Medicare Enrolled

Dr. Herbert Tiquia, MD

Nephrology · Garden Grove, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
12665 GARDEN GROVE BLVD STE 211, Garden Grove, CA 92843
7146362890
In practice since 2006 (20 years)
NPI: 1902875693 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. Tiquia 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. Tiquia

Dr. Herbert Tiquia is a nephrology specialist in Garden Grove, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Tiquia performed 2,629 Medicare services across 1,107 unique beneficiaries.

Between the years covered by Open Payments, Dr. Tiquia received a total of $3,122 from 21 pharmaceutical and/or device companies across 100 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in nephrology. 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. Tiquia 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 21% volume in CA $3,122 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,629
Medicare services
Top 21% in CA for nephrology
1,107
Unique beneficiaries
$97
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~131 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
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
805 $65 $118
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.
388 $63 $180
Hemodialysis, single evaluation
A dialysis procedure to filter waste from the blood, performed with a physician's evaluation.
356 $60 $117
Dialysis services for patients 20 or older
Dialysis treatment provided to patients aged 20 years or older, involving four or more physician visits per month.
274 $293 $466
Remote patient monitoring management, 20 min/month
Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month.
242 $41 $67
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.
214 $141 $331
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.
88 $41 $123
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.
68 $99 $170
Dialysis services for adults, 2-3 visits per month
This code covers dialysis services for patients aged 20 or older who have 2 to 3 physician visits per month.
59 $247 $393
Dialysis procedure with evaluation
A dialysis treatment that includes one evaluation.
48 $70 $141
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.
38 $23 $74
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.
26 $138 $250
Monthly dialysis physician visit
A monthly doctor's visit for patients aged 20 or older who are receiving dialysis treatment.
23 $172 $304
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 ↗
$3,122
Total received (2018-2024)
Avg $446/year across 7 years
Top 29% in CA for nephrology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
21
Companies
100
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
$3,003 (96.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$119 (3.8%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$498
2023
$907
2022
$269
2021
$75
2020
$119
2019
$525
2018
$730

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Novartis Pharmaceuticals Corporation
$144
Travere Therapeutics, Inc.
$77
Vifor Pharma, Inc.
$76
Amgen Inc.
$50
AKEBIA THERAPEUTICS INC
$39
AstraZeneca Pharmaceuticals LP
$29
Otsuka America Pharmaceutical, Inc.
$27
Aurinia Pharma U.S., Inc.
$20
Ardelyx, Inc.
$19
Boehringer Ingelheim Pharmaceuticals, Inc.
$16
Top 3 companies account for 59.8% of 2024 payments
All-time payments by company (2018-2024) ›
Otsuka America Pharmaceutical, Inc.
$1,222
AstraZeneca Pharmaceuticals LP
$476
Novartis Pharmaceuticals Corporation
$224
Baxter Healthcare
$131
Travere Therapeutics, Inc.
$126
Calliditas Therapeutics US Inc.
$120
OPKO Pharmaceuticals, LLC
$110
Amgen Inc.
$102
Vifor Pharma, Inc.
$94
BARD PERIPHERAL VASCULAR, INC.
$93
Aurinia Pharma U.S., Inc.
$79
Relypsa, Inc.
$66
AKEBIA THERAPEUTICS INC
$64
Keryx Biopharmaceuticals, Inc.
$56
Takeda Pharmaceuticals U.S.A., Inc.
$50
Horizon Therapeutics plc
$23
Fresenius USA Marketing, Inc.
$19
Ardelyx, Inc.
$19
Boehringer Ingelheim Pharmaceuticals, Inc.
$16
Alnylam Pharmaceuticals Inc.
$16
GlaxoSmithKline, LLC.
$15
Top 3 companies account for 61.6% of all-time payments
Associated products mentioned in payments ›
Auryxia · BENLYSTA · FARXIGA · IBSRELA · JARDIANCE · JYNARQUE · KRYSTEXXA · LOKELMA · LUPKYNIS · Not Product Related · OXLUMO · Parsabiv · RAYALDEE · SAMSCA · TARPEYO · Uloric · Veltassa
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 (96%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for a nephrology specialist in Garden Grove?
Compare nephrologists in the Garden Grove area by procedure volume, costs, and industry payment transparency.
Browse nephrologists nearby

Geographic Context

Nephrologists within 10 mi
223
Per 100K population
7.0
County median income
$113,702
Nearest hospital
GARDEN GROVE HOSPITAL & MEDICAL CENTER
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. Tiquia is a clinical cardiology specialist, with above-average Medicare volume (top 21% in CA), with low-engagement industry engagement, 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. Tiquia experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Tiquia performed 805 hospital follow-up visit, moderate complexity 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. Tiquia receive payments from pharmaceutical companies?
Yes. Dr. Tiquia received a total of $3,122 from 21 companies across 100 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. Tiquia's costs compare to other nephrologists in Garden Grove?
Dr. Tiquia'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. Tiquia) 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 →