Medicare Enrolled
Dr. Ricardo Gutierrez, MD
Cardiovascular Disease · Bryan, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
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. Ricardo Gutierrez is a cardiovascular disease in Bryan, TX, with 20 years in practice. Based on federal Medicare data, Dr. Gutierrez performed 20,991 Medicare services across 7,083 unique beneficiaries.
Between the years covered by Open Payments, Dr. Gutierrez received a total of $7,690 from 44 pharmaceutical and/or device companies across 299 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Gutierrez is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years in practice▲ Top 1% volume in TX$ $7,690 industry payments
Medicare Practice Summary
Medicare Utilization ↗20,991
Medicare services
Top 1% in TX for cardiovascular disease
7,083
Unique beneficiaries
$74
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~1,050 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 |
|---|---|---|---|
| Remote patient monitoring management, 20 min/month | 3,350 | $37 | $97 |
| Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 3,337 | $30 | $79 |
| Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month | 3,310 | $46 | $152 |
| Remote patient monitoring device, 30 days | 2,343 | $37 | $106 |
| Office visit, established patient (30-39 min) | 1,868 | $90 | $305 |
| Regadenoson injection (Lexiscan) for heart stress test | 1,302 | $43 | $245 |
| Electrocardiogram (EKG), 12-lead | 796 | $10 | $50 |
| Echocardiogram, transthoracic | 492 | $133 | $635 |
| Office visit, established patient (20-29 min) | 468 | $65 | $205 |
| Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month | 390 | $36 | $94 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | 333 | $54 | $220 |
| Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 323 | $601 | $792 |
| Nuclear medicine studies of blood flow in heart muscle at rest and with stress | 315 | $1,067 | $3,800 |
| Hospital follow-up visit, moderate complexity | 297 | $59 | $210 |
| Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment | 246 | $14 | $36 |
| New patient office visit (45-59 min) | 220 | $106 | $472 |
| Evaluation of cardiac rhythm monitor system, remote up to 30 days | 213 | $18 | $80 |
| Ultrasound study of arm or leg veins with compression and maneuvers | 208 | $134 | $515 |
| Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days | 166 | $17 | $80 |
| Remote pacemaker monitoring, 90 days | 142 | $21 | $100 |
| EKG interpretation and report | 104 | $6 | $53 |
| Initial hospital admission, moderate complexity | 101 | $93 | $400 |
| Heart rhythm review and interpretation of continous external ekg over 8-15 days | 74 | $20 | $80 |
| Ultrasound of leg arteries or artery grafts | 72 | $177 | $530 |
| Hospital follow-up visit, low complexity | 59 | $38 | $115 |
| Ultrasound of both sides of head and neck blood flow | 51 | $134 | $530 |
| Initial hospital admission, high complexity | 49 | $129 | $605 |
| Heart rhythm recording of continous external ekg over 8-15 days | 47 | $8 | $45 |
| Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance | 45 | $830 | $4,275 |
| Hospital follow-up visit, high complexity | 44 | $93 | $300 |
| Cardiac catheterization | 39 | $204 | $931 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 31 | $9 | $35 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician | 26 | $17 | $67 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician | 26 | $11 | $45 |
| Heart rhythm recording continous external ekg over more than 48 hours up to 7 days | 17 | $7 | $45 |
| Nuclear medicine studies of heart muscle at rest and with stress and spect | 14 | $279 | $1,345 |
| Ultrasound of heart blood flow, valves and chambers, follow-up | 13 | $6 | $25 |
| Critical care, first 30-74 min | 13 | $167 | $645 |
| Injection for x-ray imaging procedure into vein of arm or leg | 12 | $211 | $13,437 |
| Ultrasound evaluation of blood vessel with review by radiologist, initial vessel | 12 | $701 | $12,588 |
| Technetium tc-99m tetrofosmin, diagnostic, per study dose | 12 | $78 | $121 |
| Ultrasound of heart, follow-up | 11 | $19 | $75 |
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.
3.3% high complexity
11.6% medium
85.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$7,690
Total received (2018-2024)
Avg $1,099/year across 7 years
Top 38% in TX for cardiovascular disease
44
Companies
299
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
$7,690 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024$1,090
2023$1,314
2022$2,854
2021$773
2020$513
2019$362
2018$784
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$1,973
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$1,078
E.R. Squibb & Sons, L.L.C.
