Medicare Enrolled
Dr. Alejandro Arizmendi, MD
Internal Medicine · Helotes, 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. Arizmendi 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. Arizmendi
Dr. Alejandro Arizmendi is an internal medicine specialist in Helotes, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Arizmendi performed 9,161 Medicare services across 6,001 unique beneficiaries.
Between the years covered by Open Payments, Dr. Arizmendi received a total of $14,043 from 65 pharmaceutical and/or device companies across 941 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal 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. Arizmendi 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.
✓ 19 years in practice
▲ Top 4% volume in TX
$14,043 industry payments
Medicare Practice Summary
Medicare Utilization ↗9,161
Medicare services
Top 4% in TX for internal medicine
6,001
Unique beneficiaries
$44
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~482 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 (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. |
1,355 | $61 | $173 |
| 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. |
1,179 | $77 | $254 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
838 | $1 | $10 |
| Annual alcohol misuse screening, 5 to 15 minutes | 640 | $17 | $40 |
| Annual intensive behavioral therapy for cardiovascular disease, 15 minutes A yearly, in-person session focused on intensive behavioral therapy to help manage cardiovascular disease. The session lasts for 15 minutes and is conducted with the patient individually. |
637 | $25 | $62 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
626 | $75 | $150 |
| Ceftriaxone antibiotic injection This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered. |
616 | $0 | $10 |
| Annual depression screening | 614 | $17 | $40 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
597 | $123 | $267 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
472 | $10 | $61 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
189 | $3 | $15 |
| Obesity behavioral counseling, 15 minutes A 15-minute face-to-face session focused on behavioral counseling to help manage obesity. |
189 | $24 | $62 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
178 | $29 | $34 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
176 | $0 | $10 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
173 | $72 | $160 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
134 | $16 | $30 |
| COVID-19 immunoassay detection test A laboratory test that uses an immunoassay method to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) through direct visual observation. |
95 | $41 | $50 |
| 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. |
60 | $96 | $392 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
58 | $210 | $458 |
| 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. |
55 | $10 | $43 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
50 | $37 | $126 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
35 | $148 | $391 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
33 | $31 | $125 |
| 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. |
33 | $55 | $257 |
| Wound tissue removal, 20 sq cm or less This procedure involves the removal of tissue from a wound area measuring 20 square centimeters or less. |
24 | $73 | $149 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
22 | $16 | $35 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
22 | $156 | $389 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
18 | $36 | $117 |
| Health risk assessment administration and interpretation This procedure involves administering a health risk assessment to a patient and interpreting the results. |
16 | $2 | $30 |
| Routine 12-lead ECG screening A standard 12-lead electrocardiogram performed as part of an initial preventive physical examination. The service includes both the performance of the test and the physician's interpretation and report. |
14 | $4 | $43 |
| Urine microalbumin test A laboratory test that measures the amount of a specific protein called microalbumin in a urine sample. This analysis helps assess kidney function. |
13 | $6 | $25 |
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 ↗$14,043
Total received (2018-2024)
Avg $2,006/year across 7 years
Top 6% in TX for internal medicine
65
Companies
941
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
$13,909 (99.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$135 (1.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,095
2023
$2,090
2022
$2,295
2021
$2,091
2020
$2,138
2019
$1,491
2018
$1,843
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$2,003
AstraZeneca Pharmaceuticals LP
$1,734
Lilly USA, LLC
$1,012
Amgen Inc.
$987
PFIZER INC.
$828
AbbVie Inc.
$641
Janssen Pharmaceuticals, Inc
$463
ABBVIE INC.
$415
Takeda Pharmaceuticals U.S.A., Inc.
$389
GlaxoSmithKline, LLC.
$379
SANOFI-AVENTIS U.S. LLC
$367
Boehringer Ingelheim Pharmaceuticals, Inc.
$345
Allergan, Inc.
$328
Amarin Pharma Inc.
$311
Allergan Inc.
$306
Astellas Pharma US Inc
$288
Bayer HealthCare Pharmaceuticals Inc.
$264
Novartis Pharmaceuticals Corporation
$251
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$191
Abbott Laboratories
$188
Avanir Pharmaceuticals, Inc.
$173
Merck Sharp & Dohme Corporation
$165
Biohaven Pharmaceutical Holding Company Ltd.
$157
Biohaven Pharmaceuticals, Inc.
$140
Bayer Healthcare Pharmaceuticals Inc.
$127
Shire North American Group Inc
$118
Merck Sharp & Dohme LLC
$118
Otsuka America Pharmaceutical, Inc.
$117
Genentech USA, Inc.
