Medicare Enrolled

Dr. Howard Busch, D.O.

Rheumatology · Loxahatchee, FL
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Speaking/Promotional
12977 SOUTHERN BLVD BLDG 5, Loxahatchee, FL 33470
5617988184
In practice since 2006 (19 years)
NPI: 1932262516 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. Busch 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 →
Are you Dr. Busch? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Busch

Dr. Howard Busch is a rheumatology in Loxahatchee, FL, with 19 years in practice. Based on federal Medicare data, Dr. Busch performed 33,276 Medicare services across 2,301 unique beneficiaries.

Between the years covered by Open Payments, Dr. Busch received a total of $771,547 from 66 pharmaceutical and/or device companies across 2302 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in rheumatology. 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. Busch 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 40% volume in FL$ $771,547 industry payments

Medicare Practice Summary

Medicare Utilization ↗
33,276
Medicare services
Top 40% in FL for rheumatology
2,301
Unique beneficiaries
$14
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~1,751 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
Tocilizumab injection (Actemra)22,080$5$11
Abatacept infusion (Orencia)3,925$30$79
Romosozumab injection (Evenity) for osteoporosis2,940$8$24
Denosumab injection (Prolia/Xgeva)960$19$46
Office visit, established patient (30-39 min)831$98$270
Knee X-ray, 3 views345$32$90
X-ray of lower and sacral spine, minimum of 4 views174$38$123
Administration of chemotherapy into vein, 1 hour or less172$104$345
X-ray of pelvis, 1-2 views163$21$80
New patient office visit (45-59 min)158$132$415
X-ray of middle spine, 2 views134$24$85
X-ray of wrist, minimum of 3 views127$32$96
X-ray of hand, minimum of 3 views126$29$77
Foot X-ray, 3+ views111$27$73
X-ray of ankle, minimum of 3 views106$29$75
Injection, methylprednisolone acetate, 40 mg89$6$30
Joint injection, major joint85$45$175
Shoulder X-ray, 2+ views80$28$73
Office visit, established patient (20-29 min)74$71$184
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle62$56$189
X-ray of upper spine, 4-5 views59$39$125
Betamethasone steroid injection56$5$12
Injection, methylprednisolone acetate, 20 mg54$4$20
Office visit, established patient, complex (40-54 min)51$137$364
Administration of chemotherapy into vein, each additional hour48$22$110
Injection of additional new drug or substance into vein44$12$85
Injection into tendon or ligament43$41$150
Aspiration and/or injection of fluid from small joint40$32$135
Bone density scan (DEXA)36$39$120
Aspiration and/or injection of fluid from medium joint31$39$145
New patient office visit, complex (60-74 min)28$178$521
Injection of trigger points, 1-2 muscles18$43$155
X-ray of middle spine, minimum of 4 views14$31$104
X-ray of both hips, 2 views12$31$99
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.
11.8% high complexity
80.3% medium
7.9% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$771,547
Total received (2018-2024)
Avg $110,221/year across 7 years
Top 2% in FL for rheumatology
66
Companies
2,302
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$746,820 (96.8%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$12,373 (1.6%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$12,354 (1.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$73,879
2023
$103,918
2022
$125,103
2021
$147,747
2020
$87,853
2019
$130,237
2018
$102,810

