Medicare Enrolled
Dr. Manoher Gurru, M.D.
Neurology · Midland, 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. Gurru 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. Gurru
Dr. Manoher Gurru is a neurology specialist in Midland, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Gurru performed 8,563 Medicare services across 1,451 unique beneficiaries.
Between the years covered by Open Payments, Dr. Gurru received a total of $8,605 from 53 pharmaceutical and/or device companies across 329 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurology. 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. Gurru 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 9% volume in TX
$8,605 industry payments
Medicare Practice Summary
Medicare Utilization ↗8,563
Medicare services
Top 9% in TX for neurology
1,451
Unique beneficiaries
$31
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~451 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 |
|---|---|---|---|
| Botox injection, per unit An injection of onabotulinumtoxinA, a medication used to temporarily relax muscles or reduce gland activity. The dose is measured in units, with this code representing a single unit administered. |
6,200 | $5 | $13 |
| 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. |
1,079 | $87 | $192 |
| 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. |
284 | $61 | $130 |
| 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. |
152 | $118 | $260 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
112 | $38 | $143 |
| Electromyography of arm or leg muscles A test that measures the electrical activity in the muscles of the arm or leg using a needle electrode. It helps evaluate the health of muscles and the nerve cells that control them. |
91 | $76 | $550 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
88 | $38 | $189 |
| New patient office visit, complex (60-74 min) | 73 | $148 | $374 |
| 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. |
72 | $112 | $298 |
| Psychiatric collaborative care follow-up, first 60 minutes A follow-up psychiatric care management visit for subsequent calendar months. The service covers the first 60 minutes of collaborative care coordination. |
65 | $111 | $415 |
| Remote vital sign monitoring management, each additional 20 minutes This code covers the time spent by a provider managing patient data from remote vital sign monitoring devices. It applies to each additional 20-minute increment beyond the initial monthly service period. |
55 | $31 | $115 |
| Sleep study in sleep lab (age 6+) An overnight test conducted in a sleep laboratory to monitor sleep patterns and bodily functions in patients aged 6 years or older. |
51 | $447 | $1,735 |
| Sleep study with heart rate and breathing monitoring A sleep study that monitors heart rate, breathing patterns, and sleep duration. This test records physiological data while you sleep to assess your sleep quality and breathing function. |
40 | $105 | $650 |
| Sleep study with continuous airway pressure, age 6+ A sleep study conducted in a sleep lab that monitors breathing and other body functions while administering continuous airway pressure. This test is performed on patients aged 6 years or older. |
35 | $453 | $1,909 |
| Remote physiologic monitoring setup and education Initial setup of remote monitoring equipment and patient education on its use. |
33 | $15 | $55 |
| 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. |
30 | $77 | $193 |
| Initial psychiatric collaborative care management, first 70 minutes This service covers the first 70 minutes of psychiatric collaborative care management during the initial calendar month of treatment. |
29 | $117 | $437 |
| Psychiatric collaborative care management, additional 30 minutes This code covers each additional 30 minutes of psychiatric collaborative care management provided per calendar month. |
23 | $45 | $168 |
| Nerve conduction study, 9-10 studies A diagnostic test that measures how well nerves send electrical signals. It involves performing 9 to 10 separate nerve conduction studies to evaluate nerve function. |
20 | $162 | $1,075 |
| Nerve conduction studies, 13 or more A diagnostic test that measures how well nerves send electrical signals. This code applies when 13 or more individual nerve studies are performed. |
18 | $219 | $1,450 |
| EEG, extended monitoring A test that records electrical activity in the brain while the patient is both awake and asleep. |
13 | $333 | $524 |
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 ↗$8,605
Total received (2018-2024)
Avg $1,229/year across 7 years
Top 30% in TX for neurology
53
Companies
329
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
$8,525 (99.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$80 (0.9%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$880
2023
$847
2022
$970
2021
$1,011
2020
$384
2019
$2,127
2018
$2,385
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
US WorldMeds, LLC
$2,364
ABBVIE INC.
$1,113
Resmed Corp
$480
GE HEALTHCARE
$377
Inspire Medical Systems, Inc.
$322
Celgene Corporation
$321
Biogen, Inc.
$245
Allergan, Inc.
