Medicare Enrolled
Dr. Paul Teirstein, M.D.
Cardiovascular Disease · La Jolla, CA
Practice pattern: Interventional Cardiology
— Practice focused on catheter-based cardiac procedures
Speaking/Promotional
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. Teirstein 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. Teirstein
Dr. Paul Teirstein is a cardiovascular disease specialist in La Jolla, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Teirstein performed 2,012 Medicare services across 1,775 unique beneficiaries.
Between the years covered by Open Payments, Dr. Teirstein received a total of $476,066 from 49 pharmaceutical and/or device companies across 831 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Teirstein 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 49% volume in CA
$476,066 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,012
Medicare services
Top 49% in CA for cardiovascular disease
1,775
Unique beneficiaries
$157
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~106 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 |
|---|---|---|---|
| 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. |
366 | $10 | $176 |
| Coronary stent placement A procedure to insert a stent into a coronary artery or its branch to keep it open, using balloon dilation during the process. |
251 | $382 | $2,100 |
| Ultrasound of heart blood vessel or graft An ultrasound exam to evaluate blood flow in a heart blood vessel or graft, including a radiologist's review of the initial vessel. |
242 | $74 | $379 |
| Cardiac catheterization | 220 | $153 | $1,058 |
| 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. |
140 | $139 | $520 |
| Additional heart vessel ultrasound evaluation An additional ultrasound assessment of a specific heart blood vessel or graft, including radiologist review. |
108 | $59 | $336 |
| Hospital discharge management, 30+ min This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge. |
79 | $95 | $279 |
| Transcatheter aortic valve replacement via femoral artery A minimally invasive procedure to replace a diseased aortic heart valve using a catheter inserted through the skin and femoral artery. |
68 | $578 | $2,694 |
| Coronary angiography A procedure to insert a tube into a coronary artery to capture diagnostic images of the heart's blood vessels. |
60 | $110 | $859 |
| Intravascular ultrasound of heart vessel, initial An ultrasound procedure used to evaluate a blood vessel within the heart during a diagnostic or treatment procedure. |
59 | $57 | $272 |
| 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. |
46 | $65 | $187 |
| Balloon dilation of single coronary artery or branch A procedure to widen a single coronary artery or its branch using a balloon catheter to restore blood flow. |
44 | $304 | $1,888 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
43 | $107 | $354 |
| Cerebral embolic protection device placement and removal A catheter-based procedure to place a device in the brain to prevent embolisms, followed by its removal, using imaging guidance. |
38 | $102 | $468 |
| Removal of plaque, insertion of stent and/or balloon dilation of single coronary artery, branch or bypass graft | 38 | $500 | $2,359 |
| 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. |
36 | $125 | $453 |
| Right heart catheterization with coronary angiography A procedure to insert a tube into the right side of the heart and coronary arteries to gather diagnostic information, with review by a radiologist. |
32 | $203 | $1,115 |
| Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist | 31 | $226 | $1,343 |
| Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist | 22 | $172 | $1,200 |
| Insertion of radiation delivery device into heart artery A procedure where a device is placed into an artery of the heart to deliver radiation therapy. |
19 | $125 | $575 |
| Tube insertion in bypass graft for diagnosis A tube is inserted into a bypass graft to allow for diagnostic evaluation. A radiologist reviews the procedure. |
16 | $143 | $999 |
| 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. |
16 | $109 | $350 |
| Initial hospital admission, low complexity Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter. |
14 | $68 | $262 |
| Fractional flow reserve measurement with 3D mapping A procedure to measure blood flow pressure in heart arteries using 3D functional mapping during the procedure. |
12 | $582 | $742 |
| 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. |
12 | $118 | $491 |
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.
