Medicare Enrolled

Dr. Shani Francis, M.D.

Dermatology · Arroyo Grande, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Consulting-driven
200 STATION WAY STE E, Arroyo Grande, CA 93420
8052027336
In practice since 2008 (17 years)
NPI: 1043472970 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. Francis 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 →
Are you Dr. Francis? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Francis

Dr. Shani Francis is a dermatology specialist in Arroyo Grande, CA, with 17 years of NPI registration. Based on federal Medicare data, Dr. Francis performed 1,666 Medicare services across 976 unique beneficiaries.

Between the years covered by Open Payments, Dr. Francis received a total of $17,625 from 25 pharmaceutical and/or device companies across 146 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in dermatology. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Francis 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 in practice ▲ 1,666 Medicare services $17,625 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,666
Medicare services
Bottom 39% in CA for dermatology
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
976
Unique beneficiaries
$47
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~98 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
Destruction of precancerous skin growths, 2-14
This procedure involves the removal or destruction of two to fourteen precancerous skin lesions. It is performed to eliminate abnormal skin cells that have the potential to develop into cancer.
637 $6 $15
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.
393 $66 $165
Destruction of precancerous skin growth, 1
Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer.
178 $45 $130
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.
170 $96 $235
Skin biopsy, tangential
A procedure to remove a sample of the first identified skin growth for laboratory examination.
86 $79 $210
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.
52 $74 $205
Destruction of skin growths (warts/lesions), 1-14
This procedure involves the removal or destruction of one to fourteen skin growths. It is a minor surgical intervention performed on the skin surface.
37 $93 $225
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.
29 $11 $25
Additional skin growth biopsy
Removal of a sample of an additional skin growth for laboratory examination. This code is used for each extra lesion biopsied during the same session.
27 $45 $105
Destruction of 15 or more precancerous skin growths
This procedure involves the removal or destruction of fifteen or more precancerous skin lesions. It is performed to treat abnormal skin cells that have the potential to develop into cancer.
21 $135 $325
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 $103 $300
Intermediate wound repair, 2.6-7.5 cm
A medical procedure to close a wound on the scalp, underarms, trunk, arms, or legs that measures between 2.6 and 7.5 centimeters. This type of repair involves cleaning the wound and stitching it closed to promote healing.
15 $216 $605
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 ↗
$17,625
Total received (2018-2024)
Avg $2,518/year across 7 years
Top 11% in CA for dermatology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
25
Companies
146
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.

Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$13,446 (76.3%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$4,080 (23.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$99 (0.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,679
2023
$596
2022
$986
2021
$224
2020
$81
2019
$2,661
2018
$11,398

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$299
GENZYME CORPORATION
$237
UCB, Inc.
$164
Lilly USA, LLC
$135
E.R. Squibb & Sons, L.L.C.
$132
Dermavant Sciences, Inc.
$123
United Therapeutics Corporation
$119
STRATA Skin Sciences, Inc.
$116
Amgen Inc.
$97
Regeneron Healthcare Solutions, Inc.
$73
Verrica Pharmaceuticals Inc.
$59
Incyte Corporation
$46
LEO Pharma Inc.
$33
Janssen Biotech, Inc.
$23
SUN PHARMACEUTICAL INDUSTRIES INC.
$22
Top 3 companies account for 41.7% of 2024 payments
All-time payments by company (2018-2024) ›
Ortho Dermatologics, a division of Bausch Health US, LLC
$11,450
LEO Pharma Inc.
$2,267
GENZYME CORPORATION
$722
UCB, Inc.
$470
ABBVIE INC.
$434
Lilly USA, LLC
$263
Regeneron Healthcare Solutions, Inc.
$252
PFIZER INC.
$219
Galderma Laboratories, L.P.
$159
Amgen Inc.
$147
United Therapeutics Corporation
$142
E.R. Squibb & Sons, L.L.C.
$132
Novartis Pharmaceuticals Corporation
$125
Dermavant Sciences, Inc.
$123
Incyte Corporation
$122
STRATA Skin Sciences, Inc.
$116
AbbVie, Inc.
$111
SANOFI-AVENTIS U.S. LLC
$99
Sun Pharmaceutical Industries Inc.
$70
Verrica Pharmaceuticals Inc.
$59
Janssen Biotech, Inc.
$42
Almirall LLC
$35
Biofrontera Inc.
$26
SUN PHARMACEUTICAL INDUSTRIES INC.
$22
Arcutis Biotherapeutics, Inc.
$17
Top 3 companies account for 81.9% of all-time payments
Associated products mentioned in payments ›
ADBRY · AKLIEF · ALTRENO · AMELUZ · Bimzelx · CIBINQO · COSENTYX · Cimzia · DUPIXENT · ENSTILAR · EPIDUO FORTE · EUCRISA · Humira · ILUMYA · Klisyri · LIBTAYO · OPZELURA · ORACEA · Otezla · RINVOQ · SILIQ · SKYRIZI · Sotyktu · TALTZ · TREMFYA · VTAMA · Winlevi · XTRAC · YCANTH
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 →

The majority of payments (76%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers.

Looking for a dermatology specialist in Arroyo Grande?
Compare dermatologists in the Arroyo Grande area by procedure volume, costs, and industry payment transparency.
Browse dermatologists nearby

Geographic Context

Dermatologists within 10 mi
15
Per 100K population
5.3
County median income
$93,398
Nearest hospital
FRENCH HOSPITAL MEDICAL CENTER
8.9 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. Francis is a clinical cardiology specialist, with moderate Medicare volume, with consulting-driven industry engagement in the top 11% of CA peers, 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. Francis experienced with destruction of precancerous skin growths, 2-14?
Based on Medicare claims data, Dr. Francis performed 637 destruction of precancerous skin growths, 2-14 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. Francis receive payments from pharmaceutical companies?
Yes. Dr. Francis received a total of $17,625 from 25 companies across 146 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. Francis's costs compare to other dermatologists in Arroyo Grande?
Dr. Francis's average Medicare payment per service is $47. 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. Francis) 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. 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.

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 →