Medicare Enrolled
Ralph Gousse, M. D.
Hematology · Altamonte Springs, FL
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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 Gousse 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 Gousse
Ralph Gousse is a hematology specialist in Altamonte Springs, FL, with 20 years of NPI registration. Based on federal Medicare data, Gousse performed 183,759 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Gousse received a total of $7,813 from 62 pharmaceutical and/or device companies across 411 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Gousse 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.
✓ 20 years of NPI registration
▲ Top 25% volume in FL
$7,813 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗183,759
Medicare services
Top 25% in FL for hematology
Not available
Unique patients (not deduplicated)
$6
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 |
|---|---|---|---|
| Iron infusion (Feraheme) An injection of ferumoxytol used to treat iron deficiency anemia in patients not on dialysis. |
66,300 | $0 | $4 |
| Iron infusion (Injectafer) An intravenous injection of ferric carboxymaltose, an iron replacement medication. |
30,750 | $1 | $3 |
| Iron sucrose injection (Venofer) An injection of iron sucrose used to replenish iron levels in the body. |
24,100 | $0 | $5 |
| Epoetin alfa injection (Procrit) for anemia An injection of epoetin alfa containing 1000 units for use in patients not on end-stage renal disease (ESRD) dialysis. |
18,630 | $6 | $23 |
| Denosumab injection (Prolia/Xgeva) | 12,240 | $18 | $51 |
| Immune globulin infusion (Gammagard) An injection of immune globulin (Gammagard Liquid) to provide antibodies. The dose specified is 500 mg. |
8,330 | $36 | $108 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
3,627 | $8 | $9 |
| 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. |
3,360 | $8 | $29 |
| Eflapegrastim injection, 0.1 mg An injection of eflapegrastim-xnst administered at a dose of 0.1 mg. |
3,036 | $26 | $116 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
2,700 | $0 | $3 |
| Iron infusion (Monoferric) | 1,800 | $17 | $57 |
| 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. |
1,405 | $10 | $69 |
| 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. |
1,250 | $64 | $239 |
| Anti-nausea injection (Aloxi/palonosetron) | 710 | $1 | $28 |
| 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. |
704 | $96 | $339 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
539 | $1 | $6 |
| Intravenous infusion, 1 hour or less Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less. |
521 | $46 | $189 |
| Intravenous injection of additional new drug or substance Administration of an additional new medication or substance directly into a vein. |
508 | $11 | $61 |
| Anti-nausea injection (ondansetron/Zofran) | 416 | $0 | $9 |
| Intravenous chemotherapy infusion, 1 hour or less Administration of chemotherapy medication directly into a vein. The procedure takes one hour or less to complete. |
359 | $97 | $378 |
| Zoledronic acid injection, 1 mg An injection of zoledronic acid administered at a dose of 1 mg. |
291 | $6 | $69 |
| Diphenhydramine injection, up to 50 mg An injection of diphenhydramine hydrochloride, an antihistamine medication, administered in a dose of up to 50 milligrams. |
250 | $1 | $3 |
| Additional hour of intravenous infusion This code represents each additional hour of intravenous infusion beyond the initial hour for therapy, prevention, or diagnosis. |
234 | $15 | $56 |
| Additional sequential IV infusion, 1 hour or less This code represents an additional intravenous infusion administered sequentially to a primary infusion. It covers the administration time of one hour or less. |
212 | $21 | $84 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
145 | $4 | $15 |
| Methylprednisolone injection, up to 40 mg An injection of methylprednisolone sodium succinate, a corticosteroid medication, administered in a dose of up to 40 mg. |
133 | $3 | $11 |
| Non-hormonal chemotherapy injection This procedure involves administering non-hormonal anti-neoplastic chemotherapy medication via injection into the skin or muscle tissue. |
120 | $55 | $206 |
| Automated red blood cell count with calculations A blood test that automatically counts red blood cells and performs additional calculations to assess blood health. |
101 | $5 | $20 |
| 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. |