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Mallinckrodt Hospital Products Inc.
$186,198
Amgen Inc.
$123,309
Horizon Therapeutics plc
$89,353
UCB, Inc.
$53,947
GlaxoSmithKline, LLC.
$49,368
Celgene Corporation
$42,196
Mallinckrodt Enterprises LLC
$36,377
ANI Pharmaceuticals, Inc.
$35,292
AstraZeneca Pharmaceuticals LP
$35,027
GENZYME CORPORATION
$23,392
Mallinckrodt LLC
$19,509
Novartis Pharmaceuticals Corporation
$16,583
Aurinia Pharma U.S., Inc.
$15,432
Genentech USA, Inc.
$12,068
Exeltis, USA Inc.
$7,207
Flexion Therapeutics, Inc.
$5,774
ABBVIE INC.
$4,589
AbbVie Inc.
$2,928
Regeneron Healthcare Solutions, Inc.
$2,058
Janssen Biotech, Inc.
$2,004
PFIZER INC.
$1,433
Horizon Pharma plc
$1,140
Radius Health, Inc.
$931
Boehringer Ingelheim Pharmaceuticals, Inc.
$893
Lilly USA, LLC
$470
E.R. Squibb & Sons, L.L.C.
$459
Progentec Diagnostics, Inc.
$323
SANOFI-AVENTIS U.S. LLC
$317
NOVARTIS PHARMACEUTICALS CORPORATION
$305
AbbVie, Inc.
$289
Kyowa Kirin, Inc.
$275
Alexion Pharmaceuticals, Inc.
$197
SOBI, INC
$151
Fresenius Kabi USA, LLC
$150
RECORDATI_RARE_DISEASES_INC.
$138
Actelion Pharmaceuticals US, Inc.
$137
Merck Sharp & Dohme Corporation
$119
Gilead Sciences, Inc.
$116
Takeda Pharmaceuticals U.S.A., Inc.
$87
DePuy Synthes Sales Inc.
$86
Alvogen Inc
$82
Sobi, Inc
$81
Invivyd Inc
$75
NeuroMetrix Inc
$68
Organon LLC
$67
West-Ward Pharmaceuticals
$56
Ultragenyx Pharmaceutical Inc.
$46
MEDEXUS PHARMA, INC.
$46
Kiniksa Pharmaceuticals, Ltd.
$44
Kiniksa Pharmaceuticals International, plc
$43
Octapharma USA, Inc.
$42
Vertiflex, Inc.
$29
Genentech, Inc.
$25
Abbott Laboratories
$23
Mylan Institutional Inc.
$22
ADMA BioManufacturing LLC
$20
Almatica Pharma LLC
$19
ASSERTIO THERAPEUTICS, INC.
$18
Zyla Life Sciences
$18
Shire North American Group Inc
$16
FIDIA PHARMA USA INC.
$15
Oxford Immunotec USA Inc
$14
IDORSIA PHARMACEUTICALS US INC
$14
Hikma Pharmaceuticals USA
$14
Bioventus LLC
$14
ARBOR PHARMACEUTICALS, INC.
$11
Top 3 companies account for 51.7% of total payments
Associated products mentioned in payments ›
ACTHAR · AMJEVITA · AVSOLA · Actemra · Arcalyst · BELSOMRA · BENLYSTA · Bimzelx · Briviact · COSENTYX · CYLTEZO · Cimzia · Crysvita · ETERNA · EVENITY · EVUSHELD · Enbrel · FLUMIST QUADRIVALENT · GELSYN 3 · Gralise · HADLIMA · HUMIRA · HYQVIA · Horizant · Hulio · Humira · Hymovis · IDACIO · ILARIS · INFLECTRA · KEVZARA · KEVZARA SARILUMAB INJECTION · KINERET · KRYSTEXXA · Kineret · LUPKYNIS · LYRICA · Mitigare · OCREVUS · OCTAGAM IMMUNE GLOBULIN (HUMAN) · OFEV · OPSUMIT · OPSUMIT MACITENTAN · ORENCIA · ORTHOVISC · Otezla · PEMGARDA · PENNSAID · PURIFIED CORTROPHIN GEL · Prolia · QUVIVIQ · RAYOS · REMICADE · RENFLEXIS · RINVOQ · Rasuvo · Rinvoq · Rituxan · SAPHNELO · SIMPONI ARIA · SKYRIZI · STELARA · STRENSIQ · SYLVANT · SYNAGIS · Strensiq · Superion ISS · TALTZ · TAVNEOS · TEPEZZA · TERIPARATIDE · TREMFYA · TSPOT TB TEST · Tavneos · Tymlos · UPTRAVI · Uloric · XELJANZ · ZORVOLEX · Zilretta
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 →

The majority of payments (97%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in rheumatology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 2% for rheumatology in FL.

Equivalent to $2,319 per 100 Medicare services performed
Looking for a rheumatology in Loxahatchee?
Compare rheumatologys in the Loxahatchee area by procedure volume, costs, and industry payment transparency.
Browse rheumatologys nearby

Geographic Context

Rheumatologys within 10 mi
27
Per 100K population
1.8
County median income
$81,115
Nearest hospital
HCA FLORIDA PALMS WEST HOSPITAL
0.0 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. Busch is a mixed practice specialist, with moderate Medicare volume, and high industry engagement (speaking/promotional, top 2%), 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. Busch experienced with tocilizumab injection (actemra)?
Based on Medicare claims data, Dr. Busch performed 22,080 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. Busch receive payments from pharmaceutical companies?
Yes. Dr. Busch received a total of $771,547 from 66 companies across 2,302 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. Busch's costs compare to other rheumatologys in Loxahatchee?
Dr. Busch's average Medicare payment per service is $14. 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. Busch) 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 →