Dr. Elizabeth Cosmai, M.D.
What this data tells you about Dr. Cosmai
Dr. Elizabeth Cosmai is a cardiovascular disease in Fort Myers, FL, with 19 years in practice. Based on federal Medicare data, Dr. Cosmai performed 8,948 Medicare services across 6,213 unique beneficiaries.
Between the years covered by Open Payments, Dr. Cosmai received a total of $140,646 from 37 pharmaceutical and/or device companies across 728 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Cosmai 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.
Medicare Practice Summary
Medicare Utilization ↗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) | 1,955 | $100 | $184 |
| Regadenoson injection (Lexiscan) for heart stress test | 1,024 | $43 | $114 |
| Electrocardiogram (EKG), 12-lead | 991 | $11 | $63 |
| Anticoagulant management of patient taking warfarin | 889 | $9 | $26 |
| Prothrombin time test (blood clotting) | 790 | $4 | $17 |
| Echocardiogram, transthoracic | 600 | $150 | $534 |
| Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 412 | $318 | $900 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | 280 | $56 | $296 |
| Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 206 | $2,243 | $4,700 |
| Nuclear medicine study of heart muscle blood flow by pet | 204 | $150 | $377 |
| Hospital follow-up visit, moderate complexity | 182 | $66 | $125 |
| Programming of dual lead pacemaker system | 174 | $61 | $152 |
| New patient office visit (45-59 min) | 150 | $107 | $306 |
| Technetium tc-99m sestamibi, diagnostic, per study dose | 124 | $90 | $253 |
| Office visit, established patient (20-29 min) | 103 | $73 | $119 |
| Initial hospital admission, high complexity | 87 | $145 | $350 |
| Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional | 80 | $21 | $62 |
| Nuclear medicine studies of heart muscle at rest and with stress and spect | 79 | $319 | $686 |
| Electrocardiogram (ecg) 2-day continuous with review by health care professional | 72 | $14 | $66 |
| Ultrasound of both sides of head and neck blood flow | 58 | $154 | $482 |
| Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional | 49 | $660 | $950 |
| Programming of dual lead implantable defibrillator system | 47 | $75 | $201 |
| Electrocardiogram (ecg) 2-day continuous | 39 | $14 | $74 |
| Programming of single lead pacemaker system | 38 | $46 | $128 |
| Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days | 34 | $19 | $51 |
| Ultrasound of heart, follow-up | 33 | $79 | $247 |
| Programming of multiple lead implantable defibrillator system | 28 | $75 | $234 |
| Heart rhythm recording continous external ekg over more than 48 hours up to 7 days | 23 | $10 | $32 |
| EKG interpretation and report | 22 | $7 | $24 |
| Ultrasound of heart blood flow, valves and chambers, follow-up | 20 | $21 | $137 |
| Ultrasound of heart with color-depicted blood flow, rate and valve function | 20 | $19 | $282 |
| Evaluation of cardiac rhythm monitor system | 19 | $36 | $97 |
| Ultrasound of leg arteries or artery grafts | 17 | $197 | $517 |
| Heart rhythm review and interpretation of continous external ekg over 8-15 days | 16 | $21 | $56 |
| Office visit, established patient, complex (40-54 min) | 16 | $139 | $270 |
| External shock to heart to regulate heart beat | 15 | $90 | $271 |
| Programming of single lead implantable defibrillator system | 15 | $61 | $166 |
| Heart muscle strain imaging | 13 | $10 | $84 |
| Programming of multiple lead pacemaker system | 12 | $70 | $177 |
| Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts | 12 | $147 | $435 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
The majority of payments (90%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in cardiovascular disease and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 3% for cardiovascular disease in FL.
Geographic Context
3.4 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. Cosmai is a clinical cardiology specialist, with above-average Medicare volume (top 9% in FL), and high industry engagement (speaking/promotional, top 3%), 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
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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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