Medicare Enrolled

Dr. Marco Gutierrez, MD

Family Medicine · Alamo, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
401 S ALAMO RD, Alamo, TX 78516
9567879111
In practice since 2007 (18 years)
NPI: 1669672572 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. Gutierrez 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. Gutierrez

Dr. Marco Gutierrez is a family medicine specialist in Alamo, TX, with 18 years of NPI registration. Based on federal Medicare data, Dr. Gutierrez performed 2,930 Medicare services across 1,871 unique beneficiaries.

Between the years covered by Open Payments, Dr. Gutierrez received a total of $1,587 from 16 pharmaceutical and/or device companies across 102 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. 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. Gutierrez 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 ▲ Top 8% volume in TX $1,587 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,930
Medicare services
Top 8% in TX for family medicine
1,871
Unique beneficiaries
$27
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~163 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.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (30-39 min) 482 $80 $140
Dexamethasone injection (steroid) 368 $0 $5
Urinalysis, manual 281 $3 $5
Complete blood count (CBC), automated 240 $6 $10
Hemoglobin A1c test (diabetes monitoring) 165 $9 $17
Electrocardiogram (EKG), 12-lead 155 $9 $25
Blood draw (venipuncture) 149 $8 $8
Drug injection, under skin or into muscle 115 $8 $30
Annual wellness visit, follow-up 91 $124 $142
Creatinine test (kidney function) 86 $5 $11
Urine microalbumin test (kidney screening) 85 $5 $8
Complete blood count (CBC) with differential 80 $7 $14
Injection, ketorolac tromethamine, per 15 mg 71 $0 $5
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 70 $17 $35
Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free 55 $33 $35
Office visit, established patient (20-29 min) 55 $56 $95
Flu vaccine administration 54 $30 $35
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 52 $50 $65
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 36 $34 $45
X-ray of entire middle and lower spine, minimum of 6 views 31 $55 $113
Comprehensive metabolic blood panel 29 $8 $19
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 29 $12 $50
Lipid panel (cholesterol and triglycerides) 26 $11 $24
Detection test by nucleic acid for multiple types influenza virus 24 $94 $98
Thyroid stimulating hormone (TSH) test 22 $16 $30
Chest X-ray, 2 views 20 $21 $40
New patient office visit (30-44 min) 18 $62 $132
Bone density scan (DEXA) 14 $36 $48
Vitamin D level test 14 $25 $48
Office visit, established patient, complex (40-54 min) 13 $120 $179
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 ↗
$1,587
Total received (2018-2024)
Avg $227/year across 7 years
Top 30% in TX for family medicine
16
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
$1,587 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$313
2023
$541
2022
$347
2021
$111
2020
$31
2019
$84
2018
$161

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$623
Lilly USA, LLC
$399
ABBVIE INC.
$116
Janssen Pharmaceuticals, Inc
$74
AstraZeneca Pharmaceuticals LP
$67
SANOFI-AVENTIS U.S. LLC
$44
AbbVie Inc.
$39
Abbott Laboratories
$38
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$34
Amgen Inc.
$34
PFIZER INC.
$32
Averitas Pharma Inc.
$21
Novartis Pharmaceuticals Corporation
$20
Allergan, Inc.
$17
Paratek Pharmaceuticals, Inc.
$16
Dexcom, Inc.
$14
Top 3 companies account for 71.7% of total payments
Associated products mentioned in payments ›
AIRSUPRA · BREZTRI · Dexcom G6 Transmitter · ELIQUIS · ENTRESTO · FARXIGA · FREESTYLE LIBRE 3 · FreeStyle Libre · JARDIANCE · MOUNJARO · NUZYRA · Otezla · Ozempic · QUTENZA · Repatha · Rybelsus · SOLIQUA 100/33 · TRULICITY · Tresiba · UBRELVY · VRAYLAR · Victoza · XARELTO · XIFAXAN
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 $54 per 100 Medicare services performed
Looking for a family medicine specialist in Alamo?
Compare family medicine physicians in the Alamo area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family medicine physicians within 10 mi
264
Per 100K population
30.0
County median income
$52,281
Nearest hospital
RIO GRANDE REGIONAL HOSPITAL
8.0 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. Gutierrez is a clinical cardiology specialist, with above-average Medicare volume (top 8% in TX), with low-engagement industry engagement, with 18 years of NPI registration.

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. Gutierrez experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Gutierrez performed 482 office visit, established patient (30-39 min) 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. Gutierrez receive payments from pharmaceutical companies?
Yes. Dr. Gutierrez received a total of $1,587 from 16 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. Gutierrez's costs compare to other family medicine physicians in Alamo?
Dr. Gutierrez's average Medicare payment per service is $27. 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. Gutierrez) 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 →