Medicare Enrolled
Dr. M. Purino, M.D.
Neurology · Arcadia, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Purino 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. Purino
Dr. M. Purino is a neurology specialist in Arcadia, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Purino performed 1,786 Medicare services across 741 unique beneficiaries.
Between the years covered by Open Payments, Dr. Purino received a total of $16,535 from 81 pharmaceutical and/or device companies across 648 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurology. 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. Purino 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.
✓ 19 years in practice
▲ Top 22% volume in CA
$16,535 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,786
Medicare services
Top 22% in CA for neurology
741
Unique beneficiaries
$99
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~94 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.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| 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. |
794 | $137 | $377 |
| 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. |
239 | $11 | $50 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
236 | $1 | $5 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
154 | $99 | $142 |
| Electromyography of arm or leg muscles A test that measures the electrical activity in the muscles of the arm or leg using a needle electrode. It helps evaluate the health of muscles and the nerve cells that control them. |
126 | $78 | $225 |
| New patient office visit, complex (60-74 min) | 70 | $173 | $458 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
43 | $128 | $277 |
| Needle electromyography of trunk or head muscles A test that uses a needle electrode to measure the electrical activity of muscles in the trunk or head. This helps evaluate muscle and nerve function. |
42 | $70 | $195 |
| Nerve conduction study, 9-10 studies A diagnostic test that measures how well nerves send electrical signals. It involves performing 9 to 10 separate nerve conduction studies to evaluate nerve function. |
27 | $184 | $489 |
| EEG, extended monitoring A test that records electrical activity in the brain while the patient is both awake and asleep. |
24 | $405 | $1,050 |
| Nerve conduction studies, 7-8 tests A series of 7 to 8 nerve conduction tests to evaluate how well nerves are sending signals to muscles. |
18 | $156 | $408 |
| Nerve conduction study, 3-4 tests A diagnostic test that measures how well nerves send electrical signals. It involves performing 3 to 4 separate nerve conduction studies to evaluate nerve function. |
13 | $98 | $260 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$16,535
Total received (2018-2024)
Avg $2,362/year across 7 years
Top 17% in CA for neurology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
81
Companies
648
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
$15,103 (91.3%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$1,407 (8.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$25 (0.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$3,099
2023
$2,281
2022
$1,896
2021
$1,815
2020
$3,169
2019
$1,883
2018
$2,392
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
UCB, Inc.
$514
Novartis Pharmaceuticals Corporation
$303
Teva Pharmaceuticals USA, Inc.
$302
PFIZER INC.
$214
Lundbeck LLC
$208
ABBVIE INC.
$186
ARGENX US, INC.
$153
Alexion Pharmaceuticals, Inc.
$152
InSightec,Inc
$141
Ferring Pharmaceuticals Inc.
$126
Ipsen Biopharmaceuticals, Inc
$111
SK Life Science, Inc.
$109
EMD Serono, Inc.
$85
Neurelis, Inc.
$70
MDD US Operations, LLC
$64
Celgene Corporation
$47
Amneal Pharmaceuticals LLC
$45
Eisai Inc.
$42
Genentech USA, Inc.
$35
Octapharma USA, Inc.
$30
CATALYST PHARMACEUTICALS, INC.
$27
Grifols USA, LLC
$26
SCILEX PHARMACEUTICALS INC.
$25
MITSUBISHI TANABE PHARMA AMERICA, INC.
$25
Merz Pharmaceuticals, LLC
$23
Takeda Pharmaceuticals U.S.A., Inc.
$18
Azurity Pharmaceuticals, Inc.
$15
Top 3 companies account for 36.1% of 2024 payments
All-time payments by company (2018-2024) ›
Akcea Therapeutics, Inc.
$1,529
UCB, Inc.
$1,283
Amgen Inc.
$997
Teva Pharmaceuticals USA, Inc.
$935
Novartis Pharmaceuticals Corporation
$722
Lundbeck LLC
$708
ABBVIE INC.
$663
Biogen, Inc.
$654
GENZYME CORPORATION
$539
Alexion Pharmaceuticals, Inc.
$501
Grifols USA, LLC
$464
SK Life Science, Inc.
$427
Genentech USA, Inc.
$382
EMD Serono, Inc.
$348
Allergan Inc.
$332
PFIZER INC.
$318
Lilly USA, LLC
$307
Sunovion Pharmaceuticals Inc.
$292
US WorldMeds, LLC
$260
ARGENX US, INC.
$254
Celgene Corporation
$210
Allergan, Inc.
$210
Eisai Inc.
$194
Amneal Pharmaceuticals LLC
$172
Kyowa Kirin, Inc.
$172
Avanir Pharmaceuticals, Inc.
$166
AstraZeneca Pharmaceuticals LP
$164
Neurelis, Inc.
$158
ACADIA Pharmaceuticals Inc
$150
CSL Behring
$150
Ipsen Biopharmaceuticals, Inc
$142
InSightec,Inc
$141
Acorda Therapeutics, Inc
$135
MDD US Operations, LLC
$128
Ferring Pharmaceuticals Inc.
$126
Takeda Pharmaceuticals U.S.A., Inc.
$120
AbbVie Inc.
$120
BTG International, Inc.
