Medicare Enrolled
Dr. John Harper, M.D.
Emergency Medicine · Ramona, 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. Harper 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. Harper
Dr. John Harper is an emergency medicine specialist in Ramona, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Harper performed 10,564 Medicare services across 5,748 unique beneficiaries.
Between the years covered by Open Payments, Dr. Harper received a total of $9,888 from 40 pharmaceutical and/or device companies across 474 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. Harper 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
$9,888 industry payments
Medicare Practice Summary
Medicare Utilization ↗10,564
Medicare services
Top 0% in CA for emergency medicine
5,748
Unique beneficiaries
$21
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~556 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. |
891 | $103 | $246 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
868 | $52 | $80 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
440 | $8 | $25 |
| Electrolyte blood test panel A blood test that measures the levels of sodium, potassium, chloride, and carbon dioxide to evaluate electrolyte balance. |
395 | $7 | $14 |
| Blood glucose level test A test that measures the amount of sugar in your blood. |
395 | $4 | $12 |
| Blood creatinine level test A blood test that measures the amount of creatinine, a waste product from muscle wear and tear, to help assess kidney function. |
394 | $5 | $15 |
| Blood urea nitrogen test A blood test that measures the amount of urea nitrogen to assess kidney function. |
394 | $4 | $8 |
| Total calcium level test A blood test that measures the total amount of calcium in your body. |
392 | $5 | $10 |
| Alkaline phosphatase level test A blood test that measures the level of alkaline phosphatase, an enzyme found in the liver and bones. |
392 | $5 | $10 |
| Liver enzyme (SGPT) level test A blood test that measures the level of the liver enzyme SGPT to assess liver function. |
392 | $5 | $10 |
| Total bilirubin level test A blood test that measures the total amount of bilirubin, a waste product from the breakdown of red blood cells, in your body. |
391 | $5 | $10 |
| Total protein blood test A blood test that measures the total amount of protein in your blood. This test helps evaluate your overall health and nutritional status. |
390 | $4 | $7 |
| Liver enzyme (SGOT) level test A blood test that measures the level of the liver enzyme SGOT to help assess liver health. |
390 | $5 | $10 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
390 | $8 | $32 |
| Serum protein measurement A blood test that measures the total amount of protein in the serum. It helps evaluate overall health and nutritional status. |
389 | $11 | $21 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
358 | $13 | $60 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
349 | $16 | $35 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
322 | $10 | $19 |
| High-sensitivity C-reactive protein test A blood test that measures high-sensitivity C-reactive protein to detect infection or inflammation. |
318 | $13 | $25 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
314 | $9 | $18 |
| Erythrocyte sedimentation rate (ESR) test A blood test that measures how quickly red blood cells settle in a test tube to detect inflammation in the body. This specific method is performed manually rather than using an automated machine. |
286 | $4 | $8 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
242 | $29 | $59 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
170 | $7 | $13 |
| Phosphate level test A blood test that measures the amount of phosphate in your body. Phosphate is a mineral that helps keep bones and teeth strong. |
167 | $5 | $9 |
| Iron level test | 125 | $6 | $13 |
| Manual urinalysis with microscopic examination A urine test performed manually without automated equipment. The sample is examined under a microscope to check for abnormalities. |
113 | $4 | $15 |
| Free T3 thyroid hormone test A blood test that measures the level of free triiodothyronine (T3) hormone in your body. This helps assess how well your thyroid gland is functioning. |
94 | $17 | $33 |
| 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. |
92 | $74 | $168 |
| PSA test (prostate cancer screening) | 83 | $18 | $65 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
74 | $14 | $30 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
71 | $15 | $30 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
64 | $13 | $27 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
59 | $4 | $9 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
52 | $32 | $39 |
| 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. |
45 | $72 | $140 |
| 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. |
45 | $12 | $50 |
| Stool test for blood to screen for colon tumors A test that analyzes a stool sample to detect hidden blood, which is used to screen for colon tumors. |
40 | $4 | $6 |
| 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. |
31 | $12 | $50 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
26 | $1 | $16 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
21 | $138 | $267 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
20 | $33 | $39 |
| 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. |
18 | $267 | $375 |
| Urine microalbumin test A laboratory test that measures the amount of a specific protein called microalbumin in a urine sample. This analysis helps assess kidney function. |
17 | $6 | $23 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
17 | $5 | $10 |
| Pelvic and clinical breast exam for cancer screening A physical examination of the pelvis and breasts to screen for cervical or vaginal cancer. This procedure involves a clinical assessment performed by a healthcare provider. |
16 | $42 | $73 |
| Pap smear screening test A screening test to collect and prepare a cervical or vaginal sample for laboratory analysis. |
12 | $48 | $86 |
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 ↗$9,888
Total received (2018-2024)
Avg $1,413/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.
