Medicare Enrolled

Dr. Hector Lalama, MD PA

Neurology · Coral Gables, FL
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
801 SANTIAGO ST, Coral Gables, FL 33134
3054489797
Registered in NPPES since 2006
NPI: 1992773246 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. Lalama 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 →
Are you Dr. Lalama? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Lalama

Dr. Hector Lalama is a neurology specialist in Coral Gables, FL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Lalama performed 890 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Lalama received a total of $30,920 from 61 pharmaceutical and/or device companies across 1220 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 Dr. Lalama 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 33% volume in FL $30,920 industry payments

Florida License Status

FL DOH · MQA
1
Active license
Yes
Board action on record
0
Recent admin complaints
Profession License # Status Expires Board Action
Medical Doctor 58230 Clear January 31, 2028
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 — 2023

Medicare Utilization ↗
890
Medicare services
Top 33% in FL for neurology
Not available
Unique patients (not deduplicated)
$90
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
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.
600 $68 $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.
169 $148 $250
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.
87 $96 $300
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.
19 $124 $400
EEG, extended monitoring
A test that records electrical activity in the brain while the patient is both awake and asleep.
15 $260 $350
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.

Industry Payment Transparency

Open Payments through 2024 ↗
$30,920
Total received (2018-2024)
Avg $4,417/year across 7 years
Top 11% in FL for neurology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
61
Companies
1,220
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
$4,132
2023
$4,881
2022
$4,797
2021
$3,802
2020
$1,998
2019
$6,596
2018
$4,713

Payments by company (2024)

