Medicare Enrolled
Dr. John Fosbinder, D.O.
Emergency Medicine · Bakersfield, 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. Fosbinder 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. Fosbinder
Dr. John Fosbinder is an emergency medicine specialist in Bakersfield, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Fosbinder performed 5,584 Medicare services across 2,742 unique beneficiaries.
Between the years covered by Open Payments, Dr. Fosbinder received a total of $2,207 from 21 pharmaceutical and/or device companies across 104 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in emergency medicine. 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. Fosbinder 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.
✓ 20 years in practice
▲ Top 1% volume in CA
$2,207 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,584
Medicare services
Top 1% in CA for emergency medicine
2,742
Unique beneficiaries
$54
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~279 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 (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. |
1,152 | $58 | $153 |
| 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. |
1,077 | $92 | $226 |
| Remote vital sign monitoring management, each additional 20 minutes This code covers the time spent by a provider managing patient data from remote vital sign monitoring devices. It applies to each additional 20-minute increment beyond the initial monthly service period. |
687 | $30 | $100 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
400 | $40 | $140 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
400 | $38 | $120 |
| 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. |
248 | $10 | $36 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
243 | $136 | $245 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
201 | $0 | $10 |
| Annual depression screening | 199 | $20 | $39 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
183 | $0 | $15 |
| 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. |
122 | $11 | $55 |
| Emergency department visit, high complexity An emergency department visit involving a high level of medical decision making. |
100 | $136 | $1,318 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
84 | $1 | $15 |
| 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. |
68 | $0 | $15 |
| Remote physiologic monitoring setup and education Initial setup of remote monitoring equipment and patient education on its use. |
58 | $12 | $50 |
| Emergency department visit, moderate complexity An emergency department visit for an established or new patient involving a moderate level of medical decision making. |
49 | $94 | $894 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
43 | $173 | $360 |
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
34 | $7 | $86 |
| Critical care, first 30-74 min Emergency medical care for a critically ill or injured patient lasting between 30 and 74 minutes. This service involves direct patient care and medical decision making to stabilize the patient. |
30 | $186 | $1,740 |
| Remote physiological data monitoring, 30 days Collection and interpretation of physical parameters transmitted by the patient or caregiver over a 30-day period, requiring at least 30 minutes of professional time. |
29 | $44 | $80 |
| 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. |
23 | $120 | $303 |
| 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. |
22 | $95 | $344 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
21 | $173 | $341 |
| 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. |
20 | $16 | $92 |
| Ear wax removal by washing This procedure involves the removal of impacted ear wax using a washing technique. |
17 | $15 | $48 |
| Routine 12-lead ECG screening A standard 12-lead electrocardiogram performed as part of an initial preventive physical examination. The service includes both the performance of the test and the physician's interpretation and report. |
17 | $7 | $35 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
16 | $3 | $10 |
| 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. |
15 | $48 | $142 |
| 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. |
14 | $27 | $226 |
| Emergency department visit, low level of medical decision making An emergency department visit for a patient requiring a low level of medical decision making. |
12 | $53 | $513 |
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 ↗$2,207
Total received (2018-2024)
Avg $315/year across 7 years
Top 7% in CA for emergency medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
21
Companies
104
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
$2,207 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$871
2023
$610
2022
$379
2021
$56
2020
$48
2019
$55
2018
$188
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$179
AstraZeneca Pharmaceuticals LP
$177
AIMMUNE THERAPEUTICS, INC.
$152
Boehringer Ingelheim Pharmaceuticals, Inc.
$88
GlaxoSmithKline, LLC.
$81
ABBVIE INC.
$52
Amgen Inc.
$41
Lilly USA, LLC
$34
Novartis Pharmaceuticals Corporation
$26
Baxter Healthcare
$24
Otsuka America Pharmaceutical, Inc.
$18
Top 3 companies account for 58.3% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$439
GlaxoSmithKline, LLC.
$314
Novo Nordisk Inc
$271
Abbott Laboratories
$180
AIMMUNE THERAPEUTICS, INC.
$152
Amgen Inc.
$101
PFIZER INC.
$95
Regeneron Healthcare Solutions, Inc.
$90
ABBVIE INC.
$89
Boehringer Ingelheim Pharmaceuticals, Inc.
$88
Baxter Healthcare
$67
Lilly USA, LLC
$63
Otsuka America Pharmaceutical, Inc.
$55
Mylan Specialty L.P.
$51
Novartis Pharmaceuticals Corporation
$40
Corcept Therapeutics
$24
IDORSIA PHARMACEUTICALS US INC
$23
Biohaven Pharmaceutical Holding Company Ltd.
$21
Nestle HealthCare Nutrition Inc.
$17
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$15
NESTLE HEALTHCARE NUTRITION INC.
$13
Top 3 companies account for 46.4% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AREXVY · Assurity Pacemaker · BREZTRI · CHANTIX · Confirm Rx · Connectivity and Remote care · ELIQUIS · EMGALITY · FARXIGA · Hillrom - Life 2000 Ventilation System · Hillrom - Monarch Airway Clearance System · JARDIANCE · Korlym · LEQVIO · LifeVest · MOUNJARO · Merlin Connectivity and Remote · NURTEC ODT · OFEV · Otezla · Ozempic · PRALUENT ALIROCUMAB INJECTION · QUVIVIQ · REXULTI · Repatha · Rybelsus · SYNTHROID · TRELEGY ELLIPTA · UBRELVY · VOWST · Yupelri · ZENPEP
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. Total industry engagement is in the top 7% for emergency medicine in CA.
Geographic Context
Emergency medicines within 10 mi
101
Per 100K population
11.1
County median income
$67,660
Nearest hospital
BAKERSFIELD BEHAVIORAL HEALTHCARE HOSPITAL, LLC
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. Fosbinder is a clinical cardiology specialist, with above-average Medicare volume (top 1% in CA), with low-engagement industry engagement in the top 7% of CA peers, with 20 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. Fosbinder experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Fosbinder performed 1,152 office visit, established patient (20-29 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. Fosbinder receive payments from pharmaceutical companies?
Yes. Dr. Fosbinder received a total of $2,207 from 21 companies across 104 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. Fosbinder's costs compare to other emergency medicines in Bakersfield?
Dr. Fosbinder's average Medicare payment per service is $54. 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. Fosbinder) 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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