Medicare Enrolled
Dr. Lance Larsen, MD
Pain Medicine (Physical Medicine & Rehabilitation) Physician · 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. Larsen 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. Larsen
Dr. Lance Larsen is a pain medicine physician in Fresno, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Larsen performed 5,033 Medicare services across 2,422 unique beneficiaries.
Between the years covered by Open Payments, Dr. Larsen received a total of $29,384 from 22 pharmaceutical and/or device companies across 855 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pain medicine (physical medicine & rehabilitation) physician. 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. Larsen 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 17% volume in CA
$29,384 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,033
Medicare services
Top 17% in CA for pain medicine (physical medicine & rehabilitation) physician
2,422
Unique beneficiaries
$63
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~265 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 (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. |
1,326 | $99 | $405 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
640 | $1 | $13 |
| Injection, ropivacaine hydrochloride, 1 mg | 582 | $0 | $1 |
| 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. |
278 | $130 | $521 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
247 | $85 | $841 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
237 | $41 | $402 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
233 | $10 | $166 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
214 | $112 | $1,495 |
| MRI of lower spine, without contrast A magnetic resonance imaging scan of the lower spinal canal that does not use contrast dye to create detailed images of the spine. |
165 | $81 | $359 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
151 | $46 | $672 |
| X-ray of lower and sacral spine, minimum of 4 views An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints. |
133 | $42 | $163 |
| Trigger point injection, 3 or more muscles Injection of medication into three or more specific muscle trigger points to relieve pain. |
113 | $47 | $196 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
76 | $0 | $34 |
| Spinal neurostimulator electrode insertion A procedure to place an electrode array into the spine through the skin. The electrode is used to deliver electrical stimulation to the nervous system. |
60 | $270 | $7,345 |
| MRI of middle spinal canal, without contrast This procedure uses magnetic resonance imaging to create detailed pictures of the middle section of the spinal canal. It is performed without the use of contrast dye. |
44 | $74 | $339 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
37 | $85 | $870 |
| Imaging guidance for procedure, 60 minutes or less Use of imaging technology to guide a medical procedure. This service lasts 60 minutes or less. |
36 | $12 | $28 |
| Electronic analysis of implanted neurostimulator with complex programming This procedure involves the electronic evaluation of an implanted neurostimulator generator. It includes complex programming of spinal cord or peripheral nerve stimulators. |
35 | $33 | $285 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
34 | $34 | $127 |
| MRI of upper spine without contrast An MRI scan of the upper spinal canal that does not use contrast dye. This imaging test uses magnetic fields and radio waves to create detailed pictures of the spine. |
34 | $80 | $340 |
| 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. |
34 | $61 | $285 |
| Spinal neurostimulator generator insertion Surgical placement of a spinal neurostimulator generator or receiver device. |
32 | $147 | $1,920 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
31 | $43 | $170 |
| X-ray of middle spine, 2 views An X-ray imaging test that produces two views of the middle section of the spine to visualize the bones and joints. |
30 | $28 | $110 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
28 | $50 | $787 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
27 | $154 | $1,502 |
| X-ray of upper spine, 4-5 views An X-ray imaging test of the upper spine using 4 to 5 different views to visualize the bones and structures in that area. |
27 | $46 | $170 |
| Knee nerve block injection with imaging guidance An injection of anesthetic and/or steroid medication into a nerve branch of the knee, performed using imaging guidance to ensure accurate placement. |
23 | $202 | $749 |
| 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. |
23 | $12 | $69 |
| Ultrasound-guided large joint aspiration or injection This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint. |
22 | $86 | $355 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
21 | $102 | $1,008 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
19 | $58 | $521 |
| Minimally invasive spine decompression, lower spine A minimally invasive procedure to remove bone from the lower spine to relieve pressure on nerve tissue, guided by imaging and accessed through the skin. |
15 | $467 | $1,816 |
| Destruction of nerve branches of knee using imaging guidance | 13 | $110 | $1,335 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
13 | $41 | $170 |
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 ↗$29,384
Total received (2018-2024)
Avg $4,198/year across 7 years
Top 9% in CA for pain medicine (physical medicine & rehabilitation) physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
22
Companies
855
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
$29,384 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$10,683
2023
$7,908
2022
$6,443
2021
$1,730
2020
$1,012
2019
$1,294
2018
$313
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
PAINTEQ LLC
$3,807
Boston Scientific Corporation
$2,415
Nevro Corp.