$97
Exact Sciences Corporation
$78
E.R. Squibb & Sons, L.L.C.
$65
Almatica Pharma LLC
$64
ARBOR PHARMACEUTICALS, INC.
$58
Currax Pharmaceuticals LLC
$57
Dexcom, Inc.
$55
Galderma Laboratories, L.P.
$51
Esperion Therapeutics, Inc.
$49
Lupin Inc.
$43
ALK-Abello, Inc
$41
Xeris Pharmaceuticals, Inc.
$40
Corium, LLC
$40
Sumitomo Pharma America, Inc.
$39
Nestle HealthCare Nutrition Inc.
$35
Hikma Pharmaceuticals USA
$35
Gilead Sciences, Inc.
$30
IDORSIA PHARMACEUTICALS US INC
$29
Althera Pharmaceuticals LLC
$26
Clarus Therapeutics Inc.
$25
Electromed, Inc.
$23
Nevro Corp.
$22
Insulet Corporation
$22
Azurity Pharmaceuticals, Inc.
$21
Teva Pharmaceuticals USA, Inc.
$19
W. L. Gore & Associates, Inc.
$18
Eisai Inc.
$17
Antares Pharma, Inc.
$17
Medtronic USA, Inc.
$16
Nalpropion Pharmaceuticals LLC
$16
Scilex Pharmaceuticals Inc.
$16
AIMMUNE THERAPEUTICS, INC.
$15
Itamar Medical Inc
$14
Arbor Pharmaceuticals, Inc.
$14
RedHill Biopharma Inc.
$13
Horizon Therapeutics plc
$12
IBSA Pharma Inc.
$11
Top 3 companies account for 33.8% of total payments
Associated products mentioned in payments ›
ADLARITY · AIRSUPRA · AREXVY · AUSTEDO · Aemcolo · Aimovig · Amitiza · BASAGLAR · BELSOMRA · BEXSERO · BREO · BREZTRI · BYDUREON · BYSTOLIC · CHANTIX · COLOGUARD DNA CAPTURE REAGENTS · COMIRNATY · CONTRAVE · Cologuard Collection Kit · Dayvigo · Descovy · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EON C · EUCRISA · EVENITY · Edarbi · FARXIGA · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre · GARDASIL · GARDASIL 9 · GEMTESA · GVOKE HYPOPEN · GVOKE PFS · Grastek · Horizant · INVOKANA · JANUVIA · JARDIANCE · JATENZO · KYPHON Balloon Kyphoplasty · Kerendia · Kloxxado · LEQVIO · LINZESS · LOREEV XR · MOUNJARO · MYRBETRIQ · Mitigare · Myrbetriq · NEXLETOL · NOCDURNA · NUEDEXTA · NURTEC ODT · Omnia · Omnipod · Otezla · Ozempic · PAXLOVID · PENNSAID · PNEUMOVAX 23 · PREMARIN · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · PROCLAIM · Product in Development · Prolia · QULIPTA · QUVIVIQ · REXULTI · RYBELSUS · Repatha · Roszet · Rybelsus · SHINGRIX · SMARTVEST · SOLIQUA · SOLIQUA 100/33 · SOLOSEC · STEGLATRO · SUPRAX · SYMBICORT · SYNTHROID · TOUJEO · TOVIAZ · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULANCE · TRULICITY · Tirosint · Tresiba · Trintellix · UBRELVY · Uloric · VIBERZI · VOWST · VRAYLAR · VYVANSE · Vascepa · Veozah · Victoza · WatchPATONE · Wegovy · XARELTO · XIFAXAN · Xofluza · ZENPEP · ZOSTAVAX · ZTLido
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. Total industry engagement is in the top 6% for internal medicine in TX.
Equivalent to $153 per 100 Medicare services performed
Geographic Context
Internal medicine physicians within 10 mi
1,082
Per 100K population
53.1
County median income
$70,571
Nearest hospital
LEGENT ORTHOPEDIC + SPINE
9.3 mi
9.3 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. Arizmendi is a clinical cardiology specialist, with above-average Medicare volume (top 4% in TX), with low-engagement industry engagement in the top 6% of TX peers, with 19 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. Arizmendi experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Arizmendi performed 1,355 office visit, established patient (20-29 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. Arizmendi receive payments from pharmaceutical companies?
Yes. Dr. Arizmendi received a total of $14,043 from 65 companies across 941 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. Arizmendi's costs compare to other internal medicine physicians in Helotes?
Dr. Arizmendi's average Medicare payment per service is $44. 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. Arizmendi) 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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