Medicare Enrolled
Dr. Larina Gutenberg, DO
Anesthesiology · 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 Dr. Gutenberg 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. Gutenberg
Dr. Larina Gutenberg is an anesthesiology specialist in San Antonio, TX, with 18 years of NPI registration. Based on federal Medicare data, Dr. Gutenberg performed 7,062 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Gutenberg received a total of $5,186 from 31 pharmaceutical and/or device companies across 123 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. Gutenberg 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.
✓ 18 years of NPI registration
▲ Top 1% volume in TX
$5,186 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗7,062
Medicare services
Top 1% in TX for anesthesiology
Not available
Unique patients (not deduplicated)
$61
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 |
|---|---|---|---|
| Midazolam injection, per 1 mg Administration of midazolam hydrochloride, a sedative medication, measured in 1 mg increments. |
1,403 | $0 | $1 |
| Contrast dye for imaging, lower concentration | 677 | $0 | $10 |
| 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. |
656 | $88 | $319 |
| 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. |
582 | $63 | $218 |
| Betamethasone steroid injection An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate. |
542 | $5 | $21 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
413 | $194 | $600 |
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
411 | $60 | $187 |
| Injection, methylprednisolone acetate, 40 mg | 332 | $6 | $19 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
309 | $267 | $774 |
| Additional sedation, per 15 minutes Administration of a drug to deepen sedation during a procedure. This code covers each additional 15-minute increment of sedation beyond the initial period. |
243 | $8 | $32 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
216 | $0 | $2 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
210 | $0 | $1 |
| 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. |
169 | $36 | $155 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
150 | $262 | $1,014 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
149 | $123 | $446 |
| Assessment of emotional or behavioral problems An evaluation to identify and understand emotional or behavioral issues. This process involves reviewing symptoms and behaviors to determine the nature of the concerns. |
140 | $3 | $15 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
109 | $10 | $49 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
105 | $485 | $1,834 |
| 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. |
51 | $117 | $483 |
| Spinal drug pump reprogramming and refill A physician electronically adjusts the settings of a spinal drug infusion pump and refills its medication reservoir. |
25 | $71 | $293 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
24 | $183 | $762 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
22 | $45 | $257 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
22 | $45 | $169 |
| 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. |
22 | $81 | $317 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
21 | $89 | $315 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
20 | $172 | $766 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
20 | $93 | $394 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
19 | $151 | $616 |
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 ↗$5,186
Total received (2018-2024)
Avg $741/year across 7 years
Top 7% in TX for anesthesiology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
31
Companies
123
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
$855
2023
$436
2022
$464
2021
$612
2020
$235
2019
$2,385
2018
$198
Payments by company (2024)
Abbott Laboratories
$298
Saluda Medical Americas, Inc.
$212
ABBVIE INC.
$145
SI-BONE, INC.
$77
Spinal Simplicity, LLC
$39
Boston Scientific Corporation
$24
BIOTRONIK NRO, Inc.
$24
SCILEX PHARMACEUTICALS INC.
$19
IBSA Pharma Inc.
$17
Top 3 companies account for 76.7% of 2024 payments
All-time payments by company (2018-2024) ›
GRT US Holding, Inc.
$2,142
Abbott Laboratories
$684
SI-BONE, INC.
$286
ABBVIE INC.
$280
Boston Scientific Corporation
$213
Saluda Medical Americas, Inc.
$212
SI-BONE, Inc.
$195
Nevro Corp.
$185
Medtronic, Inc.
$165
Medtronic USA, Inc.
$132
Novo Nordisk Inc
$118
PFIZER INC.
$97
Almatica Pharma LLC
$60
Allergan Inc.
$40
Spinal Simplicity, LLC
$39
Hikma Pharmaceuticals USA
$35
MML US, Inc.
$32
Alexion Pharmaceuticals, Inc.
$30
Collegium Pharmaceutical, Inc.
$26
PAINTEQ LLC
$25
BIOTRONIK NRO, Inc.
$24
Relievant Medsystems, Inc.
$22
ASSERTIO THERAPEUTICS, Inc.
$19
SCILEX PHARMACEUTICALS INC.
$19
GE Healthcare
$19
IBSA Pharma Inc.
$17
Allergan, Inc.
$15
Scilex Pharmaceuticals Inc.
$14
AstraZeneca Pharmaceuticals LP
$13
Zyla Life Sciences
$13
Vertical Pharmaceuticals, LLC
$13
Top 3 companies account for 60.0% of all-time payments
Associated products mentioned in payments ›
AXIUM · Accurian · Axium INS DRG IPG · BOTOX · BOTOX THERAPEUTIC · ETERNA · Evoke · FLECTOR · GRALISE · General - Pain Management · Gralise · HA MINUTEMAN G3-R · IFUSE IMPLANT · INTELLIS · INTELLIS ADAPTIVESTIM · IONICRF · Intracept · Kloxxado · LORZONE · LYBREL · LYRICA · MOVANTIK · Omnia · Ozempic · PAINTEQ · PROCLAIM · Proclaim Family of SCS IPGs · Proclaim IPG · Prospera · Qutenza · ReActiv8 · SOLIRIS · SPECTRA WAVEWRITER · SPRIX · Senza · Superion Indirect Decompression System · Tirosint · UBRELVY · VANTA ADAPTIVESTIM · XTAMPZA · XTAMPZAER · ZTLido · iFuse Implant
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
Anesthesiologists in nearby ZIP areas
463
County median income
$70,571
Nearest hospital to ZIP centroid (approximate)
WESTOVER HILLS BAPTIST HOSPITAL
6.7 mi
6.7 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. Gutenberg is a clinical cardiology specialist, with above-average Medicare volume (top 1% in TX), with 18 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. Gutenberg experienced with midazolam injection, per 1 mg?
Based on Medicare claims data, Dr. Gutenberg performed 1,403 midazolam injection, per 1 mg 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. Gutenberg receive payments from pharmaceutical companies?
Yes. Dr. Gutenberg received a total of $5,186 from 31 companies across 123 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. Gutenberg's costs compare to other anesthesiologists in San Antonio?
Dr. Gutenberg's average Medicare payment per service is $61. 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. Gutenberg) 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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