Medicare Enrolled
Dr. Efrain Gonzalez, M.D.
Cardiovascular Disease · Miami, FL
Practice pattern: Electrophysiology & Remote
— Practice combining electrophysiology and remote services
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. Gonzalez 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. Gonzalez
Dr. Efrain Gonzalez is a cardiovascular disease specialist in Miami, FL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Gonzalez performed 1,202 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Gonzalez received a total of $64,510 from 41 pharmaceutical and/or device companies across 857 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. Gonzalez 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
▲ 1,202 Medicare services
$64,510 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗1,202
Medicare services
Bottom 28% in FL for cardiovascular disease
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
Not available
Unique patients (not deduplicated)
$110
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 |
|---|---|---|---|
| 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. |
556 | $95 | $351 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
124 | $11 | $41 |
| Pacemaker system evaluation Assessment of a pacemaker device, including single, dual, multiple lead, or leadless systems. |
98 | $41 | $145 |
| Implantable defibrillator system check A check of the implanted defibrillator device to ensure it is functioning correctly. This evaluation covers single, dual, or multiple lead systems. |
62 | $55 | $192 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
58 | $152 | $539 |
| Remote monitoring of implantable heart device, up to 30 days Remote evaluation of an implanted heart or blood vessel monitoring system over a period of up to 30 days. |
57 | $22 | $73 |
| 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. |
56 | $122 | $462 |
| Evaluation of implantable heart and blood vessel monitoring system This procedure involves checking the function and data of an implanted device used to monitor heart and blood vessel activity. |
48 | $37 | $140 |
| Remote cardiac rhythm monitor evaluation, up to 30 days Review and analysis of data from a remote cardiac rhythm monitoring system over a period of up to 30 days. |
42 | $22 | $73 |
| Remote pacemaker monitoring, 90 days Remote assessment of a pacemaker system, including single, dual, multiple lead, or leadless devices, performed up to 90 days apart. |
32 | $23 | $83 |
| Remote evaluation of implantable defibrillator system Remote assessment of a single, dual, or multiple lead implantable defibrillator system within 90 days of the previous evaluation. |
28 | $28 | $103 |
| 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. |
28 | $140 | $544 |
| Insertion of implantable heart rhythm monitor A small device is placed under the skin to continuously record the heart's electrical activity. This helps detect irregular heart rhythms that may not appear during a standard office visit. |
13 | $3,560 | $13,344 |
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.
23.1% high complexity
0.0% medium
76.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$64,510
Total received (2018-2024)
Avg $9,216/year across 7 years
Top 6% in FL for cardiovascular disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
41
Companies
857
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
$3,944
2023
$10,784
2022
$10,339
2021
$7,352
2020
$1,566
2019
$10,445
2018
$20,079
Payments by company (2024)
Medtronic, Inc.
$1,327
Abbott Laboratories
$735
E.R. Squibb & Sons, L.L.C.
$232
PFIZER INC.
$209
Novo Nordisk Inc
$209
ATRICURE, INC.
$187
Amgen Inc.
$175
Bayer Healthcare Pharmaceuticals Inc.
$108
AstraZeneca Pharmaceuticals LP
$101
SANOFI-AVENTIS U.S. LLC
$101
BIOTRONIK INC.
$99
Merck Sharp & Dohme LLC
$77
ShockWave Medical, Inc
$70
Novartis Pharmaceuticals Corporation
$63
Kiniksa Pharmaceuticals International, plc
$52
Boehringer Ingelheim Pharmaceuticals, Inc.
$47
Janssen Pharmaceuticals, Inc
$41
Esperion Therapeutics, Inc.
$38
Boston Scientific Corporation
$31
Kestra Medical Technology Services, Inc.
$25
Impulse Dynamics (USA) Inc.
$16
Top 3 companies account for 58.2% of 2024 payments
All-time payments by company (2018-2024) ›
PFIZER INC.
$13,446
Abbott Laboratories
$9,304
E.R. Squibb & Sons, L.L.C.
$6,998
BIOTRONIK INC.
$6,835
Boehringer Ingelheim Pharmaceuticals, Inc.
$6,657
Medtronic, Inc.
$4,459
Medtronic Vascular, Inc.
$2,952
SANOFI-AVENTIS U.S. LLC
$2,939
ATRICURE, INC.
$2,263
Amgen Inc.
$1,507
Boston Scientific Corporation
$1,232
Novo Nordisk Inc
$1,062
ShockWave Medical, Inc
$922
Janssen Pharmaceuticals, Inc
$792
AstraZeneca Pharmaceuticals LP
$417
Esperion Therapeutics, Inc.
