Medicare Enrolled
Dr. Howard Fein, MD
MOHS-Micrographic Surgery Physician · Rolling Hills Estates, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Speaking/Promotional
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. Fein 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. Fein
Dr. Howard Fein is a mohs-micrographic surgery physician in Rolling Hills Estates, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Fein performed 8,575 Medicare services across 4,104 unique beneficiaries.
Between the years covered by Open Payments, Dr. Fein received a total of $18,430 from 33 pharmaceutical and/or device companies across 253 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in mohs-micrographic surgery physician. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Fein 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 18% volume in CA
$18,430 industry payments
Medicare Practice Summary
Medicare Utilization ↗8,575
Medicare services
Top 18% in CA for mohs-micrographic surgery physician
4,104
Unique beneficiaries
$119
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~451 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 |
|---|---|---|---|
| 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. |
2,525 | $6 | $23 |
| 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. |
1,404 | $71 | $241 |
| 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. |
651 | $39 | $229 |
| Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 518 | $358 | $1,210 |
| 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. |
472 | $104 | $374 |
| Destruction of skin growths (warts/lesions), 1-14 This procedure involves the removal or destruction of one to fourteen skin growths. It is a minor surgical intervention performed on the skin surface. |
427 | $85 | $387 |
| Skin growth removal and lab exam, 1-5 blocks This procedure involves the removal of a growth from the head, neck, hands, feet, or genitals. The removed tissue is then examined under a microscope in the laboratory. |
392 | $544 | $2,048 |
| Skin biopsy, tangential A procedure to remove a sample of the first identified skin growth for laboratory examination. |
315 | $69 | $345 |
| Additional Mohs surgery stage with microscopic exam This procedure involves the removal and microscopic examination of an additional stage of tissue from the trunk, arms, or legs. It is performed in stages to ensure complete removal of the growth. |
279 | $346 | $1,122 |
| Skin growth removal and lab exam, 1-5 blocks A procedure to remove a growth from the trunk, arms, or legs and send 1 to 5 tissue samples to a laboratory for microscopic examination. |
217 | $513 | $1,875 |
| Shaving of skin growth, 0.6-1.0 cm A minor procedure to shave off a skin growth on the body, arms, or legs that measures between 0.6 and 1.0 centimeters. |
192 | $80 | $420 |
| Shaving of skin growth on face, 0.6-1.0 cm This procedure involves shaving off a skin growth located on the face, ears, eyelids, nose, lips, or mouth. The size of the growth being removed is between 0.6 and 1.0 centimeters. |
135 | $92 | $477 |
| 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. |
115 | $77 | $372 |
| Shaving of skin growth, 0.6-1.0 cm A minor procedure to shave off a skin growth measuring 0.6 to 1.0 cm from the scalp, neck, hands, feet, or genitals. |
89 | $79 | $428 |
| Shaving of skin growth, 1.1-2.0 cm This procedure involves shaving off a skin growth measuring between 1.1 and 2.0 centimeters from the body, arms, or legs. |
80 | $107 | $492 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
73 | $1 | $15 |
| Topical aminolevulinic acid HCl 20% solution A topical medication applied to the skin for medical treatment. It is supplied as a single-unit dosage form containing 354 mg of the active ingredient. |
71 | $304 | $570 |
| 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. |
70 | $12 | $57 |
| Additional skin growth biopsy Removal of a sample of an additional skin growth for laboratory examination. This code is used for each extra lesion biopsied during the same session. |
55 | $46 | $184 |
| Complicated wound repair of trunk, 2.6-7.5 cm A surgical procedure to close a complex wound on the trunk that measures between 2.6 and 7.5 centimeters in length. |
51 | $127 | $1,403 |
| Light application with debridement to destroy precancerous skin growth This procedure involves applying light to the skin along with debridement to destroy precancerous skin growths. |
47 | $257 | $900 |
| Surgical removal of skin cancer, 2.1-3.0 cm This procedure involves the surgical excision of a cancerous skin growth located on the body, arms, or legs. The size of the removed tissue measures between 2.1 and 3.0 centimeters. |
42 | $214 | $994 |
| Simple drainage of skin abscess A minor procedure to drain a localized collection of pus from the skin. The abscess is opened to allow the fluid to escape and promote healing. |
38 | $99 | $417 |
| Injection into skin growths, 1-7 A procedure involving the injection of medication into one to seven skin growths. |
37 | $37 | $192 |
| 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. |
35 | $136 | $567 |
| Shaving of small skin growth on face or mouth area A minor procedure to shave off a small skin growth, measuring 0.5 cm or less, located on the face, ears, eyelids, nose, lips, or mouth. |
28 | $65 | $402 |
| Punch biopsy of first skin growth A small, circular piece of skin is removed from a skin growth using a circular blade. The sample is then sent to a laboratory for examination. |
26 | $98 | $425 |
| 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. |
26 | $269 | $2,663 |
| Complicated wound repair, scalp/arms/legs, 2.6-7.5 cm A complex surgical procedure to close a wound on the scalp, arms, or legs that measures between 2.6 and 7.5 centimeters in length. |
23 | $199 | $1,512 |
| Shaving of skin growth, 1.1-2.0 cm Removal of a skin growth by shaving the surface. The procedure is performed on the scalp, neck, hands, feet, or genitals and involves a lesion measuring between 1.1 and 2.0 centimeters. |
21 | $105 | $503 |
| Skin graft for scalp, arm, or leg wound, 10.1-30 sq cm This procedure involves repairing a wound on the scalp, arms, or legs by transferring skin from another area to cover the defect. The graft size is between 10.1 and 30.0 square centimeters. |
19 | $607 | $3,042 |
| Skin growth shaving, 0.5 cm or less This procedure involves shaving off a small skin growth measuring 0.5 centimeters or less from the body, arms, or legs. |
18 | $54 | $342 |
| Shaving of skin growth, 1.1-2.0 cm Removal of a skin growth by shaving the surface of the skin. The procedure is performed on the face, ears, eyelids, nose, lips, or mouth and involves a lesion measuring between 1.1 and 2.0 centimeters. |
18 | $121 | $559 |
| Destruction of 15 or more precancerous skin growths This procedure involves the removal or destruction of fifteen or more precancerous skin lesions. It is performed to treat abnormal skin cells that have the potential to develop into cancer. |
17 | $150 | $529 |
| Skin graft repair, 10.1-30 sq cm A surgical procedure to repair wounds on the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin. The graft covers an area between 10.1 and 30.0 square centimeters. |
16 | $656 | $3,282 |
| Complicated wound repair, 2.6-7.5 cm A complex surgical procedure to close a wound measuring between 2.6 and 7.5 centimeters on areas such as the face, neck, hands, or feet. |
11 | $195 | $1,680 |
| 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. |
11 | $246 | $2,442 |
| 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. |
11 | $313 | $2,712 |
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.
