Medicare Enrolled
Ionela Gug, NP
Nurse Practitioner - Family · San Antonio, 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 Gug 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 Gug?
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What this data tells you about Gug
Ionela Gug is a nurse practitioner - family in San Antonio, TX, with 6 years of NPI registration. Based on federal Medicare data, Gug performed 2,086 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Gug received a total of $1,554 from 25 pharmaceutical and/or device companies across 49 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 Gug 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.
✓ 6 years of NPI registration
▲ Top 6% volume in TX
$1,554 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗2,086
Medicare services
Top 6% in TX for nurse practitioner - family
Not available
Unique patients (not deduplicated)
$25
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 |
|---|---|---|---|
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
262 | $8 | $36 |
| 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. |
258 | $78 | $368 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
249 | $8 | $20 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
196 | $10 | $64 |
| 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. |
186 | $53 | $250 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
145 | $13 | $60 |
| Iron level test | 145 | $6 | $27 |
| Iron binding capacity test A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron. |
145 | $9 | $35 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
57 | $15 | $76 |
| Immunoglobulin level test A blood test that measures the level of gammaglobulins, which are immune system proteins. |
57 | $9 | $56 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
56 | $14 | $73 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
55 | $4 | $30 |
| Immunoglobulin light chain measurement A blood test that measures the levels of immunoglobulin light chains, which are proteins produced by plasma cells. |
50 | $17 | $60 |
| Lactate dehydrogenase (LDH) level test A blood test that measures the amount of lactate dehydrogenase, an enzyme found in many body tissues. It helps assess tissue damage or disease. |
35 | $6 | $31 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
34 | $16 | $80 |
| 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. |
33 | $114 | $496 |
| 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. |
24 | $99 | $565 |
| Haptoglobin level test A blood test that measures the amount of haptoglobin, a protein in the serum. It helps evaluate red blood cell breakdown. |
23 | $12 | $66 |
| Automated red blood cell count with calculations A blood test that automatically counts red blood cells and performs additional calculations to assess blood health. |
17 | $5 | $26 |
| C-reactive protein test (inflammation marker) A blood test that measures the level of C-reactive protein to detect the presence of infection or inflammation in the body. |
13 | $5 | $33 |
| Serum protein measurement A blood test that measures the total amount of protein in the serum. It helps evaluate overall health and nutritional status. |
12 | $11 | $99 |
| Coagulation assessment blood test A blood test that measures how long it takes for blood to clot. The sample can be plasma or whole blood. |
12 | $6 | $52 |
| Stool test for blood to screen for colon tumors A test that analyzes a stool sample to detect hidden blood, which is used to screen for colon tumors. |
11 | $4 | $24 |
| Serum immunofixation test A laboratory test that analyzes a blood serum sample to identify specific abnormal proteins. The procedure uses an immunologic technique to detect and characterize these proteins. |
11 | $22 | $160 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$1,554
Total received (2021-2024)
Avg $389/year across 4 years
Top 20% in TX for nurse practitioner - family
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
25
Companies
49
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
$384
2023
$754
2022
$389
2021
$27
Payments by company (2024)
Gilead Sciences, Inc.
$125
Blueprint Medicines Corporation
$84
Janssen Biotech, Inc.
$46
Stemline Therapeutics Inc.
$35
Merck Sharp & Dohme LLC
$24
Daiichi Sankyo Inc.
$19
Karyopharm Therapeutics Inc.
$19
Celgene Corporation
$16
ABBVIE INC.
$14
Top 3 companies account for 66.5% of 2024 payments
All-time payments by company (2021-2024) ›
Janssen Biotech, Inc.
$233
Myriad Genetic Laboratories, Inc.
$163
AstraZeneca Pharmaceuticals LP
$150
SOBI, INC
$125
Gilead Sciences, Inc.
$125
E.R. Squibb & Sons, L.L.C.
$122
Karyopharm Therapeutics Inc.
$99
Blueprint Medicines Corporation
$84
Merck Sharp & Dohme LLC
$58
GlaxoSmithKline, LLC.
$49
Bayer Healthcare Pharmaceuticals Inc.
$48
Novartis Pharmaceuticals Corporation
$44
Stemline Therapeutics Inc.
$35
Rigel Pharmaceuticals, Inc.
$30
Eisai Inc.
$24
Incyte Corporation
$20
Daiichi Sankyo Inc.
$19
Lilly USA, LLC
$18
Amgen Inc.
$17
ARRAY BIOPHARMA INC
$17
Celgene Corporation
$16
EISAI INC.
$15
ABBVIE INC.
$14
JAZZ PHARMACEUTICALS INC.
$14
EMD Serono, Inc.
$13
Top 3 companies account for 35.1% of all-time payments
Associated products mentioned in payments ›
ADAKVEO · AYVAKIT · BLENREP · BRACANALYSIS · BRACANALYSIS CDX · BRAFTOVI · Bavencio · CALQUENCE · Doptelet · ERLEADA · Enhertu · IMFINZI · KEYTRUDA · LUMAKRAS · Lenvima · MEKINIST · Orserdu · PEMAZYRE · REBLOZYL · RETEVMO · Rezlidhia · Stivarga · Trodelvy · VENCLEXTA · XPOVIO · ZEPZELCA
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
Family nurse practitioners in nearby ZIP areas
1,551
County median income
$70,571
Nearest hospital to ZIP centroid (approximate)
SAN ANTONIO BEHAVIORAL HEALTHCARE HOSPITAL
0.0 mi
0.0 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
Gug is a clinical cardiology specialist, with above-average Medicare volume (top 6% in TX).
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Gug experienced with complete blood count (cbc) with differential?
Based on Medicare claims data, Gug performed 262 complete blood count (cbc) with differential services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Gug receive payments from pharmaceutical companies?
Yes. Gug received a total of $1,554 from 25 companies across 49 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 Gug's costs compare to other family nurse practitioners in San Antonio?
Gug's average Medicare payment per service is $25. 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 Gug) 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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