Medicare Enrolled
Dr. Linda Falconio Md, MD
Family Medicine · Vista, 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. Falconio Md 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. Falconio Md
Dr. Linda Falconio Md is a family medicine specialist in Vista, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Falconio Md performed 8,500 Medicare services across 5,559 unique beneficiaries.
Between the years covered by Open Payments, Dr. Falconio Md received a total of $2,077 from 32 pharmaceutical and/or device companies across 123 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. Falconio Md 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.
✓ 19 years in practice
▲ Top 2% volume in CA
$2,077 industry payments
Medicare Practice Summary
Medicare Utilization ↗8,500
Medicare services
Top 2% in CA for family medicine
5,559
Unique beneficiaries
$58
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~447 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 |
|---|---|---|---|
| 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. |
3,140 | $51 | $125 |
| 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. |
602 | $85 | $150 |
| 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. |
586 | $27 | $40 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
555 | $138 | $275 |
| Annual alcohol misuse screening, 5 to 15 minutes | 539 | $20 | $40 |
| Annual depression screening | 538 | $20 | $25 |
| 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. |
534 | $143 | $250 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
521 | $2 | $10 |
| 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. |
370 | $94 | $200 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
264 | $8 | $10 |
| Prolonged preventive service, first 30 minutes This code covers the first 30 minutes of direct patient contact time spent on preventive services that exceeds the typical duration of the primary procedure. It is billed in addition to the code for the primary preventive service. |
190 | $66 | $150 |
| Obesity behavioral counseling, 15 minutes A 15-minute face-to-face session focused on behavioral counseling to help manage obesity. |
120 | $27 | $40 |
| 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. |
60 | $55 | $150 |
| 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. |
59 | $6 | $12 |
| Complex chronic care management, first 60 minutes This service involves clinical staff time directed by a healthcare professional to manage two or more chronic conditions over a calendar month. It covers the first 60 minutes of this coordinated care effort. |
48 | $112 | $200 |
| 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. |
42 | $97 | $200 |
| 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. |
41 | $30 | $125 |
| 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. |
36 | $44 | $125 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
29 | $39 | $100 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
27 | $76 | $125 |
| Additional chronic care management time, 60 minutes This service covers an additional 60 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions, billed per calendar month. |
24 | $60 | $100 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
22 | $176 | $300 |
| 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. |
22 | $172 | $178 |
| Online digital E/M service, established patient, 11-20 min An online digital evaluation and management service for an established patient. The service involves a total time of 11 to 20 minutes over a period of up to 7 days. |
19 | $21 | $55 |
| Online digital E/M service, established patient, 21+ minutes An online digital evaluation and management service for an established patient. This service requires a total time of 21 or more minutes over a period of up to 7 days. |
17 | $33 | $75 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
17 | $1 | $25 |
| 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. |
16 | $12 | $100 |
| Online digital evaluation for established patient, 5-10 minutes This service involves an online digital evaluation and management visit for an established patient. It covers a total time of 5 to 10 minutes over a period of up to 7 days. |
14 | $11 | $28 |
| Prolonged preventive service time, each additional 30 minutes This code covers additional time spent on direct patient contact for preventive services beyond the typical duration of the primary procedure. It is billed separately in 30-minute increments. |
13 | $66 | $150 |
| New patient office visit, complex (60-74 min) | 12 | $159 | $350 |
| 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. |
12 | $16 | $20 |
| Substance misuse assessment and brief intervention A structured assessment of alcohol or substance misuse combined with a brief intervention lasting 15 to 30 minutes. |
11 | $27 | $45 |
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 ↗$2,077
Total received (2018-2024)
Avg $297/year across 7 years
Top 17% in CA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
32
Companies
123
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
$2,032 (97.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$45 (2.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$250
2023
$296
2022
$12
2021
$46
2020
$303
2019
$681
2018
$490
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$57
Exact Sciences Corporation
$44
PFIZER INC.
$39
Vision Quest Industries Inc.
$35
Boston Scientific Corporation
$30
GlaxoSmithKline, LLC.
$16
Dexcom, Inc.
$15
AstraZeneca Pharmaceuticals LP
$14
Top 3 companies account for 55.9% of 2024 payments
All-time payments by company (2018-2024) ›
PFIZER INC.
$246
ABBVIE INC.
$211
Kowa Pharmaceuticals America, Inc.
$184
Zyla Life Sciences
$119
Allergan, Inc.
$118
Astellas Pharma US Inc
$114
Lilly USA, LLC
$106
Amarin Pharma Inc.
$85
Takeda Pharmaceuticals U.S.A., Inc.
$76
AbbVie, Inc.
$75
Avanir Pharmaceuticals, Inc.
$70
Exact Sciences Corporation
$67
Allergan Inc.
$58
Merck Sharp & Dohme Corporation
$53
AbbVie Inc.
$45
Dexcom, Inc.
$39
Teva Pharmaceuticals USA, Inc.
$38
Intercept Pharmaceuticals, Inc.
$38
SANOFI-AVENTIS U.S. LLC
$38
Vision Quest Industries Inc.
$35
Pharmacyclics LLC, An AbbVie Company
$34
Biohaven Pharmaceuticals, Inc.
$33
Boston Scientific Corporation
$30
Shire North American Group Inc
$24
Novo Nordisk Inc
$23
Vertiflex, Inc.
$20
Medline Industries, Inc.
$19
Duchesnay USA Incorporated
$17
GlaxoSmithKline, LLC.
$16
Sanofi Pasteur Inc.
$16
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$15
AstraZeneca Pharmaceuticals LP
$14
Top 3 companies account for 30.9% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AJOVY · Amitiza · CHANTIX · COLOGUARD · Cologuard Collection Kit · Creon · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · FLUZONE HIGH-DOSE · FORTEO · Humira · IMBRUVICA · JANUVIA · LINZESS · LYRICA · Livalo · MYDAYIS · MYRBETRIQ · NUEDEXTA · NURTEC ODT · OCALIVA · Osphena · PRALUENT · PREMARIN · PRO estim NMES Stimulator · QULIPTA · SEGLENTIS · SHINGRIX · SPRIX · SYNTHROID · Saxenda · Superion ISS · Synthroid · Trintellix · UBRELVY · VESICARE · VIIBRYD · VRAYLAR · Vascepa · WATCHMAN FLX · XIFAXAN · ZORVOLEX
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.
Geographic Context
Family medicine physicians within 10 mi
708
Per 100K population
21.6
County median income
$102,285
Nearest hospital
TRI-CITY MEDICAL CENTER
2.9 mi
2.9 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. Falconio Md is a clinical cardiology specialist, with above-average Medicare volume (top 2% in CA), with low-engagement industry engagement in the top 17% of CA peers, with 19 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. Falconio Md experienced with chronic care management, first 20 min/month?
Based on Medicare claims data, Dr. Falconio Md performed 3,140 chronic care management, first 20 min/month 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. Falconio Md receive payments from pharmaceutical companies?
Yes. Dr. Falconio Md received a total of $2,077 from 32 companies across 123 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. Falconio Md's costs compare to other family medicine physicians in Vista?
Dr. Falconio Md's average Medicare payment per service is $58. 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. Falconio Md) 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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