$467
ABIOMED
$460
Philips Electronics North America Corporation
$371
Novartis Pharmaceuticals Corporation
$315
Amgen Inc.
$303
Baxter Healthcare
$284
Boston Scientific Corporation
$283
PFIZER INC.
$238
Abbott Laboratories
$218
Janssen Pharmaceuticals, Inc
$168
Medtronic Vascular, Inc.
$167
Kestra Medical Technology Services, Inc.
$145
Merck Sharp & Dohme LLC
$133
Medicure Pharma Inc.
$133
Regeneron Healthcare Solutions, Inc.
$99
Alnylam Pharmaceuticals Inc.
$83
Amarin Pharma Inc.
$74
iRhythm Technologies, Inc.
$74
SANOFI-AVENTIS U.S. LLC
$50
AstraZeneca Pharmaceuticals LP
$49
Daiichi Sankyo Inc.
$42
Arbor Pharmaceuticals, Inc.
$40
ATRICURE, INC.
$40
Gilead Sciences, Inc.
$38
Kiniksa Pharmaceuticals, Ltd.
$34
Boehringer Ingelheim Pharmaceuticals, Inc.
$27
CHF Solutions, Inc
$26
AngioDynamics, Inc.
$25
Lexicon Pharmaceuticals, Inc.
$24
Kowa Pharmaceuticals America, Inc.
$23
Kiniksa Pharmaceuticals International, plc
$22
Astellas Pharma US Inc
$20
CVRx, Inc.
$18
PORTOLA PHARMACEUTICALS, INC.
$18
CHIESI USA, INC.
$18
Actelion Pharmaceuticals US, Inc.
$18
Merck Sharp & Dohme Corporation
$17
Tactile Systems Technology Inc
$17
Novo Nordisk Inc
$15
Esperion Therapeutics, Inc.
$14
Siemens Medical Solutions USA, Inc.
$14
Avinger Inc.
$14
Top 3 companies account for 45.8% of total payments
Associated products mentioned in payments ›
ABRE · AMPLATZER AMULET · AMPLIA MRI QUAD CRT-D SURESCAN · ARTIS icono biplane · ATRICLIP LAA EXCLUSION SYSTEM · AVEIR · AZURE XT DR MRI SURESCAN · Aquadex · Arcalyst · Assure WCD · BEVYXXA · BRILINTA · Barostim Neo System · CAMZYOS · COBALT DR MRI SURESCAN · CONFIRM RX · CardioMEMS HF System · ClosureFast · CoreValve Evolut · Corlanor · ELIQUIS · ENTRESTO · EVERA MRI XT DR SURESCAN · Edarbi · FARXIGA · FLEXITOUCH · HMG-CoA reductase inhibitor. · Hillrom - Cardiac Ambulatory Monitor · Hillrom - Carnation Ambulatory Monitor · IGT_D Peripheral · INJECTAFER · IVUS Systems · Impella · JARDIANCE · KENGREAL · KYPHON EXPRESS II KYPHOPAK TRAY · LEQVIO · LEXISCAN · LUX-Dx Insertable Cardiac Monitor · LifeVest · Livalo · MICRA · MULTAQ · MYCARELINK · NEXLETOL · ONPATTRO · PANTHERIS · PERCEPTA QUAD CRT-P MRI SURESCAN · PRALUENT · PRALUENT ALIROCUMAB INJECTION · Repatha · Reveal LINQ · Rybelsus · Stellarex · UPTRAVI · VERQUVO · Vascepa · WATCHMAN Access System · XARELTO · ZIO Patch · ZIO XT Patch
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 $37 per 100 Medicare services performed
Geographic Context
Cardiovascular Diseases within 10 mi
16
Per 100K population
6.7
County median income
$58,388
Nearest hospital
CHI ST JOSEPH HEALTH REGIONAL HOSPITAL
0.0 mi
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. Gutierrez is a clinical cardiology specialist, with above-average Medicare volume (top 1% in TX), and low-engagement industry engagement, 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. Gutierrez experienced with remote patient monitoring management, 20 min/month?
Based on Medicare claims data, Dr. Gutierrez performed 3,350 remote patient monitoring management, 20 min/month 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 $7,690 from 44 companies across 299 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 cardiovascular diseases in Bryan?
Dr. Gutierrez's average Medicare payment per service is $74. 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 →
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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.
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