Medicare Enrolled

Dr. Sixto Arias, MD

Pulmonary Disease · Miami, FL
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Low-engagement
1475 NW 12TH AVE, Miami, FL 33136
3052434000
In practice since 2007 (18 years)
NPI: 1356545610 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. Arias 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. Arias

Dr. Sixto Arias is a pulmonary disease in Miami, FL, with 18 years in practice. Based on federal Medicare data, Dr. Arias performed 616 Medicare services across 540 unique beneficiaries.

Between the years covered by Open Payments, Dr. Arias received a total of $3,982 from 8 pharmaceutical and/or device companies across 102 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pulmonary disease. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Arias 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.

✓ 18 years in practice▲ 616 Medicare services$ $3,982 industry payments

Medicare Practice Summary

Medicare Utilization ↗
616
Medicare services
Bottom 31% in FL for pulmonary disease
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
540
Unique beneficiaries
$77
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~34 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
Hospital follow-up visit, moderate complexity118$68$276
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes78$12$49
Biopsy of lobe of lung using an endoscope, 1 lobe46$52$753
Office visit, established patient (30-39 min)44$83$299
Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes41$158$933
Hospital follow-up visit, low complexity41$44$149
Computer-assisted image-guided navigation of lung airways using an endoscope34$85$395
Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope30$144$817
Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound28$58$271
Review by radiologist of ct guidance for needle placement27$61$218
Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 3 or more lymph nodes21$214$1,031
Office visit, established patient (20-29 min)20$57$193
Irrigation and suction of lung airways to obtain cells using an endoscope18$111$590
New patient office visit (45-59 min)17$98$507
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes16$75$400
Aspiration of fluid from chest cavity using imaging guidance14$86$470
Biopsy of lung airway using an endoscope12$58$682
Drainage of fluid from chest cavity with insertion of indwelling tube using imaging guidance11$132$623
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 ↗
$3,982
Total received (2018-2024)
Avg $569/year across 7 years
Top 44% in FL for pulmonary disease
8
Companies
102
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.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$3,982 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$628
2023
$192
2022
$266
2021
$1,592
2020
$32
2019
$735
2018
$538

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Intuitive Surgical, Inc.
$1,752
Pulmonx Corporation
$637
INTUITIVE SURGICAL, INC.
$570
Ethicon Inc.
$466
Boston Scientific Corporation
$409
ERBE USA Inc
$71
Ambu Inc.
$58
BOSTON SCIENTIFIC CORPORATION
$18
Top 3 companies account for 74.3% of total payments
Associated products mentioned in payments ›
ACQUIRE · CHARTIS CATHETER · Da Vinci Surgical System · ERBE · GENERAL - PULMONARY · GENERAL BRONCHIAL THERMOPLASTY · GENERAL PULMONARY · Monarch Platform · Pulmonx Endobronchial Valve EBV · ULTRAFLEX
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 →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $646 per 100 Medicare services performed
Looking for a pulmonary disease in Miami?
Compare pulmonary diseases in the Miami area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Pulmonary Diseases within 10 mi
128
Per 100K population
4.8
County median income
$68,694
Nearest hospital
JACKSON HEALTH SYSTEM
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. Arias is a mixed practice specialist, with moderate Medicare volume, and low-engagement industry engagement, with 18 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. Arias experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Arias performed 118 hospital follow-up visit, moderate complexity 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. Arias receive payments from pharmaceutical companies?
Yes. Dr. Arias received a total of $3,982 from 8 companies across 102 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. Arias's costs compare to other pulmonary diseases in Miami?
Dr. Arias's average Medicare payment per service is $77. 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. Arias) 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 →