Medicare Enrolled
Dr. Ann Holmes, DO
Family Medicine · Fresno, 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. Holmes 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. Holmes
Dr. Ann Holmes is a family medicine specialist in Fresno, CA, with 16 years of NPI registration. Based on federal Medicare data, Dr. Holmes performed 1,029 Medicare services across 684 unique beneficiaries.
Between the years covered by Open Payments, Dr. Holmes received a total of $11,387 from 70 pharmaceutical and/or device companies across 594 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. Holmes 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.
✓ 16 years in practice
▲ Top 22% volume in CA
$11,387 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,029
Medicare services
Top 22% in CA for family medicine
684
Unique beneficiaries
$65
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~64 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. |
557 | $61 | $285 |
| 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. |
120 | $74 | $405 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
73 | $32 | $69 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
71 | $72 | $183 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
60 | $135 | $413 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
40 | $32 | $45 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
30 | $2 | $9 |
| Pneumococcal vaccine, 23-valent A vaccine that protects against 23 types of pneumococcal bacteria. It is used to prevent infections caused by these bacteria. |
18 | $131 | $378 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
17 | $9 | $40 |
| Pneumococcal conjugate vaccine (PCV15) An intramuscular injection of the 15-valent pneumococcal conjugate vaccine. This vaccine protects against 15 types of pneumococcal bacteria. |
16 | $241 | $739 |
| 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. |
15 | $10 | $76 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
12 | $41 | $230 |
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 ↗$11,387
Total received (2018-2024)
Avg $1,627/year across 7 years
Top 4% in CA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
70
Companies
594
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
$11,387 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,395
2023
$1,984
2022
$1,521
2021
$1,445
2020
$1,399
2019
$1,451
2018
$1,193
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$423
Amgen Inc.
$349
ABBVIE INC.
$317
Axsome Therapeutics, Inc.
$205
Lilly USA, LLC
$153
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$106
Ardelyx, Inc.
$86
Astellas Pharma US Inc
$76
BIOTRONIK NRO, Inc.
$72
PFIZER INC.
$70
Lundbeck LLC
$70
Phathom Pharmaceuticals, Inc.
$63
SHIELD THERAPEUTICS INC
$55
ABIOMED
$51
Optinose US, Inc.
$44
Novo Nordisk Inc
$35
Dynavax Technologies Corporation
$29
Tempus AI, Inc
$28
Hologic Sales and Service, LLC
$28
Merck Sharp & Dohme LLC
$26
Exact Sciences Corporation
$24
Agile Therapeutics, Inc.
$21
Regeneron Healthcare Solutions, Inc.
$20
IRONWOOD PHARMACEUTICALS, INC
$15
Otsuka America Pharmaceutical, Inc.
$14
MAYNE PHARMA COMMERCIAL LLC
$13
Top 3 companies account for 45.5% of 2024 payments
All-time payments by company (2018-2024) ›
Amgen Inc.
$1,853
AstraZeneca Pharmaceuticals LP
$1,443
ABBVIE INC.
$961
Novo Nordisk Inc
$939
Lilly USA, LLC
$552
Takeda Pharmaceuticals U.S.A., Inc.
$514
PFIZER INC.
$463
Axsome Therapeutics, Inc.
$356
Boehringer Ingelheim Pharmaceuticals, Inc.
$316
AbbVie Inc.
$280
GlaxoSmithKline, LLC.
$269
Amarin Pharma Inc.
$221
Janssen Pharmaceuticals, Inc
$171
Biohaven Pharmaceuticals, Inc.
$164
Astellas Pharma US Inc
$136
ITI, Inc.
$131
Genentech USA, Inc.
$130
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$121
Dynavax Technologies Corporation
$116
Kowa Pharmaceuticals America, Inc.
$104
IDORSIA PHARMACEUTICALS US INC
$88
Ardelyx, Inc.
$86
Ironwood Pharmaceuticals, Inc
$86
Regeneron Healthcare Solutions, Inc.
$83
Bayer Healthcare Pharmaceuticals Inc.
$80
Merck Sharp & Dohme Corporation
$80
Otsuka America Pharmaceutical, Inc.
$78
Abbott Laboratories
$76
BIOTRONIK NRO, Inc.
$72
Allergan, Inc.
$72
Eisai Inc.
$70
Lundbeck LLC
$70
Philips Electronics North America Corporation
$68
AbbVie, Inc.
