Medicare Enrolled
Dr. Victor Lyapis, M.D.
Family Medicine · Colusa, 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. Lyapis 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. Lyapis
Dr. Victor Lyapis is a family medicine specialist in Colusa, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Lyapis performed 4,512 Medicare services across 2,479 unique beneficiaries.
Between the years covered by Open Payments, Dr. Lyapis received a total of $35,009 from 65 pharmaceutical and/or device companies across 1912 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family 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. Lyapis 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 4% volume in CA
$35,009 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,512
Medicare services
Top 4% in CA for family medicine
2,479
Unique beneficiaries
$76
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~237 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. |
2,670 | $84 | $150 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
307 | $33 | $34 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
306 | $72 | $91 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
249 | $153 | $185 |
| Annual depression screening | 246 | $23 | $85 |
| 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. |
148 | $13 | $85 |
| 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. |
108 | $53 | $95 |
| 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. |
107 | $40 | $98 |
| 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. |
85 | $13 | $48 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
76 | $50 | $125 |
| 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. |
60 | $118 | $170 |
| 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. |
57 | $145 | $285 |
| Tendon or ligament injection A procedure involving the injection of medication into a tendon or ligament. |
51 | $55 | $200 |
| Upper GI endoscopy with biopsy A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities. |
22 | $388 | $755 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
20 | $45 | $125 |
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 ↗$35,009
Total received (2018-2024)
Avg $5,001/year across 7 years
Top 1% in CA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
65
Companies
1,912
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
$35,009 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$4,853
2023
$5,651
2022
$6,408
2021
$6,628
2020
$4,369
2019
$3,730
2018
$3,369
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$706
Novo Nordisk Inc
$598
AstraZeneca Pharmaceuticals LP
$362
Lilly USA, LLC
$356
PFIZER INC.
$305
Bayer Healthcare Pharmaceuticals Inc.
$279
Sumitomo Pharma America, Inc.
$235
GlaxoSmithKline, LLC.
$230
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$225
Novartis Pharmaceuticals Corporation
$221
Almatica Pharma LLC
$191
Esperion Therapeutics, Inc.
$166
Boehringer Ingelheim Pharmaceuticals, Inc.
$159
Amgen Inc.
$126
Madrigal Pharmaceuticals
$96
Phathom Pharmaceuticals, Inc.
$83
IDORSIA PHARMACEUTICALS US INC
$70
Merck Sharp & Dohme LLC
$65
IRONWOOD PHARMACEUTICALS, INC
$57
Takeda Pharmaceuticals U.S.A., Inc.
$57
AIMMUNE THERAPEUTICS, INC.
$55
MERZ NORTH AMERICA, INC.
$50
Currax Pharmaceuticals LLC
$32
Kowa Pharmaceuticals America, Inc.
$27
Smith+Nephew, Inc.
$25
Otsuka America Pharmaceutical, Inc.
$22
Exact Sciences Corporation
$21
SCILEX PHARMACEUTICALS INC.
$19
Lundbeck LLC
$14
Top 3 companies account for 34.3% of 2024 payments
All-time payments by company (2018-2024) ›
Kowa Pharmaceuticals America, Inc.
$3,215
Novo Nordisk Inc
$2,526
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$2,444
ABBVIE INC.
$2,332
AstraZeneca Pharmaceuticals LP
$2,125
Takeda Pharmaceuticals U.S.A., Inc.
$1,762
GlaxoSmithKline, LLC.
$1,582
Boehringer Ingelheim Pharmaceuticals, Inc.
$1,393
Allergan Inc.
$1,228
Lilly USA, LLC
$1,227
PFIZER INC.
$1,127
Allergan, Inc.
$1,119
Amgen Inc.
$1,079
Sunovion Pharmaceuticals Inc.
$876
Sumitomo Pharma America, Inc.
$873
Bayer Healthcare Pharmaceuticals Inc.
$844
Nestle HealthCare Nutrition Inc.
$715
Esperion Therapeutics, Inc.
$705
Amarin Pharma Inc.
$678
AbbVie Inc.
$565
Janssen Pharmaceuticals, Inc
$489
AbbVie, Inc.
$459
Ironwood Pharmaceuticals, Inc
$450
Astellas Pharma US Inc
$433
Novartis Pharmaceuticals Corporation
$385
E.R. Squibb & Sons, L.L.C.
$380
NESTLE HEALTHCARE NUTRITION INC.
