Medicare Enrolled
Dr. Mirko Giaconi, MD
Internal Medicine · San Pedro, 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. Giaconi 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. Giaconi
Dr. Mirko Giaconi is an internal medicine specialist in San Pedro, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Giaconi performed 4,161 Medicare services across 2,538 unique beneficiaries.
Between the years covered by Open Payments, Dr. Giaconi received a total of $12,722 from 37 pharmaceutical and/or device companies across 219 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. Giaconi 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 7% volume in CA
$12,722 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,161
Medicare services
Top 7% in CA for internal medicine
2,538
Unique beneficiaries
$59
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~208 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. |
474 | $96 | $189 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
439 | $48 | $111 |
| 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. |
362 | $65 | $142 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
289 | $20 | $76 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
287 | $4 | $11 |
| 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. |
224 | $148 | $243 |
| Obesity behavioral counseling, 15 minutes A 15-minute face-to-face session focused on behavioral counseling to help manage obesity. |
176 | $28 | $79 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
170 | $3 | $93 |
| 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. |
164 | $12 | $65 |
| Annual intensive behavioral therapy for cardiovascular disease, 15 minutes A yearly, in-person session focused on intensive behavioral therapy to help manage cardiovascular disease. The session lasts for 15 minutes and is conducted with the patient individually. |
148 | $28 | $79 |
| Telephone medical discussion, 21-30 minutes A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone. |
146 | $88 | $188 |
| 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. |
144 | $52 | $117 |
| Complete ultrasound of abdomen A diagnostic imaging test that uses sound waves to create detailed pictures of the organs and structures within the abdomen. |
131 | $105 | $184 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
131 | $5 | $6 |
| Urine microalbumin test A laboratory test that measures the amount of a specific protein called microalbumin in a urine sample. This analysis helps assess kidney function. |
130 | $6 | $8 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
124 | $175 | $273 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
88 | $144 | $190 |
| Annual depression screening | 83 | $21 | $71 |
| 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 | $34 | $90 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
53 | $77 | $147 |
| 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. |
48 | $282 | $339 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
47 | $41 | $101 |
| 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. |
42 | $29 | $88 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
37 | $34 | $90 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
35 | $16 | $67 |
| 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. |
31 | $44 | $108 |
| 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. |
24 | $72 | $84 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
23 | $42 | $102 |
| 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. |
22 | $13 | $66 |
| Home health agency supervision, complex multidisciplinary care Supervision by a physician or allowed practitioner for a patient receiving Medicare-covered services from a participating home health agency. This involves complex and multidisciplinary care modalities, with the patient not present during the supervision. |
19 | $90 | $161 |
| 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. |
15 | $20 | $26 |
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.
3.0% high complexity
3.7% medium
93.3% routine
Industry Payment Transparency
Open Payments through 2024 ↗$12,722
Total received (2018-2024)
Avg $1,817/year across 7 years
Top 8% in CA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
37
Companies
219
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
$12,424 (97.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$298 (2.3%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,290
2023
$1,029
2022
$1,048
2021
$1,491
2020
$562
2019
$4,044
2018
$3,258
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$663
Astellas Pharma US Inc
$125
Lilly USA, LLC
$124
Novo Nordisk Inc
$121
Amgen Inc.
$79
PFIZER INC.
$47
Otsuka America Pharmaceutical, Inc.
$27
E.R. Squibb & Sons, L.L.C.
$25
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$24
Boehringer Ingelheim Pharmaceuticals, Inc.
$23
IRONWOOD PHARMACEUTICALS, INC
$18
ABBVIE INC.
$15
Top 3 companies account for 70.7% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$3,291
Amarin Pharma Inc.
$1,504
Janssen Pharmaceuticals, Inc
$1,498
Novo Nordisk Inc
$935
Amgen Inc.
$611
Astellas Pharma US Inc
$560
Lilly USA, LLC
$549
Teva Pharmaceuticals USA, Inc.
$409
Novartis Pharmaceuticals Corporation
$295
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$281
ABBVIE INC.
$273
Esperion Therapeutics, Inc.
$238
GlaxoSmithKline, LLC.
$230
Boehringer Ingelheim Pharmaceuticals, Inc.
$184
Horizon Therapeutics plc
$171
Merck Sharp & Dohme Corporation
$169
Bayer HealthCare Pharmaceuticals Inc.
$161
Ironwood Pharmaceuticals, Inc
$152
Biohaven Pharmaceuticals, Inc.
$147
ARBOR PHARMACEUTICALS, INC.
$140
Eisai Inc.
$136
SANOFI-AVENTIS U.S. LLC
$134
AbbVie, Inc.
$107
PFIZER INC.
$102
Radius Health, Inc.
$90
AbbVie Inc.
$59
Allergan Inc.
$47
Otsuka America Pharmaceutical, Inc.
$43
HeartFlow, Inc.
$30
Acclarent, Inc
$29
Abbott Laboratories
$28
Kowa Pharmaceuticals America, Inc.
$26
E.R. Squibb & Sons, L.L.C.
$25
Scilex Pharmaceuticals Inc.
$21
IRONWOOD PHARMACEUTICALS, INC
$18
Horizon Pharma plc
$14
Allergan, Inc.
$14
Top 3 companies account for 49.5% of all-time payments
Associated products mentioned in payments ›
ABILIFY MAINTENA · ACCLARENT AERA EUSTACHIAN TUBE BALLOON DILATION SYSTEM · AIRSUPRA · AJOVY · BREZTRI · BRILINTA · BYDUREON · BYSTOLIC · CAMZYOS · Creon · DUEXIS · Dayvigo · ELIQUIS · EMGALITY · ENTRESTO · Edarbi · FARXIGA · FASENRA · FREESTYLE LIBRE 3 · INVOKANA · JARDIANCE · Kerendia · LEQVIO · LINZESS · LOKELMA · Linzess · Livalo · MOUNJARO · MYRBETRIQ · NEXLETOL · NEXLIZET · NUEDEXTA · NURTEC ODT · Otezla · Ozempic · PENNSAID · PRALUENT · PREVNAR 20 · Prolia · QULIPTA · RAYOS · Repatha · Rybelsus · SOLIQUA · STEGLATRO · SYMBICORT · Saxenda · TRULICITY · Tymlos · UBRELVY · VRAYLAR · Vascepa · Veozah · Victoza · XARELTO · XIFAXAN · ZTLido
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 (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 8% for internal medicine in CA.
Geographic Context
Internal medicine physicians within 10 mi
3,703
Per 100K population
37.6
County median income
$87,760
Nearest hospital
PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO
2.1 mi
2.1 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. Giaconi is a clinical cardiology specialist, with above-average Medicare volume (top 7% in CA), with low-engagement industry engagement in the top 8% 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. Giaconi experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Giaconi performed 474 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. Giaconi receive payments from pharmaceutical companies?
Yes. Dr. Giaconi received a total of $12,722 from 37 companies across 219 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. Giaconi's costs compare to other internal medicine physicians in San Pedro?
Dr. Giaconi's average Medicare payment per service is $59. 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. Giaconi) 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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