Medicare Enrolled

Dr. Jorge Larranaga, MD

Nephrology · Kissimmee, FL
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Speaking/Promotional
1101 N CENTRAL AVE, Kissimmee, FL 34741
4078515600
In practice since 2006 (20 years)
NPI: 1346215308 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. Larranaga 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. Larranaga? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Larranaga

Dr. Jorge Larranaga is a nephrology in Kissimmee, FL, with 20 years in practice. Based on federal Medicare data, Dr. Larranaga performed 5,620 Medicare services across 1,987 unique beneficiaries.

Between the years covered by Open Payments, Dr. Larranaga received a total of $665,037 from 44 pharmaceutical and/or device companies across 1181 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in nephrology. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Larranaga 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.

✓ 20 years in practice▲ Top 4% volume in FL$ $665,037 industry payments

Medicare Practice Summary

Medicare Utilization ↗
5,620
Medicare services
Top 4% in FL for nephrology
1,987
Unique beneficiaries
$46
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~281 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.

ProcedureVolumeAvg. paidAvg. submitted
Dialysis services, per day, less than full month service (20 years or older)2,231$7$16
Hospital follow-up visit, moderate complexity654$62$140
Office visit, established patient (30-39 min)623$85$200
Nursing facility visit, low complexity349$57$124
Home dialysis services per month (20 years or older)184$227$900
Initial hospital admission, moderate complexity170$100$270
Nursing facility visit, moderate complexity157$75$164
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes151$31$80
Blood draw (venipuncture)117$8$20
Hospital follow-up visit, high complexity100$93$205
Complete blood count (CBC) with differential77$8$26
Uric acid level test71$4$12
Parathyroid hormone level test67$40$115
New patient office visit (45-59 min)65$118$315
Total protein level, urine63$4$15
Basic metabolic blood panel62$8$37
Phosphate level test58$5$25
Creatinine test (kidney function)54$5$20
Hospital follow-up visit, low complexity52$40$80
Remote patient monitoring management, 20 min/month52$24$100
Initial hospital admission, high complexity47$135$450
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes43$102$238
Remote patient monitoring device, 30 days39$37$120
Office visit, established patient, complex (40-54 min)33$121$275
Office visit, established patient (20-29 min)23$69$135
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes23$63$170
Comprehensive metabolic blood panel17$10$47
Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment14$14$40
Dialysis training completed13$372$1,230
Creatinine clearance measurement to test for kidney function11$9$26
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 ↗
$665,037
Total received (2018-2024)
Avg $95,005/year across 7 years
Top 0% in FL for nephrology
44
Companies
1,181
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$658,909 (99.1%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$6,127 (0.9%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$155,282
2023
$244,357
2022
$213,405
2021
$31,294
2020
$18,554
2019
$1,320
2018
$826

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Aurinia Pharma U.S., Inc.
$218,758
CALLIDITAS THERAPEUTICS US INC.
$163,197
Calliditas Therapeutics US Inc.
$110,691
Mallinckrodt Hospital Products Inc.
$102,113
Bayer HealthCare Pharmaceuticals Inc.
$29,000
Bayer Healthcare Pharmaceuticals Inc.
$19,333
Alexion Pharmaceuticals, Inc.
$9,928
AstraZeneca Pharmaceuticals LP
$4,250
Horizon Therapeutics plc
$2,495
Otsuka America Pharmaceutical, Inc.
$704
Relypsa, Inc.
$616
Vifor Pharma, Inc.
$446
OPKO Pharmaceuticals, LLC
$376
Amgen Inc.
$275
ANI Pharmaceuticals, Inc.
$260
Travere Therapeutics, Inc.
$232
GlaxoSmithKline, LLC.
$217
Novartis Pharmaceuticals Corporation
$217
Ardelyx, Inc.
$209
Mallinckrodt Enterprises LLC
$205
Mallinckrodt LLC
$188
AKEBIA THERAPEUTICS INC
$186
Baxter Healthcare
$176
Fresenius USA Marketing, Inc.
$163
BAXTER HEALTHCARE
$140
Boehringer Ingelheim Pharmaceuticals, Inc.
$113
Novo Nordisk Inc
$53
Lilly USA, LLC
$50
Exeltis, USA Inc.
$48
NxStage Medical, Inc.
$45
Medtronic Vascular, Inc.
$43
Alnylam Pharmaceuticals Inc.
$41
Renalytix AI, Inc.
$38
Ultragenyx Pharmaceutical Inc.
$37
Shire North American Group Inc
$36
Biocompatibles, Inc.
$24
Keryx Biopharmaceuticals, Inc.
$22
Genentech USA, Inc.
$20
Amicus Therapeutics, Inc.
$19
W. L. Gore & Associates, Inc.
$18
Takeda Pharmaceuticals U.S.A., Inc.
$17
Daiichi Sankyo Inc.
$13
Shield Therapeutics Inc
$12
Cumberland Pharmaceuticals, Inc.
$11
Top 3 companies account for 74.1% of total payments
Associated products mentioned in payments ›
ACCRUFER · ACTHAR · AURYXIA · Aranesp · Auryxia · BENLYSTA · ClosureFast · Cryvista · Dialyzers · ENTRESTO · EVUSHELD · FARXIGA · Fabhalta · GALAFOLD · GATTEX · GIVLAARI · IBSRELA · INJECTAFER · JARDIANCE · JESDUVROQ · JYNARQUE · KIDNEYINTELX BLOOD COLLECTION CONVENIENCE KIT · KRYSTEXXA · Kerendia · Korsuva · LOKELMA · LUPKYNIS · NATPARA · Ozempic · PURIFIED CORTROPHIN GEL · Parsabiv · RAYALDEE · Rayaldee · Renal - PD · Rituxan · Rybelsus · SAMSCA · SOLIRIS · SYSTEM ONE · TARPEYO · TAVNEOS · Tavneos · Thiola · ULTOMIRIS · Ultomiris · VARITHENA · VIABAHN Endoprosthesis · Vafseo · Vaprisol · Velphoro · Veltassa
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 →

The majority of payments (99%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in nephrology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 0% for nephrology in FL.

Equivalent to $11,833 per 100 Medicare services performed
Looking for a nephrology in Kissimmee?
Compare nephrologys in the Kissimmee area by procedure volume, costs, and industry payment transparency.
Browse nephrologys nearby

Geographic Context

Nephrologys within 10 mi
52
Per 100K population
12.8
County median income
$68,711
Nearest hospital
HCA FLORIDA OSCEOLA HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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. Larranaga is a mixed practice specialist, with above-average Medicare volume (top 4% in FL), and high industry engagement (speaking/promotional, top 0%), with 20 years of practice experience.

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. Larranaga experienced with dialysis services, per day, less than full month service (20 years or older)?
Based on Medicare claims data, Dr. Larranaga performed 2,231 dialysis services, per day, less than full month service (20 years or older) 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. Larranaga receive payments from pharmaceutical companies?
Yes. Dr. Larranaga received a total of $665,037 from 44 companies across 1,181 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. Larranaga's costs compare to other nephrologys in Kissimmee?
Dr. Larranaga's average Medicare payment per service is $46. 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. Larranaga) 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 →