Medicare Enrolled

Dr. Adrianne Lajoie, M.D.

Gastroenterology · Encinitas, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
700 GARDEN VIEW CT STE 102, Encinitas, CA 92024
7607830441
In practice since 2007 (18 years)
NPI: 1225253651 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. Lajoie 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. Lajoie? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Lajoie

Dr. Adrianne Lajoie is a gastroenterology specialist in Encinitas, CA, with 18 years of NPI registration. Based on federal Medicare data, Dr. Lajoie performed 1,112 Medicare services across 822 unique beneficiaries.

Between the years covered by Open Payments, Dr. Lajoie received a total of $11,145 from 46 pharmaceutical and/or device companies across 566 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. 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. Lajoie 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.

✓ 18 years in practice ▲ Top 29% volume in CA $11,145 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,112
Medicare services
Top 29% in CA for gastroenterology
822
Unique beneficiaries
$97
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~62 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
Chronic care management, first 20 min/month
This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions.
293 $50 $300
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.
127 $100 $601
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.
90 $73 $441
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.
89 $127 $780
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.
85 $77 $1,015
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.
84 $79 $540
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.
58 $143 $584
Colon polyp removal with endoscopic snare
This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination.
55 $200 $679
Colonoscopy for colorectal cancer screening
A colonoscopy performed to screen for colorectal cancer in individuals who are not at high risk for the disease.
54 $188 $1,199
Colonoscopy with biopsy
A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease.
44 $151 $1,525
Colonoscopy
A diagnostic exam of the large bowel using a flexible endoscope to visualize the interior of the colon.
34 $141 $1,055
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.
34 $98 $220
Dilation of esophagus 27 $33 $550
Upper endoscopy (EGD)
A diagnostic exam of the esophagus, stomach, and upper small bowel using a flexible endoscope.
23 $92 $895
Balloon dilation of esophagus, stomach, or upper small bowel, less than 3.0 cm
A procedure using a flexible endoscope to widen a narrowed section of the esophagus, stomach, or upper small bowel with a balloon that is less than 3.0 cm in length.
15 $113 $3,911
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 ↗
$11,145
Total received (2018-2024)
Avg $1,592/year across 7 years
Top 18% in CA for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
46
Companies
566
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
$11,099 (99.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$46 (0.4%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,406
2023
$1,520
2022
$2,245
2021
$1,559
2020
$1,120
2019
$1,533
2018
$1,763

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$427
Takeda Pharmaceuticals U.S.A., Inc.
$259
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$161
Janssen Biotech, Inc.
$96
Phathom Pharmaceuticals, Inc.
$94
Lilly USA, LLC
$89
PFIZER INC.
$78
Celgene Corporation
$40
GENZYME CORPORATION
$39
Intercept Pharmaceuticals, Inc.
$26
Regeneron Healthcare Solutions, Inc.
$24
VIVUS LLC
$22
Celltrion USA Inc.
$21
Ferring Pharmaceuticals Inc.
$16
Madrigal Pharmaceuticals
$13
Top 3 companies account for 60.2% of 2024 payments
All-time payments by company (2018-2024) ›
ABBVIE INC.
$1,566
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$1,428
Janssen Biotech, Inc.
$1,221
Takeda Pharmaceuticals U.S.A., Inc.
$1,133
Celgene Corporation
$582
AbbVie Inc.
$535
AbbVie, Inc.
$426
QOL Medical, LLC
$291
Ferring Pharmaceuticals Inc.
$278
Merck Sharp & Dohme Corporation
$268
PFIZER INC.
$228
Intercept Pharmaceuticals, Inc.
$223
IRONWOOD PHARMACEUTICALS, INC
$222
Merck Sharp & Dohme LLC
$212
UCB, Inc.
$209
Allergan Inc.
$200
Nestle HealthCare Nutrition Inc.
$174
GENZYME CORPORATION
$171
Shionogi Inc
$136
Amgen Inc.
$124
Braintree Laboratories, Inc.
$122
Janssen Scientific Affairs, LLC
$113
Regeneron Healthcare Solutions, Inc.
$113
Echosens North America, Inc.
$105
Phathom Pharmaceuticals, Inc.
$94
Ironwood Pharmaceuticals, Inc
$93
Daiichi Sankyo Inc.
$90
Lilly USA, LLC
$89
INTERCEPT PHARMACEUTICALS, INC.
$87
INTRA-SANA LABORATORIES
$74
NESTLE HEALTHCARE NUTRITION INC.
$67
Axonics Modulation Technologies, Inc.
$66
Alfasigma USA, Inc.
$57
Prometheus Laboratories Inc.
$49
AMAG Pharmaceuticals, Inc.
$46
Synergy Pharmaceuticals Inc
$46
Shire North American Group Inc
$39
Concordia Pharmaceuticals Inc.
$29
Alnylam Pharmaceuticals Inc.
$25
VIVUS LLC
$22
Celltrion USA Inc.
$21
Exact Sciences Corporation
$17
Ardelyx, Inc.
$16
Madrigal Pharmaceuticals
$13
Cook Medical LLC
$13
Napo Pharmaceuticals Inc
$10
Top 3 companies account for 37.8% of all-time payments
Associated products mentioned in payments ›
APRISO · AVSOLA · Amitiza · Axonics r-SNM System · CLENPIQ · CREON · Cimzia · Cologuard Collection Kit · Cook Medical Hemospray · Creon · DIFICID · DONNATAL · DUPIXENT · Dexilant · Donnatal · ENTYVIO · Entyvio · FERAHEME · Fibroscan · GATTEX · GIVLAARI · HUMIRA · Humira · IBSRELA · INFLECTRA · INJECTAFER · LINZESS · Linzess · MAVYRET · MOTEGRITY · MOTOFEN · Mavyret · Motegrity · Mulpleta · Mytesi · OCALIVA · OMVOH · QSYMIA · REBYOTA · RELTONE 200 MG · REMICADE · RESMETIROM · RINVOQ · SKYRIZI · STELARA · SUCRAID · SUPREP · SUPREP BOWEL PREP · SUTAB · Sucraid · Symproic · TREMFYA · TRULANCE · Trintellix · Trulance · UCERIS · VEGZELMA · VIBERZI · VOQUEZNA · XARELTO · XELJANZ · XIFAXAN · XIFAXANIBSD · ZENPEP · ZEPOSIA
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.

Looking for a gastroenterology specialist in Encinitas?
Compare gastroenterologists in the Encinitas area by procedure volume, costs, and industry payment transparency.
Browse gastroenterologists nearby

Geographic Context

Gastroenterologists within 10 mi
149
Per 100K population
4.5
County median income
$102,285
Nearest hospital
SCRIPPS MEMORIAL HOSPITAL - ENCINITAS
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. Lajoie is a clinical cardiology specialist, with above-average Medicare volume (top 29% in CA), with low-engagement industry engagement in the top 18% of CA peers, with 18 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. Lajoie experienced with chronic care management, first 20 min/month?
Based on Medicare claims data, Dr. Lajoie performed 293 chronic care management, first 20 min/month 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. Lajoie receive payments from pharmaceutical companies?
Yes. Dr. Lajoie received a total of $11,145 from 46 companies across 566 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. Lajoie's costs compare to other gastroenterologists in Encinitas?
Dr. Lajoie's average Medicare payment per service is $97. 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. Lajoie) 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 →