Medicare Enrolled
Dr. Rafael Gonzalez, M.D.
Interventional Cardiology · Round Rock, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Gonzalez 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. Gonzalez
Dr. Rafael Gonzalez is an interventional cardiology specialist in Round Rock, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Gonzalez performed 2,027 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Gonzalez received a total of $20,046 from 29 pharmaceutical and/or device companies across 350 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 Dr. Gonzalez 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.
✓ 19 years of NPI registration
▲ 2,027 Medicare services
$20,046 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗2,027
Medicare services
Bottom 42% in TX for interventional cardiology
Not available
Unique patients (not deduplicated)
$35
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 |
|---|---|---|---|
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
1,047 | $5 | $41 |
| Remote pacemaker monitoring, 90 days Remote assessment of a pacemaker system, including single, dual, multiple lead, or leadless devices, performed up to 90 days apart. |
222 | $20 | $162 |
| 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. |
143 | $103 | $280 |
| 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. |
124 | $86 | $201 |
| Remote cardiac rhythm monitor evaluation, up to 30 days Review and analysis of data from a remote cardiac rhythm monitoring system over a period of up to 30 days. |
111 | $18 | $83 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
100 | $9 | $86 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
71 | $133 | $392 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
48 | $26 | $184 |
| Cardiac catheterization | 40 | $191 | $1,535 |
| 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. |
36 | $50 | $209 |
| Pacemaker system evaluation Assessment of a pacemaker device, including single, dual, multiple lead, or leadless systems. |
28 | $14 | $102 |
| Hospital discharge management, 30+ min This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge. |
21 | $88 | $207 |
| Coronary stent placement A procedure to insert a stent into a coronary artery or its branch to keep it open, using balloon dilation during the process. |
19 | $411 | $2,938 |
| Coronary angiography A procedure to insert a tube into a coronary artery to capture diagnostic images of the heart's blood vessels. |
17 | $146 | $1,257 |
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.
17.6% high complexity
0.0% medium
82.4% routine
Industry Payment Transparency
Open Payments through 2024 ↗$20,046
Total received (2018-2024)
Avg $2,864/year across 7 years
Top 23% in TX for interventional cardiology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
29
Companies
350
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
$2,468
2023
$3,557
2022
$3,567
2021
$2,059
2020
$740
2019
$2,592
2018
$5,063
Payments by company (2024)
Medtronic, Inc.
$838
Edwards Lifesciences Corporation
$540
ShockWave Medical, Inc
$463
Abbott Laboratories
$297
Boston Scientific Corporation
$105
Impulse Dynamics (USA) Inc.
$95
Recor Medical Inc
$49
Teleflex LLC
$30
Novartis Pharmaceuticals Corporation
$28
Cook Medical LLC
$24
Top 3 companies account for 74.6% of 2024 payments
All-time payments by company (2018-2024) ›
Philips Electronics North America Corporation
$3,898
Abbott Laboratories
$3,376
Medtronic, Inc.
$2,694
Edwards Lifesciences Corporation
$2,183
Shockwave Medical, Inc
$1,408
ShockWave Medical, Inc
$1,384
ABIOMED
$770
BIOTRONIK INC.
$608
Inari Medical, Inc.
$558
Impulse Dynamics (USA) Inc.
$534
Teleflex LLC
$471
Boston Scientific Corporation
$322
AstraZeneca Pharmaceuticals LP
$295
Terumo Medical Corporation
$257
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$255
Amgen Inc.
$164
Cook Medical LLC
$150
Siemens Medical Solutions USA, Inc.
$150
Medtronic Vascular, Inc.
$139
Cardiovascular Systems Inc.
$133
BOSTON SCIENTIFIC CORPORATION
$111
Recor Medical Inc
$49
Novartis Pharmaceuticals Corporation
$28
EKOS Corporation
$27
Saranas, Inc.
$24
Gilead Sciences, Inc.
$16
Boehringer Ingelheim Pharmaceuticals, Inc.
$15
HeartFlow, Inc.
$14
Janssen Pharmaceuticals, Inc
$12
Top 3 companies account for 49.7% of all-time payments
Associated products mentioned in payments ›
(1661) Clin Edu IGT · (6572) Rotational · (9281) Turbo Elite · ABRE · AMPLATZER AMULET · AMPLATZER Occluders · AVALUS · AngioSeal · Artis icono floor · Azure · BRILINTA · COOK MEDICAL ACCESSORIES · COREVALVE EVOLUT R · CardioMEMS HF System · Catheter - Turnpike · CoreValve Evolut · Corlanor · DIAMONDBACK PERIPHERAL · DRAGONFLY OPSTAR · Diamondback Peripheral · EKOSONIC · Edwards SAPIEN 3 Transcatheter Heart Valve · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · Emerge Push · Ensite Cardiac Mapping System · FARXIGA · FFRct · FLOWTRIEVER CATHETER · Fox Sv PTA catheter and Armada 14 percutaneous catheter and Viatrac 14 Plus peripheral catheter · GENERAL VASCULAR INTERVENTION · GENERAL - STRUCTURAL HEART · GENERAL - VASCULAR INTERVENTION · GUIDELINER · General - Vascular Intervention · GlideWire · Glidesheath · Heartrail · Hi-Torque Command guide wire · IGT_D Peripheral · IN.PACT ADMIRAL · Impella · JARDIANCE · JOT DX · LEQVIO · LUX-Dx Insertable Cardiac Monitor · LifeVest · MANTA Vascular Closure Device · METACROSS OTW · MITRACLIP · Manta · MetaCross · Micra · Misago · Mitra Clip system · ONYX FRONTIER · OPTIMIZER · OPTIS · Optimizer · Orsiro Mission · PARADISE RENAL DENERVATION SYSTEM · PASCAL · Peripheral Orbital Atherectomy System · PressureWire FFR · Prod. Category: OCT · RESOLUTE ONYX · ROTAPRO · Repatha · Resolute · S · SAPIEN 3 Ultra RESILIA · SHOCKWAVE INTRAVASCULAR LITHOTRIPSY (IVL) SYSTEM WITH THE SHOCKWAVE C2+ CORONARY · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · SYNERGY · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · TURNPIKE · Turnpike LP Catheter · Vascular Lithotripsy · XARELTO · ZILVER PTX · iFR
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 →
Geographic Context
Interventional cardiologists in nearby ZIP areas
21
County median income
$108,309
Nearest hospital to ZIP centroid (approximate)
BAYLOR SCOTT & WHITE MEDICAL CENTER - ROUND ROCK
3.1 mi
3.1 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
Dr. Gonzalez is a clinical cardiology specialist, with moderate Medicare volume, with 19 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Gonzalez experienced with ekg interpretation and report?
Based on Medicare claims data, Dr. Gonzalez performed 1,047 ekg interpretation and report services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Gonzalez receive payments from pharmaceutical companies?
Yes. Dr. Gonzalez received a total of $20,046 from 29 companies across 350 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 Dr. Gonzalez's costs compare to other interventional cardiologists in Round Rock?
Dr. Gonzalez's average Medicare payment per service is $35. 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. Gonzalez) 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 →
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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.
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