Medicare Enrolled

Dr. Michael Hultin

Nurse Practitioner - Family · Visalia, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
221 E CALDWELL AVE, Visalia, CA 93277
5597324726
In practice since 2019 (7 years)
NPI: 1952866451 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. Hultin 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. Hultin

Dr. Michael Hultin is a nurse practitioner - family in Visalia, CA, with 7 years of NPI registration. Based on federal Medicare data, Dr. Hultin performed 1,385 Medicare services across 952 unique beneficiaries.

Between the years covered by Open Payments, Dr. Hultin received a total of $3,699 from 32 pharmaceutical and/or device companies across 226 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in nurse practitioner - family. 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. Hultin 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.

✓ 7 years in practice ▲ Top 10% volume in CA $3,699 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,385
Medicare services
Top 10% in CA for nurse practitioner - family
952
Unique beneficiaries
$76
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~198 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 (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.
562 $60 $234
Vocal cord movement assessment with endoscope
This procedure uses an endoscope to examine the movement of the vocal cords. It allows for the visual assessment of how the vocal cord flaps function.
234 $135 $526
Ear wax removal
A procedure to remove impacted ear wax from the ear canal.
164 $32 $123
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
144 $64 $289
Nasal endoscopy
A diagnostic procedure that uses a thin, lighted tube to examine the inside of the nasal passages.
101 $133 $508
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.
74 $103 $429
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.
56 $85 $331
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
38 $1 $3
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.
12 $9 $37
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 ↗
$3,699
Total received (2021-2024)
Avg $925/year across 4 years
Top 6% in CA for nurse practitioner - family
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
32
Companies
226
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
$3,582 (96.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$117 (3.2%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$370
2023
$200
2022
$440
2021
$2,690

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Regeneron Healthcare Solutions, Inc.
$124
GlaxoSmithKline, LLC.
$98
AstraZeneca Pharmaceuticals LP
$87
Inspire Medical Systems, Inc.
$27
Phathom Pharmaceuticals, Inc.
$16
AERIN MEDICAL INC.
$16
Top 3 companies account for 83.7% of 2024 payments
All-time payments by company (2021-2024) ›
AstraZeneca Pharmaceuticals LP
$441
AbbVie Inc.
$429
Corcept Therapeutics
$352
Amgen Inc.
$304
GlaxoSmithKline, LLC.
$253
Novo Nordisk Inc
$173
Takeda Pharmaceuticals U.S.A., Inc.
$172
Lilly USA, LLC
$163
Biohaven Pharmaceuticals, Inc.
$156
Merck Sharp & Dohme Corporation
$129
Regeneron Healthcare Solutions, Inc.
$124
Astellas Pharma US Inc
$117
Boehringer Ingelheim Pharmaceuticals, Inc.
$97
Aerin Medical Inc.
$93
Amarin Pharma Inc.
$81
Inspire Medical Systems, Inc.
$75
Eisai Inc.
$71
Lundbeck LLC
$63
ARBOR PHARMACEUTICALS, INC.
$62
Otsuka America Pharmaceutical, Inc.
$54
Esperion Therapeutics, Inc.
$43
Optos, Inc.
$42
Smith+Nephew, Inc.
$40
Acclarent, Inc
$29
ABBVIE INC.
$28
Roche Diagnostics Corporation
$23
Medtronic, Inc.
$18
Phathom Pharmaceuticals, Inc.
$16
AERIN MEDICAL INC.
$16
PFIZER INC.
$15
Mylan Specialty L.P.
$14
Genentech USA, Inc.
$6
Top 3 companies account for 33.0% of all-time payments
Associated products mentioned in payments ›
Acclarent Aera · Aimovig · BELSOMRA · BREZTRI · DUPIXENT · Dayvigo · EMGALITY · EVENITY · Edarbi · FARXIGA · FASENRA · GARDASIL 9 · HALO · Horizant · INSPIRE · JARDIANCE · Korlym · LINZESS · MYRBETRIQ · NEXLETOL · NEXPLANON · NUCALA · NURTEC ODT · OCT OPHTHALMOSCOPE · Otezla · Ozempic · PANORAMIC OPHTHALMOSCOPE · PREVNAR 20 · PROPEL · QULIPTA · REXULTI · RYBELSUS · STIOLTO RESPIMAT · TEZSPIRE · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · TULA · UBRELVY · VIBERZI · VIVAER STYLUS · VOQUEZNA · VRAYLAR · Vascepa · Xofluza · Yupelri · cobas 6800 System
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 (97%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 6% for nurse practitioner - family in CA.

Looking for a nurse practitioner - family in Visalia?
Compare family nurse practitioners in the Visalia area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family nurse practitioners within 10 mi
260
Per 100K population
54.6
County median income
$69,489
Nearest hospital
KAWEAH HEALTH MEDICAL CENTER
6.2 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. Hultin is a clinical cardiology specialist, with above-average Medicare volume (top 10% in CA), with low-engagement industry engagement in the top 6% of CA peers.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Hultin experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Hultin performed 562 office visit, established patient (20-29 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. Hultin receive payments from pharmaceutical companies?
Yes. Dr. Hultin received a total of $3,699 from 32 companies across 226 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. Hultin's costs compare to other family nurse practitioners in Visalia?
Dr. Hultin's average Medicare payment per service is $76. 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. Hultin) 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 →