https://doctransparency.com/doctor/fl/crystal-river/paul-hellstern-1649207036
Medicare Enrolled

Dr. Paul Hellstern, M.D.

Gastroenterology · Crystal River, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
6410 W GULF TO LAKE HWY, Crystal River, FL 34429
3525632450
In practice since 2006 (19 years)
NPI: 1649207036 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. Hellstern 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. Hellstern

Dr. Paul Hellstern is a gastroenterology in Crystal River, FL, with 19 years in practice. Based on federal Medicare data, Dr. Hellstern performed 3,971 Medicare services across 2,842 unique beneficiaries.

Between the years covered by Open Payments, Dr. Hellstern received a total of $2,742 from 27 pharmaceutical and/or device companies across 176 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. 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. Hellstern 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 6% volume in FL$ $2,742 industry payments

Medicare Practice Summary

Medicare Utilization ↗
3,971
Medicare services
Top 6% in FL for gastroenterology
2,842
Unique beneficiaries
$83
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~209 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.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (20-29 min)1,097$62$145
Tissue pathology examination, moderate complexity704$53$171
Special stained specimen slides to examine tissue including interpretation and report247$63$171
Upper GI endoscopy with biopsy205$94$312
New patient office visit (30-44 min)192$72$200
Hospital follow-up visit, high complexity186$95$150
Special stained specimen slides to identify organisms including interpretation and report156$87$171
Removal of polyps or growths of large bowel using an endoscope with mechanical snare155$211$500
Microscopic genetic analysis of tumor, manual144$92$171
Initial hospital admission, high complexity120$138$250
Office visit, established patient (30-39 min)93$96$170
Complete ultrasound scan of abdomen84$80$242
Tissue staining for diagnosis, initial83$78$171
Colonoscopy with biopsy80$112$536
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope78$84$300
Ultrasound scan of organ tissue for measuring elasticity68$78$150
Insertion of guide wire with dilation of esophagus using a flexible endoscope59$128$350
Colorectal cancer screening; colonoscopy on individual at high risk58$174$550
New patient office visit (45-59 min)56$128$250
Diagnostic exam of large bowel using a flexible endoscope43$130$350
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk33$180$550
Measurement of hydrogen in breath to test for stomach and bowel symptoms15$57$159
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional15$16$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 ↗
$2,742
Total received (2018-2024)
Avg $392/year across 7 years
Bottom 47% in FL for gastroenterology
27
Companies
176
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
$2,685 (97.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$57 (2.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$264
2023
$414
2022
$396
2021
$487
2020
$309
2019
$330
2018
$543

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
AbbVie Inc.
$432
AbbVie, Inc.
$426
ABBVIE INC.
$290
PFIZER INC.
$275
Celgene Corporation
$164
Gilead Sciences, Inc.
$135
Allergan Inc.
$129
UCB, Inc.
$107
Janssen Biotech, Inc.
$106
Nestle HealthCare Nutrition Inc.
$103
FUJIFILM Healthcare Americas Corporation
$100
Takeda Pharmaceuticals U.S.A., Inc.
$73
Merck Sharp & Dohme Corporation
$68
Ipsen Biopharmaceuticals, Inc
$61
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$44
Enterra Medical, Inc.
$35
Novo Nordisk Inc
$32
Medtronic, Inc.
$22
GENZYME CORPORATION
$21
Boston Scientific Corporation
$18
E.R. Squibb & Sons, L.L.C.
$17
Ferring Pharmaceuticals Inc.
$16
Axonics Modulation Technologies, Inc.
$16
Endogastric Solutions, Inc
$15
EVOKE PHARMA, INC.
$14
Evoke Pharma, Inc.
$14
Janssen Pharmaceuticals, Inc
$12
Top 3 companies account for 41.9% of total payments
Associated products mentioned in payments ›
Axonics r-SNM System · CIMZIA · CREON · Cimzia · Creon · DIFICID · DUPIXENT · ENTYVIO · ESOPHYX · Epclusa · FUJIFILM · GI GENIUS · GIMOTI · HUMIRA · Humira · IQIRVO · LINZESS · MAVYRET · Mavyret · RELISTOR · RINVOQ · SKYRIZI · STELARA · VIBERZI · WATCHMAN FLX · XELJANZ · XIFAXAN · ZENPEP · ZEPATIER · ZEPOSIA
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.

Equivalent to $69 per 100 Medicare services performed
Looking for a gastroenterology in Crystal River?
Compare gastroenterologys in the Crystal River area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Gastroenterologys within 10 mi
15
Per 100K population
9.5
County median income
$55,355
Nearest hospital
TAMPA GENERAL HOSPITAL CRYSTAL RIVER
6.6 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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. Hellstern is a clinical cardiology specialist, with above-average Medicare volume (top 6% in FL), and low-engagement industry engagement, with 19 years of practice experience.

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. Hellstern experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Hellstern performed 1,097 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. Hellstern receive payments from pharmaceutical companies?
Yes. Dr. Hellstern received a total of $2,742 from 27 companies across 176 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. Hellstern's costs compare to other gastroenterologys in Crystal River?
Dr. Hellstern's average Medicare payment per service is $83. 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. Hellstern) 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. 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.

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 →