Medicare Enrolled

Dr. Gilbert Ruiz, M.D.

Otolaryngology · San Antonio, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
4775 HAMILTON WOLFE RD STE 1, San Antonio, TX 78229
2106160283
In practice since 2005 (20 years)
NPI: 1104825041 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. Ruiz 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. Ruiz? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Ruiz

Dr. Gilbert Ruiz is an otolaryngology specialist in San Antonio, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Ruiz performed 2,281 Medicare services across 1,885 unique beneficiaries.

Between the years covered by Open Payments, Dr. Ruiz received a total of $1,319 from 10 pharmaceutical and/or device companies across 38 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in otolaryngology. 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. Ruiz 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 16% volume in TX $1,319 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,281
Medicare services
Top 16% in TX for otolaryngology
1,885
Unique beneficiaries
$63
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~114 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 (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.
570 $56 $140
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.
298 $85 $212
Ear wax removal
A procedure to remove impacted ear wax from the ear canal.
190 $32 $138
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.
172 $74 $529
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.
171 $108 $310
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.
144 $83 $576
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
132 $1 $4
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.
125 $69 $200
Flexible laryngoscopy
A diagnostic exam of the voice box using a flexible endoscope to visualize the larynx.
83 $91 $240
Dexamethasone injection (steroid)
An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram.
48 $0 $1
Auditory brainstem response test
A test that measures how the brain responds to sound to help diagnose nervous system disorders. The results are interpreted and reported by a medical professional.
34 $53 $300
Medication injection into nasal air passage
A procedure involving the injection of medication into the nasal air passage.
33 $76 $188
Test to assess electrical potentials generated in the inner ear as a result of sound stimulation 33 $79 $200
Eardrum and muscle function test
A diagnostic test used to evaluate the function of the eardrum and associated muscles.
27 $16 $60
Nasal endoscopy
A diagnostic procedure that uses a thin, lighted tube to examine the inside of the nasal passages.
25 $137 $323
Ultrasound of head and neck soft tissue
This procedure uses sound waves to create images of the soft tissues in the head and neck area. It allows for the visualization of structures beneath the skin without using radiation.
24 $71 $196
Comprehensive hearing and speech recognition test
A diagnostic evaluation that assesses hearing ability and the capacity to understand spoken words. The test measures how well a patient can detect sounds and recognize speech.
19 $27 $67
Microscopic ear examination
A detailed visual inspection of the ear using a specialized microscope to examine the ear canal and eardrum.
18 $20 $100
Vestibular function test with thermal irrigation
A test that assesses balance by irrigating both ears with warm and cool fluids to evaluate inner ear function.
17 $28 $125
Balance testing with recording
A procedure to evaluate balance function by recording the results during testing.
17 $66 $189
Head repositioning exercises for dizziness
A series of exercises performed to reposition the head, used to treat dizziness. The procedure is administered on a daily basis.
17 $29 $78
Ear probe test for repeated sounds
A probe is placed in the ear to measure how the ear responds to repeated sounds. The results are interpreted and a report is provided.
16 $24 $125
Eardrum incision, aspiration, and/or inflation
A procedure involving making an incision in the eardrum, removing fluid, and/or inflating the middle ear space.
15 $156 $485
VEMP testing of lower inner ear nerve branch
A diagnostic test that evaluates the function of the lower branch of the inner ear nerve. The procedure includes interpretation of the results and a written report.
15 $54 $160
CT scan of face, without contrast
A computed tomography scan that creates detailed images of the facial structures. This procedure is performed without the use of intravenous contrast dye.
14 $101 $500
Middle ear function test
A diagnostic test used to evaluate how well the middle ear is functioning.
13 $8 $27
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.
11 $31 $275
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 ↗
$1,319
Total received (2019-2024)
Avg $264/year across 5 years
Bottom 48% in TX for otolaryngology
10
Companies
38
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
$1,319 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$464
2023
$301
2022
$300
2021
$137
2019
$117

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Inspire Medical Systems, Inc.
$379
Regeneron Healthcare Solutions, Inc.
$312
GENZYME CORPORATION
$217
GlaxoSmithKline, LLC.
$154
Arrinex, Inc.
$117
Aerin Medical Inc.
$65
ZOLL Respicardia, Inc.
$24
ALK-Abello, Inc
$18
Fisher & Paykel Healthcare Inc
$17
SANOFI-AVENTIS U.S. LLC
$15
Top 3 companies account for 68.8% of total payments
Associated products mentioned in payments ›
CLARIFIX · DUPIXENT · FISHER & PAYKEL HEALTHCARE · INSPIRE · Inspire Upper Airway Stimulation System · NUCALA · Odactra · remede System
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.

Equivalent to $58 per 100 Medicare services performed
Looking for an otolaryngology specialist in San Antonio?
Compare otolaryngologists in the San Antonio area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Otolaryngologists within 10 mi
86
Per 100K population
4.2
County median income
$70,571
Nearest hospital
UNIVERSITY HEALTH SYSTEM
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. Ruiz is a clinical cardiology specialist, with above-average Medicare volume (top 16% in TX), with low-engagement industry engagement, with 20 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. Ruiz experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Ruiz performed 570 office visit, established patient (20-29 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. Ruiz receive payments from pharmaceutical companies?
Yes. Dr. Ruiz received a total of $1,319 from 10 companies across 38 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. Ruiz's costs compare to other otolaryngologists in San Antonio?
Dr. Ruiz's average Medicare payment per service is $63. 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. Ruiz) 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 →