92 | $94 | $285 |
| Subcutaneous or intramuscular chemotherapy injection This procedure involves administering anti-cancer hormonal medication through an injection into the tissue under the skin or into a muscle. |
91 | $24 | $89 |
| 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. |
89 | $74 | $298 |
| 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. |
79 | $124 | $453 |
| Additional hour of intravenous chemotherapy This code represents the administration of chemotherapy medication into a vein for each additional hour beyond the initial period. |
78 | $21 | $79 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
78 | $16 | $59 |
| Intravenous drug injection A procedure involving the administration of a medication or substance directly into a vein. |
76 | $27 | $156 |
| Intravenous infusion of new drug or substance, 1 hour or less This procedure involves administering a new medication or substance directly into a vein through an existing access site. The infusion is completed within one hour or less. |
58 | $49 | $178 |
| 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. |
58 | $137 | $556 |
| Normal saline infusion, 1000 cc Administration of 1000 cc of normal saline solution into a vein. This procedure involves the intravenous delivery of a sterile saltwater solution. |
51 | $2 | $7 |
| 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. |
49 | $136 | $474 |
| 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. |
46 | $2 | $8 |
| Venipuncture for blood collection A procedure to draw blood from a vein for medical testing or analysis. |
42 | $70 | $277 |
| Additional hour of intravenous hydration This code represents each additional hour of intravenous fluid administration beyond the initial hour. It is used to bill for extended hydration therapy. |
39 | $10 | $42 |
| Intravenous hydration infusion, 31-60 minutes Administration of fluids into a vein to maintain hydration. This procedure involves an infusion lasting between 31 and 60 minutes. |
24 | $25 | $156 |
| Bone marrow biopsy and aspiration A procedure to remove a small sample of bone marrow and liquid for laboratory testing. The sample is analyzed to help diagnose various medical conditions. |
21 | $129 | $467 |
| Normal saline infusion, 500 ml Administration of sterile normal saline solution through an intravenous line. This procedure involves the infusion of a 500 ml unit of the solution. |
17 | $1 | $7 |
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. These counts do not measure clinical quality or years of experience.
59.1% high complexity
35.6% medium
5.3% routine
Industry Payment Transparency
Open Payments through 2024 ↗$7,813
Total received (2018-2024)
Avg $1,116/year across 7 years
Top 48% in FL for hematology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
62
Companies
411
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,970
2023
$1,963
2022
$1,365
2021
$474
2020
$362
2019
$932
2018
$748
Payments by company (2024)
Gilead Sciences, Inc.
$236
Celgene Corporation
$197
PFIZER INC.
$194
Novartis Pharmaceuticals Corporation
$190
Astellas Pharma US Inc
$144
AstraZeneca Pharmaceuticals LP
$137
E.R. Squibb & Sons, L.L.C.
$93
Merck Sharp & Dohme LLC
$68
Daiichi Sankyo Inc.
$55
SOBI, INC
$53
Genentech USA, Inc.
$53
Karyopharm Therapeutics Inc.
$48
Rigel Pharmaceuticals, Inc.
$45
Blueprint Medicines Corporation
$40
ADC Therapeutics America, Inc.
$37
BeiGene USA, Inc.
$37
Exelixis Inc.
$36
ARRAY BIOPHARMA INC
$36
EMD Serono, Inc.
$29
PharmaEssentia USA Corporation
$26
Dendreon Pharmaceuticals LLC
$23
Incyte Corporation
$22
Kite Pharma, Inc.
$21
GlaxoSmithKline, LLC.
$21
GENZYME CORPORATION
$20
Pharmacosmos Therapeutics Inc.
$18
Janssen Biotech, Inc.
$17
TerSera Therapeutics LLC
$16
JAZZ PHARMACEUTICALS INC.
$15
CSL Behring
$15
Eisai Inc.
$14
SERVIER PHARMACEUTICALS LLC
$14
Top 3 companies account for 31.8% of 2024 payments
All-time payments by company (2018-2024) ›
Janssen Biotech, Inc.
$695
Celgene Corporation
$664
Novartis Pharmaceuticals Corporation
$638
E.R. Squibb & Sons, L.L.C.
$564
PFIZER INC.
$521
Genentech USA, Inc.
$426
Gilead Sciences, Inc.
$374
Astellas Pharma US Inc
$230
AstraZeneca Pharmaceuticals LP
$211
Amgen Inc.
$210
Apellis Pharmaceuticals, Inc.
$205
Pharmacyclics LLC, An AbbVie Company
$195
Kite Pharma, Inc.
$175
Incyte Corporation
$170
Karyopharm Therapeutics Inc.
$166
Seagen Inc.
$166
Exelixis Inc.
$161
Merck Sharp & Dohme LLC
$152
JAZZ PHARMACEUTICALS INC.
$140
TESARO, Inc.