$1,742
BIOTRONIK NRO, Inc.
$832
Nalu Medical, Inc.
$511
Medtronic, Inc.
$415
Abbott Laboratories
$343
Saluda Medical Americas, Inc.
$280
SPR Therapeutics, Inc
$152
Vertos Medical, Inc.
$111
Stryker Corporation
$39
Curonix LLC
$35
Top 3 companies account for 74.5% of 2024 payments
All-time payments by company (2018-2024) ›
PAINTEQ LLC
$9,497
Boston Scientific Corporation
$7,016
Nevro Corp.
$4,592
Abbott Laboratories
$2,824
BIOTRONIK NRO, Inc.
$1,070
BOSTON SCIENTIFIC CORPORATION
$918
Medtronic, Inc.
$617
Nalu Medical, Inc.
$511
SI-BONE, Inc.
$491
Vertos Medical, Inc.
$458
Medtronic USA, Inc.
$386
Saluda Medical Americas, Inc.
$280
BIONESS INC
$234
SPR Therapeutics, Inc
$182
Relievant Medsystems, Inc.
$110
Avanos Medical
$53
Stryker Corporation
$39
Curonix LLC
$35
Merz Pharmaceuticals, LLC
$24
Scilex Pharmaceuticals Inc.
$20
Axonics, Inc.
$14
SI-BONE, INC.
$12
Top 3 companies account for 71.8% of all-time payments
Associated products mentioned in payments ›
Axonics r-SNM System · BIOTRONIK · COOLIEF* COOLED RADIOFREQUENCY · Click · Clinical Trial Product · ETERNA · Entrada · Evoke · GENERAL PAIN MANAGEMENT · GENERAL THERAPIES · GENERAL PAIN MANAGEMENT · GENERAL THERAPIES · GENERATOR · General - Pain Management · General - Therapies · IFUSE IMPLANT · INFINION · INTELLIS · INTELLIS ADAPTIVESTIM · Infinion 16 · Intracept · KYPHON Balloon Kyphoplasty · KYPHON EXPRESS II KYPHOPAK TRAY · LINEAR · Linear · MILD DEVICE KIT · Nalu Neurostimulation System · Neuromodulation Dspsbls and Accs · OSTEOCOOL RF ABLATION · OSTEOCOOL RF ABLATION SYSTEM · Omnia · PAINTEQ · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PROCLAIM · Proclaim Family of SCS IPGs · Prospera · SPECTRA WAVEWRITER · SPRINT PNS System · SUPERION · Senza · Senza Spinal Cord Stimulation System · Spectra WaveWriter · Stimrouter for pain · Superion · Superion Indirect Decompression System · VANTA ADAPTIVESTIM · Vanta · WAVEWRITER ALPHA · WaveWriter Alpha Prime 16 · Xeomin · ZTLido · iFuse Implant · mild Device Kit
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 9% for pain medicine (physical medicine & rehabilitation) physician in CA.
Geographic Context
Pain medicine physicians within 10 mi
4
Per 100K population
0.4
County median income
$71,434
Nearest hospital
SAINT AGNES 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. Larsen is a clinical cardiology specialist, with above-average Medicare volume (top 17% in CA), with low-engagement industry engagement in the top 9% 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. Larsen experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Larsen performed 1,326 office visit, established patient (30-39 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. Larsen receive payments from pharmaceutical companies?
Yes. Dr. Larsen received a total of $29,384 from 22 companies across 855 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. Larsen's costs compare to other pain medicine physicians in Fresno?
Dr. Larsen's average Medicare payment per service is $63. 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. Larsen) 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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