Medicare Enrolled

Dr. Lorena Gutierrez

Nurse Practitioner - Family · Bonita Springs, FL
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
9520 BONITA BEACH RD SE, Bonita Springs, FL 34135
2393192195
In practice since 2016 (9 years)
NPI: 1477000743 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. Gutierrez 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. Gutierrez

Dr. Lorena Gutierrez is a nurse practitioner - family in Bonita Springs, FL, with 9 years of NPI registration. Based on federal Medicare data, Dr. Gutierrez performed 3,576 Medicare services across 2,598 unique beneficiaries.

Between the years covered by Open Payments, Dr. Gutierrez received a total of $5,709 from 40 pharmaceutical and/or device companies across 332 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in nurse practitioner - family. 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. Gutierrez is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 9 years in practice ▲ Top 3% volume in FL $5,709 industry payments

Florida License Status

FL DOH · MQA
1
Active license
None
Board action on record
0
Recent admin complaints
Profession License # Status Expires Board Action
Advanced Practice Registered Nurse 9292963 Clear April 30, 2027
Data from Florida Department of Health Medical Quality Assurance. License records are public under Chapter 119, Florida Statutes. Verify directly on FL DOH →

Medicare Practice Summary

Medicare Utilization ↗
3,576
Medicare services
Top 3% in FL for nurse practitioner - family
2,598
Unique beneficiaries
$36
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~397 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) 706 $77 $264
Office visit, established patient (20-29 min) 310 $55 $187
Blood draw (venipuncture) 298 $8 $17
Comprehensive metabolic blood panel 188 $10 $21
Steroid injection (triamcinolone) 183 $1 $2
Complete blood count (CBC) with differential 176 $8 $16
Ceftriaxone antibiotic injection 164 $0 $1
Lipid panel (cholesterol and triglycerides) 148 $13 $27
Drug injection, under skin or into muscle 110 $9 $31
Hemoglobin A1c test (diabetes monitoring) 88 $10 $19
Automated urinalysis 84 $2 $4
Annual wellness visit, follow-up 74 $111 $267
Injection, ketorolac tromethamine, per 15 mg 74 $0 $1
Annual depression screening 73 $16 $38
Electrocardiogram (EKG), 12-lead 65 $9 $30
Joint injection, major joint 53 $44 $137
Urine culture, bacterial colony count 50 $8 $16
Basic metabolic blood panel 48 $8 $17
Thyroid stimulating hormone (TSH) test 48 $16 $34
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 48 $281 $574
Pneumonia vaccine administration 48 $32 $64
Free thyroxine (T4) test 40 $9 $18
Urinalysis with microscopic exam 36 $3 $6
Vitamin D level test 33 $29 $59
Urine microalbumin test (kidney screening) 31 $6 $12
Creatinine test (kidney function) 31 $5 $10
Prostate cancer screening; prostate specific antigen test (psa) 31 $19 $39
Office visit, established patient, complex (40-54 min) 29 $107 $370
Flu vaccine administration 24 $32 $64
Vitamin B-12 level test 23 $15 $30
Flu vaccine, high-dose 23 $72 $146
Transitional care management services for problem of high complexity 22 $190 $570
Bacterial culture, aerobic 20 $8 $16
Antibiotic sensitivity test 20 $8 $17
New patient office visit (45-59 min) 20 $101 $347
Injection, methylprednisolone sodium succinate, up to 125 mg 20 $4 $11
Removal of impacted ear wax 18 $28 $101
Folic acid level test 18 $14 $29
Ferritin level test (iron stores) 16 $13 $27
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 16 $1 $3
Iron level test 14 $6 $13
Iron binding capacity test 14 $9 $17
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment 14 $143 $343
Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report 14 $6 $30
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 13 $46 $145
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 ↗
$5,709
Total received (2021-2024)
Avg $1,427/year across 4 years
Top 4% in FL for nurse practitioner - family
40
Companies
332
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
$5,709 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,052
2023
$1,344
2022
$1,549
2021
$1,764

