Medicare Enrolled
Dr. Joseph Forstot, MD
Rheumatology · Boca Raton, FL
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Forstot 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. Forstot
Dr. Joseph Forstot is a rheumatology specialist in Boca Raton, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Forstot performed 168,423 Medicare services across 6,524 unique beneficiaries.
Between the years covered by Open Payments, Dr. Forstot received a total of $18,158 from 44 pharmaceutical and/or device companies across 1085 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in rheumatology. 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. Forstot is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 12% volume in FL
$18,158 industry payments
Florida License Status
FL DOH · MQA1
Active license
None
Board action on record
0
Recent admin complaints
| Profession | License # | Status | Expires | Board Action |
|---|---|---|---|---|
| Medical Doctor | 28962 | Clear | January 31, 2028 | — |
Data from Florida Department of Health Medical Quality Assurance.
License records are public under Chapter 119, Florida Statutes.
Verify directly on FL DOH →
Medicare Practice Summary
Medicare Utilization ↗168,423
Medicare services
Top 12% in FL for rheumatology
6,524
Unique beneficiaries
$12
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~8,864 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 |
|---|---|---|---|
| Tocilizumab injection (Actemra) | 39,760 | $5 | $7 |
| Romosozumab injection (Evenity) for osteoporosis | 33,810 | $8 | $15 |
| Certolizumab injection (Cimzia) An injection of certolizumab pegol administered under the direct supervision of a physician. |
32,200 | $4 | $10 |
| Denosumab injection (Prolia/Xgeva) | 24,420 | $18 | $25 |
| Golimumab infusion (Simponi Aria) Administration of golimumab medication directly into a vein. This code specifies the dosage amount of 1 milligram for intravenous delivery. |
11,297 | $11 | $32 |
| Abatacept infusion (Orencia) An injection of abatacept administered under the direct supervision of a physician. This code is used for Medicare when the drug is not self-administered. |
11,200 | $34 | $60 |
| Infliximab infusion (Remicade) An injection of infliximab, excluding biosimilar versions, administered in a 10 mg dose. |
4,160 | $26 | $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. |
1,158 | $98 | $271 |
| Non-hormonal chemotherapy injection This procedure involves administering non-hormonal anti-neoplastic chemotherapy medication via injection into the skin or muscle tissue. |
901 | $59 | $153 |
| 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. |
859 | $70 | $191 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
592 | $8 | $10 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
543 | $8 | $19 |
| Blood creatinine level test A blood test that measures the amount of creatinine, a waste product from muscle wear and tear, to help assess kidney function. |
531 | $5 | $12 |
| Blood urea nitrogen test A blood test that measures the amount of urea nitrogen to assess kidney function. |
529 | $4 | $10 |
| Total calcium level test A blood test that measures the total amount of calcium in your body. |
440 | $5 | $9 |
| Alkaline phosphatase isoenzyme test A blood test that measures specific forms of the alkaline phosphatase enzyme to help identify the source of elevated enzyme levels. |
427 | $14 | $30 |
| Phosphate level test A blood test that measures the amount of phosphate in your body. Phosphate is a mineral that helps keep bones and teeth strong. |
427 | $5 | $10 |
| Intravenous chemotherapy infusion, 1 hour or less Administration of chemotherapy medication directly into a vein. The procedure takes one hour or less to complete. |
367 | $101 | $205 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
366 | $29 | $73 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
354 | $9 | $22 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
328 | $52 | $144 |
| Parathyroid hormone level test A blood test that measures the amount of parathyroid hormone in your body. This hormone helps regulate calcium levels in the blood and bones. |
304 | $40 | $102 |
| Erythrocyte sedimentation rate (ESR) test A blood test that measures how quickly red blood cells settle in a test tube to detect inflammation in the body. This specific method is performed manually rather than using an automated machine. |
289 | $4 | $9 |
| C-reactive protein test (inflammation marker) A blood test that measures the level of C-reactive protein to detect the presence of infection or inflammation in the body. |
276 | $5 | $13 |
| Liver function blood test panel | 260 | $8 | $20 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
257 | $0 | $3 |
| Zoledronic acid injection, 1 mg An injection of zoledronic acid administered at a dose of 1 mg. |
220 | $6 | $45 |
| Injection, methylprednisolone acetate, 40 mg | 206 | $6 | $12 |
| Autoimmune disorder antibody test A laboratory test that measures antibodies in the blood to help assess for autoimmune disorders. |
170 | $18 | $89 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
168 | $39 | $80 |
| Autoimmune disorder screening test A laboratory test used to screen for the presence of autoimmune disorders. |
152 | $12 | $30 |
| Rheumatoid factor analysis | 145 | $6 | $14 |
| Immunoassay substance analysis, multiple step method A laboratory test that uses an immunoassay technique to analyze a substance. The process involves multiple steps to detect or measure the target material. |
144 | $11 | $28 |
| Complement and antigen measurement A laboratory test to measure levels of complement proteins and antigens in the blood. |
120 | $12 | $59 |
| 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. |
101 | $11 | $29 |
| Intravenous injection of additional new drug or substance Administration of an additional new medication or substance directly into a vein. |
95 | $13 | $65 |
| Injection, hydrocortisone sodium succinate, up to 100 mg | 95 | $14 | $20 |
| Additional hour of intravenous chemotherapy This code represents the administration of chemotherapy medication into a vein for each additional hour beyond the initial period. |
90 | $23 | $45 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
82 | $32 | $116 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
80 | $1 | $10 |
| Cardiac enzyme level (CK-MB) test A blood test that measures the total level of creatine kinase, specifically the cardiac enzyme fraction, to help evaluate heart muscle damage. |
78 | $6 | $16 |
| 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. |
71 | $126 | $354 |
| Joint fluid aspiration or injection, small joint Removal of fluid from a small joint or injection of medication into a small joint. |
63 | $34 | $113 |
| Intravenous infusion, 1 hour or less Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less. |
43 | $48 | $105 |
| DNA antibody test (native or double-stranded) A blood test that measures the level of antibodies targeting native or double-stranded DNA. This test is used to detect the presence of these specific antibodies in the body. |
36 | $13 | $34 |
| Screening test for antibody to noninfectious agent A laboratory test that screens for the presence of antibodies produced in response to a noninfectious agent. |
36 | $12 | $29 |
| Autoimmune disorder antibody titer test A blood test that measures the level of specific antibodies to help assess autoimmune disorders. |
33 | $11 | $30 |
| Tendon or ligament injection A procedure involving the injection of medication into a tendon or ligament. |
28 | $39 | $120 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
27 | $4 | $11 |
| Joint fluid diagnostic test A procedure to analyze fluid removed from a joint to help diagnose the cause of joint problems. |
25 | $6 | $8 |
| Crystal identification from tissue or body fluid Laboratory analysis to identify crystals found in tissue samples or body fluids. |
25 | $7 | $11 |
| Knee X-ray, 1-2 views An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures. |
22 | $26 | $71 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
13 | $35 | $96 |
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.
