Medicare Enrolled
Dr. Stephanie Trost, M.D.
Internal Medicine · Salinas, 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. Trost 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. Trost
Dr. Stephanie Trost is an internal medicine specialist in Salinas, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Trost performed 9,735 Medicare services across 3,285 unique beneficiaries.
Between the years covered by Open Payments, Dr. Trost received a total of $3,402 from 31 pharmaceutical and/or device companies across 182 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. Trost 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
$3,402 industry payments
Medicare Practice Summary
Medicare Utilization ↗9,735
Medicare services
Top 2% in CA for internal medicine
3,285
Unique beneficiaries
$26
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~487 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 |
|---|---|---|---|
| Denosumab injection (Prolia/Xgeva) | 5,640 | $18 | $38 |
| 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. |
875 | $52 | $250 |
| 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. |
572 | $46 | $167 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
327 | $8 | $20 |
| 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. |
290 | $11 | $55 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
170 | $33 | $52 |
| 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. |
157 | $71 | $89 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
147 | $15 | $233 |
| 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. |
139 | $8 | $37 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
132 | $16 | $97 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
126 | $1 | $11 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
117 | $10 | $67 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
106 | $0 | $12 |
| 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. |
100 | $31 | $347 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
98 | $13 | $88 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
88 | $2 | $22 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
82 | $3 | $11 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
75 | $10 | $55 |
| 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. |
64 | $282 | $709 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
58 | $33 | $35 |
| COVID-19 vaccine administration Administration of a single dose of the coronavirus vaccine. |
44 | $44 | $100 |
| COVID-19 vaccine (Pfizer bivalent) Administration of a 30 mcg dose of the SARS-CoV-2 vaccine via intramuscular injection. |
44 | $128 | $328 |
| 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. |
37 | $56 | $427 |
| 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. |
35 | $11 | $213 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
30 | $58 | $167 |
| 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. |
23 | $81 | $336 |
| 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. |
22 | $9 | $51 |
| 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. |
20 | $38 | $99 |
| 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. |
19 | $103 | $382 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
16 | $6 | $102 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
16 | $5 | $29 |
| Iron level test | 14 | $6 | $32 |
| Iron binding capacity test A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron. |
14 | $9 | $37 |
| Pneumococcal vaccine, 23-valent A vaccine that protects against 23 types of pneumococcal bacteria. It is used to prevent infections caused by these bacteria. |
14 | $131 | $225 |
| Quadrivalent influenza vaccine, preservative-free A flu shot containing four strains of the influenza virus, formulated without preservatives, administered in a 0.5 ml dose. |
13 | $22 | $58 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
11 | $29 | $75 |
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 ↗$3,402
Total received (2018-2024)
Avg $486/year across 7 years
Top 20% in CA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
31
Companies
182
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
$3,383 (99.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$20 (0.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$382
2023
$800
2022
$748
2021
$238
2020
$118
2019
$509
2018
$608
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$243
GlaxoSmithKline, LLC.
$87
Novo Nordisk Inc
$20
PFIZER INC.
$17
AstraZeneca Pharmaceuticals LP
$15
Top 3 companies account for 91.5% of 2024 payments
All-time payments by company (2018-2024) ›
AbbVie Inc.
$511
GlaxoSmithKline, LLC.
$437
Abbott Laboratories
$423
ABBVIE INC.
$391
Novo Nordisk Inc
$177
Amgen Inc.
$171
Allergan Inc.
$156
Radius Health, Inc.
$155
Janssen Pharmaceuticals, Inc
$147
PFIZER INC.
$134
SANOFI-AVENTIS U.S. LLC
$123
Relypsa, Inc.
$70
Lilly USA, LLC
$59
Boehringer Ingelheim Pharmaceuticals, Inc.
$48
Biohaven Pharmaceutical Holding Company Ltd.
$44
Dexcom, Inc.
$43
AstraZeneca Pharmaceuticals LP
$37
Takeda Pharmaceuticals U.S.A., Inc.
$29
Medtronic Vascular, Inc.
$25
Genentech USA, Inc.
$24
SANOFI PASTEUR INC.
$22
Amarin Pharma Inc.
$22
AMAG Pharmaceuticals, Inc.
$20
DEXCOM, INC.
$20
Bayer HealthCare Pharmaceuticals Inc.
$19
Kowa Pharmaceuticals America, Inc.
$18
Medtronic, Inc.
$18
Philips Electronics North America Corporation
$18
Sunovion Pharmaceuticals Inc.
$15
Hologic, LLC
$13
Organon LLC
$11
Top 3 companies account for 40.3% of all-time payments
Associated products mentioned in payments ›
ANORO · ANORO ELLIPTA · Aimovig · BREO · COMIRNATY · CREON · DEXCOM G6 TRANSMITTER · Dexcom G6 Transmitter · EVENITY · FARXIGA · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · GLYXAMBI · HUMIRA · INTRAROSA · JARDIANCE · Kerendia · LINZESS · LO LOESTRIN FE · LONHALA MAGNAIR · LYRICA · Livalo · NAMZARIC · NEXPLANON · NUCALA · NURTEC ODT · Ozempic · QULIPTA · RINVOQ · Repatha · Rybelsus · SHINGRIX · SOLIQUA 100/33 · SYNTHROID · TOUJEO · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · ThinPrep · Trilogy 100 · Tymlos · UBRELVY · VENASEAL · VIBERZI · VRAYLAR · Vascepa · Veltassa · VenaSeal · Victoza · XARELTO · Xofluza
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 (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Internal medicine physicians within 10 mi
162
Per 100K population
37.2
County median income
$94,486
Nearest hospital
SALINAS VALLEY MEMORIAL HOSPITAL
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. Trost is a clinical cardiology specialist, with above-average Medicare volume (top 2% in CA), with low-engagement industry engagement in the top 20% 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. Trost experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Dr. Trost performed 5,640 denosumab injection (prolia/xgeva) 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. Trost receive payments from pharmaceutical companies?
Yes. Dr. Trost received a total of $3,402 from 31 companies across 182 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. Trost's costs compare to other internal medicine physicians in Salinas?
Dr. Trost's average Medicare payment per service is $26. 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. Trost) 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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