Medicare Enrolled
Dr. Mitchell Spirt, M.D.
Gastroenterology · Los Angeles, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Spirt 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. Spirt
Dr. Mitchell Spirt is a gastroenterology specialist in Los Angeles, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Spirt performed 3,208 Medicare services across 2,325 unique beneficiaries.
Between the years covered by Open Payments, Dr. Spirt received a total of $4,757 from 38 pharmaceutical and/or device companies across 188 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. 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. Spirt 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 4% volume in CA
$4,757 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,208
Medicare services
Top 4% in CA for gastroenterology
2,325
Unique beneficiaries
$74
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~169 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, 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. |
501 | $153 | $241 |
| 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. |
284 | $110 | $165 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
246 | $77 | $150 |
| Same-day hospital admission and discharge, high complexity Initial hospital care for a patient admitted and discharged on the same day, involving a high level of medical decision making. This service requires at least 85 minutes of time spent on the day of the visit. |
138 | $174 | $350 |
| New patient office visit, complex (60-74 min) | 109 | $187 | $350 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
95 | $8 | $12 |
| Venipuncture for blood draw Insertion of a needle into a vein to collect blood samples. This procedure is performed on patients aged 3 years or older. |
93 | $15 | $28 |
| 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. |
92 | $8 | $45 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
91 | $10 | $99 |
| Amylase enzyme level test A blood test that measures the amount of amylase, an enzyme produced by the pancreas and salivary glands, to help evaluate pancreatic health. |
86 | $6 | $57 |
| Glutamyltransferase (GGT) level test A blood test that measures the level of the liver enzyme glutamyltransferase (GGT) to help evaluate liver health. |
83 | $7 | $45 |
| Lipase level test A blood test that measures the amount of lipase, a fat-digesting enzyme, in your body. |
78 | $7 | $60 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
75 | $12 | $278 |
| Erythrocyte sedimentation rate (ESR) test A blood test that measures how quickly red blood cells settle in a test tube to detect inflammation in the body. This specific method is performed manually rather than using an automated machine. |
68 | $4 | $39 |
| Telephone medical discussion, 21-30 minutes A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone. |
68 | $108 | $175 |
| Bacterial culture, aerobic A laboratory test that grows and identifies bacteria capable of surviving in oxygen. The results help determine the presence of specific aerobic microorganisms. |
63 | $8 | $137 |
| Upper GI endoscopy with biopsy A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities. |
62 | $87 | $825 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
62 | $16 | $95 |
| High-sensitivity C-reactive protein test A blood test that measures high-sensitivity C-reactive protein to detect infection or inflammation. |
61 | $13 | $125 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
55 | $4 | $46 |
| Coagulation assessment blood test A blood test that measures how long it takes for blood to clot. The sample can be plasma or whole blood. |
53 | $6 | $45 |
| Colonoscopy A diagnostic exam of the large bowel using a flexible endoscope to visualize the interior of the colon. |
52 | $153 | $1,302 |
| Colon polyp removal with endoscopic snare This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination. |
50 | $177 | $1,502 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
48 | $13 | $81 |
| Iron level test | 48 | $6 | $60 |
| 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. |
48 | $78 | $125 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
47 | $15 | $95 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
47 | $14 | $80 |
| Iron binding capacity test A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron. |
46 | $9 | $49 |
| COVID-19 antibody test A blood test that measures antibodies to severe acute respiratory syndrome coronavirus 2 (COVID-19). It detects the presence of immune response markers to the virus. |
30 | $41 | $145 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
28 | $10 | $59 |
| Colonoscopy with biopsy A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease. |
26 | $43 | $1,331 |
| Stool test for hidden blood (FIT) A laboratory test that analyzes a stool sample to detect hidden blood using an immunoassay method. |
26 | $16 | $95 |
| Anoscopy A diagnostic exam of the anus using a thin, lighted tube called an endoscope to look inside. |
24 | $110 | $200 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
23 | $29 | $166 |
| Phosphate level test A blood test that measures the amount of phosphate in your body. Phosphate is a mineral that helps keep bones and teeth strong. |
23 | $5 | $38 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
23 | $4 | $76 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
23 | $50 | $95 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
21 | $7 | $48 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
21 | $12 | $125 |
| Total T3 thyroid hormone test A blood test that measures the total amount of triiodothyronine (T3) hormone in your body. T3 is a thyroid hormone that helps regulate metabolism and energy levels. |
15 | $14 | $62 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
14 | $9 | $60 |
| Helicobacter pylori antibody test A blood test that measures antibodies to the Helicobacter pylori bacteria. It is used to detect exposure to this gastrointestinal bacteria. |
14 | $17 | $120 |
| Endoscopy of digestive tract Imaging of the digestive tract performed from the inside using an endoscope. |
14 | $694 | $4,852 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
12 | $13 | $68 |
| Recombinant quadrivalent influenza vaccine A flu shot that protects against four strains of influenza virus. It is produced using recombinant DNA technology rather than growing the virus in eggs. |
11 | $69 | $70 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
11 | $33 | $48 |
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 ↗$4,757
Total received (2018-2024)
Avg $680/year across 7 years
Top 31% in CA for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
38
Companies
188
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
$4,555 (95.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$125 (2.6%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$77 (1.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$787
2023
$331
2022
$731
2021
$854
2020
$662
2019
$802
2018
$590
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$199
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$143
Celltrion USA Inc.
