Medicare Enrolled

Dr. Benito Pedraza

Gastroenterology · Ventura, CA
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
168 N BRENT ST, Ventura, CA 93003
8056416525
In practice since 2006 (19 years)
NPI: 1851323026 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. Pedraza 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. Pedraza

Dr. Benito Pedraza is a gastroenterology specialist in Ventura, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Pedraza performed 1,184 Medicare services across 1,100 unique beneficiaries.

Between the years covered by Open Payments, Dr. Pedraza received a total of $2,485 from 26 pharmaceutical and/or device companies across 139 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. 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. Pedraza 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 27% volume in CA $2,485 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,184
Medicare services
Top 27% in CA for gastroenterology
1,100
Unique beneficiaries
$77
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~62 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
Moderate sedation during GI endoscopy
Sedation services provided by the physician performing a gastrointestinal endoscopic procedure. This requires an independent trained observer to assist in monitoring the patient.
311 $4 $25
Telephone medical discussion, 11-20 minutes
A phone conversation with a physician lasting between 11 and 20 minutes.
228 $65 $150
Colon polyp removal with endoscopic snare
This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination.
132 $217 $1,550
Colonoscopy with biopsy
A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease.
104 $88 $861
Telephone medical discussion, 21-30 minutes
A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone.
101 $100 $200
Upper GI endoscopy with biopsy
A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities.
90 $79 $652
Telephone medical discussion, 5-10 minutes
A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters.
79 $45 $100
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.
32 $145 $400
Colonoscopy for colorectal cancer screening
A colonoscopy performed to screen for colorectal cancer in individuals who are not at high risk for the disease.
22 $166 $700
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.
18 $66 $150
Colonoscopy for colorectal cancer screening, high risk
A colonoscopy performed to screen for colorectal cancer in individuals identified as being at high risk for the disease.
15 $185 $700
Upper endoscopy (EGD)
A diagnostic exam of the esophagus, stomach, and upper small bowel using a flexible endoscope.
14 $99 $703
Colonoscopy
A diagnostic exam of the large bowel using a flexible endoscope to visualize the interior of the colon.
13 $138 $800
Injection beneath large bowel lining via endoscope
A flexible endoscope is used to inject medication or fluid beneath the lining of the large intestine.
13 $14 $850
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.
12 $64 $150
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 ↗
$2,485
Total received (2018-2024)
Avg $355/year across 7 years
Top 43% in CA for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
26
Companies
139
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
$2,457 (98.9%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$28 (1.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$483
2023
$743
2022
$432
2021
$278
2020
$83
2019
$187
2018
$278

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$209
Mindray DS USA, Inc.
$119
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$35
Ardelyx, Inc.
$33
Janssen Biotech, Inc.
$28
GENZYME CORPORATION
$23
Braintree Laboratories, Inc.
$20
AIMMUNE THERAPEUTICS, INC.
$17
Top 3 companies account for 75.0% of 2024 payments
All-time payments by company (2018-2024) ›
ABBVIE INC.
$817
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$333
Takeda Pharmaceuticals U.S.A., Inc.
$230
AbbVie Inc.
$175
Janssen Biotech, Inc.
$159
Mindray DS USA, Inc.
$119
GENZYME CORPORATION
$71
AbbVie, Inc.
$63
Ardelyx, Inc.
$62
PFIZER INC.
$61
Gilead Sciences, Inc.
$57
RedHill Biopharma Inc.
$46
Braintree Laboratories, Inc.
$44
Intercept Pharmaceuticals, Inc.
$28
Ferring Pharmaceuticals Inc.
$26
AstraZeneca Pharmaceuticals LP
$25
Synergy Pharmaceuticals Inc
$24
Aries Pharmaceuticals, Inc.
$19
Alexion Pharmaceuticals, Inc.
$18
Exact Sciences Corporation
$18
AIMMUNE THERAPEUTICS, INC.
$17
Regeneron Healthcare Solutions, Inc.
$17
Blueprint Medicines Corporation
$14
Allergan Inc.
$14
Merck Sharp & Dohme Corporation
$13
INTERCEPT PHARMACEUTICALS, INC.
$13
Top 3 companies account for 55.5% of all-time payments
Associated products mentioned in payments ›
ANDEXXA · Amitiza · CIMZIA · CLENPIQ · CREON · Cologuard Collection Kit · Creon · DUPIXENT · ELEVIEW · ENTYVIO · Entyvio · HUMIRA · Humira · IBSRELA · LINZESS · OCALIVA · PATIENT MONITOR · REMICADE · RINVOQ · SKYRIZI · STELARA · SUFLAVE · SUPREP BOWEL PREP · TREMFYA · TRULANCE · Talicia · Trulance · UCERIS TABLETS · VIBERZI · XELJANZ · XIFAXAN · ZENPEP · ZINPLAVA
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.

Looking for a gastroenterology specialist in Ventura?
Compare gastroenterologists in the Ventura area by procedure volume, costs, and industry payment transparency.
Browse gastroenterologists nearby

Geographic Context

Gastroenterologists within 10 mi
22
Per 100K population
2.6
County median income
$107,327
Nearest hospital
VENTURA COUNTY 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 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. Pedraza is a mixed practice specialist, with above-average Medicare volume (top 27% in CA), with low-engagement industry engagement, 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. Pedraza experienced with moderate sedation during gi endoscopy?
Based on Medicare claims data, Dr. Pedraza performed 311 moderate sedation during gi endoscopy 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. Pedraza receive payments from pharmaceutical companies?
Yes. Dr. Pedraza received a total of $2,485 from 26 companies across 139 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. Pedraza's costs compare to other gastroenterologists in Ventura?
Dr. Pedraza's average Medicare payment per service is $77. 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. Pedraza) 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 →