Medicare Enrolled

Dr. Bernardo De La Guardia, M.D.

Cardiovascular Disease · The Woodlands, TX
Practice pattern: Electrophysiology & Remote— Practice combining electrophysiology and remote services
Low-engagement
17350 ST LUKES WAY, The Woodlands, TX 77384
2814443278
In practice since 2005 (20 years)
NPI: 1225039498 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. De La Guardia 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. De La Guardia

Dr. Bernardo De La Guardia is a cardiovascular disease in The Woodlands, TX, with 20 years in practice. Based on federal Medicare data, Dr. De La Guardia performed 4,519 Medicare services across 2,854 unique beneficiaries.

Between the years covered by Open Payments, Dr. De La Guardia received a total of $15,609 from 18 pharmaceutical and/or device companies across 165 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. 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. De La Guardia 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 20% volume in TX$ $15,609 industry payments

Medicare Practice Summary

Medicare Utilization ↗
4,519
Medicare services
Top 20% in TX for cardiovascular disease
2,854
Unique beneficiaries
$85
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~226 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.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (30-39 min)823$89$210
Electrocardiogram (EKG), 12-lead695$10$90
Regadenoson injection (Lexiscan) for heart stress test357$45$125
EKG interpretation and report352$6$50
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec258$27$145
Remote pacemaker/defibrillator monitoring, 90 days237$16$125
Echocardiogram, transthoracic235$143$1,300
Remote pacemaker monitoring, 90 days189$22$125
Evaluation of cardiac rhythm monitor system, remote up to 30 days136$19$125
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes128$9$420
Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days123$19$145
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician120$53$395
Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries98$619$790
Nuclear medicine studies of blood flow in heart muscle at rest and with stress97$1,073$3,750
Programming of dual lead pacemaker system84$55$225
Ultrasound of both sides of head and neck blood flow82$130$650
Ultrasonic guidance for blood vessel access76$11$45
Hospital follow-up visit, moderate complexity71$62$175
New patient office visit (45-59 min)54$105$310
Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days52$26$205
Cardiac catheterization51$204$2,600
Initial hospital admission, moderate complexity41$97$270
Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional31$17$83
Insertion of pacemaker and upper and lower heart chamber electrode22$387$2,750
Programming of multiple lead implantable defibrillator system20$82$290
Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist17$254$2,850
Telephone medical discussion with physician, 21-30 minutes17$58$210
Heart rhythm recording continous external ekg over more than 48 hours up to 7 days14$9$39
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days14$17$64
Removal of heart rhythm monitor from under the skin13$43$220
Insertion of heart rhythm monitor under skin12$56$2,878
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.
19.7% high complexity
14.5% medium
65.8% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$15,609
Total received (2018-2024)
Avg $2,230/year across 7 years
Top 23% in TX for cardiovascular disease
18
Companies
165
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
$15,609 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$585
2023
$801
2022
$2,002
2021
$680
2020
$304
2019
$3,533
2018
$7,705

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
BOSTON SCIENTIFIC CORPORATION
$2,934
Penumbra, Inc.
$2,628
Medtronic Vascular, Inc.
$2,087
Merit Medical Systems Inc
$2,015
BIOTRONIK INC.
$1,402
Impulse Dynamics (USA) Inc.
$997
Abbott Laboratories
$986
Medtronic, Inc.
$890
Inari Medical, Inc.
$777
Boston Scientific Corporation
$271
Amgen Inc.
$269
ABIOMED
$123
Novartis Pharmaceuticals Corporation
$100
Itamar Medical Inc
$38
Edwards Lifesciences Corporation
$34
Teleflex LLC
$27
Biosense Webster, Inc.
$18
Merck Sharp & Dohme Corporation
$14
Top 3 companies account for 49.0% of total payments
Associated products mentioned in payments ›
ASSURITY · AZURE XT DR MRI SURESCAN · Assurity Pacemaker · Azure · BRIDION · CARDIOMEMS · COMET · CONFIRM RX · COREVALVE EVOLUT R · CT THROMBECTOMY SYSTEM KIT · CareLink · Catheter - GuideLiner · Confirm Rx · Connectivity and Remote care · Corlanor · ENTRESTO · Ellipse ICD · Ensite Cardiac Mapping System · FLOWTRIEVER CATHETER · FlexAbility Ablation Catheter · Fortify Assura · Fox Sv PTA catheter and Armada 14 percutaneous catheter and Viatrac 14 Plus peripheral catheter · GENERAL VASCULAR INTERVENTION · GENERAL - VASCULAR INTERVENTION · GENERAL BRADY · GENERAL THERAPIES · Impella · Indigo · Indigo System · JOT DX · LEQVIO · LINQ II · MERLIN@HOME · Merlin Connectivity and Remote · OCTARAY MAPPING CATHETER · ONYX FRONTIER · OPTIMIZER · Optimizer · Optimizer Smart System · Pacemakers · Prelude Ideal Hydrophilic Sheath Introducer · RESOLUTE ONYX · ROTAPRO · Repatha · Resolute · Reveal LINQ · S · SYMPLICITY G3 · SYNERGY · Solia · WatchPAT
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 $345 per 100 Medicare services performed
Looking for a cardiovascular disease in The Woodlands?
Compare cardiovascular diseases in the The Woodlands area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Cardiovascular Diseases within 10 mi
131
Per 100K population
20.0
County median income
$97,266
Nearest hospital
ST LUKE'S THE WOODLANDS HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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. De La Guardia is a electrophysiology & remote specialist, with above-average Medicare volume (top 20% in TX), and low-engagement industry engagement, 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. De La Guardia experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. De La Guardia performed 823 office visit, established patient (30-39 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. De La Guardia receive payments from pharmaceutical companies?
Yes. Dr. De La Guardia received a total of $15,609 from 18 companies across 165 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. De La Guardia's costs compare to other cardiovascular diseases in The Woodlands?
Dr. De La Guardia's average Medicare payment per service is $85. 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. De La Guardia) 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 →