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
PFIZER INC.
$527
Amgen Inc.
$519
AstraZeneca Pharmaceuticals LP
$482
GlaxoSmithKline, LLC.
$454
Novo Nordisk Inc
$415
Boehringer Ingelheim Pharmaceuticals, Inc.
$377
Janssen Pharmaceuticals, Inc
$307
Novartis Pharmaceuticals Corporation
$284
Abbott Laboratories
$231
Lilly USA, LLC
$219
ABBVIE INC.
$187
Amarin Pharma Inc.
$149
Bayer HealthCare Pharmaceuticals Inc.
$144
AbbVie Inc.
$143
Astellas Pharma US Inc
$133
Exact Sciences Corporation
$131
Dexcom, Inc.
$114
Merck Sharp & Dohme LLC
$106
Kowa Pharmaceuticals America, Inc.
$89
Esperion Therapeutics, Inc.
$77
Bayer Healthcare Pharmaceuticals Inc.
$62
Boston Scientific Corporation
$57
Merck Sharp & Dohme Corporation
$54
Biohaven Pharmaceutical Holding Company Ltd.
$53
Radius Health, Inc.
$46
Biohaven Pharmaceuticals, Inc.
$41
Nestle HealthCare Nutrition Inc.
$39
IDORSIA PHARMACEUTICALS US INC
$35
ABIOMED
$35
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$28
Regeneron Healthcare Solutions, Inc.
$26
Axonics, Inc.
$19
Almatica Pharma LLC
$18
Takeda Pharmaceuticals U.S.A., Inc.
$17
Eisai Inc.
$17
IBSA Pharma Inc.
$16
Teva Pharmaceuticals USA, Inc.
$16
Shield Therapeutics Inc
$15
Genentech USA, Inc.
$14
AIMMUNE THERAPEUTICS, INC.
$14
Top 3 companies account for 26.8% of total payments
Associated products mentioned in payments ›
ACCRUFER · AIMOVIG · AIRSUPRA · AJOVY · AREXVY · Aimovig · Axonics · BELSOMRA · BREZTRI · Cologuard Collection Kit · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · EVKEEZA · FARXIGA · FASENRA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · GARDASIL · GARDASIL 9 · GRALISE · Impella · JARDIANCE · Kerendia · LEQVIO · LINZESS · LIVALO · Licart · Livalo · MOUNJARO · MYRBETRIQ · Myrbetriq · NEXLETOL · NURTEC ODT · Otezla · Ozempic · PNEUMOVAX 23 · PREVNAR 13 · PREVNAR 20 · QULIPTA · QUVIVIQ · RYBELSUS · Rybelsus · SHINGRIX · STIOLTO RESPIMAT · SYNJARDY · SYNTHROID · Seglentis · TRADJENTA · TRELEGY ELLIPTA · TRIJARDY XR · TRINTELLIX · TRULICITY · Tresiba · Tymlos · UBRELVY · VRAYLAR · Vascepa · WATCHMAN FLX · XARELTO · XIFAXAN · Xofluza · ZENPEP · ZORYVE
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 nurse practitioner - family in FL.

Equivalent to $160 per 100 Medicare services performed
Looking for a nurse practitioner - family in Bonita Springs?
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Geographic Context

Family nurse practitioners within 10 mi
796
Per 100K population
100.4
County median income
$73,099
Nearest hospital
PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE
7.3 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 measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Gutierrez is a clinical cardiology specialist, with above-average Medicare volume (top 3% in FL), with low-engagement industry engagement in the top 4% of FL peers.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Gutierrez experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Gutierrez performed 706 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. Gutierrez receive payments from pharmaceutical companies?
Yes. Dr. Gutierrez received a total of $5,709 from 40 companies across 332 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. Gutierrez's costs compare to other family nurse practitioners in Bonita Springs?
Dr. Gutierrez's average Medicare payment per service is $36. 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. Gutierrez) 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. The Transparency Score measures 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 →