Medicare Enrolled
Dr. Hieu N Tram, MD
Internal Medicine · Westminster, 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. Tram 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. Tram
Dr. Hieu N Tram is an internal medicine specialist in Westminster, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Tram performed 4,746 Medicare services across 2,786 unique beneficiaries.
Between the years covered by Open Payments, Dr. Tram received a total of $17,220 from 71 pharmaceutical and/or device companies across 1054 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. Tram 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 6% volume in CA
$17,220 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,746
Medicare services
Top 6% in CA for internal medicine
2,786
Unique beneficiaries
$50
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~250 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. |
952 | $106 | $165 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
517 | $8 | $9 |
| Blood glucose test using hand-held instrument A test that measures the level of sugar in the blood using a portable device. The result helps monitor blood glucose levels. |
398 | $3 | $7 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
385 | $10 | $33 |
| 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. |
302 | $52 | $70 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
280 | $33 | $50 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
276 | $20 | $68 |
| 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. |
272 | $12 | $49 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
271 | $140 | $180 |
| Annual depression screening | 195 | $21 | $50 |
| 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. |
179 | $76 | $143 |
| Influenza vaccine, quadrivalent, 0.5 ml dosage | 172 | $20 | $52 |
| 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. |
108 | $72 | $90 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
98 | $48 | $114 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
73 | $1 | $25 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
56 | $54 | $120 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
42 | $240 | $343 |
| Fecal immunochemical test (FIT), 1-3 simultaneous A screening test that uses a stool sample to detect hidden blood in the feces, helping to identify potential colorectal cancer. |
40 | $18 | $50 |
| 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. |
37 | $13 | $78 |
| 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. |
30 | $16 | $26 |
| 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. |
28 | $88 | $165 |
| 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. |
24 | $81 | $150 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
11 | $33 | $59 |
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 ↗$17,220
Total received (2018-2024)
Avg $2,460/year across 7 years
Top 6% in CA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
71
Companies
1,054
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
$17,220 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,778
2023
$1,770
2022
$1,508
2021
$2,704
2020
$1,768
2019
$3,213
2018
$3,479
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$275
ABBVIE INC.
$243
Amgen Inc.
$199
Gilead Sciences, Inc.
$193
Dexcom, Inc.
$189
Lilly USA, LLC
$185
Novo Nordisk Inc
$164
Phathom Pharmaceuticals, Inc.
$137
Boehringer Ingelheim Pharmaceuticals, Inc.
$115
IRONWOOD PHARMACEUTICALS, INC
$94
Sumitomo Pharma America, Inc.
$93
Mylan Specialty L.P.
$89
AIMMUNE THERAPEUTICS, INC.
$88
Otsuka America Pharmaceutical, Inc.
$76
Esperion Therapeutics, Inc.
$71
Oyster Point Pharma, Inc.
$69
Kowa Pharmaceuticals America, Inc.
$63
Merck Sharp & Dohme LLC
$54
GlaxoSmithKline, LLC.
$49
Xeris Pharmaceuticals, Inc.
$44
PFIZER INC.
$42
Exact Sciences Corporation
$39
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$32
Novartis Pharmaceuticals Corporation
$27
SUN PHARMACEUTICAL INDUSTRIES INC.
$24
VIVUS LLC
$24
SHIELD THERAPEUTICS INC
$22
Seqirus USA Inc
$17
Radius Health, Inc.
$16
Hikma Pharmaceuticals USA
$16
CeQur Corporation
$16
Astellas Pharma US Inc
$14
Top 3 companies account for 25.8% of 2024 payments
All-time payments by company (2018-2024) ›
Amarin Pharma Inc.
$1,524
AstraZeneca Pharmaceuticals LP
$1,503
Amgen Inc.
$1,453
Lilly USA, LLC
$1,027
Boehringer Ingelheim Pharmaceuticals, Inc.
$967
AbbVie Inc.
$809
Novo Nordisk Inc
$763
PFIZER INC.
$629
Astellas Pharma US Inc
$603
ABBVIE INC.
$576
GlaxoSmithKline, LLC.
$546
Takeda Pharmaceuticals U.S.A., Inc.
$469
Allergan Inc.
$464
AbbVie, Inc.
$433
Merck Sharp & Dohme Corporation
$390
Radius Health, Inc.
$343
Gilead Sciences, Inc.
$298
Horizon Therapeutics plc
$278
Nestle HealthCare Nutrition Inc.
$275
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$254
Ironwood Pharmaceuticals, Inc
$231
Novartis Pharmaceuticals Corporation
$211
Dexcom, Inc.
$205
SANOFI-AVENTIS U.S. LLC
$197
Kowa Pharmaceuticals America, Inc.
$192
Phathom Pharmaceuticals, Inc.
$137
Merck Sharp & Dohme LLC
$129
Otsuka America Pharmaceutical, Inc.
$124
Janssen Pharmaceuticals, Inc
$122
Mylan Specialty L.P.
$121
Esperion Therapeutics, Inc.
