Medicare Enrolled
Dr. Kyle Heron, MD
Interventional Pain Medicine Physician · Modesto, 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. Heron 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. Heron
Dr. Kyle Heron is an interventional pain medicine physician in Modesto, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Heron performed 2,547 Medicare services across 1,154 unique beneficiaries.
Between the years covered by Open Payments, Dr. Heron received a total of $7,329 from 34 pharmaceutical and/or device companies across 260 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in interventional pain medicine physician. 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. Heron 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 24% volume in CA
$7,329 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,547
Medicare services
Top 24% in CA for interventional pain medicine physician
1,154
Unique beneficiaries
$63
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~134 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. |
829 | $68 | $225 |
| 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. |
383 | $103 | $340 |
| Spinal drug pump reprogramming and refill A physician electronically adjusts the settings of a spinal drug infusion pump and refills its medication reservoir. |
281 | $33 | $982 |
| 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. |
213 | $11 | $28 |
| 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. |
137 | $30 | $195 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
118 | $74 | $744 |
| 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. |
99 | $99 | $350 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
80 | $20 | $234 |
| Electronic analysis and reprogramming of spinal drug pump This procedure involves electronically analyzing and reprogramming a spinal canal drug infusion pump. It does not include the surgical insertion or removal of the device. |
71 | $25 | $137 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
62 | $14 | $191 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
56 | $72 | $1,292 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
45 | $92 | $1,230 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
37 | $79 | $756 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
26 | $158 | $1,957 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
22 | $100 | $923 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
22 | $56 | $538 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
22 | $52 | $750 |
| Facet joint nerve destruction, single joint This procedure uses imaging guidance to destroy the nerves supplying a single upper or middle spinal facet joint. It is performed to interrupt pain signals from that specific joint. |
17 | $138 | $1,995 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional upper or middle spinal facet joint. |
16 | $51 | $837 |
| Insertion of programmable spinal drug infusion pump A surgical procedure to implant a programmable pump into the spinal canal for delivering medication. |
11 | $199 | $4,059 |
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.
0.4% high complexity
25.7% medium
73.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$7,329
Total received (2018-2024)
Avg $1,047/year across 7 years
Top 23% in CA for interventional pain medicine physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
34
Companies
260
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
$7,285 (99.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$44 (0.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,467
2023
$1,521
2022
$377
2021
$906
2020
$832
2019
$815
2018
$1,410
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Boston Scientific Corporation
$784
PAINTEQ LLC
$605
Vertos Medical, Inc.
$79
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Boston Scientific Corporation
$3,157
Relievant Medsystems, Inc.
$673
PAINTEQ LLC
$605
Flowonix Medical Incorporated
$470
Stryker Corporation
$335
Electronic Waveform Lab, Inc.
$321
Avanos Medical
$216
PFIZER INC.
$198
Vertos Medical, Inc.
$180
Collegium Pharmaceutical, Inc.
$155
Saluda Medical Americas, Inc.
$134
Medtronic USA, Inc.
$112
Takeda Pharmaceuticals U.S.A., Inc.
$98
Foundation Fusion Solutions, LLC
$78
Baxter Healthcare
$54
BioDelivery Sciences International, Inc.
$50
Abbott Laboratories
$49
Osteomed LLC
$44
Medtronic, Inc.
$38
Jazz Pharmaceuticals Inc.
$36
Forte Bio-Pharma LLC
$36
Shionogi Inc
$36
DePuy Synthes Sales Inc.
$34
Globus Medical, Inc.
$27
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$27
SI-BONE, Inc.
$25
BOSTON SCIENTIFIC CORPORATION
$24
RedHill Biopharma Inc.
$19
Nevro Corp.
$18
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$18
Nuvectra Corporation
$18
Vertiflex, Inc.
$17
Aesculap, Inc.
$15
Purdue Pharma L.P.
$12
Top 3 companies account for 60.5% of all-time payments
Associated products mentioned in payments ›
ANCHOR C · AVIATOR · Algovita · Amitiza · BELBUCA · BUNAVAIL 2.1 mg 30-count box · COOLIEF COOLED RADIOFREQUENCY · ESCALATE · EXCELSIUS GPS · Evoke SCS · FLOSEAL · GENERAL DBS · GENERAL PAIN MANAGEMENT · GENERAL - PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · GENERATOR · General - Pain Management · INTELLIS · IVS - MULTIGEN 2RF · Infinion 16 · Intracept · LYRICA · Linear 3-6 · Movantik · NEURO-Profile Plus · Nalocet · OASYS · PAEDIGAV · PAINTEQ · PROCLAIM · Prialt · Proclaim Family of SCS IPGs · Prometra II · RELISTOR · SPECTRA WAVEWRITER · SYMPROIC · SYNCHROMED · SYNCHROMEDII · SYNTHECEL · Senza Spinal Cord Stimulation System · Superion ISS · Symproic · WaveWriter Alpha Prime 16 · XTAMPZA · iFuse Implant · mild Device Kit
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 (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Interventional pain medicine physicians within 10 mi
4
Per 100K population
0.7
County median income
$79,661
Nearest hospital
DOCTORS MEDICAL CENTER
3.5 mi
3.5 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. Heron is a clinical cardiology specialist, with above-average Medicare volume (top 24% 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. Heron experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Heron performed 829 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. Heron receive payments from pharmaceutical companies?
Yes. Dr. Heron received a total of $7,329 from 34 companies across 260 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. Heron's costs compare to other interventional pain medicine physicians in Modesto?
Dr. Heron's average Medicare payment per service is $63. 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. Heron) 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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