Medicare Enrolled

Dr. Adonis Zuniga Goldwater, MD

Internal Medicine · Laredo, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
2412 JACAMAN RD, Laredo, TX 78041
9567260647
In practice since 2006 (19 years)
NPI: 1952328866 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 Dr. Zuniga Goldwater 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. Zuniga Goldwater

Dr. Adonis Zuniga Goldwater is an internal medicine specialist in Laredo, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Zuniga Goldwater performed 2,497 Medicare services across 1,608 unique beneficiaries.

Between the years covered by Open Payments, Dr. Zuniga Goldwater received a total of $6,297 from 37 pharmaceutical and/or device companies across 394 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. Zuniga Goldwater 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 14% volume in TX $6,297 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,497
Medicare services
Top 14% in TX for internal medicine
1,608
Unique beneficiaries
$66
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~131 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) 575 $81 $178
Office visit, established patient (20-29 min) 567 $57 $120
Annual wellness visit, follow-up 234 $124 $240
Annual depression screening 188 $18 $42
Advance care planning consultation, first 30 min 174 $60 $158
Hospital follow-up visit, moderate complexity 130 $57 $133
Drug injection, under skin or into muscle 96 $9 $34
Telephone medical discussion with physician, 21-30 minutes 54 $61 $135
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 53 $41 $85
Office visit, established patient, complex (40-54 min) 53 $106 $248
Dexamethasone injection (steroid) 48 $0 $29
Hospital discharge day management, 30 minutes or less 44 $60 $149
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 44 $110 $216
Electrocardiogram (EKG), 12-lead 34 $7 $49
Detection test by immunoassay with direct visual observation for influenza virus 33 $16 $42
Initial hospital admission, high complexity 32 $128 $312
Flu vaccine administration 26 $30 $50
Injection, ketorolac tromethamine, per 15 mg 26 $0 $28
Transitional care management services for problem of high complexity 23 $204 $402
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment 20 $155 $286
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 15 $16 $41
Transitional care management services for problem of at least moderate complexity 15 $139 $299
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 13 $15 $36
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 ↗
$6,297
Total received (2018-2024)
Avg $900/year across 7 years
Top 13% in TX for internal medicine
37
Companies
394
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
$6,232 (99.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$65 (1.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$629
2023
$662
2022
$530
2021
$696
2020
$1,051
2019
$1,221
2018
$1,508

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$1,407
AstraZeneca Pharmaceuticals LP
$867
GlaxoSmithKline, LLC.
$681
Lilly USA, LLC
$450
Amarin Pharma Inc.
$416
Merck Sharp & Dohme Corporation
$398
SANOFI-AVENTIS U.S. LLC
$290
Boehringer Ingelheim Pharmaceuticals, Inc.
$271
Bayer Healthcare Pharmaceuticals Inc.
$256
Amgen Inc.
$215
PFIZER INC.
$148
Daiichi Sankyo Inc.
$94
Radius Health, Inc.
$84
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$71
Astellas Pharma US Inc
$65
UCB, Inc.
$50
MannKind Corporation
$47
Phathom Pharmaceuticals, Inc.
$42
Abbott Laboratories
$42
Exact Sciences Corporation
$39
Almatica Pharma LLC
$35
Bayer HealthCare Pharmaceuticals Inc.
$33
Lundbeck LLC
$31
Allergan, Inc.
$30
E.R. Squibb & Sons, L.L.C.
$29
Esperion Therapeutics, Inc.
$23
Dexcom, Inc.
$23
Otsuka America Pharmaceutical, Inc.
$22
Kowa Pharmaceuticals America, Inc.
$19
Baxter Healthcare
$19
AbbVie Inc.
$19
ARALEZ PHARMACEUTICALS US INC.
$15
Novartis Pharmaceuticals Corporation
$14
Allergan Inc.
$14
Merck Sharp & Dohme LLC
$13
Sanofi Pasteur Inc.
$12
Orexigen Therapeutics, Inc.
$11
Top 3 companies account for 46.9% of total payments
Associated products mentioned in payments ›
ADVAIR · AFREZZA · ANORO ELLIPTA · AREXVY · BELSOMRA · BREO · BREZTRI · BREZTRI AEROSPHERE · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · CONTRAVE · Cologuard Collection Kit · DIABETES - DISEASE · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · FARXIGA · FASENRA · FLUZONE HIGH-DOSE · FREESTYLE LIBRE · GRALISE · Hillrom - Life 2000 Ventilation System · INJECTAFER · JANUVIA · JARDIANCE · Kerendia · LEQVIO · LINZESS · LOKELMA · Livalo · MOUNJARO · Movantik · NEXLETOL · Otezla · Ozempic · PREMARIN · Prolia · QULIPTA · REXULTI · RYBELSUS · Repatha · Rybelsus · SOLIQUA · SOLIQUA 100/33 · STEGLATRO · SYMBICORT · TOUJEO · TRELEGY ELLIPTA · TRULANCE · TRULICITY · Tresiba · Tymlos · VOQUEZNA · VRAYLAR · Vascepa · Victoza · Vimpat · Wegovy · XIFAXAN · Xultophy 100/3.6 · ZONTIVITY
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 $252 per 100 Medicare services performed
Looking for an internal medicine specialist in Laredo?
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Geographic Context

Internal medicine physicians within 10 mi
31
Per 100K population
11.6
County median income
$62,506
Nearest hospital
DOCTORS HOSPITAL OF LAREDO
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. Zuniga Goldwater is a clinical cardiology specialist, with above-average Medicare volume (top 14% in TX), with low-engagement industry engagement in the top 13% 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. Zuniga Goldwater experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Zuniga Goldwater performed 575 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. Zuniga Goldwater receive payments from pharmaceutical companies?
Yes. Dr. Zuniga Goldwater received a total of $6,297 from 37 companies across 394 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. Zuniga Goldwater's costs compare to other internal medicine physicians in Laredo?
Dr. Zuniga Goldwater's average Medicare payment per service is $66. 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. Zuniga Goldwater) 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 →
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.

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. Payments from industry are legal and do not indicate wrongdoing. 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 →