32.2% high complexity
21.3% medium
46.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$476,066
Total received (2018-2024)
Avg $68,009/year across 7 years
Top 2% in CA for cardiovascular disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
49
Companies
831
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.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$371,077 (77.9%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$39,586 (8.3%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$26,098 (5.5%)
Scientific / Research
Research funding and grants
$22,825 (4.8%)
Financial / Ownership
Ownership or investment interests, royalties, and licensing fees
$16,480 (3.5%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$117,673
2023
$83,953
2022
$65,280
2021
$25,216
2020
$36,051
2019
$67,815
2018
$80,078
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$52,416
ShockWave Medical, Inc
$34,629
Boston Scientific Corporation
$23,384
ABIOMED
$3,018
SpectraWAVE, Inc
$1,460
Abbott Laboratories
$578
Philips North America LLC
$405
ASAHI INTECC USA, INC.
$305
Teleflex LLC
$304
Acist Medical Systems, Inc.
$230
Penumbra, Inc.
$160
Cardiac Dimensions, Inc.
$148
Reflow Medical Inc
$147
BIOTRONIK INC.
$122
Kestra Medical Technology Services, Inc.
$76
CORDIS US CORP.
$76
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$68
E.R. Squibb & Sons, L.L.C.
$46
Novartis Pharmaceuticals Corporation
$38
PFIZER INC.
$29
iRhythm Technologies, Inc.
$18
ABBVIE INC.
$17
Top 3 companies account for 93.8% of 2024 payments
All-time payments by company (2018-2024) ›
Medtronic Vascular, Inc.
$114,664
ShockWave Medical, Inc
$94,228
Medtronic, Inc.
$86,312
Boston Scientific Corporation
$44,758
Shockwave Medical, Inc
$34,653
ABIOMED
$31,392
Edwards Lifesciences Corporation
$25,616
BIOTRONIK INC.
$24,158
Abbott Laboratories
$2,989
SpectraWAVE, Inc
$2,866
Philips Electronics North America Corporation
$2,119
Cardiovascular Systems Inc.
$1,994
Acist Medical Systems, Inc.
$1,939
ASAHI INTECC USA, INC.
$1,435
Cook Medical LLC
$591
Chiesi USA, Inc.
$550
ACIST MEDICAL SYSTEMS, INC.
$547
Teleflex LLC
$466
Penumbra, Inc.
$425
AstraZeneca Pharmaceuticals LP
$420
Philips North America LLC
$405
CathWorks, Inc.
$386
BOSTON SCIENTIFIC CORPORATION
$311
Opsens Inc.
$286
PFIZER INC.
$269
Reflow Medical Inc
$253
Amgen Inc.
$217
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$214
Novartis Pharmaceuticals Corporation
$195
JenaValve Technology, Inc.
$185
Cardiac Dimensions, Inc.
$148
E.R. Squibb & Sons, L.L.C.
$126
Arrow International, Inc.
$124
Inari Medical, Inc.
$99
Janssen Pharmaceuticals, Inc
$93
W. L. Gore & Associates, Inc.
$82
Kestra Medical Technology Services, Inc.
$76
Terumo Medical Corporation
$76
CORDIS US CORP.
$76
CHIESI USA, INC.
$61
Gilead Sciences, Inc.
$53
Bard Peripheral Vascular, Inc.
$43
Novo Nordisk Inc
$41
Trevena, Inc.
$24
Kiniksa Pharmaceuticals, Ltd.
$23
Celgene Corporation
$22
Impulse Dynamics (USA) Inc.
$20
iRhythm Technologies, Inc.
$18
ABBVIE INC.
