Medicare Enrolled
Dr. Brian Candell, M.D.
Internal Medicine · Orinda, 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. Candell 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. Candell
Dr. Brian Candell is an internal medicine specialist in Orinda, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Candell performed 3,041 Medicare services across 2,142 unique beneficiaries.
Between the years covered by Open Payments, Dr. Candell received a total of $7,553 from 51 pharmaceutical and/or device companies across 415 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. Candell 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 10% volume in CA
$7,553 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,041
Medicare services
Top 10% in CA for internal medicine
2,142
Unique beneficiaries
$79
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~160 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 (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. |
1,031 | $75 | $165 |
| 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. |
649 | $101 | $235 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
310 | $154 | $180 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
265 | $37 | $50 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
259 | $76 | $85 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
92 | $40 | $90 |
| Manual urinalysis with microscopic examination A urine test performed manually without automated equipment. The sample is examined under a microscope to check for abnormalities. |
88 | $4 | $18 |
| 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. |
79 | $12 | $40 |
| 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. |
65 | $49 | $105 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
64 | $1 | $25 |
| 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. |
62 | $12 | $45 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
33 | $37 | $50 |
| 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. |
32 | $281 | $325 |
| 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. |
12 | $195 | $210 |
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 ↗$7,553
Total received (2018-2024)
Avg $1,079/year across 7 years
Top 12% in CA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
51
Companies
415
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
$7,553 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$892
2023
$1,011
2022
$1,041
2021
$1,373
2020
$1,284
2019
$794
2018
$1,158
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Lilly USA, LLC
$136
Novo Nordisk Inc
$133
Insmed, Inc.
$94
Takeda Pharmaceuticals U.S.A., Inc.
$89
GlaxoSmithKline, LLC.
$86
PFIZER INC.
$72
AstraZeneca Pharmaceuticals LP
$50
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$36
Boehringer Ingelheim Pharmaceuticals, Inc.
$35
Bayer Healthcare Pharmaceuticals Inc.
$27
Astellas Pharma US Inc
$26
SCILEX PHARMACEUTICALS INC.
$24
Merck Sharp & Dohme LLC
$24
Edwards Lifesciences Corporation
$24
Amgen Inc.
$18
Kowa Pharmaceuticals America, Inc.
$16
Top 3 companies account for 40.8% of 2024 payments
All-time payments by company (2018-2024) ›
PFIZER INC.
$1,102
Novo Nordisk Inc
$845
Janssen Pharmaceuticals, Inc
$515
Boehringer Ingelheim Pharmaceuticals, Inc.
$429
Insmed, Inc.
$426
Lilly USA, LLC
$409
Amarin Pharma Inc.
$373
Takeda Pharmaceuticals U.S.A., Inc.
$330
AbbVie Inc.
$292
GlaxoSmithKline, LLC.
$290
Amgen Inc.
$262
E.R. Squibb & Sons, L.L.C.
$241
Biohaven Pharmaceuticals, Inc.
$179
SANOFI-AVENTIS U.S. LLC
$151
AstraZeneca Pharmaceuticals LP
$149
Merck Sharp & Dohme Corporation
$148
Biohaven Pharmaceutical Holding Company Ltd.
$128
ABBVIE INC.
$123
Novartis Pharmaceuticals Corporation
$110
AbbVie, Inc.
$89
Eisai Inc.
$85
Astellas Pharma US Inc
$77
Esperion Therapeutics, Inc.
$63
Allergan, Inc.
$46
CSL Behring
$43
UPSHER-SMITH LABORATORIES LLC
$39
Sunovion Pharmaceuticals Inc.
$37
Exact Sciences Corporation
$37
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$36
SANOFI PASTEUR INC.
$36
Endo Pharmaceuticals Inc.
$34
Medtronic USA, Inc.
$33
Almatica Pharma LLC
$29
Bayer Healthcare Pharmaceuticals Inc.
$27
Sumitomo Pharma America, Inc.
$25
SCILEX PHARMACEUTICALS INC.
$24
Avanir Pharmaceuticals, Inc.
$24
Merck Sharp & Dohme LLC
$24
Shire North American Group Inc
$24
Edwards Lifesciences Corporation
$24
ARBOR PHARMACEUTICALS, INC.
$20
Medline Industries, Inc.
$19
Amneal Pharmaceuticals LLC
$19
Upsher-Smith Laboratories LLC
$19
Vyera Pharmaceuticals, LLC
$19
Circassia Pharmaceuticals Inc
$17
Kowa Pharmaceuticals America, Inc.
$16
Ferring Pharmaceuticals Inc.
$16
MITSUBISHI TANABE PHARMA AMERICA, INC.
$16
Promius Pharma LLC
$15
IDORSIA PHARMACEUTICALS US INC
$14
Top 3 companies account for 32.6% of all-time payments
Associated products mentioned in payments ›
ADACEL · AREXVY · Aimovig · Amitiza · Arikayce · BASAGLAR · BREO · BREZTRI · CHANTIX · COMIRNATY · CUVITRU · Cologuard Collection Kit · Creon · DIFICID · Daraprim 30 Tablet in 1 Bottle · Dayvigo · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · ELIQUIS · ELYXYB - CELECOXIB · EMGALITY · ENTRESTO · EUCRISA · EVENITY · Edarbi · FARXIGA · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · GARDASIL · GEMTESA · HUMALOG · HYQVIA · Hizentra · JANUVIA · JARDIANCE · KYPHON Balloon Kyphoplasty · Kerendia · LEQVIO · LINZESS · LOREEV XR · LYRICA · MOUNJARO · NASCOBAL · NEXLETOL · NURTEC ODT · Nuedexta · Otezla · Ozempic · PREMARIN · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · QULIPTA · QUVIVIQ · RADICAVA · REBYOTA · RYBELSUS · RYTARY · Repatha · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SYMBICORT · SYNTHROID · Synthroid · TOSYMRA · TOSYMRA SUMATRIPTAN NASAL SPRAY · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · TUDORZA PRESSAIR · Tresiba · Trintellix · UBRELVY · VIAGRA · VRAYLAR · VYVANSE · Vascepa · Veozah · Victoza · XARELTO · XIFAXAN · ZORYVE · Zembrace
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
Internal medicine physicians within 10 mi
2,936
Per 100K population
252.8
County median income
$125,727
Nearest hospital
ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP
1.9 mi
1.9 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. Candell is a clinical cardiology specialist, with above-average Medicare volume (top 10% in CA), with low-engagement industry engagement in the top 12% of CA peers, 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. Candell experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Candell performed 1,031 office visit, established patient (20-29 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. Candell receive payments from pharmaceutical companies?
Yes. Dr. Candell received a total of $7,553 from 51 companies across 415 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. Candell's costs compare to other internal medicine physicians in Orinda?
Dr. Candell'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. Candell) 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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