$141
Phathom Pharmaceuticals, Inc.
$92
Ardelyx, Inc.
$64
CapsoVision, Inc.
$46
Lilly USA, LLC
$35
Organon Llc
$33
Takeda Pharmaceuticals U.S.A., Inc.
$19
Novo Nordisk Inc
$17
Top 3 companies account for 61.3% of 2024 payments
All-time payments by company (2018-2024) ›
PFIZER INC.
$677
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$577
ABBVIE INC.
$434
AbbVie Inc.
$321
Janssen Biotech, Inc.
$263
Merck Sharp & Dohme Corporation
$244
Synergy Pharmaceuticals Inc
$229
AbbVie, Inc.
$214
Ferring Pharmaceuticals Inc.
$206
QOL Medical, LLC
$155
Celltrion USA Inc.
$141
RedHill Biopharma Inc.
$110
Phathom Pharmaceuticals, Inc.
$92
Amgen Inc.
$88
Merck Sharp & Dohme LLC
$86
Ardelyx, Inc.
$84
Intercept Pharmaceuticals, Inc.
$77
Takeda Pharmaceuticals U.S.A., Inc.
$74
Allergan Inc.
$69
Regeneron Healthcare Solutions, Inc.
$68
Celgene Corporation
$57
Nestle HealthCare Nutrition Inc.
$47
CapsoVision, Inc.
$46
Evoke Pharma, Inc.
$43
UCB, Inc.
$40
Lilly USA, LLC
$35
Shionogi Inc
$34
Organon Llc
$33
Novo Nordisk Inc
$32
Alfasigma USA, Inc.
$23
IDORSIA PHARMACEUTICALS US INC
$22
INTERCEPT PHARMACEUTICALS, INC.
$22
Daiichi Sankyo Inc.
$21
Ipsen Biopharmaceuticals, Inc
$21
Concordia Pharmaceuticals Inc.
$21
NESTLE HEALTHCARE NUTRITION INC.
$19
Prometheus Laboratories Inc.
$16
Allergan, Inc.
$16
Top 3 companies account for 35.5% of all-time payments
Associated products mentioned in payments ›
APRISO · AVSOLA · CIMZIA · CREON · CapsoCam Plus · Cimzia · DIFICID · DONNATAL · DUPIXENT · EOHILIA · EVENITY · GIMOTI · HADLIMA · HUMIRA · Humira · IBSRELA · INJECTAFER · LINZESS · MOTEGRITY · Mavyret · Movantik · Mulpleta · OCALIVA · OMVOH · QUVIVIQ · REBYOTA · RENFLEXIS · RINVOQ · SKYRIZI · STELARA · Sucraid · TRULANCE · Talicia · Trulance · VEGZELMA · VIBERZI · VOQUEZNA · VOWST · Wegovy · XELJANZ · XIFAXAN · ZENPEP · ZEPOSIA · ZINPLAVA · ZYMFENTRA
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.
Geographic Context
Gastroenterologists within 10 mi
454
Per 100K population
4.6
County median income
$87,760
Nearest hospital
KAISER FOUNDATION HOSPITAL - WEST LA
2.0 mi
2.0 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. Spirt is a clinical cardiology specialist, with above-average Medicare volume (top 4% 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. Spirt experienced with office visit, established patient, complex (40-54 min)?
Based on Medicare claims data, Dr. Spirt performed 501 office visit, established patient, complex (40-54 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. Spirt receive payments from pharmaceutical companies?
Yes. Dr. Spirt received a total of $4,757 from 38 companies across 188 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. Spirt's costs compare to other gastroenterologists in Los Angeles?
Dr. Spirt's average Medicare payment per service is $74. 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. Spirt) 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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