Medicare Enrolled

Dr. Jay Gruhlkey, MD

Family Medicine · New Braunfels, TX
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Low-engagement
952 GRUENE RD STE 150, New Braunfels, TX 78130
8306269911
In practice since 2005 (20 years)
NPI: 1154327047 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. Gruhlkey 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. Gruhlkey? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Gruhlkey

Dr. Jay Gruhlkey is a family medicine in New Braunfels, TX, with 20 years in practice. Based on federal Medicare data, Dr. Gruhlkey performed 5,815 Medicare services across 1,260 unique beneficiaries.

Between the years covered by Open Payments, Dr. Gruhlkey received a total of $10,127 from 65 pharmaceutical and/or device companies across 621 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family 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. Gruhlkey 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.

✓ 20 years in practice▲ Top 3% volume in TX$ $10,127 industry payments

Medicare Practice Summary

Medicare Utilization ↗
5,815
Medicare services
Top 3% in TX for family medicine
1,260
Unique beneficiaries
$19
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~291 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.

ProcedureVolumeAvg. paidAvg. submitted
Allergy immunotherapy preparation1,530$10$20
Allergy skin test1,133$3$11
Test for allergy using allergenic extract injected into skin735$6$17
Allergy injection therapy, multiple injections605$8$32
Office visit, established patient (20-29 min)555$54$120
Office visit, established patient (30-39 min)234$81$189
Steroid injection (triamcinolone)216$1$5
Drug injection, under skin or into muscle163$10$35
Annual alcohol misuse screening, 5 to 15 minutes159$18$40
Annual wellness visit, follow-up146$124$144
Annual depression screening146$18$40
Detection test by immunoassay with direct visual observation for influenza virus34$16$60
Automated urinalysis33$2$10
Hemoglobin A1c test (diabetes monitoring)29$10$30
New patient office visit (30-44 min)27$62$247
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment19$152$197
Electrocardiogram (EKG), 12-lead18$10$72
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus17$35$75
New patient office visit (45-59 min)16$79$360
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 ↗
$10,127
Total received (2018-2024)
Avg $1,447/year across 7 years
Top 5% in TX for family medicine
65
Companies
621
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
$10,127 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,718
2023
$1,687
2022
$1,410
2021
$1,570
2020
$1,213
2019
$1,366
2018
$1,164

