Medicare Enrolled
Dr. Ruben Ayala, MD
Internal Medicine · Miami, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Ayala 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. Ayala
Dr. Ruben Ayala is an internal medicine specialist in Miami, FL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Ayala performed 1,843 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Ayala received a total of $24,957 from 71 pharmaceutical and/or device companies across 1259 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. Ayala 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 24% volume in FL
$24,957 industry payments
Florida License Status
FL DOH · MQA1
Active license
None
Board action on record
0
Recent admin complaints
| Profession | License # | Status | Expires | Board Action |
|---|---|---|---|---|
| Medical Doctor | 89052 | 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 ↗1,843
Medicare services
Top 24% in FL for internal medicine
Not available
Unique patients (not deduplicated)
$52
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 (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
740 | $60 | $114 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
231 | $8 | $15 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
179 | $135 | $183 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
178 | $10 | $32 |
| Annual depression screening | 166 | $19 | $28 |
| 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. |
85 | $91 | $168 |
| 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. |
54 | $10 | $27 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
52 | $16 | $23 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
42 | $24 | $51 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
40 | $187 | $363 |
| Annual alcohol misuse screening, 5 to 15 minutes | 32 | $18 | $29 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
31 | $1 | $3 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
13 | $172 | $260 |
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 ↗$24,957
Total received (2018-2024)
Avg $3,565/year across 7 years
Top 3% in FL for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
71
Companies
1,259
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
$3,592
2023
$3,172
2022
$2,176
2021
$4,284
2020
$2,791
2019
$4,811
2018
$4,131
Payments by company (2024)
AstraZeneca Pharmaceuticals LP
$482
Inspire Medical Systems, Inc.
$382
Phathom Pharmaceuticals, Inc.
$264
Novartis Pharmaceuticals Corporation
$238
Novo Nordisk Inc
$228
GlaxoSmithKline, LLC.
$225
Amgen Inc.
$209
Astellas Pharma US Inc
$182
Boehringer Ingelheim Pharmaceuticals, Inc.
$155
ABBVIE INC.
$150
SHIELD THERAPEUTICS INC
$117
Exact Sciences Corporation
$107
Bayer Healthcare Pharmaceuticals Inc.
$106
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$105
Ardelyx, Inc.
$83
Lilly USA, LLC
$75
Boston Scientific Corporation
$75
Esperion Therapeutics, Inc.
$59
Azurity Pharmaceuticals, Inc.
$46
SCILEX PHARMACEUTICALS INC.
$46
E.R. Squibb & Sons, L.L.C.
$41
Lexicon Pharmaceuticals, Inc.
$39
Dexcom, Inc.
$35
Abbott Laboratories
$24
SANOFI-AVENTIS U.S. LLC
$23
Xeris Pharmaceuticals, Inc.
$22
Optinose US, Inc.
$21
IBSA Pharma Inc.
$19
Janssen Pharmaceuticals, Inc
$18
Insulet Corporation
$15
Top 3 companies account for 31.4% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$2,552
SANOFI-AVENTIS U.S. LLC
$2,078
AstraZeneca Pharmaceuticals LP
$1,845
GlaxoSmithKline, LLC.
$1,534
Amgen Inc.
$1,309
Novartis Pharmaceuticals Corporation
$1,094
Lilly USA, LLC
$998
Boehringer Ingelheim Pharmaceuticals, Inc.
$968
AbbVie Inc.
$921
Esperion Therapeutics, Inc.
$838
Amarin Pharma Inc.
$802
Astellas Pharma US Inc
$698
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$624
Sunovion Pharmaceuticals Inc.
$603
AbbVie, Inc.
$596
Abbott Laboratories
$569
Janssen Pharmaceuticals, Inc
$567
PFIZER INC.
$393
Inspire Medical Systems, Inc.
$382
Radius Health, Inc.
$376
ABBVIE INC.
$376
Phathom Pharmaceuticals, Inc.
$264
Merck Sharp & Dohme Corporation
$255
Allergan Inc.
$247
Exact Sciences Corporation
$234
Bayer HealthCare Pharmaceuticals Inc.
$230
Otsuka America Pharmaceutical, Inc.
$213
Avanir Pharmaceuticals, Inc.
$199
E.R. Squibb & Sons, L.L.C.
$197
Bayer Healthcare Pharmaceuticals Inc.
$195
Allergan, Inc.
$188
Azurity Pharmaceuticals, Inc.
$163
Kowa Pharmaceuticals America, Inc.
$150
Ironwood Pharmaceuticals, Inc
$147
Nestle HealthCare Nutrition Inc.
$147
Biogen, Inc.
