Medicare Enrolled
Dr. Torsten Kruse, M.D.
Internal Medicine · San Clemente, 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. Kruse 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. Kruse
Dr. Torsten Kruse is an internal medicine specialist in San Clemente, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Kruse performed 3,053 Medicare services across 2,169 unique beneficiaries.
Between the years covered by Open Payments, Dr. Kruse received a total of $2,895 from 28 pharmaceutical and/or device companies across 140 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. Kruse 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 10% volume in CA
$2,895 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,053
Medicare services
Top 10% in CA for internal medicine
2,169
Unique beneficiaries
$58
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~161 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. |
815 | $99 | $345 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
209 | $140 | $354 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
147 | $10 | $32 |
| 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. |
147 | $11 | $39 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
136 | $16 | $48 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
133 | $13 | $43 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
131 | $8 | $13 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
113 | $9 | $34 |
| Complete blood count (CBC), automated An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood. |
111 | $6 | $41 |
| 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. |
108 | $144 | $485 |
| 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. |
83 | $59 | $245 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
81 | $1 | $17 |
| Home visit, established patient, high complexity A home visit for an established patient involving high-level medical decision making, lasting at least 60 minutes. |
76 | $149 | $463 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
75 | $10 | $32 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
55 | $75 | $133 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
55 | $29 | $30 |
| 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. |
54 | $6 | $39 |
| 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. |
53 | $2 | $10 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
53 | $5 | $18 |
| 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. |
46 | $17 | $60 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
44 | $29 | $85 |
| 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. |
42 | $119 | $447 |
| 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. |
39 | $8 | $43 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
38 | $19 | $71 |
| 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. |
26 | $235 | $755 |
| Total testosterone level test A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women. |
25 | $25 | $65 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
23 | $3 | $13 |
| Cardiac enzyme level (CK-MB) test A blood test that measures the total level of creatine kinase, specifically the cardiac enzyme fraction, to help evaluate heart muscle damage. |
23 | $6 | $15 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
23 | $15 | $45 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
19 | $21 | $145 |
| 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. |
17 | $11 | $39 |
| Iron level test | 15 | $6 | $17 |
| 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. |
15 | $9 | $20 |
| Fecal immunochemical test (FIT), 1-3 simultaneous A screening test that uses a stool sample to detect hidden blood in the feces, helping to identify potential colorectal cancer. |
12 | $18 | $45 |
| 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 | $178 | $450 |
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 ↗$2,895
Total received (2018-2024)
Avg $414/year across 7 years
Top 22% in CA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
28
Companies
140
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
$2,870 (99.1%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$25 (0.9%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$617
2023
$373
2022
$344
2021
$27
2020
$50
2019
$341
2018
$1,142
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$193
Lilly USA, LLC
$99
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$68
Amgen Inc.
$59
Novo Nordisk Inc
$47
PFIZER INC.
$44
ABBVIE INC.
$43
Dexcom, Inc.
$25
Bausch Health US, LLC
$22
GlaxoSmithKline, LLC.
$18
Top 3 companies account for 58.3% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$539
GlaxoSmithKline, LLC.
$374
Amgen Inc.
$348
Novo Nordisk Inc
$335
Lilly USA, LLC
$207
PFIZER INC.
$126
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$125
Janssen Pharmaceuticals, Inc
$121
ABBVIE INC.
$101
AbbVie, Inc.
$64
Takeda Pharmaceuticals U.S.A., Inc.
$60
Avanir Pharmaceuticals, Inc.
$59
Novartis Pharmaceuticals Corporation
$47
Merck Sharp & Dohme Corporation
$46
Bausch Health US, LLC
$41
Amarin Pharma Inc.
$35
Inari Medical, Inc.
$33
Edwards Lifesciences Corporation
$32
Boston Scientific Corporation
$30
Boehringer Ingelheim Pharmaceuticals, Inc.
$29
Dexcom, Inc.
$25
SANOFI PASTEUR INC.
$25
IMPEL PHARMACEUTICALS INC.
$18
Merck Sharp & Dohme LLC
$18
JAZZ PHARMACEUTICALS INC.
$17
Alnylam Pharmaceuticals Inc.
$14
Shionogi Inc
$13
Ethicon Inc.
$13
Top 3 companies account for 43.6% of all-time payments
Associated products mentioned in payments ›
ADVAIR · AIRSUPRA · APLENZIN · Aimovig · Androgel · BASAGLAR · BEXSERO · CHANTIX · Dexcom G6 Transmitter · EMGALITY · EVENITY · FARXIGA · FLOWTRIEVER CATHETER · GENERAL PAIN MANAGEMENT · INVOKANA · JANUVIA · JARDIANCE · LEQVIO · LYRICA · MOUNJARO · Monarch Platform · NO PRODUCT DISCUSSED · NUCALA · NUEDEXTA · ONPATTRO · Otezla · Ozempic · PNEUMOVAX 23 · PREVNAR 20 · REYVOW · Repatha · Rybelsus · S · SHINGRIX · SYNJARDY · Saxenda · Symproic · Synthroid · TOVIAZ · TRULICITY · Tresiba · Trintellix · Trudhesa · UBRELVY · Vascepa · Victoza · Wegovy · XARELTO · XIFAXAN · XYWAV
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
806
Per 100K population
25.5
County median income
$113,702
Nearest hospital
ALISO RIDGE BEHAVIORAL HEALTH, LLC
10.0 mi
10.0 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. Kruse is a clinical cardiology specialist, with above-average Medicare volume (top 10% in CA), with low-engagement industry engagement, 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. Kruse experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Kruse performed 815 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. Kruse receive payments from pharmaceutical companies?
Yes. Dr. Kruse received a total of $2,895 from 28 companies across 140 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. Kruse's costs compare to other internal medicine physicians in San Clemente?
Dr. Kruse's average Medicare payment per service is $58. 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. Kruse) 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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