Medicare Enrolled
Dr. Arvinder Bir, M.D.
Family Medicine · Rancho Mirage, 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. Bir 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. Bir
Dr. Arvinder Bir is a family medicine specialist in Rancho Mirage, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Bir performed 7,386 Medicare services across 2,191 unique beneficiaries.
Between the years covered by Open Payments, Dr. Bir received a total of $5,938 from 51 pharmaceutical and/or device companies across 342 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. Bir 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 2% volume in CA
$5,938 industry payments
Medicare Practice Summary
Medicare Utilization ↗7,386
Medicare services
Top 2% in CA for family medicine
2,191
Unique beneficiaries
$51
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~369 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 |
|---|---|---|---|
| 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. |
2,623 | $48 | $167 |
| Denosumab injection (Prolia/Xgeva) | 1,502 | $18 | $60 |
| 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. |
921 | $72 | $240 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
586 | $40 | $100 |
| 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. |
411 | $42 | $120 |
| 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. |
261 | $101 | $338 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
154 | $136 | $346 |
| 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. |
151 | $85 | $222 |
| 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. |
120 | $12 | $38 |
| Nursing facility discharge management, more than 30 minutes This service involves care coordination and management activities performed by a healthcare professional to prepare a patient for discharge from a nursing facility. It requires more than 30 minutes of time spent on these activities. |
80 | $104 | $268 |
| Initial nursing facility care, high complexity An initial visit by a healthcare provider to a patient in a nursing facility involving a high level of medical decision making, lasting at least 45 minutes. |
67 | $151 | $427 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
55 | $0 | $1 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
50 | $33 | $60 |
| 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. |
46 | $72 | $130 |
| 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. |
45 | $172 | $546 |
| Nursing facility visit, high complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves a high level of medical decision making and takes at least 45 minutes. |
34 | $122 | $347 |
| Remote physiologic monitoring setup and education Initial setup of remote monitoring equipment and patient education on its use. |
33 | $15 | $60 |
| 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. |
30 | $46 | $150 |
| 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. |
30 | $233 | $735 |
| 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. |
27 | $12 | $38 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
27 | $33 | $60 |
| Injection, methylprednisolone acetate, 40 mg | 25 | $6 | $16 |
| Chronic care management services Comprehensive assessment and care planning for patients requiring ongoing chronic care management. |
24 | $48 | $163 |
| Pneumococcal vaccine, 23-valent A vaccine that protects against 23 types of pneumococcal bacteria. It is used to prevent infections caused by these bacteria. |
19 | $131 | $300 |
| 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. |
16 | $45 | $140 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
14 | $35 | $109 |
| Assessment of and care planning for patient with impaired thought processing, typically 60 minutes | 13 | $229 | $570 |
| 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. |
11 | $140 | $441 |
| 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. |
11 | $174 | $441 |
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 ↗$5,938
Total received (2018-2024)
Avg $848/year across 7 years
Top 7% in CA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
51
Companies
342
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
$5,938 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,191
2023
$761
2022
$582
2021
$973
2020
$911
2019
$809
2018
$712
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
GlaxoSmithKline, LLC.
$177
Daiichi Sankyo Inc.
$158
Amgen Inc.
$145
Bayer Healthcare Pharmaceuticals Inc.
$114
Xeris Pharmaceuticals, Inc.
$83
SHIELD THERAPEUTICS INC
$56
ABBVIE INC.
$53
AstraZeneca Pharmaceuticals LP
$50
Abbott Laboratories
$42
PFIZER INC.
$38
Lilly USA, LLC
$36
Exact Sciences Corporation
$32
Otsuka America Pharmaceutical, Inc.
$25
Cycle Pharmaceuticals Inc
$23
Takeda Pharmaceuticals U.S.A., Inc.
$23
Boehringer Ingelheim Pharmaceuticals, Inc.
$23
Sumitomo Pharma America, Inc.
$22
Astellas Pharma US Inc
$22
Novo Nordisk Inc
$22
Mylan Specialty L.P.
$19
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$16
Janssen Pharmaceuticals, Inc
$13
Top 3 companies account for 40.3% of 2024 payments
All-time payments by company (2018-2024) ›
Amgen Inc.
$685
GlaxoSmithKline, LLC.
$621
Daiichi Sankyo Inc.
$429
Janssen Pharmaceuticals, Inc
$366
PFIZER INC.
$360
Novartis Pharmaceuticals Corporation
$337
Amarin Pharma Inc.
$251
Boehringer Ingelheim Pharmaceuticals, Inc.
