Medicare Enrolled

Dr. Michael Lay, PA

Student in an Organized Health Care Education/Training Program · La Jolla, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
10666 N TORREY PINES RD, La Jolla, CA 92037
8585549100
In practice since 2016 (9 years)
NPI: 1861849333 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. Lay 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. Lay? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Lay

Dr. Michael Lay is a student in an organized health care education/training program specialist in La Jolla, CA, with 9 years of NPI registration. Based on federal Medicare data, Dr. Lay performed 915 Medicare services across 568 unique beneficiaries.

Between the years covered by Open Payments, Dr. Lay received a total of $383 from 1 pharmaceutical and/or device company across 5 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in student in an organized health care education/training program. 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. Lay 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.

✓ 9 years in practice ▲ Top 21% volume in CA $383 industry payments

Medicare Practice Summary

Medicare Utilization ↗
915
Medicare services
Top 21% in CA for student in an organized health care education/training program
568
Unique beneficiaries
$47
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~102 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
Bupivacaine injection, 0.5 mg
An injection of bupivacaine, a local anesthetic, administered in a dose of 0.5 mg.
 180 $0 $1
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
 128 $1 $8
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.
 118 $70 $305
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.
 106 $60 $248
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.
 61 $88 $350
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
 47 $47 $293
Spinal fusion of additional segment
A surgical procedure to join an additional section of the spine to the existing fusion. This is performed as a separate or subsequent step to stabilize more of the spinal column.
 44 $42 $279
Spine fusion with cage or mesh device insertion
A surgical procedure to fuse spine bones by inserting a cage or mesh device into the disc space.
 43 $28 $184
Partial removal of spine bone with nerve release
A surgical procedure involving the partial removal of spinal bone to release pressure on the lower spinal cord or nerves, and/or the removal of a spinal disc.
 41 $99 $1,410
Fusion of spine in lower back 29 $115 $1,167
Lower spine bone segment removal
A surgical procedure to cut into or remove a segment of bone from the lower spine.
 27 $88 $1,120
Additional spinal bone removal and nerve release
This procedure involves the partial removal of spine bone to release the spinal cord or nerves, along with disc removal, for each additional spinal level treated.
 25 $31 $399
Spinal stabilization device placement, 3-6 segments
Surgical placement of a device to stabilize three to six vertebrae in the back.
 20 $82 $546
Additional spine bone segment removal
Surgical removal of an additional segment of bone from the spine during the same procedure.
 18 $39 $261
Lumbar spine fusion, 1 level, lateral approach
A surgical procedure to join two or more vertebrae in the lower spine using a bone graft. The surgery is performed from the side and involves removing part of the disc between the bones.
 17 $158 $1,225
Partial spine bone removal with nerve release, 1 interspace
This procedure involves removing part of the spine bone, re-exploring the area, and releasing the lower spinal cord or nerves, along with removing a disc at one spinal level.
 11 $203 $1,909
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.
14.5% high complexity
38.8% medium
46.7% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$383
Total received (2021-2024)
Avg $128/year across 3 years
Top 35% in CA for student in an organized health care education/training program
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
1
Company
5
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
$383 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$33
2023
$118
2021
$232

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$33
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2021-2024) ›
Medtronic, Inc.
$383
Top 3 companies account for 100.0% of all-time payments
Associated products mentioned in payments ›
LINQ II
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 student in an organized health care education/training program specialist in La Jolla?
Compare student in an organized health care education/training programs in the La Jolla area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Student in an organized health care education/training programs within 10 mi
3,477
Per 100K population
105.9
County median income
$102,285
Nearest hospital
SCRIPPS MEMORIAL HOSPITAL LA JOLLA
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. Lay is a clinical cardiology specialist, with above-average Medicare volume (top 21% in CA), with low-engagement industry engagement.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Lay experienced with bupivacaine injection, 0.5 mg?
Based on Medicare claims data, Dr. Lay performed 180 bupivacaine injection, 0.5 mg 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. Lay receive payments from pharmaceutical companies?
Yes. Dr. Lay received a total of $383 from 1 company across 5 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. Lay's costs compare to other student in an organized health care education/training programs in La Jolla?
Dr. Lay's average Medicare payment per service is $47. 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. Lay) 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.

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 →