Medicare Enrolled

Dr. Nancy Hsu, MD

Critical Care Medicine · La Jolla, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
10666 N TORREY PINES RD, La Jolla, CA 92037
8585548860
In practice since 2012 (13 years)
NPI: 1265789960 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. Hsu 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. Hsu? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Hsu

Dr. Nancy Hsu is a critical care medicine specialist in La Jolla, CA, with 13 years of NPI registration. Based on federal Medicare data, Dr. Hsu performed 1,533 Medicare services across 1,350 unique beneficiaries.

Between the years covered by Open Payments, Dr. Hsu received a total of $5,671 from 43 pharmaceutical and/or device companies across 210 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in critical care 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. Hsu 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.

✓ 13 years in practice ▲ Top 20% volume in CA $5,671 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,533
Medicare services
Top 20% in CA for critical care medicine
1,350
Unique beneficiaries
$139
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~118 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.
598 $102 $350
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.
272 $124 $453
Home sleep test with portable monitor
An unattended sleep study performed at home using a portable monitor that records breathing, heart rate, and oxygen levels.
213 $79 $282
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.
175 $140 $491
Sleep study in sleep lab (age 6+)
An overnight test conducted in a sleep laboratory to monitor sleep patterns and bodily functions in patients aged 6 years or older.
61 $549 $2,121
Sleep study with continuous airway pressure, age 6+
A sleep study conducted in a sleep lab that monitors breathing and other body functions while administering continuous airway pressure. This test is performed on patients aged 6 years or older.
57 $572 $2,214
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.
47 $69 $248
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.
44 $86 $305
Breathing device use evaluation
An assessment of how a patient uses a breathing device. The provider reviews the patient's technique and device handling.
29 $15 $60
Home sleep test with portable monitor, 3 channels
An unattended sleep study performed at home using a portable monitor that records at least three physiological channels.
23 $79 $310
New patient office visit, complex (60-74 min) 14 $160 $598
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 ↗
$5,671
Total received (2018-2024)
Avg $810/year across 7 years
Top 20% in CA for critical care medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
43
Companies
210
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
$5,471 (96.5%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$100 (1.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$100 (1.8%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,421
2023
$1,947
2022
$785
2021
$353
2020
$404
2019
$301
2018
$460

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Boehringer Ingelheim Pharmaceuticals, Inc.
$368
GlaxoSmithKline, LLC.
$182
Regeneron Healthcare Solutions, Inc.
$129
JAZZ PHARMACEUTICALS INC.
$85
Takeda Pharmaceuticals U.S.A., Inc.
$55
CSL Behring
$54
Merck Sharp & Dohme LLC
$52
Axsome Therapeutics, Inc.
$43
Electromed, Inc.
$42
GENZYME CORPORATION
$41
Mylan Specialty L.P.
$40
Actelion Pharmaceuticals US, Inc.
$35
AstraZeneca Pharmaceuticals LP
$32
IDORSIA PHARMACEUTICALS US INC
$30
Baxter Healthcare
$28
HARMONY BIOSCIENCES LLC
$28
Janssen Biotech, Inc.
$26
LEO Pharma Inc.
$26
Lilly USA, LLC
$24
Grifols USA, LLC
$20
Philips North America LLC
$18
Genentech USA, Inc.
$18
Itamar Medical Inc
$16
Azurity Pharmaceuticals, Inc.
$16
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$15
Top 3 companies account for 47.7% of 2024 payments
All-time payments by company (2018-2024) ›
Boehringer Ingelheim Pharmaceuticals, Inc.
$1,215
GlaxoSmithKline, LLC.
$1,102
AstraZeneca Pharmaceuticals LP
$509
Harmony Biosciences LLC
$214
JAZZ PHARMACEUTICALS INC.
$169
Regeneron Healthcare Solutions, Inc.
$169
Genentech USA, Inc.
$134
Takeda Pharmaceuticals U.S.A., Inc.
$133
Allergan Inc.
$131
Inspire Medical Systems, Inc.
$128
Axsome Therapeutics, Inc.
$128
United Therapeutics Corporation
$115
CSL Behring
$115
Melinta Therapeutics, Inc.
$111
Boston Scientific Corporation
$100
SANOFI-AVENTIS U.S. LLC
$100
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$97
Janssen Pharmaceuticals, Inc
$82
Electromed, Inc.
$70
GENZYME CORPORATION
$65
Itamar Medical Inc
$64
Janssen Biotech, Inc.
$59
Philips Electronics North America Corporation
$54
Actelion Pharmaceuticals US, Inc.
$53
Merck Sharp & Dohme LLC
$52
IDORSIA PHARMACEUTICALS US INC
$49
Azurity Pharmaceuticals, Inc.
$48
Baxter Healthcare
$45
Jazz Pharmaceuticals Inc.
$43
Mylan Specialty L.P.
$40
Grifols USA, LLC
$36
Insmed, Inc.
$29
HARMONY BIOSCIENCES LLC
$28
LEO Pharma Inc.
$26
Lilly USA, LLC
$24
Avadel CNS Pharmaceuticals, LLC
$23
ABBVIE INC.
$19
Philips North America LLC
$18
PFIZER INC.
$16
E.R. Squibb & Sons, L.L.C.
$15
Teva Pharmaceuticals USA, Inc.
$15
Braintree Laboratories, Inc.
$14
Merck Sharp & Dohme Corporation
$12
Top 3 companies account for 49.8% of all-time payments
Associated products mentioned in payments ›
(8876) Vest Therapy Und · (O58) Sleep Respiratory Care Und · ADBRY · AIRSUPRA · ANORO ELLIPTA · AREXVY · AVYCAZ · AirDuo Digihaler · Arikayce · BREZTRI · CUVITRU · DIFICID · DUPIXENT · ELIQUIS · ENTYVIO · FASENRA · GATTEX · GENERAL THERAPIES · HORIZANT · Hillrom - Life 2000 Ventilation System · Hillrom - Vest System Model 105 Home Care · Hizentra · Horizant · INSPIRE · KEYTRUDA · LUMRYZ · NUCALA · OFEV · OMVOH · OPDIVO · OPSUMIT · Prolastin-C Liquid · QUVIVIQ · RINVOQ · SMARTVEST · SPIRIVA RESPIMAT · STELARA · STIOLTO RESPIMAT · SUNOSI · SUTAB · SYMBICORT · Sunosi · TEZSPIRE · TRELEGY ELLIPTA · TREMFYA · TRULANCE · TYVASO · UPTRAVI · Vabomere · WAKIX · Wakix · WatchPAT · WatchPATONE · XARELTO · XIFAXAN · XYWAV · Xolair · YUPELRI
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 critical care medicine specialist in La Jolla?
Compare critical care medicines in the La Jolla area by procedure volume, costs, and industry payment transparency.
Browse critical care medicines nearby

Geographic Context

Critical care medicines within 10 mi
84
Per 100K population
2.6
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. Hsu is a clinical cardiology specialist, with above-average Medicare volume (top 20% in CA), with low-engagement industry engagement in the top 20% of CA peers.

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

Frequently Asked Questions

Is Dr. Hsu experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Hsu performed 598 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. Hsu receive payments from pharmaceutical companies?
Yes. Dr. Hsu received a total of $5,671 from 43 companies across 210 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. Hsu's costs compare to other critical care medicines in La Jolla?
Dr. Hsu's average Medicare payment per service is $139. 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. Hsu) 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 →