Medicare Enrolled
Dr. Patricia James, M.D.
Emergency Medicine · Palm Desert, 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. James 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. James?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. James
Dr. Patricia James is an emergency medicine specialist in Palm Desert, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. James performed 8,247 Medicare services across 2,226 unique beneficiaries.
Between the years covered by Open Payments, Dr. James received a total of $9,598 from 65 pharmaceutical and/or device companies across 473 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in emergency 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. James 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 0% volume in CA
$9,598 industry payments
Medicare Practice Summary
Medicare Utilization ↗8,247
Medicare services
Top 0% in CA for emergency medicine
2,226
Unique beneficiaries
$45
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~434 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 |
|---|---|---|---|
| Allergy immunotherapy preparation A professional service involving the preparation and administration of one or more antigens. |
3,701 | $10 | $24 |
| 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. |
1,484 | $98 | $205 |
| Allergy skin test A diagnostic test performed to identify specific allergies by applying or introducing allergenic extracts to the body. The procedure measures the patient's immune response to various potential allergens. |
1,007 | $3 | $13 |
| 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. |
427 | $83 | $90 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
368 | $133 | $150 |
| 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. |
132 | $66 | $140 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
103 | $69 | $125 |
| 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. |
97 | $96 | $210 |
| Remote vital sign monitoring management, each additional 20 minutes This code covers the time spent by a provider managing patient data from remote vital sign monitoring devices. It applies to each additional 20-minute increment beyond the initial monthly service period. |
91 | $32 | $44 |
| Telephone medical discussion, 21-30 minutes A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone. |
90 | $95 | $140 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
75 | $32 | $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. |
74 | $72 | $100 |
| 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. |
71 | $170 | $250 |
| 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. |
65 | $114 | $315 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
61 | $40 | $52 |
| 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. |
59 | $142 | $280 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
48 | $42 | $55 |
| 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. |
42 | $11 | $50 |
| 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. |
35 | $228 | $300 |
| Hospital discharge management, 30+ min This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge. |
30 | $93 | $212 |
| 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. |
25 | $12 | $40 |
| 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. |
22 | $141 | $395 |
| Skin and tissue removal, 20 sq cm or less This procedure involves the surgical excision of skin and underlying tissue from an area measuring 20 square centimeters or smaller. |
21 | $103 | $150 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
21 | $38 | $150 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
21 | $19 | $40 |
| New patient office visit, complex (60-74 min) | 19 | $164 | $395 |
| 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. |
19 | $43 | $75 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
16 | $36 | $60 |
| 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. |
12 | $169 | $250 |
| 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. |
11 | $170 | $305 |
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 ↗$9,598
Total received (2018-2024)
Avg $1,371/year across 7 years
Top 3% in CA for emergency medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
65
Companies
473
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
$9,455 (98.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$143 (1.5%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,283
2023
$1,024
2022
$1,068
2021
$1,439
2020
$1,363
2019
$1,856
2018
$1,565
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$203
Amgen Inc.
$183
Boehringer Ingelheim Pharmaceuticals, Inc.
$136
Neurocrine Biosciences, Inc.
$106
GlaxoSmithKline, LLC.
$83
AstraZeneca Pharmaceuticals LP
$71
Grifols USA, LLC
$59
GENZYME CORPORATION
$50
Currax Pharmaceuticals LLC
$47
Novo Nordisk Inc
$39
Takeda Pharmaceuticals U.S.A., Inc.
$34
Mylan Specialty L.P.
$34
Astellas Pharma US Inc
$30
PFIZER INC.
$28
Teva Pharmaceuticals USA, Inc.
$26
ABBVIE INC.
$24
Inspire Medical Systems, Inc.
$22
Exact Sciences Corporation
$20
Vifor Pharma, Inc.
$20
Paratek Pharmaceuticals, Inc.
$18
Insmed, Inc.
$18
Acella Pharmaceuticals, LLC
$17
Lilly USA, LLC
$14
Top 3 companies account for 40.7% of 2024 payments
All-time payments by company (2018-2024) ›
Boehringer Ingelheim Pharmaceuticals, Inc.
$1,360
GlaxoSmithKline, LLC.
$854
Amgen Inc.
$807
AstraZeneca Pharmaceuticals LP
$759
PFIZER INC.
$428
Merck Sharp & Dohme Corporation
$368
Daiichi Sankyo Inc.
$323
Abbott Laboratories
$274
Astellas Pharma US Inc
$256
Genentech USA, Inc.
$248
Takeda Pharmaceuticals U.S.A., Inc.
$227
Kowa Pharmaceuticals America, Inc.
$221
Insmed, Inc.
$205
Bayer HealthCare Pharmaceuticals Inc.
$204
Novo Nordisk Inc
$185
Allergan Inc.
$183
Mylan Specialty L.P.
$180
AbbVie, Inc.
$178
Shire North American Group Inc
$165
Amarin Pharma Inc.
$146
Conformis, Inc.
$144
E.R. Squibb & Sons, L.L.C.
$138
Neurocrine Biosciences, Inc.
$124
Boston Scientific Corporation
$120
ABBVIE INC.
$100
AbbVie Inc.
$99
GENZYME CORPORATION
$97
Grifols USA, LLC
$78
Sanofi Pasteur Inc.
$77
SANOFI PASTEUR INC.
