Medicare Enrolled
Dr. Robert Debruin, M.D.
Internal Medicine · Folsom, CA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Debruin 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. Debruin
Dr. Robert Debruin is an internal medicine specialist in Folsom, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Debruin performed 37,748 Medicare services across 2,898 unique beneficiaries.
Between the years covered by Open Payments, Dr. Debruin received a total of $9,628 from 61 pharmaceutical and/or device companies across 499 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal 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. Debruin 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
$9,628 industry payments
Medicare Practice Summary
Medicare Utilization ↗37,748
Medicare services
Top 1% in CA for internal medicine
2,898
Unique beneficiaries
$9
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~1,887 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 |
|---|---|---|---|
| Testosterone injection An injection of testosterone cypionate, a form of testosterone hormone. The dose is measured in milligrams. |
31,700 | $0 | $0 |
| Denosumab injection (Prolia/Xgeva) | 1,380 | $18 | $45 |
| 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. |
1,280 | $96 | $275 |
| 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. |
575 | $70 | $155 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
321 | $138 | $248 |
| 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. |
277 | $127 | $305 |
| 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. |
261 | $12 | $37 |
| 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. |
194 | $11 | $55 |
| 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. |
181 | $6 | $12 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
174 | $33 | $66 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
167 | $75 | $80 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
159 | $1 | $8 |
| Limited retroperitoneal ultrasound A focused ultrasound exam of the area behind the abdominal cavity to evaluate specific structures. |
148 | $50 | $125 |
| 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. |
126 | $52 | $142 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
87 | $3 | $7 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
76 | $49 | $114 |
| 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. |
72 | $33 | $148 |
| Stool test for blood to screen for colon tumors A test that analyzes a stool sample to detect hidden blood, which is used to screen for colon tumors. |
70 | $4 | $10 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
67 | $41 | $150 |
| 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. |
46 | $45 | $100 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
45 | $32 | $102 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
42 | $235 | $338 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
34 | $1 | $8 |
| Prolonged office E/M service, first 15 minutes This code is used for additional time spent by a physician beyond the maximum required time of a primary office or outpatient evaluation and management service. It is billed in 15-minute increments based on total time spent on the date of the primary service. |
28 | $26 | $60 |
| 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. |
27 | $92 | $243 |
| Remote physiologic monitoring setup and education Initial setup of remote monitoring equipment and patient education on its use. |
25 | $17 | $100 |
| Continuous glucose monitoring with interpretation This procedure involves monitoring blood sugar levels in tissue fluid using a sensor placed under the skin, along with the interpretation and reporting of the results. |
24 | $29 | $58 |
| 2-day continuous ECG with review and report A two-day continuous electrocardiogram recording that includes a professional review and written report of the results. |
22 | $57 | $200 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
22 | $33 | $70 |
| Continuous glucose monitoring, sensor under skin This procedure involves continuous monitoring of blood sugar levels in tissue fluid using a sensor placed under the skin with provider-supplied equipment. |
20 | $131 | $200 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
20 | $17 | $47 |
| Ultrasound of leg arteries at rest and after exercise This test uses sound waves to create images of the blood vessels in the legs while the patient is resting and after physical activity to assess blood flow. |
19 | $141 | $500 |
| 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. |
17 | $176 | $353 |
| Spirometry test before and after medication A test that measures the amount of air you can exhale and the speed of your breathing before and after taking a medication. |
15 | $34 | $135 |
| Telephone medical discussion, 21-30 minutes A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone. |
15 | $98 | $148 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
12 | $175 | $317 |
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 ↗$9,628
Total received (2018-2024)
Avg $1,375/year across 7 years
Top 10% in CA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
61
Companies
499
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
$9,463 (98.3%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$165 (1.7%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,307
2023
$1,355
2022
$1,208
2021
$1,406
2020
$1,148
2019
$1,589
2018
$1,614
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$154
Madrigal Pharmaceuticals
$142
Bayer Healthcare Pharmaceuticals Inc.
$138
PFIZER INC.
$132
GlaxoSmithKline, LLC.
$101
Lilly USA, LLC
$97
Merck Sharp & Dohme LLC
$91
Exact Sciences Corporation
$73
Seqirus USA Inc
$59
Verity Pharmaceuticals Inc.
$59
Amgen Inc.
$54
Novo Nordisk Inc
$51
Janssen Pharmaceuticals, Inc
$45
Dexcom, Inc.
$29
Astellas Pharma US Inc
$23
Philips North America LLC
$23
Tactile Systems Technology Inc
$21
ABBVIE INC.
$17
Top 3 companies account for 33.2% of 2024 payments
All-time payments by company (2018-2024) ›
PFIZER INC.
$948
AbbVie Inc.
$665
GlaxoSmithKline, LLC.
$573
AstraZeneca Pharmaceuticals LP
$508
Boehringer Ingelheim Pharmaceuticals, Inc.
$470
Kowa Pharmaceuticals America, Inc.
$438
Amgen Inc.
$423
Janssen Pharmaceuticals, Inc
$405
Novo Nordisk Inc
$371
Novartis Pharmaceuticals Corporation
$354
Takeda Pharmaceuticals U.S.A., Inc.
