Medicare Enrolled

Dr. Joseph Defoto, MD

Family Medicine · Los Angeles, CA
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
9201 W SUNSET BLVD, Los Angeles, CA 90069
3105501010
In practice since 2006 (19 years)
NPI: 1033149711 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. Defoto 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. Defoto? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Defoto

Dr. Joseph Defoto is a family medicine specialist in Los Angeles, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Defoto performed 1,446 Medicare services across 905 unique beneficiaries.

Between the years covered by Open Payments, Dr. Defoto received a total of $13,177 from 31 pharmaceutical and/or device companies across 743 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family 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. Defoto 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 15% volume in CA $13,177 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,446
Medicare services
Top 15% in CA for family medicine
905
Unique beneficiaries
$28
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~76 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.
150 $94 $185
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
145 $8 $18
Automated urinalysis
An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine.
126 $2 $35
Chlamydia trachomatis nucleic acid amplification test
A laboratory test that uses nucleic acid amplification to detect the presence of Chlamydia trachomatis bacteria in a sample.
119 $34 $100
Gonorrhea nucleic acid amplification test
A laboratory test that uses amplified probe techniques to detect the genetic material of gonorrhea bacteria. This method identifies the presence of the infection by analyzing nucleic acids from the sample.
118 $34 $100
Hemoglobin A1c test (diabetes monitoring)
A blood test that measures your average blood sugar levels over the past two to three months.
111 $9 $40
Lipid panel (cholesterol and triglycerides)
A blood test that measures cholesterol and triglyceride levels.
109 $13 $65
Comprehensive metabolic blood panel
A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers.
81 $10 $125
Free thyroxine (T4) test
A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream.
74 $9 $35
HIV-1 viral load test
A blood test that measures the amount of HIV-1 virus in your body using nucleic acid detection.
60 $82 $300
Total testosterone level test
A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women.
58 $25 $85
1,25-dihydroxyvitamin D level test
A blood test that measures the level of active vitamin D in the body.
55 $37 $150
Hepatitis C antibody test
A blood test that checks for antibodies to the hepatitis C virus. This test helps determine if a person has been exposed to the virus.
44 $14 $40
Hepatitis A antibody test
A blood test that measures the level of antibodies to the hepatitis A virus in your body. This test helps determine if you have been exposed to the virus or if you have immunity from vaccination.
31 $12 $35
Thyroid stimulating hormone (TSH) test
A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function.
29 $16 $45
Complete blood count (CBC) with differential
An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells.
29 $8 $50
PSA test (prostate cancer screening)
A blood test that measures the level of prostate-specific antigen to screen for prostate cancer.
29 $19 $51
Total estradiol level test
A blood test that measures the total amount of estradiol, a form of estrogen, in the body.
28 $27 $50
Hepatitis B surface antibody test
A blood test that measures the level of antibodies against the hepatitis B surface antigen. This test is used to check for immunity to hepatitis B or to verify the effectiveness of the hepatitis B vaccine.
22 $11 $35
Syphilis detection test
A laboratory test used to detect the presence of syphilis infection in the body.
17 $4 $25
Flu vaccine, high-dose
High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe.
11 $72 $75
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 ↗
$13,177
Total received (2018-2024)
Avg $1,882/year across 7 years
Top 3% in CA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
31
Companies
743
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
$12,973 (98.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$205 (1.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,666
2023
$1,927
2022
$1,628
2021
$1,671
2020
$1,365
2019
$2,134
2018
$1,786

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ViiV Healthcare Company
$1,301
Gilead Sciences, Inc.
$875
Neurocrine Biosciences, Inc.
$97
Janssen Pharmaceuticals, Inc
$72
Lilly USA, LLC
$68
EMD Serono, Inc.
$58
Theratechnologies Inc.
$48
Amgen Inc.
$41
ABBVIE INC.
$32
Napo Pharmaceuticals Inc
$28
Merck Sharp & Dohme LLC
$25
Antares Pharma, Inc.
$20
Top 3 companies account for 85.3% of 2024 payments
All-time payments by company (2018-2024) ›
ViiV Healthcare Company
$4,897
Gilead Sciences, Inc.
$3,999
Janssen Biotech, Inc.
$988
EMD Serono, Inc.
$700
Merck Sharp & Dohme Corporation
$475
Napo Pharmaceuticals Inc
$322
Antares Pharma, Inc.
$306
Theratechnologies Inc.
$201
Amgen Inc.
$187
Merck Sharp & Dohme LLC
$136
AbbVie, Inc.
$106
Janssen Pharmaceuticals, Inc
$101
Neurocrine Biosciences, Inc.
$97
IDORSIA PHARMACEUTICALS US INC
$77
Dynavax Technologies Corporation
$72
AbbVie Inc.
$71
Lilly USA, LLC
$68
Endo Pharmaceuticals Inc.
$50
Eisai Inc.
$45
PFIZER INC.
$36
ABBVIE INC.
$32
Janssen Products, LP
$31
Boston Scientific Corporation
$28
Vyera Pharmaceuticals, LLC
$24
DERMIRA, INC.
$23
Novo Nordisk Inc
$22
Takeda Pharmaceuticals U.S.A., Inc.
$21
Shire North American Group Inc
$19
GlaxoSmithKline, LLC.
$17
Mylan Pharmaceuticals Inc.
$15
Mylan Institutional Inc.
$12
Top 3 companies account for 75.0% of all-time payments
Associated products mentioned in payments ›
APRETUDE · AREXVY · AVEED · Aimovig · Androgel · BELSOMRA · CABENUVA · CHANTIX · Cimduo · DELSTRIGO · DOVATO · Daraprim Tablet 25mg · Dayvigo · Descovy · EGRIFTA · GARDASIL 9 · Heplisav-B · INGREZZA · ISENTRESS · JULUCA · MAVYRET · MOUNJARO · MYDAYIS · Mavyret · Mytesi · NOCDURNA · OTREXUP · Otezla · Otrexup · PIFELTRO · PNEUMOVAX 23 · PREZCOBIX · QUVIVIQ · RUKOBIA · Repatha · SEROSTIM · SPRAVATO · SYMTUZA · Saxenda · Serostim · Symfi Lo · Symtuza · TRIUMEQ · TROGARZO · Trintellix · UBRELVY · VRAYLAR · Varithena Administration Pack · XYOSTED · ZEPBOUND · ZOSTAVAX
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. Total industry engagement is in the top 3% for family medicine in CA.

Looking for a family medicine specialist in Los Angeles?
Compare family medicine physicians in the Los Angeles area by procedure volume, costs, and industry payment transparency.
Browse family medicine physicians nearby

Geographic Context

Family medicine physicians within 10 mi
3,082
Per 100K population
31.3
County median income
$87,760
Nearest hospital
CEDARS-SINAI MEDICAL CENTER
1.5 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. Defoto is a mixed practice specialist, with above-average Medicare volume (top 15% in CA), with low-engagement industry engagement in the top 3% 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. Defoto experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Defoto performed 150 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. Defoto receive payments from pharmaceutical companies?
Yes. Dr. Defoto received a total of $13,177 from 31 companies across 743 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. Defoto's costs compare to other family medicine physicians in Los Angeles?
Dr. Defoto's average Medicare payment per service is $28. 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. Defoto) 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 →