$329
Shockwave Medical, Inc
$277
Merck Sharp & Dohme LLC
$274
Impulse Dynamics (USA) Inc.
$250
Novartis Pharmaceuticals Corporation
$227
Lilly USA, LLC
$220
Bayer Healthcare Pharmaceuticals Inc.
$210
Bayer HealthCare Pharmaceuticals Inc.
$171
Amarin Pharma Inc.
$157
Kowa Pharmaceuticals America, Inc.
$142
iRhythm Technologies, Inc.
$60
BOSTON SCIENTIFIC CORPORATION
$58
Kiniksa Pharmaceuticals International, plc
$52
Vital Connect, Inc
$43
Regeneron Healthcare Solutions, Inc.
$35
Kestra Medical Technology Services, Inc.
$25
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$25
Allergan Inc.
$24
GlaxoSmithKline, LLC.
$23
Merck Sharp & Dohme Corporation
$21
Gilead Sciences, Inc.
$19
VIVUS, Inc.
$19
Covidien LP
$18
Medtronic USA, Inc.
$18
Acutus Medical, Inc.
$16
ARBOR PHARMACEUTICALS, INC.
$15
Top 3 companies account for 46.1% of all-time payments
Associated products mentioned in payments ›
ADVISOR · ANORO ELLIPTA · ATTAIN COMMAND + SUREVALVE · AURORA EV-ICD MRI SURESCAN · AVALUS · AVEIR · AZURE XT DR MRI SURESCAN · Acticor · Acticor 7 VR-T DX · Advisa · Advisor Catheter · Arcalyst · Assure WCD · Assurity Pacemaker · Avalus · Azure · BIOMONITOR · BRILINTA · BYSTOLIC · BioMonitor · CAMZYOS · CLARIA MRI QUAD CRT-D SURESCAN · COBALT DR MRI SURESCAN · CONFIRM RX · CareLink · Claria MRI · Cobalt · Confirm Rx · Corlanor · DIAMONDTEMP BIDIRECTIONAL ABLATION CATHETER · ELIQUIS · EMBLEM · ENSITE · ENSITE PRECISION · ENTRESTO · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · Edarbyclor · Edora · Edora 8 DR-T · EnSite Precision Cardiac Mapping System · Ensite Cardiac Mapping System · FARXIGA · GALLANT · GENERAL ANGIOGRAPHY · INVOKANA · JARDIANCE · JOT DX · Kerendia · LEQVIO · LINQ II · LifeVest · Livalo · MICRA · MITRACLIP · MOSAIC · MOUNJARO · MULTAQ · MYCARELINK · Merlin Connectivity and Remote · Micra · Mitra Clip system · MitraClip System · NEXLETOL · NEXLIZET · OPTIMIZER · Optimizer · Optisure Defibrillation ICD Lead · Ozempic · PACEART SYSTEM ECG MODULE · PERCLOSE PROSTYLE · PRADAXA · PRALUENT · PRALUENT ALIROCUMAB INJECTION · PULSESELECT · Percepta · PlasmaBlade · QSYMIA · RESONATE · RHYTHMIA · RYBELSUS · Repatha · Reveal LINQ · Rivacor 7 DR-T · Rybelsus · S-ICD System Magnet · SELECTSECURE · SENSOR ENABLED · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · SOLIQUA 100/33 · SelectSecure · Sentus · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · Solia · TACTICATH ABLATION CATHETER · TRULICITY · TYRX · TactiCath Quartz CFA Catheter · TruClear · VERQUVO · VITALPATCH RTM · VYNDAMAX · VYNDAQEL · Vascepa · VersaCross Access Solution · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX · Wegovy · XARELTO · ZIO XT Patch
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 →
Geographic Context
Cardiologists in nearby ZIP areas
276
County median income
$68,694
Nearest hospital to ZIP centroid (approximate)
BAPTIST HOSPITAL OF MIAMI
0.0 mi
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. Gonzalez is an electrophysiology & remote 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. Gonzalez experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Gonzalez performed 556 office visit, established patient (30-39 min) 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. Gonzalez receive payments from pharmaceutical companies?
Yes. Dr. Gonzalez received a total of $64,510 from 41 companies across 857 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. Gonzalez's costs compare to other cardiologists in Miami?
Dr. Gonzalez's average Medicare payment per service is $110. 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. Gonzalez) 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 →
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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.
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