$336
Bayer HealthCare Pharmaceuticals Inc.
$316
IRONWOOD PHARMACEUTICALS, INC
$299
Eisai Inc.
$297
Merck Sharp & Dohme Corporation
$281
Biohaven Pharmaceuticals, Inc.
$279
Almatica Pharma LLC
$234
Synergy Pharmaceuticals Inc
$205
Biohaven Pharmaceutical Holding Company Ltd.
$148
IDORSIA PHARMACEUTICALS US INC
$141
Merck Sharp & Dohme LLC
$136
Scilex Pharmaceuticals Inc.
$105
RedHill Biopharma Inc.
$96
Madrigal Pharmaceuticals
$96
Noden Pharma USA Inc
$87
Phathom Pharmaceuticals, Inc.
$83
SANOFI-AVENTIS U.S. LLC
$75
Lundbeck LLC
$74
Ardelyx, Inc.
$72
AIMMUNE THERAPEUTICS, INC.
$55
MERZ NORTH AMERICA, INC.
$50
Currax Pharmaceuticals LLC
$48
Smith+Nephew, Inc.
$45
ARBOR PHARMACEUTICALS, INC.
$45
Arbor Pharmaceuticals, Inc.
$44
SCILEX PHARMACEUTICALS INC.
$41
Nalpropion Pharmaceuticals LLC
$35
Medtronic, Inc.
$31
Regeneron Healthcare Solutions, Inc.
$27
Alfasigma USA, Inc.
$26
EISAI INC.
$26
ViiV Healthcare Company
$23
Fidia Pharma USA Inc.
$23
Ultragenyx Pharmaceutical Inc.
$23
Otsuka America Pharmaceutical, Inc.
$22
Exact Sciences Corporation
$21
Radius Health, Inc.
$20
IBSA Pharma Inc.
$17
Medicure Pharma Inc.
$11
Top 3 companies account for 23.4% of all-time payments
Associated products mentioned in payments ›
ADVAIR · AIRSUPRA · ANORO · ANORO ELLIPTA · APRETUDE · APTIOM · Amitiza · BASAGLAR · BELSOMRA · BEVESPI AEROSPHERE · BOTOX · BOTOX COSMETIC · BREO · BREZTRI · BREZTRI AEROSPHERE · BYDUREON · BYSTOLIC · CAMZYOS · CHANTIX · COLLAGENASE SANTYL · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · COMIRNATY · CONTRAVE · CREON · Cologuard Collection Kit · Creon · Crysvita · Dayvigo · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · Edarbi · FARXIGA · GEMTESA · GLYXAMBI · HYMOVIS · IBSRELA · INVOKANA · InPen · JANUVIA · JARDIANCE · Kerendia · LEQVIO · LINZESS · LOREEV XR · LYRICA · Levemir · Licart · Linzess · Livalo · MOTEGRITY · MOUNJARO · MYRBETRIQ · Motegrity · Movantik · Myrbetriq · NAMZARIC · NEXLETOL · NURTEC ODT · Otezla · Ozempic · PRALUENT · PREVNAR 20 · Prolia · QULIPTA · QUVIVIQ · RELISTOR · RESMETIROM · REXULTI · RYBELSUS · Repatha · Rybelsus · SEGLENTIS · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · STIOLTO RESPIMAT · SYMBICORT · Saxenda · TEKTURNA · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULANCE · TRULICITY · Talicia · Tresiba · Trulance · Tymlos · UBRELVY · Uloric · VERQUVO · VESICARE · VIBERZI · VIIBRYD · VOQUEZNA · VRAYLAR · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · Xeomin · ZENPEP · ZORYVE · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · ZYPITAMAG
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 1% for family medicine in CA.
Geographic Context
Family medicine physicians within 10 mi
32
Per 100K population
146.2
County median income
$75,149
Nearest hospital
COLUSA MEDICAL CENTER
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. Lyapis is a clinical cardiology specialist, with above-average Medicare volume (top 4% in CA), with low-engagement industry engagement in the top 1% 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. Lyapis experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Lyapis performed 2,670 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. Lyapis receive payments from pharmaceutical companies?
Yes. Dr. Lyapis received a total of $35,009 from 65 companies across 1,912 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. Lyapis's costs compare to other family medicine physicians in Colusa?
Dr. Lyapis's average Medicare payment per service is $76. 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. Lyapis) 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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