$114
Upsher-Smith Laboratories LLC
$111
MITSUBISHI TANABE PHARMA AMERICA, INC.
$107
Melinta Therapeutics, Inc.
$105
Biohaven Pharmaceutical Holding Company Ltd.
$97
Mallinckrodt Hospital Products Inc.
$90
Hoffmann-La Roche Limited
$85
Alnylam Pharmaceuticals Inc.
$70
Neurocrine Biosciences, Inc.
$65
UPSHER-SMITH LABORATORIES LLC
$65
Biohaven Pharmaceuticals, Inc.
$63
CATALYST PHARMACEUTICALS, INC.
$55
E.R. Squibb & Sons, L.L.C.
$52
TG THERAPEUTICS, INC.
$47
Abbott Laboratories
$46
Corium, LLC
$45
Genentech, Inc.
$45
Adamas Pharmaceuticals, Inc.
$45
Xeris Pharmaceuticals, Inc.
$44
Mallinckrodt LLC
$41
Impax Laboratories, Inc.
$39
Medtronic, Inc.
$39
LivaNova USA, Inc.
$36
Strongbridge US INC.
$31
Octapharma USA, Inc.
$30
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$30
JAZZ PHARMACEUTICALS INC.
$29
Otsuka America Pharmaceutical, Inc.
$28
Mallinckrodt Enterprises LLC
$26
SCILEX PHARMACEUTICALS INC.
$25
EISAI INC.
$25
Merz Pharmaceuticals, LLC
$23
Harmony Biosciences LLC
$21
Cala Health, Inc.
$21
Terumo BCT, Inc.
$21
Horizon Therapeutics plc
$20
Neuronetics, Inc.
$20
Vertical Pharmaceuticals, LLC
$20
Arbor Pharmaceuticals, Inc.
$18
Boston Scientific Corporation
$17
Azurity Pharmaceuticals, Inc.
$15
Mitsubishi Tanabe Pharma America, Inc.
$13
IMPEL PHARMACEUTICALS INC.
$12
Zyla Life Sciences, Inc.
$12
Top 3 companies account for 23.0% of all-time payments
Associated products mentioned in payments ›
ACTHAR · ADLARITY · ADUHELM · AGAMREE · AIMOVIG · AJOVY · AMYVID · APOKYN · APTIOM · AUBAGIO · AUSTEDO · AVYCAZ · Adlarity · Aimovig · Austedo XR · BOTOX · BOTOX THERAPEUTIC · BRILINTA · BRIUMVI · Briviact · CALA TRIO · COMIRNATY · COPAXONE · CREXONT · Cenobamate · DUOPA · Dysport · EMGALITY · EPIDIOLEX · Enspryng · Exablate · FIRDAPSE · Fycompa · GAMMAGARD · GILENYA · GOCOVRI · GVOKE PFS · Gamunex-C · General - DBS · Gocovri · HORIZANT · Hizentra · Horizant · INBRIJA · INFINITY · INGREZZA · Infinity DBS Pulse Generators · KESIMPTA · KEVEYIS · LEMTRADA · Leqembi · LifeVest · MAVENCLAD · MAYZENT · MYOBLOC · Mavenclad · NEUROSTAR TMS THERAPY · NORTHERA · NOURIANZ · NUEDEXTA · NUPLAZID · NURTEC ODT · Nayzilam · Neupro · Nourianz · OCREVUS · OCTAGAM IMMUNE GLOBULIN (HUMAN) · ONGENTYS · ONPATTRO · OSMOLEX ER · Ocrevus · Ongentys · Orbactiv · PANZYGA · POMPE - DISEASE · QULIPTA · RADICAVA · REBYOTA · REXULTI · REYVOW · RYTARY · Radicava · Rebif · Reveal LINQ · Rystiggo · SOLIRIS · SPINRAZA · SPRIX · Skyclarys · Soliris · Spectra Optia · TEFLARO · TEGSEDI · TOSYMRA · TOSYMRA SUMATRIPTAN NASAL SPRAY · TRINTELLIX · TYSABRI · Trudhesa · UBRELVY · ULTOMIRIS · UPLIZNA · VALTOCO · VNS Therapy · VNS Therapy SenTiva Model 1000 Generator · VORAXAZE · VUMERITY · VYEPTI · VYVANSE · VYVGART · VYVGART HYTRULO · Vimpat · Wakix · XADAGO · Xadago · Xeomin · ZEMBRACE SYMTOUCH · ZEPOSIA · ZTLido · Zilbrysq
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 (91%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Neurologists within 10 mi
496
Per 100K population
5.0
County median income
$87,760
Nearest hospital
USC ARCADIA HOSPITAL
0.0 mi
0.0 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 2024 |
| 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 reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Purino is a clinical cardiology specialist, with above-average Medicare volume (top 22% in CA), with low-engagement industry engagement in the top 17% of CA peers, with 19 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. Purino experienced with office visit, established patient, complex (40-54 min)?
Based on Medicare claims data, Dr. Purino performed 794 office visit, established patient, complex (40-54 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. Purino receive payments from pharmaceutical companies?
Yes. Dr. Purino received a total of $16,535 from 81 companies across 648 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. Purino's costs compare to other neurologists in Arcadia?
Dr. Purino's average Medicare payment per service is $99. 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. Purino) 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 →
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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. 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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