16.1% high complexity
79.0% medium
4.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$18,158
Total received (2018-2024)
Avg $2,594/year across 7 years
Top 26% in FL for rheumatology
44
Companies
1,085
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
$18,040 (99.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$118 (0.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$3,820
2023
$2,936
2022
$2,785
2021
$2,293
2020
$636
2019
$2,915
2018
$2,774
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Janssen Biotech, Inc.
$2,766
Amgen Inc.
$2,305
ABBVIE INC.
$1,706
Novartis Pharmaceuticals Corporation
$1,391
UCB, Inc.
$1,214
PFIZER INC.
$1,030
Lilly USA, LLC
$864
E.R. Squibb & Sons, L.L.C.
$769
GlaxoSmithKline, LLC.
$661
Mallinckrodt Hospital Products Inc.
$534
Radius Health, Inc.
$483
AbbVie Inc.
$477
AbbVie, Inc.
$447
Boehringer Ingelheim Pharmaceuticals, Inc.
$421
Horizon Therapeutics plc
$395
Genentech USA, Inc.
$328
Sobi, Inc
$231
AstraZeneca Pharmaceuticals LP
$198
Mallinckrodt Enterprises LLC
$187
Mallinckrodt LLC
$183
Takeda Pharmaceuticals U.S.A., Inc.
$173
SANOFI-AVENTIS U.S. LLC
$163
Horizon Pharma plc
$134
Celgene Corporation
$134
GENZYME CORPORATION
$100
Actelion Pharmaceuticals US, Inc.
$92
Aurinia Pharma U.S., Inc.
$87
SOBI, INC
$82
Fresenius Kabi USA, LLC
$72
ANI Pharmaceuticals, Inc.
$68
Alexion Pharmaceuticals, Inc.
$56
Kiniksa Pharmaceuticals International, plc
$54
Organon LLC
$53
Alvogen Inc
$43
SCILEX PHARMACEUTICALS INC.
$41
Ferring Pharmaceuticals Inc.
$36
West-Ward Pharmaceuticals
$33
Merck Sharp & Dohme Corporation
$30
Organon Llc
$24
Kiniksa Pharmaceuticals, Ltd.
$21
Almatica Pharma LLC
$21
Hikma Pharmaceuticals USA
$18
Bioventus LLC
$18
Cumberland Pharmaceuticals, Inc.
$16
Top 3 companies account for 37.3% of total payments
Associated products mentioned in payments ›
ACTHAR · AMJEVITA · AVSOLA · Actemra · Arcalyst · BENLYSTA · Bimzelx · COSENTYX · CYLTEZO · Cimzia · EUFLEXXA · EVENITY · EVUSHELD · Enbrel · FORTEO · GELSYN 3 · GRALISE · HADLIMA · HUMIRA · Humira · IDACIO · ILARIS · INFLECTRA · KEVZARA · KINERET · KRYSTEXXA · Kineret · LUPKYNIS · LYRICA · Mitigare · OFEV · OPSUMIT · ORENCIA · Otezla · PENNSAID · PURIFIED CORTROPHIN GEL · Prolia · RAYOS · REDITREX · REMICADE · RENFLEXIS · RINVOQ · Rinvoq · Rituxan · SAPHNELO · SILTEX Breast Implants · SIMPONI ARIA · SKYRIZI · STELARA · STRENSIQ · Strensiq · TALTZ · TERIPARATIDE · TREMFYA · Tavneos · Tymlos · Uloric · VIMOVO · XELJANZ · ZTLido
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 (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $11 per 100 Medicare services performed
Geographic Context
Rheumatologists within 10 mi
67
Per 100K population
4.4
County median income
$81,115
Nearest hospital
BOCA RATON REGIONAL HOSPITAL
0.0 mi
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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Forstot is a mixed practice specialist, with above-average Medicare volume (top 12% in FL), with low-engagement industry engagement, with 19 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Forstot experienced with tocilizumab injection (actemra)?
Based on Medicare claims data, Dr. Forstot performed 39,760 tocilizumab injection (actemra) 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. Forstot receive payments from pharmaceutical companies?
Yes. Dr. Forstot received a total of $18,158 from 44 companies across 1,085 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. Forstot's costs compare to other rheumatologists in Boca Raton?
Dr. Forstot's average Medicare payment per service is $12. 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. Forstot) 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. The Transparency Score measures 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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