Medicare Enrolled

Dr. Mirella Younes, MD

Family Medicine · Visalia, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
3622 W PACKWOOD AVE, Visalia, CA 93277
5593823820
In practice since 2011 (14 years)
NPI: 1164718896 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. Younes 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. Younes

Dr. Mirella Younes is a family medicine specialist in Visalia, CA, with 14 years of NPI registration. Based on federal Medicare data, Dr. Younes performed 527 Medicare services across 323 unique beneficiaries.

Between the years covered by Open Payments, Dr. Younes received a total of $6,309 from 35 pharmaceutical and/or device companies across 319 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family 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. Younes 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.

✓ 14 years in practice ▲ Top 41% volume in CA $6,309 industry payments

Medicare Practice Summary

Medicare Utilization ↗
527
Medicare services
Top 41% in CA for family medicine
323
Unique beneficiaries
$78
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~38 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.
226 $60 $120
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.
172 $92 $176
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
50 $132 $396
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.
47 $62 $154
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.
20 $9 $50
Transitional care management services, moderate complexity
Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity.
12 $167 $282
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 ↗
$6,309
Total received (2018-2024)
Avg $901/year across 7 years
Top 7% in CA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
35
Companies
319
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
$6,176 (97.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$133 (2.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,069
2023
$1,492
2022
$1,194
2021
$1,178
2020
$374
2019
$305
2018
$698

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$269
Novo Nordisk Inc
$215
Lilly USA, LLC
$208
ABBVIE INC.
$75
GlaxoSmithKline, LLC.
$56
Bayer Healthcare Pharmaceuticals Inc.
$50
Amgen Inc.
$40
Otsuka America Pharmaceutical, Inc.
$29
Abbott Laboratories
$27
Phathom Pharmaceuticals, Inc.
$24
Boehringer Ingelheim Pharmaceuticals, Inc.
$20
PFIZER INC.
$20
Seqirus USA Inc
$19
Daiichi Sankyo Inc.
$18
Top 3 companies account for 64.6% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$1,329
Lilly USA, LLC
$882
AstraZeneca Pharmaceuticals LP
$574
GlaxoSmithKline, LLC.
$553
Boehringer Ingelheim Pharmaceuticals, Inc.
$491
Allergan Inc.
$308
AbbVie Inc.
$280
Janssen Pharmaceuticals, Inc
$257
ABBVIE INC.
$169
PFIZER INC.
$155
IDORSIA PHARMACEUTICALS US INC
$138
Astellas Pharma US Inc
$133
Amgen Inc.
$128
Edwards Lifesciences Corporation
$119
Phadia US Inc.
$110
Bayer Healthcare Pharmaceuticals Inc.
$108
Novartis Pharmaceuticals Corporation
$100
Abbott Laboratories
$64
Merck Sharp & Dohme Corporation
$40
Ironwood Pharmaceuticals, Inc
$39
Hologic, LLC
$39
Seqirus USA Inc
$35
Biohaven Pharmaceuticals, Inc.
$30
Otsuka America Pharmaceutical, Inc.
$29
Phathom Pharmaceuticals, Inc.
$24
Dexcom, Inc.
$22
ITI, Inc.
$21
Bayer HealthCare Pharmaceuticals Inc.
$20
Biohaven Pharmaceutical Holding Company Ltd.
$19
Allergan, Inc.
$18
Daiichi Sankyo Inc.
$18
DEXCOM, INC.
$16
Esperion Therapeutics, Inc.
$15
Organon LLC
$14
MannKind Corporation
$13
Top 3 companies account for 44.1% of all-time payments
Associated products mentioned in payments ›
AFREZZA · AIRSUPRA · APTIMA · Aptima HPV · BREZTRI · CAPLYTA · CHANTIX · DEXCOM G6 TRANSMITTER · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · FARXIGA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · Fluad Quadrivalent · Flucelvax · INJECTAFER · ImmunoCAP · JANUVIA · JARDIANCE · Kerendia · LEQVIO · LINZESS · LYRICA · Linzess · MOUNJARO · NAMZARIC · NEXLETOL · NEXPLANON · NURTEC ODT · Otezla · Ozempic · PAXLOVID · PREVNAR 20 · QULIPTA · QUVIVIQ · REXULTI · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · UBRELVY · VIIBRYD · VOQUEZNA · VRAYLAR · Veozah · Wegovy · XARELTO
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 7% for family medicine in CA.

Looking for a family medicine specialist in Visalia?
Compare family medicine physicians in the Visalia area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family medicine physicians within 10 mi
211
Per 100K population
44.3
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. Younes is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 7% of CA peers.

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

Frequently Asked Questions

Is Dr. Younes experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Younes performed 226 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. Younes receive payments from pharmaceutical companies?
Yes. Dr. Younes received a total of $6,309 from 35 companies across 319 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. Younes's costs compare to other family medicine physicians in Visalia?
Dr. Younes's average Medicare payment per service is $78. 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. Younes) 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 →