3.3% high complexity
6.7% medium
90.0% routine
Industry Payment Transparency
Open Payments through 2024 ↗$18,430
Total received (2018-2024)
Avg $2,633/year across 7 years
Top 7% in CA for mohs-micrographic surgery physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
33
Companies
253
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.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$13,854 (75.2%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$4,576 (24.8%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,944
2023
$7,130
2022
$7,327
2021
$409
2020
$277
2019
$565
2018
$780
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Incyte Corporation
$757
GENZYME CORPORATION
$261
MIMEDX Group, Inc.
$240
ABBVIE INC.
$181
Regeneron Healthcare Solutions, Inc.
$156
Amgen Inc.
$86
PFIZER INC.
$77
Novartis Pharmaceuticals Corporation
$64
Arcutis Biotherapeutics, Inc.
$62
E.R. Squibb & Sons, L.L.C.
$23
Almirall LLC
$23
UCB, Inc.
$14
Top 3 companies account for 64.7% of 2024 payments
All-time payments by company (2018-2024) ›
Incyte Corporation
$13,854
GENZYME CORPORATION
$768
ABBVIE INC.
$459
Regeneron Healthcare Solutions, Inc.
$367
PFIZER INC.
$355
Novartis Pharmaceuticals Corporation
$336
Janssen Biotech, Inc.
$286
MIMEDX Group, Inc.
$240
Medimetriks Pharmaceuticals, Inc.
$203
Galderma Laboratories, L.P.
$177
AbbVie, Inc.
$159
Mayne Pharma Inc.
$153
UCB, Inc.
$120
Ortho Dermatologics, a division of Bausch Health US, LLC
$116
Sun Pharmaceutical Industries Inc.
$107
Arcutis Biotherapeutics, Inc.
$107
Amgen Inc.
$86
Almirall LLC
$79
LEO Pharma Inc.
$78
SUN PHARMACEUTICAL INDUSTRIES INC.
$68
Taro Pharmaceuticals USA, Inc.
$67
DERMIRA, INC.
$39
Journey Medical Corporation
$33
Verrica Pharmaceuticals Inc.
$33
E.R. Squibb & Sons, L.L.C.
$23
DUSA Pharmaceuticals, Inc.
$19
MAYNE PHARMA INC.
$19
Sebela Pharmaceuticals Inc.
$18
NOVARTIS PHARMACEUTICALS CORPORATION
$17
bsn medical inc
$15
Allergan Inc.
$12
Sandoz Inc.
$11
Biofrontera Inc.
$7
Top 3 companies account for 81.8% of all-time payments
Associated products mentioned in payments ›
0.25% · ABSORICA LD · ADBRY · AKLIEF · Absorica LD · Ameluz · BLU-U · BOTOX COSMETIC · BRYHALI · Beser · Bimzelx · CIBINQO · COSENTYX · Ceracade · Cimzia · Clindacin P · Clodan Kit · DORYX · DUOBRII · DUPIXENT · ENSTILAR · EPIDUO FORTE · EUCRISA · FABIOR · Genadur Kit · HUMIRA · Humira · JUBLIA · KERYDIN · Klisyri · LIBTAYO · NAFTIN · Neo-Synalar · Neo-Synalar Cream · Neo-Synalar Cream Kit · Nicadan · ONEXTON · OPZELURA · Otezla · QBREXZA · REMICADE · RINVOQ · SKYRIZI · SOOLANTRA · Seysara · Skyrizi · Sotyktu · TOPICORT (desoximetasone) Topical Spray · TRI-LUMA · Tremfya · ULTRAVATE (halobetasol propionate) lotion · Winlevi · YCANTH · Zoryve
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 →
The majority of payments (75%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in mohs-micrographic surgery physician and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 7% for mohs-micrographic surgery physician in CA.
Geographic Context
Mohs-micrographic surgery physicians within 10 mi
20
Per 100K population
0.2
County median income
$87,760
Nearest hospital
DEL AMO HOSPITAL
2.4 mi
2.4 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. Fein is a clinical cardiology specialist, with above-average Medicare volume (top 18% in CA), with speaking/promotional industry engagement in the top 7% 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. Fein experienced with destruction of precancerous skin growths, 2-14?
Based on Medicare claims data, Dr. Fein performed 2,525 destruction of precancerous skin growths, 2-14 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. Fein receive payments from pharmaceutical companies?
Yes. Dr. Fein received a total of $18,430 from 33 companies across 253 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. Fein's costs compare to other mohs-micrographic surgery physicians in Rolling Hills Estates?
Dr. Fein's average Medicare payment per service is $119. 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. Fein) 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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