Medicare Enrolled

Dr. Carlos Lavernia, M.D.

Adult Reconstructive Orthopaedic Surgery Physician · Miami, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Mixed engagement
2600 SW 3RD AVE STE 600, Miami, FL 33129
3054849727
In practice since 2005 (20 years)
NPI: 1255326179 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. Lavernia 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. Lavernia? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Lavernia

Dr. Carlos Lavernia is an adult reconstructive orthopaedic surgery physician in Miami, FL, with 20 years in practice. Based on federal Medicare data, Dr. Lavernia performed 921 Medicare services across 583 unique beneficiaries.

Between the years covered by Open Payments, Dr. Lavernia received a total of $5,049,484 from 8 pharmaceutical and/or device companies across 115 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in adult reconstructive orthopaedic surgery physician. The majority of payments are classified as financial or ownership interests (royalties, licensing fees, or investment interests). Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Lavernia 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▲ 921 Medicare services$ $5,049,484 industry payments

Medicare Practice Summary

Medicare Utilization ↗
921
Medicare services
Bottom 24% in FL for adult reconstructive orthopaedic surgery physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
583
Unique beneficiaries
$89
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~46 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
X-ray of knee, 4 or more views300$36$112
Office visit, established patient (30-39 min)142$97$350
Steroid injection (triamcinolone)116$1$25
Hip X-ray, 2-3 views75$35$150
X-ray of both hips, minimum of 5 views66$48$156
Joint injection, major joint43$57$211
New patient office visit (45-59 min)36$116$500
New patient office visit (30-44 min)34$83$500
Office visit, established patient (20-29 min)32$70$300
X-ray of knee, 1-2 views20$25$100
Total knee replacement17$1,183$4,468
Total hip replacement14$1,188$4,163
Shoulder X-ray, 2+ views14$29$87
Computer-assisted surgery for muscle and bone procedure12$136$465
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.
4.7% high complexity
17.3% medium
78.1% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$5,049,484
Total received (2018-2024)
Avg $721,355/year across 7 years
Top 5% in FL for adult reconstructive orthopaedic surgery physician
8
Companies
115
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.

Financial / Ownership
Ownership or investment interests, royalties, and licensing fees
$5,046,741 (99.9%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$1,978 (0.0%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$452 (0.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$312 (0.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$856,800
2023
$729,477
2022
$631,900
2021
$735,529
2020
$1,089,932
2019
$516,165
2018
$489,680

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Stryker Corporation
$5,046,741
UOC USA INC
$1,228
Intellijoint Surgical Inc.
$750
Maxx Orthopedics, Inc.
$312
Smith+Nephew, Inc.
$148
Zimmer Biomet Holdings, Inc.
$148
Horizon Therapeutics plc
$121
Exactech, Inc.
$34
Top 3 companies account for 100.0% of total payments
Associated products mentioned in payments ›
ACCOLADE · Anthology · Freedom Knee · Intellijoint Hip · Knees Product Portfolio · MAKO · NA · NEW PRODUCT DEVELOPMENT · Novation · ORTHOMAP · PSA · REUNION · ROSA · TRIATHLON · TRITANIUM · U-Motion II · U2 · UTF · UTS
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 →

Payments are distributed across multiple categories with no single dominant type. Total industry engagement is in the top 5% for adult reconstructive orthopaedic surgery physician in FL.

Equivalent to $548,261 per 100 Medicare services performed
Looking for a adult reconstructive orthopaedic surgery physician in Miami?
Compare adult reconstructive orthopaedic surgery physicians in the Miami area by procedure volume, costs, and industry payment transparency.
Browse adult reconstructive orthopaedic surgery physicians nearby

Geographic Context

Adult Reconstructive Orthopaedic Surgery Physicians within 10 mi
20
Per 100K population
0.7
County median income
$68,694
Nearest hospital
JACKSON HEALTH SYSTEM
2.3 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. Lavernia is a clinical cardiology specialist, with moderate Medicare volume, and high industry engagement (mixed engagement, top 5%), 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. Lavernia experienced with x-ray of knee, 4 or more views?
Based on Medicare claims data, Dr. Lavernia performed 300 x-ray of knee, 4 or more views 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. Lavernia receive payments from pharmaceutical companies?
Yes. Dr. Lavernia received a total of $5,049,484 from 8 companies across 115 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. Lavernia's costs compare to other adult reconstructive orthopaedic surgery physicians in Miami?
Dr. Lavernia's average Medicare payment per service is $89. 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. Lavernia) 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 →