$322
Lilly USA, LLC
$321
Merck Sharp & Dohme Corporation
$316
Nestle HealthCare Nutrition Inc.
$303
AbbVie, Inc.
$285
Merck Sharp & Dohme LLC
$256
Astellas Pharma US Inc
$234
Philips Electronics North America Corporation
$164
NESTLE HEALTHCARE NUTRITION INC.
$151
Madrigal Pharmaceuticals
$142
Bayer Healthcare Pharmaceuticals Inc.
$138
ABBVIE INC.
$136
Exact Sciences Corporation
$129
Flexion Therapeutics, Inc.
$128
Seqirus USA Inc
$116
SANOFI-AVENTIS U.S. LLC
$101
Amarin Pharma Inc.
$84
Abbott Laboratories
$63
Allergan Inc.
$62
Mannkind Corporation
$60
Verity Pharmaceuticals Inc.
$59
Horizon Pharma plc
$57
Bayer HealthCare Pharmaceuticals Inc.
$50
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$49
Biohaven Pharmaceutical Holding Company Ltd.
$48
Horizon Therapeutics plc
$47
Biohaven Pharmaceuticals, Inc.
$46
Allergan, Inc.
$42
IBSA Pharma Inc.
$42
Eisai Inc.
$38
TherapeuticsMD, Inc.
$34
Sumitomo Pharma America, Inc.
$30
Actelion Pharmaceuticals US, Inc.
$30
Dexcom, Inc.
$29
Corcept Therapeutics
$29
Acerus Pharmaceuticals Corporation
$29
Ironwood Pharmaceuticals, Inc
$28
Bardy Diagnostics, Inc.
$27
Daiichi Sankyo Inc.
$24
Philips North America LLC
$23
Pacira Therapeutics, Inc.
$23
Teva Pharmaceuticals USA, Inc.
$22
Tactile Systems Technology Inc
$21
Boston Scientific Corporation
$19
ITI, Inc.
$19
E.R. Squibb & Sons, L.L.C.
$19
Bausch Health US, LLC
$18
Circassia Pharmaceuticals Inc
$18
MannKind Corporation
$15
Ferring Pharmaceuticals Inc.
$14
Synergy Pharmaceuticals Inc
$11
Top 3 companies account for 22.7% of all-time payments
Associated products mentioned in payments ›
(1635) US Standard Basic SV · (7999) SRC Undivided · (CK7) Extended Holter · AFREZZA · AIRSUPRA · AJOVY · ANDEXXA · ANORO · APLENZIN · AREXVY · Aimovig · Androgel · BELSOMRA · BREO · BREZTRI · BRILINTA · BYDUREON · CAPLYTA · CHANTIX · COLOGUARD · COMIRNATY · CREON · Carnation Ambulatory Monitor · Cologuard Collection Kit · Creon · DIFICID · DUAKLIR PRESSAIR · DUEXIS · DUZALLO · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EUFLEXXA · EVENITY · FARXIGA · FLUCELVAX QUADRIVALENT (MULTI-DOSE VIAL) · FREESTYLE LIBRE 2 · Flexitouch Plus · Fluad · FreeStyle Libre 2 · FreeStyle Libre blood glucose Flash Monitoring System · GARDASIL · GARDASIL 9 · GEMTESA · IMVEXXY · INJECTAFER · JANUVIA · JARDIANCE · Kerendia · Korlym · LEQVIO · LINZESS · LIVALO · LYRICA · Livalo · MOVANTIK · MYRBETRIQ · Motegrity · NUCALA · NURTEC ODT · Natesto · OPSUMIT · Otezla · Ozempic · PAXLOVID · PENNSAID · PNEUMOVAX 23 · PRADAXA · PRALUENT · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Personal Care Undiv · RESMETIROM · RYBELSUS · Repatha · Rybelsus · SEGLENTIS · SHINGRIX · SPIRIVA RESPIMAT · SPRAVATO · STIOLTO RESPIMAT · SUPERION · SYNTHROID · SYNVISC-ONE · Synthroid · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Tirosint · Tlando · Tresiba · Trintellix · Trulance · UBRELVY · Uloric · VIBERZI · VIIBRYD · VIMOVO · VRAYLAR · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · Xultophy 100/3.6 · ZENPEP · ZEPBOUND · Zilretta
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 (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 10% for internal medicine in CA.
Geographic Context
Internal medicine physicians within 10 mi
1,172
Per 100K population
74.0
County median income
$88,724
Nearest hospital
MERCY HOSPITAL OF FOLSOM
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. Debruin is a mixed practice specialist, with above-average Medicare volume (top 1% in CA), with low-engagement industry engagement in the top 10% 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. Debruin experienced with testosterone injection?
Based on Medicare claims data, Dr. Debruin performed 31,700 testosterone injection 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. Debruin receive payments from pharmaceutical companies?
Yes. Dr. Debruin received a total of $9,628 from 61 companies across 499 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. Debruin's costs compare to other internal medicine physicians in Folsom?
Dr. Debruin's average Medicare payment per service is $9. 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. Debruin) 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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