$241
AstraZeneca Pharmaceuticals LP
$214
Ipsen Biopharmaceuticals, Inc
$206
Astellas Pharma US Inc
$189
Mylan Specialty L.P.
$157
Lilly USA, LLC
$135
Conformis, Inc.
$120
Bayer Healthcare Pharmaceuticals Inc.
$114
ABBVIE INC.
$113
Axonics, Inc.
$107
Xeris Pharmaceuticals, Inc.
$83
EMD Serono, Inc.
$74
Abbott Laboratories
$72
IDORSIA PHARMACEUTICALS US INC
$71
SANOFI PASTEUR INC.
$66
Puma Biotechnology, Inc.
$59
SHIELD THERAPEUTICS INC
$56
Otsuka America Pharmaceutical, Inc.
$55
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$54
Exact Sciences Corporation
$50
AbbVie Inc.
$47
Novo Nordisk Inc
$46
Strongbridge US INC.
$45
Adaptive Biotechnologies Corporation
$43
Boston Scientific Corporation
$43
Bayer HealthCare Pharmaceuticals Inc.
$40
Allergan, Inc.
$38
Biohaven Pharmaceuticals, Inc.
$36
Merck Sharp & Dohme Corporation
$34
Scilex Pharmaceuticals Inc.
$32
E.R. Squibb & Sons, L.L.C.
$26
Cycle Pharmaceuticals Inc
$23
Takeda Pharmaceuticals U.S.A., Inc.
$23
Sumitomo Pharma America, Inc.
$22
West Therapeutics Development, LLC
$20
Eisai Inc.
$20
Merck Sharp & Dohme LLC
$20
EISAI INC.
$16
PUMA BIOTECHNOLOGY, INC.
$14
Regeneron Healthcare Solutions, Inc.
$14
Seqirus USA Inc
$14
GENZYME CORPORATION
$13
Almatica Pharma LLC
$12
Vifor Pharma, Inc.
$12
Top 3 companies account for 29.2% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · ADACEL · ADVAIR · AIRSUPRA · ANORO ELLIPTA · AREXVY · Aimovig · Axonics · BOTOX · Bavencio · COMIRNATY · Cologuard Collection Kit · Dayvigo · ELIQUIS · EMGALITY · ENHERTU · ENTRESTO · EVENITY · Enhertu · FARXIGA · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FLUZONE HIGH-DOSE · FLUZONE QUADRIVALENT NORTHERN HEMISPHERE · FREESTYLE LIBRE 3 · Fluad · GEMTESA · GRALISE · GVOKE HYPOPEN · INJECTAFER · Infinity DBS Pulse Generators · JANUVIA · JARDIANCE · JEVTANA · JYNARQUE · KEVEYIS · Kerendia · Kyprolis · LIBTAYO · Lazanda · MEKINIST · MOUNJARO · MYRBETRIQ · NERLYNX · NINLARO · NURTEC ODT · Nerlynx · OJJAARA · OPDIVO · Ormalvi · Otezla · Ozempic · PADCEV · PREMARIN · PREVNAR 13 · PREVNAR 20 · PROMACTA · Padcev · Prolia · QULIPTA · QUVIVIQ · REXULTI · RYDAPT · Repatha · SHINGRIX · SOMATULINE DEPOT · SPECTRA WAVEWRITER · SPIRIVA RESPIMAT · SPRAVATO · STEGLATRO · STIOLTO · STIOLTO RESPIMAT · Saxenda · Somatuline Depot · TASIGNA · TRELEGY ELLIPTA · UBRELVY · Vascepa · Veltassa · WATCHMAN Access System · XARELTO · XIFAXAN · Xospata · YUPELRI · Yupelri · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · clonoSEQ · iTotal CR
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 7% for family medicine in CA.
Geographic Context
Family medicine physicians within 10 mi
186
Per 100K population
7.6
County median income
$89,672
Nearest hospital
EISENHOWER MEDICAL CENTER
0.0 mi
0.0 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. Bir is a clinical cardiology specialist, with above-average Medicare volume (top 2% in CA), with low-engagement industry engagement in the top 7% 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. Bir experienced with chronic care management, first 20 min/month?
Based on Medicare claims data, Dr. Bir performed 2,623 chronic care management, first 20 min/month 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. Bir receive payments from pharmaceutical companies?
Yes. Dr. Bir received a total of $5,938 from 51 companies across 342 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. Bir's costs compare to other family medicine physicians in Rancho Mirage?
Dr. Bir's average Medicare payment per service is $51. 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. Bir) 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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