Dr. Lorena Gutierrez
What this data tells you about Dr. Gutierrez
Dr. Lorena Gutierrez is a nurse practitioner - family in Bonita Springs, FL, with 9 years in practice. 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.
Medicare Practice Summary
Medicare Utilization ↗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 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
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.
Geographic Context
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), and high industry engagement (low-engagement, top 4%).
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)?
Does Dr. Gutierrez receive payments from pharmaceutical companies?
How do Dr. Gutierrez's costs compare to other nurse practitioner - familys in Bonita Springs?
What does Data Coverage mean?
Is this data up to date?
Explore related providers
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