40
Companies
474
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
$9,888 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$852
2023
$820
2022
$1,573
2021
$2,258
2020
$1,435
2019
$1,549
2018
$1,402
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$334
Boehringer Ingelheim Pharmaceuticals, Inc.
$168
Lilly USA, LLC
$73
GlaxoSmithKline, LLC.
$56
Merck Sharp & Dohme LLC
$46
Exact Sciences Corporation
$46
Novartis Pharmaceuticals Corporation
$28
Boston Scientific Corporation
$23
Corcept Therapeutics
$22
PFIZER INC.
$20
Amgen Inc.
$19
Sumitomo Pharma America, Inc.
$15
Top 3 companies account for 67.6% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$2,866
Novo Nordisk Inc
$1,003
SANOFI-AVENTIS U.S. LLC
$673
GlaxoSmithKline, LLC.
$485
Lilly USA, LLC
$447
Amarin Pharma Inc.
$404
AbbVie Inc.
$395
Corcept Therapeutics
$375
Bayer HealthCare Pharmaceuticals Inc.
$373
Merck Sharp & Dohme Corporation
$339
PFIZER INC.
$301
Novartis Pharmaceuticals Corporation
$232
Boehringer Ingelheim Pharmaceuticals, Inc.
$202
Amgen Inc.
$157
Biohaven Pharmaceuticals, Inc.
$144
Kowa Pharmaceuticals America, Inc.
$140
Boston Scientific Corporation
$116
Esperion Therapeutics, Inc.
$113
Exact Sciences Corporation
$110
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$100
Merck Sharp & Dohme LLC
$99
Astellas Pharma US Inc
$97
Medtronic, Inc.
$92
ABBVIE INC.
$88
Zyla Life Sciences
$86
Xeris Pharmaceuticals, Inc.
$81
Allergan, Inc.
$56
Janssen Pharmaceuticals, Inc
$48
Sunovion Pharmaceuticals Inc.
$37
Sanofi Pasteur Inc.
$31
SANOFI PASTEUR INC.
$25
Takeda Pharmaceuticals U.S.A., Inc.
$25
Nuvectra Corporation
$24
Synergy Pharmaceuticals Inc
$22
Hologic, LLC
$20
Medtronic MiniMed, Inc.
$19
Sumitomo Pharma America, Inc.
$18
Horizon Therapeutics plc
$18
Bayer Healthcare Pharmaceuticals Inc.
$16
Currax Pharmaceuticals LLC
$13
Top 3 companies account for 45.9% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · Aimovig · Algovita · Amitiza · BAQSIMI · BEXSERO · BREO · BREZTRI · BREZTRI AEROSPHERE · CHANTIX · CONTRAVE · CREON · Cologuard Collection Kit · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · FARXIGA · FLUBLOK QUADRIVALENT · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FLUZONE HIGH-DOSE · GARDASIL · GARDASIL 9 · GEMTESA · GVOKE PFS · INVOKANA · InPen · JANUVIA · JARDIANCE · Kerendia · Korlym · LANTUS · LEQVIO · LYUMJEV · LifeVest · Livalo · M-M-R II · MINIMED 770G · MOUNJARO · MOVANTIK · MYRBETRIQ · Minimed 630G · Minimed 770G System · NEXLETOL · NURTEC ODT · Otezla · Ozempic · PAXLOVID · PENNSAID · PNEUMOVAX 23 · PRALUENT · PREVNAR - 13 · PREVNAR 13 · RYBELSUS · Repatha · Rybelsus · SEGLENTIS · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPRIX · STEGLATRO · SYMBICORT · Saxenda · THINPREP 2000 PROCESSOR · TOUJEO · TOVIAZ · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · TRUMENBA · Tresiba · Trintellix · Trulance · UBRELVY · UTIBRON · VRAYLAR · Vascepa · WATCHMAN · WATCHMAN FLX · Wegovy · XARELTO · XOLAIR · ZORVOLEX · ZOSTAVAX
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. Total industry engagement is in the top 3% for emergency medicine in CA.
Geographic Context
Emergency medicines within 10 mi
297
Per 100K population
9.0
County median income
$102,285
Nearest hospital
PALOMAR MEDICAL CENTER POWAY
11.3 mi
11.3 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. Harper 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. Harper experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Harper performed 891 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. Harper receive payments from pharmaceutical companies?
Yes. Dr. Harper received a total of $9,888 from 40 companies across 474 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. Harper's costs compare to other emergency medicines in Ramona?
Dr. Harper's average Medicare payment per service is $21. 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. Harper) 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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