$67
Phathom Pharmaceuticals, Inc.
$63
SHIELD THERAPEUTICS INC
$55
Shield Therapeutics Inc
$55
MAYNE PHARMA COMMERCIAL LLC
$53
ABIOMED
$51
Novartis Pharmaceuticals Corporation
$47
Optinose US, Inc.
$44
SANOFI PASTEUR INC.
$44
Nalpropion Pharmaceuticals LLC
$41
Teva Pharmaceuticals USA, Inc.
$41
Hologic, LLC
$40
Agile Therapeutics, Inc.
$39
Boston Scientific Corporation
$33
Synergy Pharmaceuticals Inc
$31
Horizon Therapeutics plc
$31
SANOFI-AVENTIS U.S. LLC
$30
Tempus AI, Inc
$28
Hologic Sales and Service, LLC
$28
Merck Sharp & Dohme LLC
$26
BOSTON SCIENTIFIC CORPORATION
$25
MannKind Corporation
$25
Exact Sciences Corporation
$24
ARBOR PHARMACEUTICALS, INC.
$23
EISAI INC.
$19
Qiagen, LLC
$18
Sanofi Pasteur Inc.
$18
Ethicon US, LLC
$16
Arbor Pharmaceuticals, Inc.
$15
Lupin Inc.
$15
IRONWOOD PHARMACEUTICALS, INC
$15
Biohaven Pharmaceutical Holding Company Ltd.
$14
TherapeuticsMD, Inc.
$14
RedHill Biopharma Inc.
$14
Gilead Sciences, Inc.
$13
Organon LLC
$12
Allergan Inc.
$11
Top 3 companies account for 37.4% of all-time payments
Associated products mentioned in payments ›
(8874) inCourage · ACCRUFER · AFREZZA · AIMOVIG · AIRSUPRA · AJOVY · AREXVY · Aimovig · AirDuo Digihaler · Auvelity · BREZTRI · CAPLYTA · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · CONTRAVE · CREON · Cologuard Collection Kit · Creon · DUPIXENT · Dayvigo · EMGALITY · EVENITY · Edarbi · FARXIGA · FASENRA · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FLUZONE HIGH-DOSE · FREESTYLE LIBRE 2 · FreeStyle Libre · GARDASIL · General - Pain Management · HUMIRA · Health&WellnessUndiv · Heplisav-B · IBSRELA · IMVEXXY · Impella · JANUVIA · JARDIANCE · KRYSTEXXA · Kerendia · LINZESS · LO LOESTRIN FE · LUPRON DEPOT · Linzess · Livalo · MOUNJARO · MYRBETRIQ · Mavyret · Movantik · NEXTSTELLIS · NURTEC ODT · Otezla · Ozempic · PENNSAID · PRALUENT · PRALUENT ALIROCUMAB INJECTION · PREMARIN · PREVNAR - 13 · PREVNAR 13 · Proclaim Family of SCS IPGs · Prolia · Prospera · QUANTIFERON-TB GOLD PLUS · QULIPTA · QUVIVIQ · REXULTI · ROTATEQ · Repatha · Respiratoriy Care Undiv · Rybelsus · SHINGRIX · SOLOSEC-CEEK · SPIRIVA RESPIMAT · SYMBICORT · Saxenda · Smart codes · Superion · THINPREP 2000 PROCESSOR · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Tresiba · Trintellix · Trulance · Twirla · UBRELVY · VIBERZI · VOQUEZNA · VRAYLAR · VYVANSE · Vascepa · Veozah · WAVEWRITER ALPHA · WaveWriter Alpha Prime 16 · Wegovy · XARELTO · XIFAXAN · Xhance · Xofluza · ZEPBOUND
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 4% for family medicine in CA.
Geographic Context
Family medicine physicians within 10 mi
337
Per 100K population
33.3
County median income
$71,434
Nearest hospital
FRESNO SURGICAL HOSPITAL
4.0 mi
4.0 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. Holmes is a clinical cardiology specialist, with above-average Medicare volume (top 22% in CA), with low-engagement industry engagement in the top 4% of CA peers, with 16 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. Holmes experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Holmes performed 557 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. Holmes receive payments from pharmaceutical companies?
Yes. Dr. Holmes received a total of $11,387 from 70 companies across 594 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. Holmes's costs compare to other family medicine physicians in Fresno?
Dr. Holmes's average Medicare payment per service is $65. 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. Holmes) 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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