$120
Sumitomo Pharma America, Inc.
$113
IRONWOOD PHARMACEUTICALS, INC
$111
Xeris Pharmaceuticals, Inc.
$109
Synergy Pharmaceuticals Inc
$91
AIMMUNE THERAPEUTICS, INC.
$88
Electromed, Inc.
$84
Covidien LP
$74
NESTLE HEALTHCARE NUTRITION INC.
$72
Oyster Point Pharma, Inc.
$69
Scilex Pharmaceuticals Inc.
$63
Sunovion Pharmaceuticals Inc.
$61
Philips Electronics North America Corporation
$58
Regeneron Healthcare Solutions, Inc.
$55
Horizon Pharma plc
$54
Hikma Pharmaceuticals USA
$51
ARBOR PHARMACEUTICALS, INC.
$51
SANOFI PASTEUR INC.
$47
Alexion Pharmaceuticals, Inc.
$45
CeQur Corporation
$44
Exact Sciences Corporation
$39
VIVUS, Inc.
$37
IBSA Pharma Inc.
$36
Eyevance Pharmaceuticals LLC
$35
Vapotherm Inc
$28
Allergan, Inc.
$27
Relypsa, Inc.
$25
SUN PHARMACEUTICAL INDUSTRIES INC.
$24
Shield Therapeutics Inc
$24
VIVUS LLC
$24
NeoTract Inc.
$22
SHIELD THERAPEUTICS INC
$22
Arbor Pharmaceuticals, Inc.
$20
SCILEX PHARMACEUTICALS INC.
$20
Genentech USA, Inc.
$19
TherapeuticsMD, Inc.
$18
Seqirus USA Inc
$17
Circassia Pharmaceuticals Inc
$15
Medtronic MiniMed, Inc.
$14
Mylan Pharmaceuticals Inc.
$12
Ferring Pharmaceuticals Inc.
$12
Top 3 companies account for 26.0% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · ADACEL · ADVAIR · AIRSUPRA · APRISO · APTIOM · AREXVY · Aimovig · Amitiza · BEVESPI AEROSPHERE · BEXSERO · BREO · BREZTRI · BREZTRI AEROSPHERE · BRILINTA · BYDUREON · BYSTOLIC · CHANTIX · CIBINQO · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · CREON · CeQur Simplicity · Cequa · Cologuard Collection Kit · Creon · DUEXIS · DUZALLO · Dexcom G6 Transmitter · Dexilant · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · Edarbi · FARXIGA · FASENRA · FLUZONE HIGH-DOSE · FLUZONE QUADRIVALENT NORTHERN HEMISPHERE · FORTEO · Fluad · GARDASIL · GARDASIL 9 · GEMTESA · GVOKE HYPOPEN · Horizant · IMVEXXY · INVOKANA · JANUVIA · JARDIANCE · KRYSTEXXA · LEQVIO · LICART · LINZESS · LO LOESTRIN FE · LONHALA MAGNAIR · LYRICA · Licart · Linzess · Livalo · MOUNJARO · MYRBETRIQ · Mitigare · Myrbetriq · NAMZARIC · NEXLETOL · NOCDURNA · Otezla · Ozempic · PANCREAZE · PAXLOVID · PENNSAID · PNEUMOVAX 23 · PRALUENT · PRALUENT ALIROCUMAB INJECTION · PREMARIN · PREMARIN ORALS · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · PVC · Precision Flow · ProGrip · Prolia · QSYMIA · RAYOS · REXULTI · RYBELSUS · Repatha · Ryaltris · Rybelsus · SHINGRIX · SMARTVEST · SOLIQUA · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SYMBICORT · SYNJARDY · Strensiq · TOUJEO · TOVIAZ · TRADJENTA · TRELEGY ELLIPTA · TRULANCE · TRULICITY · TUDORZA PRESSAIR · TYRVAYA · Tobradex ST · Tresiba · Trintellix · Trulance · Tymlos · UBRELVY · UroLift · VESICARE · VIBERZI · VOQUEZNA · VRAYLAR · Vascepa · Veltassa · Veozah · Victoza · XARELTO · XIFAXAN · Xofluza · Xulane · YUPELRI · Yupelri · ZENPEP · ZORYVE · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · iPro2 · inCourage
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. Total industry engagement is in the top 6% for internal medicine in CA.
Geographic Context
Internal medicine physicians within 10 mi
3,276
Per 100K population
103.5
County median income
$113,702
Nearest hospital
HUNTINGTON BEACH HOSPITAL
2.2 mi
2.2 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. Tram is a clinical cardiology specialist, with above-average Medicare volume (top 6% in CA), with low-engagement industry engagement in the top 6% 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. Tram experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Tram performed 952 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. Tram receive payments from pharmaceutical companies?
Yes. Dr. Tram received a total of $17,220 from 71 companies across 1,054 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. Tram's costs compare to other internal medicine physicians in Westminster?
Dr. Tram's average Medicare payment per service is $50. 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. Tram) 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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