Dr. Isaac Gooding, M.D.
What this data tells you about Dr. Gooding
Dr. Isaac Gooding is an anesthesiology in St Augustine, FL, with 20 years in practice. Based on federal Medicare data, Dr. Gooding performed 12,106 Medicare services across 4,042 unique beneficiaries.
Between the years covered by Open Payments, Dr. Gooding received a total of $1,247 from 10 pharmaceutical and/or device companies across 16 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in anesthesiology. 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. Gooding 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.
Medicare Practice Summary
Medicare Utilization ↗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 |
|---|---|---|---|
| Steroid injection (triamcinolone) | 4,060 | $1 | $4 |
| Dexamethasone injection (steroid) | 2,735 | $0 | $0 |
| Office visit, established patient (20-29 min) | 1,407 | $68 | $274 |
| Contrast dye for imaging, lower concentration | 408 | $0 | $1 |
| Contrast dye for imaging (iodine-based) | 393 | $0 | $0 |
| Office visit, established patient (30-39 min) | 365 | $97 | $389 |
| New patient office visit (30-44 min) | 336 | $79 | $338 |
| X-ray of lower and sacral spine, 2-3 views | 230 | $28 | $116 |
| Injection of lower or sacral spine facet joint using imaging guidance, single level | 227 | $192 | $753 |
| Injection of lower or sacral spine facet joint using imaging guidance, second level | 219 | $101 | $389 |
| Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 170 | $190 | $744 |
| Injection of substance into lower spine canal using imaging guidance | 164 | $200 | $792 |
| Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level | 164 | $87 | $336 |
| Mri scan of lower spinal canal without contrast | 139 | $149 | $622 |
| Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 113 | $357 | $1,314 |
| Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint | 111 | $192 | $534 |
| Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 108 | $165 | $660 |
| X-ray of upper spine, 2-3 views | 94 | $29 | $115 |
| Injection of upper or middle spine facet joint using imaging guidance, single level | 81 | $205 | $800 |
| Injection of upper or middle spine facet joint using imaging guidance, second level | 78 | $107 | $413 |
| Injection of substance into middle or upper spine canal using imaging guidance | 65 | $203 | $805 |
| New patient office visit (45-59 min) | 65 | $110 | $507 |
| Injection of trigger points, 3 or more muscles | 53 | $49 | $188 |
| Ultrasonic guidance for needle placement | 50 | $43 | $173 |
| Mri scan of upper spinal canal without contrast | 48 | $146 | $621 |
| Joint injection, major joint | 34 | $52 | $254 |
| X-ray of middle spine, 2 views | 25 | $24 | $96 |
| Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 24 | $340 | $1,276 |
| Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint | 24 | $201 | $572 |
| Injection of anesthetic agent and/or steroid into other nerve or branch | 23 | $53 | $265 |
| Fluoroscopic guidance for needle placement | 22 | $88 | $341 |
| Injection of trigger points, 1-2 muscles | 21 | $32 | $165 |
| Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance | 18 | $148 | $662 |
| Aspiration and/or injection of fluid large joint using ultrasound guidance | 16 | $78 | $309 |
| Mri scan of middle spinal canal without contrast | 16 | $123 | $621 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/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. Gooding is a clinical cardiology specialist, with above-average Medicare volume (top 0% in FL), and high industry engagement (low-engagement, top 15%), 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. Gooding experienced with steroid injection (triamcinolone)?
Does Dr. Gooding receive payments from pharmaceutical companies?
How do Dr. Gooding's costs compare to other anesthesiologys in St Augustine?
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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.
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