Medicare Enrolled
Dr. Michael Gutierrez, MD
Cardiovascular Disease · El Paso, TX
Practice pattern: Cardiac Imaging
— Practice with significant diagnostic imaging and stress testing
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. Michael Gutierrez is a cardiovascular disease specialist in El Paso, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Gutierrez performed 2,135 Medicare services across 1,545 unique beneficiaries.
Between the years covered by Open Payments, Dr. Gutierrez received a total of $4,991 from 30 pharmaceutical and/or device companies across 217 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 47% volume in TX
$4,991 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,135
Medicare services
Top 47% in TX for cardiovascular disease
1,545
Unique beneficiaries
$157
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~107 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) 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. |
569 | $87 | $309 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
415 | $42 | $231 |
| 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. |
254 | $10 | $48 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
136 | $139 | $642 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review. |
107 | $52 | $216 |
| Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 100 | $960 | $3,822 |
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
98 | $6 | $30 |
| 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. |
87 | $58 | $209 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle while at rest and during stress. |
78 | $1,024 | $3,942 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
25 | $49 | $168 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
25 | $72 | $309 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
24 | $116 | $415 |
| Midazolam injection, per 1 mg Administration of midazolam hydrochloride, a sedative medication, measured in 1 mg increments. |
23 | $0 | $0 |
| Nuclear stress test with CT scan A nuclear medicine imaging test that evaluates blood flow in the heart muscle at rest and during stress, performed alongside a concurrent CT scan. |
20 | $1,799 | $9,180 |
| PET scan of heart muscle blood flow A nuclear medicine imaging test that uses positron emission tomography (PET) to evaluate blood flow within the heart muscle. |
20 | $135 | $691 |
| Continuous EKG monitoring review, 48-7 days Review and interpretation of continuous external EKG recordings lasting more than 48 hours up to 7 days. |
20 | $17 | $73 |
| Continuous external EKG monitoring, 48 hours to 7 days This procedure involves recording the heart's electrical activity continuously using an external device for a period exceeding 48 hours but not more than 7 days. |
19 | $9 | $44 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
19 | $115 | $477 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
18 | $19 | $79 |
| 30-day continuous ECG with patient-triggered event transmission and review This procedure involves continuous electrocardiogram monitoring for up to 30 days, including the transmission of patient-triggered events. A healthcare professional reviews the data and provides a report. |
18 | $632 | $2,031 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
12 | $81 | $936 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
12 | $14 | $154 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
12 | $2 | $73 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
12 | $38 | $147 |
| Injection, fentanyl citrate, 0.1 mg | 12 | $1 | $2 |
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.
8.1% high complexity
31.8% medium
60.1% routine
Industry Payment Transparency
Open Payments through 2024 ↗$4,991
Total received (2018-2024)
Avg $713/year across 7 years
Top 49% in TX for cardiovascular disease
30
Companies
217
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
$4,963 (99.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$28 (0.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$265
2023
$557
2022
$199
2021
$690
2020
$701
2019
$779
2018
$1,799
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$1,827
Janssen Pharmaceuticals, Inc
$604
Novartis Pharmaceuticals Corporation
$568
Amgen Inc.
$501
Boston Scientific Corporation
$173
Medtronic Vascular, Inc.
$165
PFIZER INC.
$141
Boehringer Ingelheim Pharmaceuticals, Inc.
$138
BOSTON SCIENTIFIC CORPORATION
$108
E.R. Squibb & Sons, L.L.C.
$85
Medtronic, Inc.
$80
Impulse Dynamics (USA) Inc.
$80
EKOS Corporation
$77
Amarin Pharma Inc.
$67
Tactile Systems Technology Inc
$56
Bard Peripheral Vascular, Inc.
$43
Astellas Pharma US Inc
$38
Gilead Sciences, Inc.
$34
AstraZeneca Pharmaceuticals LP
$27
Brainsway USA INC
$23
Novo Nordisk Inc
$22
SCPHARMACEUTICALS INC.
$21
Lexicon Pharmaceuticals, Inc.
$21
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$16
Philips Electronics North America Corporation
$14
SANOFI-AVENTIS U.S. LLC
$13
Merck Sharp & Dohme LLC
$13
GENZYME CORPORATION
$12
CVRx, Inc.
$11
Relypsa, Inc.
$11
Top 3 companies account for 60.1% of total payments
Associated products mentioned in payments ›
Advisa · Allure CRT Pacemaker · Allure Quadra RF CRT Pacemaker · Assurity Pacemaker · Barostim Neo System · CAMZYOS · CHANTIX · CRT-Ds · CardioMEMS HF System · Confirm Rx · Corlanor · Durata Defibrillation ICD Lead · EKOSONIC · ELIQUIS · ELLIPSYS VASCULAR ACCESS SYSTEM · ENTRESTO · Ellipse ICD · FABRAZYME · FARXIGA · FLEXITOUCH · FUROSCIX · Flexitouch Plus · Fortify Assura · HARMONY · HawkOne · IGT_D Peripheral · IN.PACT Admiral · Inpefa · JARDIANCE · LEQVIO · LEXISCAN · LINQ II · LifeVest · Merlin Connectivity and Remote · Mitra Clip system · OPTIMIZER · Optisure Defibrillation ICD Lead · Ozempic · PRADAXA · PRALUENT · Quadra Assura CRT Defibrillator · Quartet CRT Lead · Repatha · Resolute · THORATEC HEARTMATE 3 LVAS IMPLANT KIT · Unify Assura CRT Defibrillator · VENASEAL · VERQUVO · VYNDAQEL · Vascepa · Veltassa · Venovo · WATCHMAN · XARELTO
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 (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $234 per 100 Medicare services performed
Geographic Context
Cardiologists within 10 mi
34
Per 100K population
3.9
County median income
$58,859
Nearest hospital
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS
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 cardiac imaging specialist, with moderate Medicare volume, with low-engagement industry engagement, with 20 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 569 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 $4,991 from 30 companies across 217 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 cardiologists in El Paso?
Dr. Gutierrez's average Medicare payment per service is $157. 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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