$69
ARBOR PHARMACEUTICALS, INC.
$60
TherapeuticsMD, Inc.
$56
Philips Electronics North America Corporation
$55
Seqirus USA Inc
$50
Currax Pharmaceuticals LLC
$47
Actelion Pharmaceuticals US, Inc.
$45
Paratek Pharmaceuticals, Inc.
$40
Exact Sciences Corporation
$39
Inspire Medical Systems, Inc.
$38
Covis Pharma GmBH
$34
Harmony Biosciences LLC
$32
BioCryst US Sales Co., LLC
$32
Lilly USA, LLC
$30
Arbor Pharmaceuticals, Inc.
$28
Janssen Pharmaceuticals, Inc
$28
Kyowa Kirin, Inc.
$27
Circassia Pharmaceuticals Inc
$27
Teva Pharmaceuticals USA, Inc.
$26
Alfasigma USA, Inc.
$25
Esperion Therapeutics, Inc.
$24
Hologic Sales and Service, LLC
$24
Nevro Corp.
$22
Vifor Pharma, Inc.
$20
Bio Products Laboratory USA, Inc.
$18
Allergan, Inc.
$18
Sunovion Pharmaceuticals Inc.
$18
Novartis Pharmaceuticals Corporation
$17
Acella Pharmaceuticals, LLC
$17
Ultragenyx Pharmaceutical Inc.
$17
Scilex Pharmaceuticals Inc.
$15
Radius Health, Inc.
$14
Electromed, Inc.
$13
Vanda Pharmaceuticals Inc.
$13
MAYNE PHARMA COMMERCIAL LLC
$6
United Therapeutics Corporation
$5
Top 3 companies account for 31.5% of all-time payments
Associated products mentioned in payments ›
(8874) inCourage · (8876) Vest Therapy Und · (9061) SRC Sol Space · ADACEL · ALVESCO · AMS 700 · ANNOVERA · ANORO · ANORO ELLIPTA · AREXVY · Adempas · Aimovig · Arikayce · Austedo XR · BELSOMRA · BREO · BREZTRI · BREZTRI AEROSPHERE · BYSTOLIC · CHANTIX · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · CONTRAVE · CREON · CUTAQUIG · CUVITRU · Cologuard Collection Kit · Creon · DUPIXENT · Dymista · ELIQUIS · ENTRESTO · EVENITY · Edarbi · Esbriet · FARXIGA · FASENRA · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FLUZONE HIGH-DOSE · FLUZONE QUADRIVALENT · FREESTYLE LIBRE 3 · Fluad · GLASSIA · Gammaplex · HETLIOZ · HYQVIA · Horizant · IMVEXXY · INGREZZA · INJECTAFER · INSPIRE · ITotal Identity PS · JANUVIA · JARDIANCE · Kerendia · LINZESS · LONHALA MAGNAIR · LYRICA · Livalo · MOUNJARO · MYRBETRIQ · NEXLETOL · NP Thyroid 60 · NUCALA · NUZYRA · OFEV · OPSUMIT · ORLADEYO · Omnia · Otezla · Ozempic · PANZYGA · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Proclaim Family of SCS IPGs · Prolastin-C · Prolastin-C Liquid · Prolia · Repatha · Rybelsus · SHINGRIX · SMARTVEST · SPIRIVA · SPIRIVA RESPIMAT · SPRAVATO · STEGLATRO · STIOLTO · STIOLTO RESPIMAT · SUPERION · SYMBICORT · SYNTHROID · Synthroid · TAKHZYRO · THINPREP 2000 PROCESSOR · TRELEGY ELLIPTA · TUDORZA PRESSAIR · Tymlos · UBRELVY · UPTRAVI · VIBERZI · VRAYLAR · Vascepa · Veozah · Wakix · Wegovy · XARELTO · Xolair · YUPELRI · Yupelri · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zemaira
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 (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 3% for emergency medicine in CA.
Geographic Context
Emergency medicines within 10 mi
122
Per 100K population
5.0
County median income
$89,672
Nearest hospital
EISENHOWER MEDICAL CENTER
5.5 mi
5.5 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. James is a clinical cardiology specialist, with above-average Medicare volume (top 0% in CA), with low-engagement industry engagement in the top 3% 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. James experienced with allergy immunotherapy preparation?
Based on Medicare claims data, Dr. James performed 3,701 allergy immunotherapy preparation 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. James receive payments from pharmaceutical companies?
Yes. Dr. James received a total of $9,598 from 65 companies across 473 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. James's costs compare to other emergency medicines in Palm Desert?
Dr. James's average Medicare payment per service is $45. 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. James) 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 →
Explore related providers
Same specialty & city
Emergency Medicines in Palm Desert
Browse emergency medicines in Palm Desert ranked by procedure volume and transparency data.
Highest volume
Top Emergency Medicines in CA
Emergency medicines ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Emergency Medicines in CA
Which CA emergency medicines receive the most from drug and device companies.
By company
Boehringer Ingelheim Pharmaceuticals, Inc. Payments to Doctors
See all physicians who received payments from Boehringer Ingelheim Pharmaceuticals, Inc.
By company
GlaxoSmithKline, LLC. Payments to Doctors
See all physicians who received payments from GlaxoSmithKline, LLC.
By company
Amgen Inc. Payments to Doctors
See all physicians who received payments from Amgen Inc.
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