Medicare Enrolled

Leslie Gutierrez, AGACNP, MSN, BSN

Acute Care Nurse Practitioner · Houston, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
925 GESSNER RD STE 310, Houston, TX 77024
7134671630
Registered in NPPES since 2017
NPI: 1083151476 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 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 →
Are you Gutierrez? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Gutierrez

Leslie Gutierrez is an acute care nurse practitioner in Houston, TX, with 9 years of NPI registration. Based on federal Medicare data, Gutierrez performed 1,126 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Gutierrez received a total of $3,643 from 45 pharmaceutical and/or device companies across 124 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 Gutierrez 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.

✓ 9 years of NPI registration ▲ Top 7% volume in TX $3,643 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
1,126
Medicare services
Top 7% in TX for acute care nurse practitioner
Not available
Unique patients (not deduplicated)
$45
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
Complete blood count (CBC) with differential
An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells.
327 $8 $36
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.
232 $79 $368
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
185 $8 $20
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.
174 $57 $250
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.
92 $82 $357
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.
72 $117 $496
Reticulated platelet measurement
A blood test that measures the level of young, newly formed platelets in the body.
24 $35 $143
Initial hospital admission, moderate complexity
Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter.
20 $89 $470
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.

Industry Payment Transparency

Open Payments through 2024 ↗
$3,643
Total received (2021-2024)
Avg $911/year across 4 years
Top 7% in TX for acute care nurse practitioner
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
45
Companies
124
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
$1,528
2023
$1,470
2022
$533
2021
$113

Payments by company (2024)

E.R. Squibb & Sons, L.L.C.
$171
Janssen Biotech, Inc.
$164
Astellas Pharma US Inc
$152
Genentech, Inc.
$146
Novartis Pharmaceuticals Corporation
$101
Merck Sharp & Dohme LLC
$91
ABBVIE INC.
$73
Karyopharm Therapeutics Inc.
$66
Celgene Corporation
$56
GENZYME CORPORATION
$56
AstraZeneca Pharmaceuticals LP
$43
PUMA BIOTECHNOLOGY, INC.
$40
PFIZER INC.
$34
TerSera Therapeutics LLC
$31
Rigel Pharmaceuticals, Inc.
$28
Janssen Pharmaceuticals, Inc
$27
Daiichi Sankyo Inc.
$27
ADC Therapeutics America, Inc.
$26
GlaxoSmithKline, LLC.
$23
BeiGene USA, Inc.
$23
Aveo Pharmaceuticals, Inc.
$22
Adaptive Biotechnologies Corporation
$21
Eisai Inc.
$21
SERVIER PHARMACEUTICALS LLC
$19
EMD Serono, Inc.
$19
TAIHO ONCOLOGY, INC.
$19
Incyte Corporation
$15
Abbott Laboratories
$14
Top 3 companies account for 31.9% of 2024 payments
All-time payments by company (2021-2024) ›
Janssen Biotech, Inc.
$521
Merck Sharp & Dohme LLC
$224
ABBVIE INC.
$205
E.R. Squibb & Sons, L.L.C.
$191
AstraZeneca Pharmaceuticals LP
$189
Karyopharm Therapeutics Inc.
$182
Seagen Inc.
$172
PFIZER INC.
$153
Astellas Pharma US Inc
$152
Genentech, Inc.
$146
Novartis Pharmaceuticals Corporation
$143
ImmunoGen, Inc.
$129
GENZYME CORPORATION
$100
GlaxoSmithKline, LLC.
$79
Incyte Corporation
$75
EMD Serono, Inc.
$61
Celgene Corporation
$56
Boston Scientific Corporation
$54
Daiichi Sankyo Inc.
$53
Adaptive Biotechnologies Corporation
$50
Pharmacyclics LLC, An AbbVie Company
$49
BeiGene USA, Inc.
$46
Pharmacosmos Therapeutics Inc.
$42
PUMA BIOTECHNOLOGY, INC.
$40
TAIHO ONCOLOGY, INC.
$40
Takeda Pharmaceuticals U.S.A., Inc.
$38
MorphoSys, US Inc.
$37
Puma Biotechnology, Inc.
$33
TerSera Therapeutics LLC
$31
Rigel Pharmaceuticals, Inc.
$28
Deciphera Pharmaceuticals Inc.
$27
Janssen Pharmaceuticals, Inc
$27
ADC Therapeutics America, Inc.
$26
CTI BioPharma Corp.
$24
Ipsen Biopharmaceuticals, Inc
$24
Myovant Sciences Inc.
$23
Mylan Institutional Inc.
$23
Genentech USA, Inc.
$22
Aveo Pharmaceuticals, Inc.
$22
Eisai Inc.
$21
SERVIER PHARMACEUTICALS LLC
$19
Lilly USA, LLC
$18
ARRAY BIOPHARMA INC
$17
Amgen Inc.
$16
Abbott Laboratories
$14
Top 3 companies account for 26.1% of all-time payments
Associated products mentioned in payments ›
ALUNBRIG · ANDEXXA · AUGTYRO · BOSULIF · BRUKINSA · CARVYKTI · DARZALEX · ELREXFIO · ENHERTU · ENJAYMO · EPKINLY · ERLEADA · Elahere · Enhertu · FOTIVDA · FULPHILA · Fabhalta · IBRANCE · IMBRUVICA · IMFINZI · INLYTA · JAKAFI · JEMPERLI · JEVTANA · KEYTRUDA · KISQALI · LONSURF · LUMAKRAS · LUPRON DEPOT · Lenvima · Lunsumio · MEKINIST · MITRACLIP · MONJUVI · MONOFERRIC · NINLARO · OJJAARA · ORGOVYX · PADCEV · PIQRAY · Padcev · Pomalyst · QINLOCK · REBLOZYL · RYBREVANT · Rezlidhia · SARCLISA · SOMATULINE DEPOT · TAGRISSO · TECVAYLI · TEPMETKO · TheraSphere Y90 Glass Microspheres 7.0 GBq (US Commercial) · VENCLEXTA · VERZENIO · Vonjo · Voranigo · XALKORI · XPOVIO · XTANDI · Xospata · ZEJULA · Zoladex · clonoSEQ
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 →
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Geographic Context

Acute care nurse practitioners in nearby ZIP areas
777
County median income
$73,104
Nearest hospital to ZIP centroid (approximate)
MEMORIAL HERMANN MEMORIAL CITY HOSPITAL
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

Gutierrez is a clinical cardiology specialist, with above-average Medicare volume (top 7% in TX).

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Gutierrez experienced with complete blood count (cbc) with differential?
Based on Medicare claims data, Gutierrez performed 327 complete blood count (cbc) with differential services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Gutierrez receive payments from pharmaceutical companies?
Yes. Gutierrez received a total of $3,643 from 45 companies across 124 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 Gutierrez's costs compare to other acute care nurse practitioners in Houston?
Gutierrez's average Medicare payment per service is $45. 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 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 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 →
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.

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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →