Medicare Enrolled
Dr. Rafael Medrano, M.D.
Internal Medicine · El Paso, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Medrano 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 →
Are you Dr. Medrano?
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What this data tells you about Dr. Medrano
Dr. Rafael Medrano is an internal medicine specialist in El Paso, TX, with 21 years of NPI registration. Based on federal Medicare data, Dr. Medrano performed 1,312 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Medrano received a total of $8,953 from 40 pharmaceutical and/or device companies across 392 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Medrano is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 21 years of NPI registration
▲ Top 28% volume in TX
$8,953 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗1,312
Medicare services
Top 28% in TX for internal medicine
Not available
Unique patients (not deduplicated)
$47
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 (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. |
237 | $57 | $139 |
| 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. |
166 | $87 | $206 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
158 | $52 | $211 |
| 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. |
138 | $9 | $60 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
80 | $56 | $236 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages. |
62 | $16 | $70 |
| New patient office visit, complex (60-74 min) | 56 | $141 | $398 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results. |
52 | $10 | $47 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while an electrocardiogram is monitored under physician supervision. |
51 | $15 | $70 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
49 | $25 | $106 |
| 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. |
44 | $6 | $30 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
44 | $61 | $141 |
| 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. |
30 | $9 | $45 |
| Continuous EKG monitoring review, 48-7 days Review and interpretation of continuous external EKG recordings lasting more than 48 hours up to 7 days. |
30 | $18 | $72 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
27 | $29 | $88 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
27 | $14 | $40 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
19 | $26 | $92 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
17 | $82 | $202 |
| 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. |
13 | $52 | $277 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
12 | $19 | $79 |
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. These counts do not measure clinical quality or years of experience.
12.0% high complexity
26.9% medium
61.1% routine
Industry Payment Transparency
Open Payments through 2024 ↗$8,953
Total received (2018-2024)
Avg $1,279/year across 7 years
Top 10% in TX for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
40
Companies
392
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$975
2023
$1,415
2022
$1,188
2021
$1,363
2020
$763
2019
$1,245
2018
$2,004
Payments by company (2024)
Abbott Laboratories
$233
PFIZER INC.
$100
MEDICOMP INC
$90
E.R. Squibb & Sons, L.L.C.
$79
Boehringer Ingelheim Pharmaceuticals, Inc.
$59
AstraZeneca Pharmaceuticals LP
$50
Amgen Inc.
$49
Philips North America LLC
$44
Kiniksa Pharmaceuticals International, plc
$41
Janssen Pharmaceuticals, Inc
$35
VivaQuant Inc, dba Rhythm Express
$33
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$32
Regeneron Healthcare Solutions, Inc.
$31
Novartis Pharmaceuticals Corporation
$26
Lexicon Pharmaceuticals, Inc.
$24
Boston Scientific Corporation
$19
Novo Nordisk Inc
$17
SCPHARMACEUTICALS INC.
$13
Top 3 companies account for 43.4% of 2024 payments
All-time payments by company (2018-2024) ›
Abbott Laboratories
$2,822
Novartis Pharmaceuticals Corporation
$1,153
E.R. Squibb & Sons, L.L.C.
$576
Amgen Inc.
$546
AstraZeneca Pharmaceuticals LP
$488
Janssen Pharmaceuticals, Inc
$434
Boston Scientific Corporation
$428
Boehringer Ingelheim Pharmaceuticals, Inc.
$272
PFIZER INC.
$256
ABIOMED
$228
Allergan, Inc.
$171
Medtronic, Inc.
$140
Bardy Diagnostics, Inc.
$125
Merck Sharp & Dohme LLC
$107
MEDICOMP INC
$90
AbbVie Inc.
$88
Gilead Sciences, Inc.
$88
Allergan Inc.
$80
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$80
Lexicon Pharmaceuticals, Inc.
$79
Merck Sharp & Dohme Corporation
$71
Alnylam Pharmaceuticals Inc.
$60
Amarin Pharma Inc.
$56
Regeneron Healthcare Solutions, Inc.
$54
Baxter Healthcare
$50
Philips Electronics North America Corporation
$49
Philips North America LLC
$44
Kiniksa Pharmaceuticals International, plc
$41
Kiniksa Pharmaceuticals, Ltd.
$35
VivaQuant Inc, dba Rhythm Express
$33
Braemar Manufacturing, LLC
$33
SCPHARMACEUTICALS INC.
$31
Inspire Medical Systems, Inc.
$25
Chiesi USA, Inc.
$25
Astellas Pharma US Inc
$20
Novo Nordisk Inc
$17
GENZYME CORPORATION
$17
SANOFI-AVENTIS U.S. LLC
$16
Tactile Systems Technology Inc
$14
ARBOR PHARMACEUTICALS, INC.
$12
Top 3 companies account for 50.8% of all-time payments
Associated products mentioned in payments ›
(5091) Amb Mon & Diag Und · AMVUTTRA · AVYCAZ · Allure Quadra RF CRT Pacemaker · Arcalyst · Assurity Pacemaker · BRILINTA · BYSTOLIC · Bidil · CAMZYOS · CARDIOMEMS · CLEVIPREX · COREVALVE EVOLUT R · CRT Leads · Cardiac Monitoring Suite · CardioMEMS HF System · Carnation Ambulatory Monitor · Confirm Rx · Corlanor · DALVANCE · Durata Defibrillation ICD Lead · ELIQUIS · ENTRESTO · EVKEEZA · Ellipse ICD · FABRY-DISEASE · FARXIGA · FLEXITOUCH · FUROSCIX · Fortify Assura · HeartMate 3 Left Ventricular Dev · Hillrom - Cardiac Ambulatory Monitor · ICDs · INSPIRE · Impella · Inpefa · JARDIANCE · KENGREAL · LEQVIO · LEXISCAN · LifeVest · MITRACLIP · ONPATTRO · Optisure Defibrillation ICD Lead · Ozempic · PRADAXA · PRALUENT · PRALUENT ALIROCUMAB INJECTION · Quadra Allure MP RF CRT Pacemkr · Quadra Assura CRT Defibrillator · Quartet CRT Lead · Repatha · Rhythm Express · TEFLARO · TELEPATCH CARDIAC MONITOR · THORATEC HEARTMATE 3 LVAS IMPLANT KIT · Tendril Pacing Lead · VERQUVO · VYNDAQEL · Vascepa · WATCHMAN Access System · XARELTO · Xience Sierra Coronary Stent System
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Internal medicine physicians in nearby ZIP areas
289
County median income
$58,859
Nearest hospital to ZIP centroid (approximate)
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Medrano is a clinical cardiology specialist, with above-average Medicare volume (top 28% in TX), with 21 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Medrano experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Medrano performed 237 office visit, established patient (20-29 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Medrano receive payments from pharmaceutical companies?
Yes. Dr. Medrano received a total of $8,953 from 40 companies across 392 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Medrano's costs compare to other internal medicine physicians in El Paso?
Dr. Medrano's average Medicare payment per service is $47. 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. Medrano) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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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