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$1,226
Novo Nordisk Inc
$747
Lilly USA, LLC
$693
Takeda Pharmaceuticals U.S.A., Inc.
$592
Amgen Inc.
$585
PFIZER INC.
$549
ABBVIE INC.
$520
Amarin Pharma Inc.
$433
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$416
GlaxoSmithKline, LLC.
$356
Axsome Therapeutics, Inc.
$274
Merck Sharp & Dohme Corporation
$240
Antares Pharma, Inc.
$229
AbbVie Inc.
$224
Allergan, Inc.
$205
Exact Sciences Corporation
$202
Astellas Pharma US Inc
$199
Esperion Therapeutics, Inc.
$179
Allergan Inc.
$155
Abbott Laboratories
$138
Acerus Pharmaceuticals Corporation
$114
Kowa Pharmaceuticals America, Inc.
$105
Corcept Therapeutics
$103
Eisai Inc.
$103
Merck Sharp & Dohme LLC
$96
Teva Pharmaceuticals USA, Inc.
$93
Sonex Health, Inc.
$88
Horizon Therapeutics plc
$85
Janssen Pharmaceuticals, Inc
$80
Otsuka America Pharmaceutical, Inc.
$75
IDORSIA PHARMACEUTICALS US INC
$67
AbbVie, Inc.
$63
kaleo, Inc.
$63
Paratek Pharmaceuticals, Inc.
$48
Biohaven Pharmaceuticals, Inc.
$47
Tolmar, Inc.
$45
Boehringer Ingelheim Pharmaceuticals, Inc.
$41
SANOFI-AVENTIS U.S. LLC
$40
ARBOR PHARMACEUTICALS, INC.
$39
Genentech USA, Inc.
$37
Biohaven Pharmaceutical Holding Company Ltd.
$34
Currax Pharmaceuticals LLC
$33
Regeneron Healthcare Solutions, Inc.
$32
Mannkind Corporation
$31
GENZYME CORPORATION
$31
Clarus Therapeutics Inc.
$30
ALK-Abello, Inc
$29
Cardiovascular Systems Inc.
$28
Shire North American Group Inc
$25
Neuronetics, Inc.
$24
ASSERTIO THERAPEUTICS, Inc.
$24
Seqirus USA Inc
$19
Nevro Corp.
$17
Sarepta Therapeutics, Inc.
$17
Supernus Pharmaceuticals, Inc.
$16
Upsher-Smith Laboratories LLC
$16
Avanir Pharmaceuticals, Inc.
$16
MannKind Corporation
$16
Circassia Pharmaceuticals Inc
$16
VIVUS, Inc.
$15
Sanofi Pasteur Inc.
$14
Novartis Pharmaceuticals Corporation
$14
VistaPharm, Inc.
$13
OptiNose US, Inc.
$12
Promius Pharma LLC
$12
Top 3 companies account for 26.3% of total payments
Associated products mentioned in payments ›
ADVAIR · AFREZZA · AIMOVIG · AIRSUPRA · AJOVY · AUVI-Q · Aimovig · Amitiza · Androgel · Auvelity · BELSOMRA · BREZTRI · BREZTRI AEROSPHERE · BYDUREON · BYSTOLIC · CHANTIX · COMIRNATY · CONTRAVE · Cologuard Collection Kit · DUEXIS · DUPIXENT · Dayvigo · Dexilant · ELIQUIS · EMGALITY · EVENITY · Edarbi · Exondys 51 · FARXIGA · FASENRA · FLUCELVAX QUADRIVALENT (MULTI-DOSE VIAL) · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · GARDASIL · GARDASIL 9 · Gralise · INVOKANA · JANUVIA · JARDIANCE · JATENZO · Korlym · LINZESS · LYRICA · Livalo · MENACTRA · MOUNJARO · MYRBETRIQ · Myrbetriq · NEUROSTAR TMS THERAPY · NEXLETOL · NOCDURNA · NUEDEXTA · NURTEC ODT · NUZYRA · Natesto · ONZETRA XSAIL · OTREXUP · Otezla · Otovel · Otrexup · Ozempic · PAXLOVID · PNEUMOVAX 23 · PRE-PEN · PREVNAR 13 · PREVNAR 20 · PROCLAIM · PRODIGY · Prolia · QSYMIA · QULIPTA · QUVIVIQ · RAYOS · REXULTI · ROTATEQ · Repatha · Rybelsus · SHINGRIX · SPRAVATO · SX-ONE MICROKNIFE · SYMBICORT · SYNTHROID · Saxenda · Senza · Synthroid · TOSYMRA SUMATRIPTAN NASAL SPRAY · TOUJEO · TOVIAZ · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · TRUMENBA · TUDORZA PRESSAIR · Thyquidity · Tresiba · Trintellix · UBRELVY · VAXELIS · VAXNEUVANCE · VRAYLAR · VYVANSE · Vascepa · Veozah · Wegovy · XIFAXAN · XYOSTED · Xhance · Xofluza · ZORYVE · Zembrace · Zipsor
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 5% for family medicine in TX.

Equivalent to $174 per 100 Medicare services performed
Looking for a family medicine in New Braunfels?
Compare family medicines in the New Braunfels area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family Medicines within 10 mi
234
Per 100K population
131.2
County median income
$93,776
Nearest hospital
RESOLUTE HEALTH HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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. Gruhlkey is a mixed practice specialist, with above-average Medicare volume (top 3% in TX), and high industry engagement (low-engagement, top 5%), with 20 years of practice experience.

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. Gruhlkey experienced with allergy immunotherapy preparation?
Based on Medicare claims data, Dr. Gruhlkey performed 1,530 allergy immunotherapy preparation 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. Gruhlkey receive payments from pharmaceutical companies?
Yes. Dr. Gruhlkey received a total of $10,127 from 65 companies across 621 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. Gruhlkey's costs compare to other family medicines in New Braunfels?
Dr. Gruhlkey's average Medicare payment per service is $19. 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. Gruhlkey) 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 →