Medicare Enrolled
Dr. Gilbert Sunio, M.D.
Internal Medicine · Visalia, CA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Sunio 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. Sunio
Dr. Gilbert Sunio is an internal medicine specialist in Visalia, CA, with 21 years of NPI registration. Based on federal Medicare data, Dr. Sunio performed 146,599 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Sunio received a total of $3,850 from 35 pharmaceutical and/or device companies across 164 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. Sunio 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.
✓ 21 years of NPI registration
▲ Top 0% volume in CA
$3,850 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗146,599
Medicare services
Top 0% in CA for internal medicine
Not available
Unique patients (not deduplicated)
$2
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 |
|---|---|---|---|
| Testosterone injection An injection of testosterone cypionate, a form of testosterone hormone. The dose is measured in milligrams. |
139,501 | $0 | $0 |
| 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. |
1,221 | $10 | $34 |
| Denosumab injection (Prolia/Xgeva) | 1,200 | $18 | $30 |
| 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. |
1,124 | $90 | $141 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
596 | $1 | $2 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
588 | $1 | $4 |
| 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. |
536 | $0 | $1 |
| Obesity behavioral counseling, 15 minutes A 15-minute face-to-face session focused on behavioral counseling to help manage obesity. |
291 | $26 | $34 |
| Annual intensive behavioral therapy for cardiovascular disease, 15 minutes A yearly, in-person session focused on intensive behavioral therapy to help manage cardiovascular disease. The session lasts for 15 minutes and is conducted with the patient individually. |
198 | $27 | $34 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
191 | $135 | $153 |
| Annual depression screening | 188 | $20 | $24 |
| 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. |
153 | $62 | $96 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
126 | $75 | $90 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
126 | $32 | $33 |
| Blood glucose level test A test that measures the amount of sugar in your blood. |
84 | $4 | $30 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
75 | $9 | $30 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
72 | $0 | $1 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
54 | $12 | $30 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
53 | $35 | $45 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
50 | $31 | $60 |
| 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. |
48 | $135 | $189 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
32 | $221 | $275 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
22 | $32 | $33 |
| 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. |
21 | $118 | $214 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
13 | $34 | $64 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
13 | $15 | $60 |
| 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. |
12 | $2 | $50 |
| 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. |
11 | $10 | $50 |
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 ↗$3,850
Total received (2018-2024)
Avg $550/year across 7 years
Top 18% in CA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
35
Companies
164
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
$273
2023
$1,176
2022
$320
2021
$686
2020
$407
2019
$379
2018
$610
Payments by company (2024)
IRONWOOD PHARMACEUTICALS, INC
$58
Lilly USA, LLC
$44
AstraZeneca Pharmaceuticals LP
$34
Dexcom, Inc.
$25
Novo Nordisk Inc
$22
Amgen Inc.
$21
Exact Sciences Corporation
$20
Boehringer Ingelheim Pharmaceuticals, Inc.
$17
Verity Pharmaceuticals Inc.
$17
Phathom Pharmaceuticals, Inc.
$15
Top 3 companies account for 50.1% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$1,024
Amgen Inc.
$463
Boehringer Ingelheim Pharmaceuticals, Inc.
$435
AbbVie Inc.
$207
AstraZeneca Pharmaceuticals LP
$178
Lilly USA, LLC
$177
Merck Sharp & Dohme Corporation
$130
PFIZER INC.
$121
IRONWOOD PHARMACEUTICALS, INC
$114
Horizon Therapeutics plc
$97
ABBVIE INC.
$89
Astellas Pharma US Inc
$88
Allergan Inc.
$85
Ironwood Pharmaceuticals, Inc
$81
SANOFI-AVENTIS U.S. LLC
$62
Philips Electronics North America Corporation
$55
Allergan, Inc.
$50
E.R. Squibb & Sons, L.L.C.
$42
Exact Sciences Corporation
$37
IDORSIA PHARMACEUTICALS US INC
$37
Eisai Inc.
$31
Esperion Therapeutics, Inc.
$28
Biohaven Pharmaceuticals, Inc.
$26
Dexcom, Inc.
$25
FORTE BIO-PHARMA LLC
$18
Daiichi Sankyo Inc.
$17
Verity Pharmaceuticals Inc.
$17
GlaxoSmithKline, LLC.
$17
Nalpropion Pharmaceuticals LLC
$16
Kowa Pharmaceuticals America, Inc.
$15
Phathom Pharmaceuticals, Inc.
$15
ARBOR PHARMACEUTICALS, INC.
$15
Janssen Pharmaceuticals, Inc
$14
Amarin Pharma Inc.
$13
MannKind Corporation
$13
Top 3 companies account for 49.9% of all-time payments
Associated products mentioned in payments ›
AFREZZA · AIRSUPRA · Aimovig · BELSOMRA · BEXSERO · BOTOX · BYSTOLIC · CHANTIX · CONTRAVE · Cologuard Collection Kit · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · EVENITY · FARXIGA · Horizant · INJECTAFER · JANUVIA · JARDIANCE · KRYSTEXXA · LINZESS · LYRICA · Linzess · Livalo · MOUNJARO · MYRBETRIQ · NEXLETOL · NURTEC ODT · Otezla · Ozempic · PENNSAID · PREVNAR 20 · PROLATE · Prolia · QULIPTA · QUVIVIQ · Repatha · Rybelsus · S&RC Und · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SYMBICORT · SYNTHROID · Saxenda · TOUJEO · TRADJENTA · TRULICITY · Tlando · Tresiba · UBRELVY · VIIBRYD · VOQUEZNA · VRAYLAR · Vascepa · Wellcentive Undiv · XARELTO
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
Internal medicine physicians in nearby ZIP areas
116
County median income
$69,489
Nearest hospital to ZIP centroid (approximate)
KAWEAH HEALTH MEDICAL CENTER
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. Sunio is a mixed practice specialist, with above-average Medicare volume (top 0% in CA), with 21 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. Sunio experienced with testosterone injection?
Based on Medicare claims data, Dr. Sunio performed 139,501 testosterone injection 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. Sunio receive payments from pharmaceutical companies?
Yes. Dr. Sunio received a total of $3,850 from 35 companies across 164 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. Sunio's costs compare to other internal medicine physicians in Visalia?
Dr. Sunio's average Medicare payment per service is $2. 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. Sunio) 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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