Dr. Max Garoutte, M.D.
What this data tells you about Dr. Garoutte
Dr. Max Garoutte is an internal medicine in San Antonio, TX, with 20 years in practice. Based on federal Medicare data, Dr. Garoutte performed 7,740 Medicare services across 5,675 unique beneficiaries.
Between the years covered by Open Payments, Dr. Garoutte received a total of $29,568 from 8 pharmaceutical and/or device companies across 118 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Garoutte 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.
Medicare Practice Summary
Medicare Utilization ↗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 (30-39 min) | 1,625 | $89 | $276 |
| Regadenoson injection (Lexiscan) for heart stress test | 1,459 | $43 | $151 |
| Electrocardiogram (EKG), 12-lead | 1,182 | $10 | $92 |
| Ultrasound of both sides of head and neck blood flow | 613 | $138 | $680 |
| Echocardiogram, transthoracic | 553 | $142 | $1,122 |
| Technetium tc-99m sestamibi, diagnostic, per study dose | 477 | $50 | $327 |
| Nuclear medicine studies of heart muscle at rest and with stress and spect | 474 | $334 | $1,989 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | 473 | $54 | $296 |
| New patient office visit (45-59 min) | 277 | $120 | $426 |
| Electrocardiogram (ecg) 2-day continuous with review and report by health care professional | 95 | $50 | $488 |
| Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 74 | $16 | $60 |
| Ultrasound of heart blood flow, valves and chambers | 52 | $39 | $283 |
| Ultrasound of heart with color-depicted blood flow, rate and valve function | 52 | $18 | $363 |
| Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report | 49 | $176 | $659 |
| Office visit, established patient (20-29 min) | 39 | $61 | $184 |
| Heart rhythm recording of continous external ekg over 8-15 days | 34 | $9 | $50 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 34 | $10 | $50 |
| Programming of dual lead pacemaker system | 33 | $56 | $237 |
| Ultrasonic guidance for blood vessel access | 30 | $11 | $50 |
| Heart rhythm review and interpretation of continous external ekg over 8-15 days | 23 | $19 | $50 |
| Ultrasound study of arm or leg veins with compression and maneuvers | 20 | $136 | $654 |
| Cardiac catheterization | 18 | $147 | $1,085 |
| Coronary stent placement | 15 | $398 | $1,641 |
| Test to measure expiratory airflow and volume changes before and after medication administration | 14 | $30 | $76 |
| Test to measure expiratory airflow and volume | 13 | $21 | $74 |
| Complete ultrasound study of arm and leg arteries | 12 | $88 | $482 |
Industry Payment Transparency
Open Payments through 2022 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2022)
Associated products mentioned in payments ›
The majority of payments (92%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in internal medicine and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 4% for internal medicine in TX.
Geographic Context
2.2 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 2022 |
| 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. Garoutte is a cardiac & electrophysiology specialist, with above-average Medicare volume (top 4% in TX), and high industry engagement (speaking/promotional, top 4%), 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. Garoutte experienced with office visit, established patient (30-39 min)?
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Explore related providers
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.
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