Medtronic, Inc.
$576
UCB, Inc.
$555
Biogen, Inc.
$495
Neurocrine Biosciences, Inc.
$424
ABBVIE INC.
$384
EMD Serono, Inc.
$206
SK Life Science, Inc.
$146
Neurelis, Inc.
$145
Amneal Pharmaceuticals LLC
$136
TG Therapeutics, Inc.
$125
PFIZER INC.
$121
Teva Pharmaceuticals USA, Inc.
$118
ARGENX US, INC.
$99
Eisai Inc.
$81
BANNER LIFE SCIENCES, LLC
$78
Kyowa Kirin, Inc.
$62
Genentech USA, Inc.
$56
Sumitomo Pharma America, Inc.
$54
Lundbeck LLC
$51
ACADIA Pharmaceuticals Inc
$47
MDD US Operations, LLC
$43
Otsuka America Pharmaceutical, Inc.
$38
CATALYST PHARMACEUTICALS, INC.
$33
Merz Pharmaceuticals, LLC
$21
SCILEX PHARMACEUTICALS INC.
$21
Alexion Pharmaceuticals, Inc.
$17
Top 3 companies account for 39.3% of 2024 payments
All-time payments by company (2018-2024) ›
Biogen, Inc.
$4,234
Neurocrine Biosciences, Inc.
$2,841
UCB, Inc.
$2,386
Avanir Pharmaceuticals, Inc.
$1,777
ACADIA Pharmaceuticals Inc
$1,585
Adamas Pharmaceuticals, Inc.
$1,559
ABBVIE INC.
$1,312
Teva Pharmaceuticals USA, Inc.
$1,203
EMD Serono, Inc.
$1,090
SK Life Science, Inc.
$1,004
Amgen Inc.
$962
Sunovion Pharmaceuticals Inc.
$877
Novartis Pharmaceuticals Corporation
$818
Amneal Pharmaceuticals LLC
$785
Medtronic, Inc.
$692
Allergan, Inc.
$594
Lilly USA, LLC
$583
Alexion Pharmaceuticals, Inc.
$507
ARGENX US, INC.
$474
Kyowa Kirin, Inc.
$463
Neurelis, Inc.
$419
Lundbeck LLC
$403
Genentech USA, Inc.
$288
Allergan Inc.
$269
PFIZER INC.
$265
Otsuka America Pharmaceutical, Inc.
$263
EISAI INC.
$260
Sumitomo Pharma America, Inc.
$240
Medtronic USA, Inc.
$224
Celgene Corporation
$211
US WorldMeds, LLC
$205
Eisai Inc.
$170
Biohaven Pharmaceutical Holding Company Ltd.
$163
AbbVie Inc.
$141
Aprecia Pharmaceuticals, LLC
$140
TG Therapeutics, Inc.
$125
Boston Scientific Corporation
$124
BANNER LIFE SCIENCES, LLC
$114
Abbott Laboratories
$113
Acorda Therapeutics, Inc
$111
Mitsubishi Tanabe Pharma America, Inc.
$100
Impax Laboratories, Inc.
$97
Zyla Life Sciences
$76
Avion Pharmaceuticals
$71
Biohaven Pharmaceuticals, Inc.
$69
E.R. Squibb & Sons, L.L.C.
$65
Zyla Life Sciences, Inc.
$46
MDD US Operations, LLC
$43
Supernus Pharmaceuticals, Inc.
$43
Banner Life Sciences, LLC
$42
GENZYME CORPORATION
$35
CATALYST PHARMACEUTICALS, INC.
$33
Egalet US Inc
$29
TG THERAPEUTICS, INC.
$28
Mallinckrodt Hospital Products Inc.
$25
Scilex Pharmaceuticals Inc.
$25
LivaNova USA, Inc.
$23
Merz Pharmaceuticals, LLC
$21
SCILEX PHARMACEUTICALS INC.
$21
Vertical Pharmaceuticals, LLC
$20
Ipsen Biopharmaceuticals, Inc
$16
Top 3 companies account for 30.6% of all-time payments
Associated products mentioned in payments ›
ACTHAR · ACTIVA · ACTIVA PC · ADUHELM · AIMOVIG · AJOVY · AMPYRA · APOKYN · APTIOM · AUSTEDO · AVONEX · Aimovig · Apokyn · Austedo XR · BAFIERTAM · BOTOX · BOTOX THERAPEUTIC · BRIUMVI · Briviact · COMIRNATY · COPAXONE · DUOPA · Dhivy · Dysport · EMGALITY · FYCOMPA · Fycompa · GILENYA · GOCOVRI · INBRIJA · INGREZZA · Infinity DBS Pulse Generators · KESIMPTA · LEMTRADA · LEQEMBI · Leqembi · MAVENCLAD · MAYZENT · Mavenclad · NOURIANZ · NUEDEXTA · NUPLAZID · NURTEC ODT · Nayzilam · Nourianz · Nuedexta · OCREVUS · ONGENTYS · ONGENTYS 50MG CAPSULES 30 · ONZETRA Xsail · OSMOLEX ER · OXTELLAR XR · Ocrevus · Ocrevus Zunovo · Ongentys · PAXLOVID · PERCEPT PC BRAINSENSE · PLEGRIDY · QULIPTA · REXULTI · RYTARY · Radicava · Rebif · SOLIRIS · SPRIX · Soliris · Spritam · TECFIDERA · TROKENDI XR · TYSABRI · UBRELVY · ULTOMIRIS · VALTOCO · VERCISE · VNS Therapy · VUMERITY · VYEPTI · VYVGART · VYVGART HYTRULO · Vimpat · XCOPRI · Xadago · ZEPOSIA · ZTLido
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 →
Looking for a neurology specialist in Coral Gables?
Compare neurologists in the Coral Gables area by procedure volume, costs, and industry payment transparency.
Browse neurologists nearby

Geographic Context

Neurologists in nearby ZIP areas
277
County median income
$68,694
Nearest hospital to ZIP centroid (approximate)
CORAL GABLES HOSPITAL
0.0 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

Dr. Lalama is a mixed practice specialist, with moderate Medicare volume, 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 Dr. Lalama experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Lalama performed 600 hospital follow-up visit, moderate complexity services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Lalama receive payments from pharmaceutical companies?
Yes. Dr. Lalama received a total of $30,920 from 61 companies across 1,220 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 Dr. Lalama's costs compare to other neurologists in Coral Gables?
Dr. Lalama's average Medicare payment per service is $90. 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. Lalama) 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 →
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.

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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →