Medicare Enrolled

Dr. Stefan Sien, D.O.

Critical Care Medicine · Murrieta, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
28078 BAXTER RD STE 324, Murrieta, CA 92563
9515665646
In practice since 2007 (18 years)
NPI: 1932319464 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. Sien 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. Sien? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Sien

Dr. Stefan Sien is a critical care medicine specialist in Murrieta, CA, with 18 years of NPI registration. Based on federal Medicare data, Dr. Sien performed 1,428 Medicare services across 1,021 unique beneficiaries.

Between the years covered by Open Payments, Dr. Sien received a total of $18,770 from 49 pharmaceutical and/or device companies across 633 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in critical care 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. Sien 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.

✓ 18 years in practice ▲ Top 23% volume in CA $18,770 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,428
Medicare services
Top 23% in CA for critical care medicine
1,021
Unique beneficiaries
$79
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~79 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.
481 $99 $250
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.
218 $96 $155
Pulmonary gas exchange test
A test to examine how well the lungs exchange gases.
115 $48 $130
Spirometry test before and after medication
A test that measures the amount of air you can exhale and the speed of your breathing before and after taking a medication.
113 $32 $100
Breathing device use evaluation
An assessment of how a patient uses a breathing device. The provider reviews the patient's technique and device handling.
106 $15 $40
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.
98 $126 $350
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.
90 $129 $400
Lung volume test using gas dilution or washout
A test that measures the amount of air in your lungs by using a gas dilution or washout method.
64 $37 $80
Lung volume measurement test
A test that measures the largest amount of air you can breathe in and out. It evaluates the total capacity of your lungs.
62 $12 $40
Lung volume test using sensors
A test that measures the amount of air in the lungs using sensors.
52 $45 $120
Bronchoscopic removal of foreign body
A procedure to remove an object lodged in the airways of the lung using a flexible tube with a camera (endoscope).
18 $139 $678
Bronchoscopy
A diagnostic exam of the lung airways using an endoscope to visually inspect the inside of the lungs and airways.
11 $99 $550
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 ↗
$18,770
Total received (2018-2024)
Avg $2,681/year across 7 years
Top 7% in CA for critical care medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
49
Companies
633
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
$11,525 (61.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$7,246 (38.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$4,942
2023
$6,538
2022
$2,053
2021
$1,506
2020
$1,210
2019
$1,144
2018
$1,376

