Medicare Enrolled
Dr. Donnelly Wilkes
Family Medicine · Newbury Park, 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. Wilkes 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. Wilkes
Dr. Donnelly Wilkes is a family medicine specialist in Newbury Park, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Wilkes performed 4,193 Medicare services across 3,250 unique beneficiaries.
Between the years covered by Open Payments, Dr. Wilkes received a total of $2,997 from 29 pharmaceutical and/or device companies across 183 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. Wilkes 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.
✓ 20 years in practice
▲ Top 4% volume in CA
$2,997 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,193
Medicare services
Top 4% in CA for family medicine
3,250
Unique beneficiaries
$68
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~210 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. |
627 | $95 | $208 |
| 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. |
566 | $67 | $147 |
| Annual alcohol misuse screening, 5 to 15 minutes | 323 | $20 | $32 |
| Annual intensive behavioral therapy for cardiovascular disease, 15 minutes A yearly, in-person session focused on intensive behavioral therapy to help manage cardiovascular disease. The session lasts for 15 minutes and is conducted with the patient individually. |
323 | $27 | $42 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
320 | $84 | $135 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
276 | $139 | $213 |
| Annual depression screening | 276 | $20 | $31 |
| 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. |
199 | $139 | $291 |
| Physical therapy exercise, per 15 min A therapy session using exercises to improve strength, endurance, range of motion, and flexibility. Each 15-minute unit is billed separately. |
172 | $19 | $80 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
161 | $33 | $40 |
| 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. |
157 | $72 | $89 |
| Obesity behavioral counseling, 15 minutes A 15-minute face-to-face session focused on behavioral counseling to help manage obesity. |
92 | $27 | $42 |
| 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. |
75 | $12 | $39 |
| COVID-19 vaccine administration Administration of a single dose of the coronavirus vaccine. |
63 | $44 | $65 |
| COVID-19 vaccine (Moderna bivalent) An intramuscular injection of the SARS-CoV-2 vaccine containing 50 micrograms in a 0.5 mL dose. |
63 | $143 | $165 |
| 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. |
54 | $2 | $11 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
53 | $235 | $453 |
| Manual therapy (hands-on treatment), per 15 min | 49 | $15 | $83 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
48 | $8 | $15 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
37 | $1 | $16 |
| SARS-CoV-2 vaccine, 30 mcg/0.3 mL Administration of the SARS-CoV-2 (COVID-19) vaccine containing 30 micrograms of antigen in a 0.3 milliliter dose. |
35 | $44 | $65 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
32 | $176 | $270 |
| Prolonged office E/M service, first 15 minutes This code is used for additional time spent by a physician beyond the maximum required time of a primary office or outpatient evaluation and management service. It is billed in 15-minute increments based on total time spent on the date of the primary service. |
32 | $26 | $52 |
| Adm sarscv2 bvl 50mcg/.5ml a | 30 | $44 | $65 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
22 | $33 | $40 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
20 | $43 | $90 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
18 | $177 | $270 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
16 | $174 | $337 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
15 | $282 | $340 |
| Home health agency supervision, complex multidisciplinary care Supervision by a physician or allowed practitioner for a patient receiving Medicare-covered services from a participating home health agency. This involves complex and multidisciplinary care modalities, with the patient not present during the supervision. |
15 | $88 | $168 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
12 | $33 | $70 |
| Evaluation for physical therapy, typically 20 minutes | 12 | $52 | $166 |
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 ↗$2,997
Total received (2018-2024)
Avg $428/year across 7 years
Top 13% in CA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
29
Companies
183
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
$2,997 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$176
2023
$564
2022
$337
2021
$266
2020
$448
2019
$858
2018
$348
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Janssen Pharmaceuticals, Inc
$76
Radius Health, Inc.
$51
Merck Sharp & Dohme LLC
$18
IDORSIA PHARMACEUTICALS US INC
$18
Amgen Inc.
$13
Top 3 companies account for 82.6% of 2024 payments
All-time payments by company (2018-2024) ›
Amgen Inc.
$1,533
Janssen Pharmaceuticals, Inc
$288
DePuy Synthes Sales Inc.
$125
Novo Nordisk Inc
$98
Merck Sharp & Dohme Corporation
$91
Radius Health, Inc.
$78
GlaxoSmithKline, LLC.
$71
PFIZER INC.
$61
Biohaven Pharmaceuticals, Inc.
$49
Bioventus LLC
$47
Horizon Pharma plc
$45
Allergan, Inc.
$43
Takeda Pharmaceuticals U.S.A., Inc.
$42
Merck Sharp & Dohme LLC
$38
IDORSIA PHARMACEUTICALS US INC
$37
Vertiflex, Inc.
$37
Regeneron Healthcare Solutions, Inc.
$36
Exact Sciences Corporation
$34
Teva Pharmaceuticals USA, Inc.
$32
Amarin Pharma Inc.
$30
AstraZeneca Pharmaceuticals LP
$28
Novartis Pharmaceuticals Corporation
$28
Nevro Corp.
$25
Boston Scientific Corporation
$25
ARBOR PHARMACEUTICALS, INC.
$22
Lilly USA, LLC
$18
TherapeuticsMD, Inc.
$14
SANOFI PASTEUR INC.
$14
Endogastric Solutions, Inc
$7
Top 3 companies account for 64.9% of all-time payments
Associated products mentioned in payments ›
AJOVY · ANNOVERA · Aimovig · BEXSERO · BOTOX · Cologuard Collection Kit · EMGALITY · ESOPHYX · Edarbi · FARXIGA · FLUZONE HIGH-DOSE · GARDASIL · GELSYN 3 · GENERAL PAIN MANAGEMENT · JANUVIA · KRYSTEXXA · LEQVIO · NURTEC ODT · ORTHOVISC · Otezla · Ozempic · PNEUMOVAX 23 · PRALUENT · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · QUVIVIQ · RAYOS · Repatha · SHINGRIX · SPRAVATO · SYMBICORT · Senza Spinal Cord Stimulation System · Superion ISS · Trintellix · Tymlos · Vascepa
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Family medicine physicians within 10 mi
640
Per 100K population
76.3
County median income
$107,327
Nearest hospital
LOS ROBLES HOSPITAL & MEDICAL CENTER
5.0 mi
5.0 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. Wilkes is a clinical cardiology specialist, with above-average Medicare volume (top 4% in CA), with low-engagement industry engagement in the top 13% of CA peers, with 20 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. Wilkes experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Wilkes performed 627 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. Wilkes receive payments from pharmaceutical companies?
Yes. Dr. Wilkes received a total of $2,997 from 29 companies across 183 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. Wilkes's costs compare to other family medicine physicians in Newbury Park?
Dr. Wilkes's average Medicare payment per service is $68. 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. Wilkes) 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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