Medicare Enrolled

Dr. Rex Hsei, MD

Ophthalmology · Santa Cruz, CA
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
1665 DOMINICAN WAY, Santa Cruz, CA 95065
8314757012
In practice since 2005 (20 years)
NPI: 1285637157 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. Hsei 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. Hsei

Dr. Rex Hsei is an ophthalmology specialist in Santa Cruz, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Hsei performed 3,979 Medicare services across 3,195 unique beneficiaries.

Between the years covered by Open Payments, Dr. Hsei received a total of $1,048 from 15 pharmaceutical and/or device companies across 26 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in ophthalmology. 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. Hsei 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 26% volume in CA $1,048 industry payments

Medicare Practice Summary

Medicare Utilization ↗
3,979
Medicare services
Top 26% in CA for ophthalmology
3,195
Unique beneficiaries
$106
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~199 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
Comprehensive eye exam, established patient
A comprehensive examination of the visual system performed for a patient who has previously been seen by the provider.
1,141 $94 $211
Eye exam, established patient, focused
A limited examination of the visual system for an existing patient. The provider focuses on a specific eye-related concern or symptom.
1,020 $68 $157
Corneal topography and eye depth measurement
This procedure measures the curvature and depth of the cornea, the clear front surface of the eye.
440 $19 $115
Comprehensive eye exam, new patient
A comprehensive examination of the visual system performed for a new patient.
340 $102 $250
Cataract surgery with lens implant
Surgical removal of the clouded natural lens of the eye and replacement with an artificial prosthetic lens to restore vision.
299 $403 $2,034
Visual field test, extended
A test that maps your complete field of vision to detect blind spots or peripheral vision loss. Extended testing provides a more detailed assessment than a standard visual field exam.
212 $49 $125
Optic nerve imaging (OCT scan)
Imaging of the optic nerve.
203 $26 $105
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.
86 $121 $250
Laser removal of recurring cataract
A laser procedure to remove a recurring cataract within the lens capsule.
70 $291 $625
Complex cataract removal with lens implant
A surgical procedure to remove a cataract from the eye and insert an artificial lens to restore vision.
49 $613 $2,340
CT scan of cornea
A computed tomography scan used to create detailed images of the cornea, the clear front part of the eye.
34 $30 $200
Ultrasound scan of cornea to determine thickness
An ultrasound procedure used to measure the thickness of the cornea.
29 $9 $50
Retinal imaging (OCT scan)
This procedure involves imaging the retina to visualize its structure. It is used to examine the back of the eye.
29 $33 $110
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.
27 $98 $240
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.
7.5% high complexity
7.4% medium
85.1% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$1,048
Total received (2018-2024)
Avg $150/year across 7 years
Bottom 44% in CA for ophthalmology
15
Companies
26
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
$1,048 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$208
2023
$16
2022
$55
2021
$148
2020
$79
2019
$97
2018
$444

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$107
Bausch & Lomb Americas Inc.
$101
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Aerie Pharmaceuticals, Inc.
$207
Carl Zeiss Meditec, Inc.
$162
Novartis Pharmaceuticals Corporation
$121
Bausch & Lomb Americas Inc.
$120
ABBVIE INC.
$107
Bausch & Lomb, a division of Bausch Health US, LLC
$75
Sun Pharmaceutical Industries Inc.
$54
Glaukos Corporation
$51
Kala Pharmaceuticals, Inc.
$38
Allergan, Inc.
$22
Alcon Vision LLC
$20
Carl Zeiss Meditec AG
$19
Johnson & Johnson Surgical Vision, Inc.
$18
Takeda Pharmaceuticals U.S.A., Inc.
$16
Sight Sciences, Inc.
$16
Top 3 companies account for 46.8% of all-time payments
Associated products mentioned in payments ›
CEQUA · Centurion · DURYSTA · GLASSIA · INVELTYS · IOLMaster 500 · ISTENT TRABECULAR MICRO-BYPASS STENT SYSTEM · LOTEMAX · LOTEMAX GEL · LOTEMAX SM · MIEBO · None Specified · OMNI(R) SURGICAL SYSTEM (US) · OZURDEX · PROLENSA · Rhopressa · TRAVATAN Z · Tecnis Multifocal Family of 1-piece IOLS · VYZULTA · VisuMax · XELPROS · XIIDRA · rocklatan
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.

Looking for an ophthalmology specialist in Santa Cruz?
Compare ophthalmologists in the Santa Cruz area by procedure volume, costs, and industry payment transparency.
Browse ophthalmologists nearby

Geographic Context

Ophthalmologists within 10 mi
139
Per 100K population
52.3
County median income
$109,266
Nearest hospital
DOMINICAN HOSPITAL
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. Hsei is a mixed practice specialist, with above-average Medicare volume (top 26% in CA), with low-engagement industry engagement, 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. Hsei experienced with comprehensive eye exam, established patient?
Based on Medicare claims data, Dr. Hsei performed 1,141 comprehensive eye exam, established patient 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. Hsei receive payments from pharmaceutical companies?
Yes. Dr. Hsei received a total of $1,048 from 15 companies across 26 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. Hsei's costs compare to other ophthalmologists in Santa Cruz?
Dr. Hsei's average Medicare payment per service is $106. 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. Hsei) 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 →