$212
Lilly USA, LLC
$210
AbbVie Inc.
$190
SK Life Science, Inc.
$185
EMD Serono, Inc.
$167
Acorda Therapeutics, Inc
$157
Supernus Pharmaceuticals, Inc.
$144
UCB, Inc.
$134
Amgen Inc.
$129
Novartis Pharmaceuticals Corporation
$127
CSL Behring
$114
Lundbeck LLC
$113
AbbVie, Inc.
$112
Allergan Inc.
$108
PFIZER INC.
$99
Octapharma USA, Inc.
$98
Averitas Pharma Inc.
$93
Genentech USA, Inc.
$84
Alexion Pharmaceuticals, Inc.
$81
ARGENX US, INC.
$80
Harmony Biosciences LLC
$76
Biohaven Pharmaceuticals, Inc.
$54
Horizon Therapeutics plc
$53
Amneal Pharmaceuticals LLC
$50
Teva Pharmaceuticals USA, Inc.
$50
JAZZ PHARMACEUTICALS INC.
$47
GENZYME CORPORATION
$38
Merz North America, Inc.
$35
Zyla Life Sciences
$30
GE HealthCare
$25
Assertio Therapeutics, Inc.
$25
Eisai Inc.
$24
Kyowa Kirin, Inc.
$23
ACADIA Pharmaceuticals Inc
$21
ASSERTIO THERAPEUTICS, Inc.
$21
Upsher-Smith Laboratories LLC
$19
Grifols USA, LLC
$19
Neurelis, Inc.
$18
Biohaven Pharmaceutical Holding Company Ltd.
$18
MERZ NORTH AMERICA, INC.
$17
Neurocrine Biosciences, Inc.
$16
Avanir Pharmaceuticals, Inc.
$16
Vertical Pharmaceuticals, LLC
$14
Merz Pharmaceuticals, LLC
$14
Ipsen Biopharmaceuticals, Inc
$13
Iroko Pharmaceuticals, LLC
$11
Top 3 companies account for 46.0% of total payments
Associated products mentioned in payments ›
ADUHELM · AIMOVIG · AJOVY · AMPYRA · APOKYN · AUBAGIO · Aimovig · AirSense · Austedo XR · BOTOX · BOTOX THERAPEUTIC · Belviq · Briviact · CHANTIX · Cambia · DUOPA · Duopa · Dysport · EMGALITY · Gamunex-C · Hizentra · INSPIRE · Inspire Upper Airway Stimulation System · KESIMPTA · LEQEMBI · LYRICA · MAYZENT · MYOBLOC · Mavenclad · NAMZARIC · NORTHERA · NOURIANZ · NUEDEXTA · NUPLAZID · NURTEC ODT · OCREVUS · OCTAGAM IMMUNE GLOBULIN (HUMAN) · ONGENTYS · OXTELLAR XR · Ocrevus · QUDEXY XR Topiramate Extended Release Capsules · QULIPTA · QUTENZA · RELEXXII · RYTARY · Rebif · SOLIRIS · SUNOSI · TECFIDERA · TYSABRI · UBRELVY · ULTOMIRIS · UPLIZNA · VALTOCO · VIVLODEX · VRAYLAR · VUMERITY · VYEPTI · VYVGART HYTRULO · Vimpat · WAKIX · Wakix · XCOPRI · XEOMIN · XYREM · Xadago · Xeomin · ZEPOSIA · ZORVOLEX
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 $100 per 100 Medicare services performed
Geographic Context
Neurologists within 10 mi
6
Per 100K population
3.5
County median income
$93,984
Nearest hospital
MIDLAND MEMORIAL HOSPITAL
3.1 mi
3.1 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. Gurru is a clinical cardiology specialist, with above-average Medicare volume (top 9% in TX), with low-engagement industry engagement, 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. Gurru experienced with botox injection, per unit?
Based on Medicare claims data, Dr. Gurru performed 6,200 botox injection, per unit 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. Gurru receive payments from pharmaceutical companies?
Yes. Dr. Gurru received a total of $8,605 from 53 companies across 329 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. Gurru's costs compare to other neurologists in Midland?
Dr. Gurru's average Medicare payment per service is $31. 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. Gurru) 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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