Medicare Enrolled
Dr. Andrew Gulbis, MD
Dermatology · Tomball, 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. Gulbis 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. Gulbis
Dr. Andrew Gulbis is a dermatology specialist in Tomball, TX, with 17 years of NPI registration. Based on federal Medicare data, Dr. Gulbis performed 1,828 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Gulbis received a total of $10,304 from 61 pharmaceutical and/or device companies across 639 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. Gulbis 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.
✓ 17 years of NPI registration
▲ Top 16% volume in TX
$10,304 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗1,828
Medicare services
Top 16% in TX for dermatology
Not available
Unique patients (not deduplicated)
$58
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 |
|---|---|---|---|
| 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. |
907 | $84 | $253 |
| 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. |
302 | $56 | $179 |
| 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. |
106 | $9 | $28 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
104 | $0 | $25 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
73 | $0 | $25 |
| 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. |
65 | $53 | $219 |
| Drug test with direct observation A drug screening test performed under direct observation to ensure the sample is provided correctly. This method is used to verify the integrity of the specimen collection process. |
42 | $12 | $47 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus. |
32 | $13 | $50 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
32 | $33 | $50 |
| Ceftriaxone antibiotic injection This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered. |
31 | $0 | $26 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
30 | $124 | $258 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
29 | $2 | $29 |
| 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. |
26 | $66 | $327 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
19 | $30 | $80 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
17 | $9 | $36 |
| Telephone medical discussion, 21-30 minutes A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone. |
13 | $64 | $254 |
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 ↗$10,304
Total received (2018-2024)
Avg $1,472/year across 7 years
Top 3% in TX for dermatology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
61
Companies
639
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
$1,220
2023
$837
2022
$1,073
2021
$1,527
2020
$2,057
2019
$1,877
2018
$1,712
Payments by company (2024)
AstraZeneca Pharmaceuticals LP
$281
GlaxoSmithKline, LLC.
$194
ABBVIE INC.
$98
Lilly USA, LLC
$90
Novo Nordisk Inc
$89
Mylan Specialty L.P.
$64
Dexcom, Inc.
$52
Antares Pharma, Inc.
$49
PFIZER INC.
$46
Amgen Inc.
$44
Xeris Pharmaceuticals, Inc.
$38
HARMONY BIOSCIENCES LLC
$37
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$29
Exact Sciences Corporation
$27
Esperion Therapeutics, Inc.
$23
Astellas Pharma US Inc
$21
Otsuka America Pharmaceutical, Inc.
$19
Otsuka Pharmaceutical Development & Commercialization, Inc.
$17
Top 3 companies account for 47.0% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$1,291
GlaxoSmithKline, LLC.
$863
PFIZER INC.
$593
Lilly USA, LLC
$577
Indivior Inc.
$484
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$471
Boehringer Ingelheim Pharmaceuticals, Inc.
$456
Novo Nordisk Inc
$447
Takeda Pharmaceuticals U.S.A., Inc.
$347
AbbVie Inc.
$328
Amgen Inc.
$316
ABBVIE INC.
$249
Merck Sharp & Dohme Corporation
$245
SANOFI-AVENTIS U.S. LLC
$244
Allergan, Inc.
$236
Amarin Pharma Inc.
$228
Teva Pharmaceuticals USA, Inc.
$225
Merz North America, Inc.
$215
Allergan Inc.
$174
Orexo US, Inc.
$164
Bayer HealthCare Pharmaceuticals Inc.
$141
Otsuka America Pharmaceutical, Inc.
$140
Janssen Pharmaceuticals, Inc
$126
Alkermes, Inc.
$125
Mylan Specialty L.P.
$118
Eisai Inc.
$106
Sunovion Pharmaceuticals Inc.
$104
Dexcom, Inc.
$95
Antares Pharma, Inc.
$86
Biohaven Pharmaceuticals, Inc.
$67
Novartis Pharmaceuticals Corporation
$66
Philips Electronics North America Corporation
$66
Arbor Pharmaceuticals, Inc.
