Medicare Enrolled

Dr. Ann Marie Raffo, MD

Obstetrics & Gynecology · Laguna Hills, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
24411 HEALTH CENTER DR, Laguna Hills, CA 92653
9498295500
In practice since 2006 (19 years)
NPI: 1043278021 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. Raffo 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. Raffo? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Raffo

Dr. Ann Marie Raffo is an obstetrics & gynecology specialist in Laguna Hills, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Raffo performed 1,469 Medicare services across 1,442 unique beneficiaries.

Between the years covered by Open Payments, Dr. Raffo received a total of $1,795 from 36 pharmaceutical and/or device companies across 81 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in obstetrics & gynecology. 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. Raffo 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 3% volume in CA $1,795 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,469
Medicare services
Top 3% in CA for obstetrics & gynecology
1,442
Unique beneficiaries
$57
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~77 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
Fecal immunochemical test (FIT), 1-3 simultaneous
A screening test that uses a stool sample to detect hidden blood in the feces, helping to identify potential colorectal cancer.
333 $18 $39
3D screening mammography (tomosynthesis)
A screening imaging test of the breast using 3D technology to detect potential abnormalities.
223 $29 $59
Screening mammography
An X-ray of the breast used to detect breast cancer in women who have no signs or symptoms of the disease.
223 $111 $234
Pelvic and clinical breast exam for cancer screening
A physical examination of the pelvis and breasts to screen for cervical or vaginal cancer. This procedure involves a clinical assessment performed by a healthcare provider.
168 $44 $87
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.
166 $99 $300
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.
122 $72 $204
Bone density scan (DEXA)
A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures.
61 $45 $200
Pap smear screening test
A screening test to collect and prepare a cervical or vaginal sample for laboratory analysis.
49 $50 $99
Transvaginal pelvic ultrasound
An ultrasound exam using a probe inserted into the vagina to image the uterus, ovaries, fallopian tubes, cervix, and surrounding pelvic structures.
32 $107 $284
Complete pelvic ultrasound
An imaging test using sound waves to create pictures of the organs and structures within the pelvis.
25 $96 $254
Annual depression screening 23 $21 $55
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.
17 $78 $303
Urinalysis, manual
A manual laboratory examination of a urine sample to check for various substances and cells.
14 $3 $9
Endometrial biopsy
A procedure to remove a small sample of tissue from the lining of the uterus for examination.
13 $85 $311
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 ↗
$1,795
Total received (2018-2024)
Avg $256/year across 7 years
Top 26% in CA for obstetrics & gynecology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
36
Companies
81
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
$1,767 (98.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$28 (1.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$240
2023
$130
2022
$387
2021
$340
2020
$217
2019
$241
2018
$239

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Hologic Sales and Service, LLC
$93
PFIZER INC.
$41
Boston Scientific Corporation
$40
Biogen, Inc.
$24
Minerva Surgical, Inc
$21
Astellas Pharma US Inc
$21
Top 3 companies account for 72.3% of 2024 payments
All-time payments by company (2018-2024) ›
PFIZER INC.
$149
Hologic Sales and Service, LLC
$133
Pacira Pharmaceuticals Incorporated
$125
Ethicon US, LLC
$117
Allergan Inc.
$103
Organon LLC
$91
Hologic, LLC
$79
Astellas Pharma US Inc
$72
TherapeuticsMD, Inc.
$70
AbbVie, Inc.
$68
Aspira Women's Health Inc
$59
Bayer HealthCare Pharmaceuticals Inc.
$59
Evofem Biosciences, Inc.
$57
AbbVie Inc.
$50
CooperSurgical, Inc.
$46
MAYNE PHARMA INC.
$43
Boston Scientific Corporation
$40
Merck Sharp & Dohme Corporation
$38
Shield Therapeutics Inc
$37
Channel Medsystems, Inc.
$36
Allergan, Inc.
$33
AMAG Pharmaceuticals, Inc.
$28
Exeltis, USA Inc.
$24
Biogen, Inc.
$24
Radius Health, Inc.
$23
Duchesnay USA Incorporated
$22
Minerva Surgical, Inc
$21
Lupin Inc.
$19
Olympus America Inc.
$18
Myovant Sciences Inc.
$18
Agile Therapeutics, Inc.
$17
Smith+Nephew, Inc.
$16
Amgen Inc.
$15
ABBVIE INC.
$15
Daiichi Sankyo Inc.
$15
Takeda Pharmaceuticals U.S.A., Inc.
$14
Top 3 companies account for 22.7% of all-time payments
Associated products mentioned in payments ›
ABRYSVO · ACCRUFER · ACESSA PROVU SYSTEM · ANNOVERA · APTIMA · BIJUVA · CoolSeal Generator · ESTRING · EVENITY · EXPAREL · Endosee · INJECTAFER · INTRAROSA · JADA SYSTEM · Kyleena · LILETTA · LO LOESTRIN FE · MYFEMBREE · MYOSURE TISSUE REMOVAL DEVICE · Mara Console · Mirena · Myosure · NEXPLANON · NUVARING · NovaSure · OMNI HYSTEROSCOPE · ORILISSA · OVA1 · Olympus · Orilissa · Osphena · PICO Single Use Negative Pressure Wound Therapy · PREMARIN · Paragard · Phexxi · SLYND · SOLOSEC · Trintellix · Twirla · Tymlos · VISTASEAL · Veozah · WaveWriter Alpha Prime 16
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 (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an obstetrics & gynecology specialist in Laguna Hills?
Compare obstetricians & gynecologists in the Laguna Hills area by procedure volume, costs, and industry payment transparency.
Browse obstetricians & gynecologists nearby

Geographic Context

Obstetricians & gynecologists within 10 mi
426
Per 100K population
13.5
County median income
$113,702
Nearest hospital
MEMORIALCARE SADDLEBACK 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. Raffo is a clinical cardiology specialist, with above-average Medicare volume (top 3% in CA), with low-engagement industry engagement, 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. Raffo experienced with fecal immunochemical test (fit), 1-3 simultaneous?
Based on Medicare claims data, Dr. Raffo performed 333 fecal immunochemical test (fit), 1-3 simultaneous 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. Raffo receive payments from pharmaceutical companies?
Yes. Dr. Raffo received a total of $1,795 from 36 companies across 81 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. Raffo's costs compare to other obstetricians & gynecologists in Laguna Hills?
Dr. Raffo's average Medicare payment per service is $57. 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. Raffo) 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 →