$17
Top 3 companies account for 62.0% of all-time payments
Associated products mentioned in payments ›
(5027) Intact Vascular Und · (5154) Azurion 7 M20 GC · (5241) IGT Solutions Equip Undivided · (6399) Angio iFR · (6571) Eagle Eye · (6574) Coronary Other · (6585) Omniwire · (8324) Azurion 7 M20 · (8333) IGT D Coronary · (9266) ELCA · (9267) AngioSculpt CV RX · (9547) IGT Systems Undivided · AMPLATZER · AMPLATZER AMULET · ANDEXXA · ANGIO-SEAL · ASAHI PTCA Guide Wire · ASAHI PTCA Guide Wire Minamo · AVALUS · AVVIGO Guidance System · Apollo · Arcalyst · Assure WCD · Astron; Pulsar; AstronPulsar · BRILINTA · CAMZYOS · CHOICE · CLEVIPREX · CLINICAL TRIAL PRODUCT · COOK MEDICAL IAA · COOK MEDICAL WIRE GUIDES · COOK MEDICAL ZILVER PTX · COREVALVE EVOLUT R · CREON · CVI Consumables · CVI Systems · CVX-300 · Catheter - GuideLiner · Claria MRI · Clinical Trial Product · Cook Medical Catheters · Cook Medical Stents · Cook Medical Zilver PTX · CoreValve Evolut · Coronary Orbital Atherectomy System · Diamondback Coronary · Diamondback Peripheral · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · ELIQUIS · ENSITE · ENTRESTO · Edwards SAPIEN 3 Transcatheter Heart Valve · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · Emerge Push · Endurant · FARXIGA · FFRANGIO · FFRangio · FLOWTRIEVER CATHETER · GENERAL ANGIOPLASTY · GENERAL STRUCTURAL HEART · GENERAL THERAPIES · GENERAL STENTS · GENERAL THERAPIES · GENERAL - THERAPIES · GENERAL THERAPIES · GORE CARDIOFORM Septal Occluder · GUIDELINER · General - Structural Heart · General - Therapies · General - Vascular Access · HD-IVUS · HyperVue Imaging System · IGT D Coronary · IGT_D Coronary · Impella · Indigo System · JenaValve Pericardial TAVR System · KENGREAL · KENGREAL 50MG/10ML L · LEQVIO · LOTUS EDGE · LUTONIX · Legacy · LifeVest · MANTA · NAVITOR · ONYX FRONTIER · OPTIS · OPTITORQUE · Olinvyk · OptiCross · Optimizer · Optis Coronary Imaging System · OptoWire · Orsiro · Orsiro Mission · Ozempic · PERFORMER · PERIPHERAL VASCULAR · PK Papyrus · PORTICO · PRO-Kinetic Energy · Penumbra System · RESOLUTE ONYX · ROTABLATOR · ROTAPRO · RXI CONSUMABLES · RXi Consumables · RXi Systems · ReCross · Repatha · Resolute · Reveal LINQ · Rybelsus · S · SAPIEN 3 Ultra RESILIA · SELUTION SLRPTA · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · SYMPLICITY G3 · SYNERGY · Sentinel · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · Spectranetics Undiv · THERAPIES · TrapIT · VYNDAQEL · Vascular Lithotripsy · WATCHMAN · XARELTO · XIENCE SIERRA · XIENCE SKYPOINT · Xience Alpine cornary stent system · Xience Sierra Coronary Stent · Xience cornary stent systems · ZILVER PTX · ZIO XT Patch
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 →
The majority of payments (78%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in cardiovascular disease and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 2% for cardiovascular disease in CA.
Geographic Context
Cardiologists within 10 mi
248
Per 100K population
7.6
County median income
$102,285
Nearest hospital
SCRIPPS MEMORIAL HOSPITAL LA JOLLA
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. Teirstein is an interventional cardiology specialist, with moderate Medicare volume, with speaking/promotional industry engagement in the top 2% 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. Teirstein experienced with sedation by physician, initial 15 minutes?
Based on Medicare claims data, Dr. Teirstein performed 366 sedation by physician, initial 15 minutes 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. Teirstein receive payments from pharmaceutical companies?
Yes. Dr. Teirstein received a total of $476,066 from 49 companies across 831 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. Teirstein's costs compare to other cardiologists in La Jolla?
Dr. Teirstein's average Medicare payment per service is $157. 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. Teirstein) 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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