types of pneumococcal bacteria. It is used to prevent infections caused by these bacteria. |
13 | $131 | $225 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
12 | $18 | $213 |
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 ↗$4,513
Total received (2018-2024)
Avg $645/year across 7 years
Top 9% in CA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
37
Companies
269
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
$4,502 (99.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$11 (0.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$835
2023
$884
2022
$918
2021
$242
2020
$162
2019
$830
2018
$641
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$287
GlaxoSmithKline, LLC.
$109
Lilly USA, LLC
$97
PFIZER INC.
$93
Mylan Specialty L.P.
$67
Novo Nordisk Inc
$47
Amgen Inc.
$28
ABIOMED
$24
Philips North America LLC
$22
Phathom Pharmaceuticals, Inc.
$19
AstraZeneca Pharmaceuticals LP
$15
Xeris Pharmaceuticals, Inc.
$15
Takeda Pharmaceuticals U.S.A., Inc.
$13
Top 3 companies account for 59.1% of 2024 payments
All-time payments by company (2018-2024) ›
GlaxoSmithKline, LLC.
$1,042
ABBVIE INC.
$504
Boehringer Ingelheim Pharmaceuticals, Inc.
$319
Novo Nordisk Inc
$300
PFIZER INC.
$291
AbbVie Inc.
$256
Amgen Inc.
$238
AstraZeneca Pharmaceuticals LP
$215
Lilly USA, LLC
$215
Abbott Laboratories
$142
Vertos Medical, Inc.
$129
Takeda Pharmaceuticals U.S.A., Inc.
$90
IDORSIA PHARMACEUTICALS US INC
$68
Mylan Specialty L.P.
$67
Merck Sharp & Dohme Corporation
$60
SANOFI PASTEUR INC.
$53
Allergan Inc.
$44
Janssen Pharmaceuticals, Inc
$41
SANOFI-AVENTIS U.S. LLC
$40
Boston Scientific Corporation
$37
Dexcom, Inc.
$34
Medtronic Vascular, Inc.
$32
Astellas Pharma US Inc
$30
Biohaven Pharmaceutical Holding Company Ltd.
$27
Lundbeck LLC
$26
Philips Electronics North America Corporation
$24
ABIOMED
$24
Philips North America LLC
$22
Genentech USA, Inc.
$21
Novartis Pharmaceuticals Corporation
$20
Phathom Pharmaceuticals, Inc.
$19
Evofem Biosciences, Inc.
$18
Bioventus LLC
$15
Xeris Pharmaceuticals, Inc.
$15
TherapeuticsMD, Inc.
$15
Nalpropion Pharmaceuticals LLC
$12
AMAG Pharmaceuticals, Inc.
$11
Top 3 companies account for 41.3% of all-time payments
Associated products mentioned in payments ›
(5050) Ext Holter · (8874) inCourage · ADVAIR · AIRSUPRA · ANORO · ANORO ELLIPTA · AREXVY · Aimovig · BEVESPI AEROSPHERE · BEXSERO · BREO · CHANTIX · COMIRNATY · CONTRAVE · Dexcom G6 Transmitter · EMGALITY · EVENITY · FARXIGA · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FLUZONE HIGH-DOSE · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · GELSYN 3 · GENERAL PAIN MANAGEMENT · GVOKE HYPOPEN · IMVEXXY · INTRAROSA · Impella · JANUVIA · JARDIANCE · LEQVIO · LINZESS · LYRICA · MENQUADFI · MOUNJARO · MYRBETRIQ · NAMZARIC · NEXPLANON · NURTEC ODT · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · PRADAXA · PREVNAR 20 · Phexxi · QULIPTA · QUVIVIQ · REXULTI · ROTATEQ · Repatha · Rybelsus · SHINGRIX · SOLIQUA 100/33 · SPIRIVA · STIOLTO RESPIMAT · TOUJEO · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · UBRELVY · VOQUEZNA · VRAYLAR · VenaSeal · Victoza · Wegovy · XARELTO · Xofluza · YUPELRI · mild Device Kit
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 9% for family medicine in CA.
Geographic Context
Family medicine physicians within 10 mi
232
Per 100K population
53.2
County median income
$94,486
Nearest hospital
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA
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. Rosal is a clinical cardiology specialist, with above-average Medicare volume (top 5% in CA), with low-engagement industry engagement in the top 9% 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. Rosal experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Dr. Rosal performed 1,740 denosumab injection (prolia/xgeva) 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. Rosal receive payments from pharmaceutical companies?
Yes. Dr. Rosal received a total of $4,513 from 37 companies across 269 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. Rosal's costs compare to other family medicine physicians in Monterey?
Dr. Rosal's average Medicare payment per service is $30. 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. Rosal) 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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