$145
Impulse Dynamics (USA) Inc.
$143
Horizon Therapeutics plc
$141
Eisai Inc.
$123
Boston Scientific Corporation
$118
SHIELD THERAPEUTICS INC
$117
Insulet Corporation
$101
Intercept Pharmaceuticals, Inc.
$84
Ardelyx, Inc.
$83
Optinose US, Inc.
$76
Merck Sharp & Dohme LLC
$73
OptiNose US, Inc.
$69
Regeneron Healthcare Solutions, Inc.
$54
LifeScan, Inc.
$50
Adhera Therapeutics, Inc.
$48
SCILEX PHARMACEUTICALS INC.
$46
Smith+Nephew, Inc.
$41
Evoke Pharma, Inc.
$40
Lexicon Pharmaceuticals, Inc.
$39
Shield Therapeutics Inc
$39
Dexcom, Inc.
$35
MannKind Corporation
$35
ARBOR PHARMACEUTICALS, INC.
$34
Mannkind Corporation
$33
Nabriva Therapeutics, plc
$32
Horizon Pharma plc
$28
Ultragenyx Pharmaceutical Inc.
$22
Xeris Pharmaceuticals, Inc.
$22
Biohaven Pharmaceutical Holding Company Ltd.
$20
Corcept Therapeutics
$19
IBSA Pharma Inc.
$19
Gilead Sciences, Inc.
$19
Phadia US Inc.
$15
Hikma Pharmaceuticals USA
$14
Medtronic Vascular, Inc.
$11
Mission Pharmacal Company
$11
Top 3 companies account for 25.9% of all-time payments
Associated products mentioned in payments ›
ABILIFY MAINTENA · ACCRUFER · AFREZZA · AIRSUPRA · AMPLATZER TALISMAN · ANORO · ANORO ELLIPTA · Aimovig · BAQSIMI · BASAGLAR · BELSOMRA · BENLYSTA · BEVESPI AEROSPHERE · BREO · BREZTRI · BREZTRI AEROSPHERE · BRILINTA · BYDUREON · BYSTOLIC · CAMZYOS · CHANTIX · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · CREON · CitraNatal · ClosureFast · Cologuard Collection Kit · Confirm Rx · Creon · DUEXIS · DUZALLO · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · Enbrel · FARXIGA · FASENRA · FORTEO · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre · FreeStyle Libre 2 · FreeStyle Libre blood glucose Flash Monitoring System · GIMOTI · GVOKE HYPOPEN · HORIZANT · HUMIRA · Horizant · IBSRELA · INSPIRE · INVOKANA · ImmunoCAP · JANUVIA · JARDIANCE · Kerendia · Kloxxado · Korlym · LEQVIO · LINZESS · LONHALA MAGNAIR · Linzess · Livalo · MOUNJARO · MOVANTIK · MYRBETRIQ · Myrbetriq · NEXLETOL · NEXLIZET · NUCALA · NUEDEXTA · NURTEC ODT · Nuedexta · OCALIVA · OFEV · Omnipod · OneTouch · Optimizer · Otezla · Ozempic · PAXLOVID · PENNSAID · PRALUENT · PRALUENT ALIROCUMAB INJECTION · PRESTALIA · PREVNAR - 13 · PROCLAIM · Prolia · QULIPTA · RAYOS · REXULTI · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPIRIVA · SPIRIVA RESPIMAT · STEGLATRO · STIOLTO RESPIMAT · SYMBICORT · SYNJARDY · SYNTHROID · Santyl · Synthroid · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRULANCE · TRULICITY · TZIELD · Tirosint · Tresiba · Tymlos · UBRELVY · UTIBRON · VERQUVO · VIBERZI · VIMOVO · VOQUEZNA · VRAYLAR · Vascepa · Veozah · Victoza · WATCHMAN FLX · XARELTO · XIFAXAN · XIFIXAN · Xenleta · Xhance · Xultophy 100/3.6 · ZENPEP · 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 →
Geographic Context
Internal medicine physicians in nearby ZIP areas
1,917
County median income
$68,694
Nearest hospital to ZIP centroid (approximate)
HCA FLORIDA KENDALL HOSPITAL
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. Ayala is a clinical cardiology specialist, with above-average Medicare volume (top 24% in FL), 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. Ayala experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Ayala performed 740 office visit, established patient (20-29 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. Ayala receive payments from pharmaceutical companies?
Yes. Dr. Ayala received a total of $24,957 from 71 companies across 1,259 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. Ayala's costs compare to other internal medicine physicians in Miami?
Dr. Ayala's average Medicare payment per service is $52. 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. Ayala) 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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