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
INTUITIVE SURGICAL, INC.
$2,598
AstraZeneca Pharmaceuticals LP
$351
GlaxoSmithKline, LLC.
$287
United Therapeutics Corporation
$274
Actelion Pharmaceuticals US, Inc.
$202
Boehringer Ingelheim Pharmaceuticals, Inc.
$178
Regeneron Healthcare Solutions, Inc.
$154
SANOFI-AVENTIS U.S. LLC
$134
Takeda Pharmaceuticals U.S.A., Inc.
$105
Grifols USA, LLC
$97
Shionogi Inc
$93
Merck Sharp & Dohme LLC
$93
GENZYME CORPORATION
$81
ERBE USA INC
$73
Electromed, Inc.
$42
Bayer Healthcare Pharmaceuticals Inc.
$36
Mylan Specialty L.P.
$28
ABBVIE INC.
$25
Insmed, Inc.
$23
Baxter Healthcare
$23
Novartis Pharmaceuticals Corporation
$19
Optinose US, Inc.
$15
E.R. Squibb & Sons, L.L.C.
$13
Top 3 companies account for 65.5% of 2024 payments
All-time payments by company (2018-2024) ›
Intuitive Surgical, Inc.
$4,268
INTUITIVE SURGICAL, INC.
$2,598
GlaxoSmithKline, LLC.
$2,280
AstraZeneca Pharmaceuticals LP
$1,785
Boehringer Ingelheim Pharmaceuticals, Inc.
$1,260
Actelion Pharmaceuticals US, Inc.
$1,141
United Therapeutics Corporation
$791
GENZYME CORPORATION
$519
Regeneron Healthcare Solutions, Inc.
$394
Takeda Pharmaceuticals U.S.A., Inc.
$296
Grifols USA, LLC
$262
Genentech USA, Inc.
$247
Mylan Specialty L.P.
$243
Bayer HealthCare Pharmaceuticals Inc.
$208
SANOFI-AVENTIS U.S. LLC
$191
Janssen Pharmaceuticals, Inc
$172
Philips Electronics North America Corporation
$155
Circassia Pharmaceuticals Inc
$149
Advanced Respiratory, Inc
$140
Merck Sharp & Dohme LLC
$122
Pulmonx Corporation
$122
Electromed, Inc.
$122
Shionogi Inc
$93
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$91
Paratek Pharmaceuticals, Inc.
$87
Shire North American Group Inc
$84
Allergan Inc.
$79
Insmed, Inc.
$76
E.R. Squibb & Sons, L.L.C.
$74
ERBE USA INC
$73
ABBVIE INC.
$58
Novartis Pharmaceuticals Corporation
$58
Merck Sharp & Dohme Corporation
$54
Bayer Healthcare Pharmaceuticals Inc.
$53
La Jolla Pharmaceutical Company
$50
AbbVie Inc.
$46
Sunovion Pharmaceuticals Inc.
$43
ADVANCED RESPIRATORY, INC
$40
Baxter Healthcare
$38
PFIZER INC.
$35
Phadia US Inc.
$28
Gilead Sciences, Inc.
$28
Covis Pharma GmBH
$25
IDORSIA PHARMACEUTICALS US INC
$17
Allergan, Inc.
$17
Harmony Biosciences LLC
$15
Optinose US, Inc.
$15
Inogen, Inc.
$14
Inspire Medical Systems, Inc.
$14
Top 3 companies account for 48.7% of all-time payments
Associated products mentioned in payments ›
(8874) inCourage · (9061) SRC Sol Space · AIRSUPRA · ANORO · ANORO ELLIPTA · AREXVY · AVYCAZ · Adempas · Arikayce · BREO · BREO ELLIPTA · BREZTRI · BREZTRI AEROSPHERE · CHANTIX · CHARTIS CATHETER · Cryo 2 · DALVANCE · DUAKLIR PRESSAIR · DUPIXENT · Da Vinci Surgical System · ELIQUIS · ENTRESTO · Esbriet · FASENRA · Fetroja · GIAPREZA · GLASSIA · Hillrom - Life 2000 Ventilation System · Hillrom - Vest System Model 105 Home Care · INOGEN ONE G5 OXYGEN CONCENTRATOR - BLUETOOTH · INSPIRE · ImmunoCAP · LONHALA MAGNAIR · Life 2000 Ventilation System · LifeVest · NIOX VERO · NUCALA · NUZYRA · OCTAGAM IMMUNE GLOBULIN (HUMAN) · OFEV · OPSUMIT · OPSUMIT MACITENTAN · ORENITRAM · Prolastin-C Liquid · Pulmonx Endobronchial Valve EBV · QUVIVIQ · REMODULIN · Respiratoriy Care Undiv · SMARTVEST · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SYMBICORT · TEFLARO · TEZSPIRE · TRELEGY ELLIPTA · TUDORZA PRESSAIR · TYVASO · The Vest System Model 105 Home Care · UPTRAVI · WAKIX · WINREVAIR · Wellcentive Undiv · XARELTO · XOLAIR · Xhance · Xolair · YUPELRI · Yupelri · ZERBAXA · inCourage
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 (61%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 7% for critical care medicine in CA.

Looking for a critical care medicine specialist in Murrieta?
Compare critical care medicines in the Murrieta area by procedure volume, costs, and industry payment transparency.
Browse critical care medicines nearby

Geographic Context

Critical care medicines within 10 mi
8
Per 100K population
0.3
County median income
$89,672
Nearest hospital
LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA
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. Sien is a clinical cardiology specialist, with above-average Medicare volume (top 23% in CA), with low-engagement industry engagement in the top 7% of CA peers, with 18 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. Sien experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Sien performed 481 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. Sien receive payments from pharmaceutical companies?
Yes. Dr. Sien received a total of $18,770 from 49 companies across 633 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. Sien's costs compare to other critical care medicines in Murrieta?
Dr. Sien's average Medicare payment per service is $79. 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. Sien) 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 →