$124
Daiichi Sankyo Inc.
$98
Merck Sharp & Dohme Corporation
$96
Coherus Biosciences Inc.
$95
Rigel Pharmaceuticals, Inc.
$92
BeiGene USA, Inc.
$85
EMD Serono, Inc.
$84
GlaxoSmithKline, LLC.
$75
EISAI INC.
$69
G1 Therapeutics, Inc.
$56
TerSera Therapeutics LLC
$55
SOBI, INC
$53
Eisai Inc.
$52
Global Blood Therapeutics, Inc.
$47
PharmaEssentia USA Corporation
$46
Mirati Therapeutics, Inc.
$45
Blueprint Medicines Corporation
$40
ADC Therapeutics America, Inc.
$37
GENZYME CORPORATION
$37
ABBVIE INC.
$37
ARRAY BIOPHARMA INC
$36
INSYS Therapeutics Inc
$35
Sun Pharmaceutical Industries Inc.
$28
Aurobindo Pharma USA, Inc.
$26
Foundation Medicine, Inc.
$24
Dendreon Pharmaceuticals LLC
$23
Pharmacyclics LLC, an AbbVie Company
$23
Taiho Oncology, Inc.
$20
Sysmex Inostics Inc
$19
Pharmacosmos Therapeutics Inc.
$18
TG THERAPEUTICS, INC.
$18
CTI BioPharma Corp.
$17
MorphoSys, US Inc.
$16
Janssen Pharmaceuticals, Inc
$15
CSL Behring
$15
Verastem, Inc.
$14
SERVIER PHARMACEUTICALS LLC
$14
Stemline Therapeutics Inc.
$14
Alexion Pharmaceuticals, Inc.
$14
MEDIVATION FIELD SOLUTIONS LLC
$13
Kyowa Kirin, Inc.
$12
Acrotech Biopharma LLC
$12
Veracyte, Inc.
$1
Top 3 companies account for 25.6% of all-time payments
Associated products mentioned in payments ›
ADCETRIS · AUGTYRO · AYVAKIT · Alecensa · Avastin · BAVENCIO · BELEODAQ · BESREMI · BLENREP · BOSULIF · BRUKINSA · CABOMETYX · CERDELGA · COSELA · Cabometyx · Columvi · Copiktra · DARZALEX · DOPTELET · ELIQUIS · ELITEK · ENHERTU · ERLEADA · Empaveli · Enhertu · Erivedge · Erleada · FOUNDATIONONE · Fabhalta · Folotyn · GAZYVA · IBRANCE · IMBRUVICA · INLYTA · INQOVI · Idelvion · Imbruvica · Inrebic · JAKAFI · KEYTRUDA · KISQALI · KRAZATI · Kadcyla · Kyprolis · LORBRENA · LUMAKRAS · LYNPARZA · Lenvima · MEKINIST · MONJUVI · MVASI · Marqibo · Nplate · OJJAARA · OPDIVO · OPDUALAG · OXBRYTA · Orserdu · PADCEV · PEMAZYRE · PIQRAY · POTELIGEO · PROMACTA · PROVENGE · Padcev · Perjeta · Pomalyst · REBLOZYL · RYBREVANT · Rezlidhia · SANDOSTATIN · SCEMBLIX · SOLIRIS · SYNDROS · TASIGNA · TECENTRIQ · TIVDAK · TUKYSA · Tavalisse · Tecentriq · Tibsovo · Trodelvy · UKONIQ · Udenyca · VENCLEXTA · VONJO · Vanflyta · Venclexta · Vonjo · XALKORI · XARELTO · XPOVIO · XTANDI · Xtandi · YONSA · Yescarta · ZEJULA · ZEPZELCA · ZOLADEX · Zoladex
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Hematologists in nearby ZIP areas
17
County median income
$83,030
Nearest hospital to ZIP centroid (approximate)
ASPIRE HEALTH PARTNERS
7.4 mi
7.4 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | 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
Gousse is a mixed practice specialist, with above-average Medicare volume (top 25% in FL), with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Gousse experienced with iron infusion (feraheme)?
Based on Medicare claims data, Gousse performed 66,300 iron infusion (feraheme) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Gousse receive payments from pharmaceutical companies?
Yes. Gousse received a total of $7,813 from 62 companies across 411 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Gousse's costs compare to other hematologists in Altamonte Springs?
Gousse's average Medicare payment per service is $6. 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 Gousse) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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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