$58
Shire North American Group Inc
$54
Synergy Pharmaceuticals Inc
$53
BioDelivery Sciences International, Inc.
$50
ARBOR PHARMACEUTICALS, INC.
$50
ITI, Inc.
$48
Exact Sciences Corporation
$46
Corium, LLC
$40
Esperion Therapeutics, Inc.
$38
Xeris Pharmaceuticals, Inc.
$38
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$38
HARMONY BIOSCIENCES LLC
$37
BOSTON SCIENTIFIC CORPORATION
$36
Abbott Laboratories
$36
Galderma Laboratories, L.P.
$28
Acerus Pharmaceuticals Corporation
$28
Clarus Therapeutics Inc.
$26
Astellas Pharma US Inc
$21
Ironshore Pharmaceuticals Inc.
$20
Adlon Therapeutics L.P.
$20
JAZZ PHARMACEUTICALS INC.
$19
Bayer Healthcare Pharmaceuticals Inc.
$18
Ultragenyx Pharmaceutical Inc.
$17
Otsuka Pharmaceutical Development & Commercialization, Inc.
$17
Genentech USA, Inc.
$17
IBSA Pharma Inc.
$16
Upsher-Smith Laboratories LLC
$16
Itamar Medical Inc
$16
Kaleo, Inc.
$12
Top 3 companies account for 26.7% of all-time payments
Associated products mentioned in payments ›
(8874) inCourage · ADHANSIA XR · AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · AREXVY · AUSTEDO · AZSTARYS · Aimovig · Amitiza · BASAGLAR · BELBUCA · BEVESPI AEROSPHERE · BOTOX COSMETIC · BREZTRI · BREZTRI AEROSPHERE · BROVANA · BUNAVAIL 2.1 mg 30-count box · BYDUREON · BYSTOLIC · Belviq · CAPLYTA · CHANTIX · COLOGUARD · Cologuard Collection Kit · Cryvista · DALVANCE · Dayvigo · Dexcom CGM · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EVENITY · Evzio · FARXIGA · FREESTYLE LIBRE · GENERAL TACHY · Horizant · INVOKANA · JANUVIA · JARDIANCE · JATENZO · Jornay PM 20mg capsules (Bottle of 100) · KEVEYIS · Kerendia · LEVOPHED · LINZESS · LONHALA MAGNAIR · LYRICA · MOUNJARO · MYDAYIS · NATPARA (PARATHYROID HORMONE) · NEXLETOL · NURTEC ODT · Natesto · NovoLog · OFEV · Otezla · Otovel · Otrexup · Ozempic · PROCLAIM · QULIPTA · RELISTOR · REXULTI · Repatha · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · STIOLTO RESPIMAT · SUBLOCADE · SUBOXONE SUBLINGUAL FILM · SUNOSI · SYMBICORT · TLANDO · TOSYMRA SUMATRIPTAN NASAL SPRAY · TOUJEO · TOVIAZ · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Tirosint · Tresiba · Trintellix · Trulance · UBRELVY · VIBERZI · VIVITROL · VRAYLAR · VYVANSE · Vascepa · Veozah · Victoza · WAKIX · WatchPATONE · Wellcentive Undiv · XARELTO · XIFAXAN · XYOSTED · Xeomin · Xofluza · YUPELRI · Yupelri · Zubsolv
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
Dermatologists in nearby ZIP areas
73
County median income
$73,104
Nearest hospital to ZIP centroid (approximate)
HCA HOUSTON HEALTHCARE TOMBALL
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
Dr. Gulbis is a clinical cardiology specialist, with above-average Medicare volume (top 16% in TX), with 17 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. Gulbis experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Gulbis performed 907 office visit, established patient (30-39 min) 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. Gulbis receive payments from pharmaceutical companies?
Yes. Dr. Gulbis received a total of $10,304 from 61 companies across 639 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. Gulbis's costs compare to other dermatologists in Tomball?
Dr. Gulbis's average Medicare payment per service is $58. 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. Gulbis) 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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