Medicare Enrolled

Dr. Mark Fahlen, MD

Internal Medicine · Modesto, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
1400 FLORIDA AVE, Modesto, CA 95350
2095442910
In practice since 2006 (19 years)
NPI: 1679539415 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. Fahlen 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. Fahlen

Dr. Mark Fahlen is an internal medicine specialist in Modesto, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Fahlen performed 2,175 Medicare services across 683 unique beneficiaries.

Between the years covered by Open Payments, Dr. Fahlen received a total of $1,357 from 19 pharmaceutical and/or device companies across 78 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal 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. Fahlen 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 $1,357 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,175
Medicare services
Top 15% in CA for internal medicine
683
Unique beneficiaries
$113
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~114 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
Monthly dialysis physician visit
A monthly doctor's visit for patients aged 20 or older who are receiving dialysis treatment.
680 $163 $253
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.
604 $81 $122
Hemodialysis, single evaluation
A dialysis procedure to filter waste from the blood, performed with a physician's evaluation.
344 $58 $83
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.
277 $64 $93
Home dialysis services per month
Monthly dialysis treatment provided in the patient's home for individuals aged 20 or older.
76 $231 $302
Dialysis services for adults, 2-3 visits per month
This code covers dialysis services for patients aged 20 or older who have 2 to 3 physician visits per month.
72 $236 $316
Hospital follow-up visit, high complexity
Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter.
56 $96 $129
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.
43 $125 $186
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.
23 $141 $226
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 2023 ↗
$1,357
Total received (2018-2023)
Avg $226/year across 6 years
Top 31% in CA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
19
Companies
78
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
$1,200 (88.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$157 (11.5%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2023
$32
2022
$99
2021
$37
2020
$145
2019
$730
2018
$313

Payments by company (2023)

Consulting
Speaking
Meals & Travel
Research
NxStage Medical, Inc.
$32
Top 3 companies account for 100.0% of 2023 payments
All-time payments by company (2018-2023) ›
AstraZeneca Pharmaceuticals LP
$260
Fresenius USA Marketing, Inc.
$193
Otsuka America Pharmaceutical, Inc.
$154
Amgen Inc.
$121
Keryx Biopharmaceuticals, Inc.
$114
OPKO Pharmaceuticals, LLC
$99
AKEBIA THERAPEUTICS INC
$90
Baxter Healthcare
$87
E.R. Squibb & Sons, L.L.C.
$65
NxStage Medical, Inc.
$32
Aurinia Pharma U.S., Inc.
$20
Hikma Pharmaceuticals USA
$18
Novartis Pharmaceuticals Corporation
$17
Daiichi Sankyo Inc.
$16
Janssen Pharmaceuticals, Inc
$15
BAXTER HEALTHCARE
$15
Takeda Pharmaceuticals U.S.A., Inc.
$15
Relypsa, Inc.
$14
Vifor Pharma, Inc.
$12
Top 3 companies account for 44.7% of all-time payments
Associated products mentioned in payments ›
AURYXIA · Auryxia · BRILINTA · Dialyzers · ELIQUIS · ENTRESTO · INJECTAFER · INVOKANA · JYNARQUE · LOKELMA · LUPKYNIS · Mitigare · NXSTAGE SYSTEM ONE · Parsabiv · RAYALDEE · Rayaldee · Renal - PD · SAMSCA · Uloric · Velphoro · Veltassa
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 (88%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an internal medicine specialist in Modesto?
Compare internal medicine physicians in the Modesto area by procedure volume, costs, and industry payment transparency.
Browse internal medicine physicians nearby

Geographic Context

Internal medicine physicians within 10 mi
277
Per 100K population
50.2
County median income
$79,661
Nearest hospital
DOCTORS 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 2023
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. Fahlen is a clinical cardiology specialist, with above-average Medicare volume (top 15% 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. Fahlen experienced with monthly dialysis physician visit?
Based on Medicare claims data, Dr. Fahlen performed 680 monthly dialysis physician visit 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. Fahlen receive payments from pharmaceutical companies?
Yes. Dr. Fahlen received a total of $1,357 from 19 companies across 78 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. Fahlen's costs compare to other internal medicine physicians in Modesto?
Dr. Fahlen's average Medicare payment per service is $113. 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. Fahlen) 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 →