Medicare Enrolled
Dr. Simon Madorsky, M.D.
Otolaryngology · Newport Beach, 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. Madorsky 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. Madorsky
Dr. Simon Madorsky is an otolaryngology specialist in Newport Beach, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Madorsky performed 1,061 Medicare services across 914 unique beneficiaries.
Between the years covered by Open Payments, Dr. Madorsky received a total of $1,839 from 11 pharmaceutical and/or device companies across 28 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in otolaryngology. 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. Madorsky 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 36% volume in CA
$1,839 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,061
Medicare services
Top 36% in CA for otolaryngology
914
Unique beneficiaries
$262
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~53 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. |
104 | $104 | $218 |
| Skin graft repair, 10 sq cm or less A surgical procedure to repair a wound by transferring a small piece of skin to the affected area. The graft covers wounds on the face, neck, hands, feet, or other specified body parts. |
94 | $331 | $1,550 |
| Skin graft site preparation, face or scalp, 100 sq cm or less Preparation of the skin area on the face, scalp, or other specified body parts to receive a skin graft in infants and children. The area prepared is 100 square centimeters or 1% of the body surface area, whichever is less. |
90 | $223 | $822 |
| 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. |
85 | $144 | $332 |
| Skin graft repair of eyelid, nose, ear, or lip, 10 sq cm or less A surgical procedure to repair a wound on the eyelid, nose, ear, or lip by transferring a small piece of skin. The transferred skin covers an area of 10 square centimeters or less. |
81 | $344 | $1,576 |
| 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. |
62 | $68 | $148 |
| New patient office visit, complex (60-74 min) | 54 | $179 | $411 |
| Skin graft repair, 30.1-60.0 sq cm A surgical procedure to repair a wound by transferring skin from one area to another. This code applies to grafts covering an area between 30.1 and 60.0 square centimeters. |
52 | $657 | $2,182 |
| Destruction of precancerous skin growths, 2-14 This procedure involves the removal or destruction of two to fourteen precancerous skin lesions. It is performed to eliminate abnormal skin cells that have the potential to develop into cancer. |
50 | $6 | $22 |
| Skin and tissue graft creation This procedure involves harvesting skin and underlying tissue from one area of the body to be transplanted to another area for coverage or reconstruction. |
48 | $594 | $2,069 |
| Flap graft creation for head or neck A surgical procedure to create a flap graft for use in the head or neck area. This involves moving a section of tissue with its blood supply to reconstruct or repair a defect. |
45 | $699 | $2,101 |
| Nasal passage repair A surgical procedure to repair the nasal passage. This code covers the repair itself without specifying the underlying condition or technique. |
34 | $932 | $2,018 |
| Skin biopsy, tangential A procedure to remove a sample of the first identified skin growth for laboratory examination. |
31 | $81 | $205 |
| 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. |
28 | $158 | $290 |
| Injection into skin growths, 1-7 A procedure involving the injection of medication into one to seven skin growths. |
19 | $29 | $114 |
| Skin flap transfer to eyelids, nose, ears, or lips A surgical procedure where a section of skin is moved from one area to the eyelids, nose, ears, or lips to cover a defect or wound. |
19 | $162 | $950 |
| Destruction of precancerous skin growth, 1 Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer. |
19 | $45 | $157 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
18 | $1 | $4 |
| Full thickness skin graft to nose, ears, eyelids, or lips, 20 sq cm or less A surgical procedure where a full layer of skin is taken from a donor site and transplanted to the nose, ears, eyelids, or lips. The graft covers an area of 20 square centimeters or less. |
16 | $584 | $2,059 |
| Ear cartilage harvest for grafting Surgical removal of cartilage from the ear to be used as a graft in another part of the body. |
16 | $254 | $1,511 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
16 | $93 | $218 |
| Fluorouracil injection, 500 mg Administration of a 500 mg dose of fluorouracil medication via injection. |
16 | $2 | $4 |
| Chemotherapy administration, 1-7 injections This procedure involves the administration of chemotherapy medication through one to seven separate injections. |
15 | $73 | $174 |
| Skin graft repair, 10 sq cm or less A surgical procedure to repair a wound on the scalp, arms, or legs by transferring a small piece of skin, 10 square centimeters or less, to the affected area. |
13 | $384 | $1,424 |
| 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. |
13 | $43 | $90 |
| Nose cartilage graft A surgical procedure to transplant cartilage to the nose. This is used to reconstruct or reshape nasal structures. |
12 | $214 | $984 |
| Strapping, unna boot | 11 | $11 | $109 |
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 ↗$1,839
Total received (2018-2024)
Avg $263/year across 7 years
Top 33% in CA for otolaryngology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
11
Companies
28
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
$1,839 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$194
2023
$28
2022
$113
2021
$60
2020
$15
2019
$398
2018
$1,032
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$172
Lilly USA, LLC
$22
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Inspire Medical Systems, Inc.
$568
Galderma Laboratories, L.P.
$286
Intersect ENT, Inc.
$235
ABBVIE INC.
$200
Entellus Medical, Inc.
$186
Stryker Corporation
$113
Allergan, Inc.
$100
Allergan Inc.
$60
Medtronic, Inc.
$48
Lilly USA, LLC
$22
Sun Pharmaceutical Industries Inc.
$20
Top 3 companies account for 59.2% of all-time payments
Associated products mentioned in payments ›
BOTOX · BOTOX COSMETIC · ENTELLUS - XPRESS ENT DILATION SYSTEM · Inspire Upper Airway Stimulation System · Odomzo · SINUVA · StealthStation · TALTZ
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
Otolaryngologists within 10 mi
95
Per 100K population
3.0
County median income
$113,702
Nearest hospital
COLLEGE HOSPITAL COSTA MESA
2.8 mi
2.8 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. Madorsky is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, 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. Madorsky experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Madorsky performed 104 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. Madorsky receive payments from pharmaceutical companies?
Yes. Dr. Madorsky received a total of $1,839 from 11 companies across 28 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. Madorsky's costs compare to other otolaryngologists in Newport Beach?
Dr. Madorsky's average Medicare payment per service is $262. 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. Madorsky) 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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