Medicare Enrolled

Dr. Frank Tortorice, M.D.

Pediatrics · San Mateo, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
101 S SAN MATEO DR STE 303, San Mateo, CA 94401
6506927545
In practice since 2007 (18 years)
NPI: 1457540551 verify on NPPES ↗
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. Tortorice 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. Tortorice

Dr. Frank Tortorice is a pediatrics specialist in San Mateo, CA, with 18 years of NPI registration. Based on federal Medicare data, Dr. Tortorice performed 829 Medicare services across 409 unique beneficiaries.

Between the years covered by Open Payments, Dr. Tortorice received a total of $7,009 from 28 pharmaceutical and/or device companies across 146 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pediatrics. 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. Tortorice 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.

✓ 18 years in practice ▲ Top 14% volume in CA $7,009 industry payments

Medicare Practice Summary

Medicare Utilization ↗
829
Medicare services
Top 14% in CA for pediatrics
409
Unique beneficiaries
$88
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~46 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.
306 $109 $260
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.
176 $53 $140
Remote patient monitoring management, 20 min/month
Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month.
87 $45 $100
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
66 $153 $380
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.
47 $34 $110
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.
46 $70 $180
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.
35 $46 $130
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.
28 $131 $400
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.
27 $193 $399
Home visit, established patient, moderate complexity
A home visit for an established patient involving moderate medical decision making. The visit requires at least 40 minutes of time if time is used to determine the level of service.
11 $96 $300
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 ↗
$7,009
Total received (2018-2024)
Avg $1,001/year across 7 years
Top 3% in CA for pediatrics
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
28
Companies
146
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
$7,009 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$451
2023
$980
2022
$543
2021
$215
2020
$396
2019
$1,658
2018
$2,766

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Exact Sciences Corporation
$186
Lilly USA, LLC
$174
PFIZER INC.
$48
Otsuka America Pharmaceutical, Inc.
$26
Baxter Healthcare
$17
Top 3 companies account for 90.5% of 2024 payments
All-time payments by company (2018-2024) ›
Janssen Pharmaceuticals, Inc
$1,554
Boehringer Ingelheim Pharmaceuticals, Inc.
$934
Lilly USA, LLC
$630
AstraZeneca Pharmaceuticals LP
$474
AbbVie, Inc.
$414
Exact Sciences Corporation
$358
Novartis Pharmaceuticals Corporation
$300
Ironwood Pharmaceuticals, Inc
$229
GlaxoSmithKline, LLC.
$222
Grifols USA, LLC
$219
Intercept Pharmaceuticals, Inc.
$213
Novo Nordisk Inc
$209
Merck Sharp & Dohme Corporation
$144
PFIZER INC.
$133
Actelion Pharmaceuticals US, Inc.
$125
Gilead Sciences, Inc.
$125
Genentech USA, Inc.
$111
OptiNose US, Inc.
$96
Otsuka America Pharmaceutical, Inc.
$82
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$82
AbbVie Inc.
$81
Sunovion Pharmaceuticals Inc.
$69
Teva Pharmaceuticals USA, Inc.
$57
Allergan Inc.
$44
Baxter Healthcare
$36
GRT US Holding, Inc.
$32
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$25
ARBOR PHARMACEUTICALS, INC.
$12
Top 3 companies account for 44.5% of all-time payments
Associated products mentioned in payments ›
ADVAIR · ANORO · AREXVY · BEVESPI AEROSPHERE · CHANTIX · CREON · Cologuard Collection Kit · Creon · DUZALLO · ELIQUIS · ENTRESTO · Edarbi · FARXIGA · FASENRA · Hillrom - Carnation Ambulatory Monitor · INVOKANA · JANUMET · JANUVIA · JARDIANCE · LINZESS · LifeVest · MOUNJARO · OCALIVA · Ozempic · PAXLOVID · Perjeta · Prolastin-C · Prolastin-C Liquid · QVAR · Qutenza · REXULTI · RYBELSUS · SHINGRIX · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SYMBICORT · TRELEGY ELLIPTA · TRULICITY · Truvada · UTIBRON · Utibron · XARELTO · XIFAXAN · Xhance · ZENPEP
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 pediatrics in CA.

Looking for a pediatrics specialist in San Mateo?
Compare pediatricians in the San Mateo area by procedure volume, costs, and industry payment transparency.
Browse pediatricians nearby

Geographic Context

Pediatricians within 10 mi
2,030
Per 100K population
272.4
County median income
$156,000
Nearest hospital
SAN MATEO MEDICAL CENTER
2.7 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. Tortorice is a clinical cardiology specialist, with above-average Medicare volume (top 14% in CA), with low-engagement industry engagement in the top 3% of CA peers, with 18 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. Tortorice experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Tortorice performed 306 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. Tortorice receive payments from pharmaceutical companies?
Yes. Dr. Tortorice received a total of $7,009 from 28 companies across 146 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. Tortorice's costs compare to other pediatricians in San Mateo?
Dr. Tortorice's average Medicare payment per service is $88. 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. Tortorice) 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 →
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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →