Medicare Enrolled
Dr. Vrej Manoogian, D.O.
Orthopedic Surgery · Mount Dora, FL
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Mixed 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. Manoogian 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. Manoogian
Dr. Vrej Manoogian is an orthopedic surgery specialist in Mount Dora, FL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Manoogian performed 18,418 Medicare services across 5,063 unique beneficiaries.
Between the years covered by Open Payments, Dr. Manoogian received a total of $10,384 from 18 pharmaceutical and/or device companies across 71 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. The majority of payments are classified as financial or ownership interests (royalties, licensing fees, or investment interests). Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Manoogian 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.
✓ 20 years in practice
▲ Top 2% volume in FL
$10,384 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 |
|---|---|---|---|---|
| Osteopathic Physician | 7528 | Clear | March 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 ↗18,418
Medicare services
Top 2% in FL for orthopedic surgery
5,063
Unique beneficiaries
$35
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~921 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 |
|---|---|---|---|
| Physical therapy exercise, per 15 min A therapy session using exercises to improve strength, endurance, range of motion, and flexibility. Each 15-minute unit is billed separately. |
5,674 | $20 | $85 |
| Manual therapy (hands-on treatment), per 15 min | 4,947 | $17 | $79 |
| Walking/gait training therapy, per 15 min A therapy session focused on training walking skills. The service is billed in 15-minute increments. |
1,001 | $18 | $85 |
| 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. |
885 | $69 | $260 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
817 | $9 | $196 |
| 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. |
770 | $88 | $370 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
762 | $45 | $192 |
| Neuromuscular re-education therapy, per 15 min A therapy procedure designed to re-educate the functional connection between the brain, nerves, and muscles. It is billed in 15-minute increments. |
511 | $25 | $95 |
| 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. |
323 | $113 | $485 |
| Betamethasone steroid injection An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate. |
313 | $5 | $66 |
| 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. |
283 | $10 | $40 |
| Knee X-ray, 3 views An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures. |
266 | $30 | $116 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
186 | $25 | $100 |
| 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. |
160 | $24 | $97 |
| 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. |
151 | $35 | $133 |
| Evaluation for physical therapy, typically 30 minutes | 143 | $77 | $290 |
| Evaluation for physical therapy, typically 45 minutes | 129 | $79 | $290 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
117 | $29 | $114 |
| X-ray of both hips, 2 views An X-ray imaging test that captures two views of both hip joints to evaluate bone structure and alignment. |
103 | $29 | $115 |
| Pelvis X-ray, 1-2 views An X-ray imaging test of the pelvic area using one to two different angles to visualize the bones and joints. |
85 | $21 | $80 |
| Wrist X-ray, 2 views An X-ray imaging test of the wrist using two different angles to visualize the bones and joints. |
77 | $24 | $95 |
| Contrast dye for imaging, lower concentration | 50 | $0 | $70 |
| Evaluation for occupational therapy, typically 30 minutes | 48 | $79 | $290 |
| X-ray of hand, 2 views An X-ray imaging test of the hand using two different angles to visualize the bones and joints. |
47 | $19 | $90 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
40 | $88 | $330 |
| Arthroscopic shoulder debridement A minimally invasive procedure to remove damaged or excess tissue from the shoulder joint using a small camera and instruments inserted through tiny incisions. |
37 | $103 | $1,792 |
| Arthroscopic shoulder surgery for bone shaving and ligament repair A minimally invasive procedure using a small camera to shave part of the shoulder bone and repair a ligament. |
37 | $143 | $633 |
| Partial collarbone removal via endoscope This procedure involves the surgical removal of a portion of the collarbone (clavicle) using an endoscope, a small camera inserted through a tiny incision to guide the surgeon. |
36 | $301 | $2,045 |
| Arthroscopic removal of knee cartilage A minimally invasive surgical procedure to remove damaged or loose pieces of cartilage from the knee joint using a small camera and instruments inserted through tiny incisions. |
31 | $427 | $1,792 |
| Ankle X-ray, minimum 3 views An X-ray imaging test of the ankle that captures at least three different angles to evaluate the bones and joints. |
31 | $28 | $105 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
28 | $41 | $150 |
| Surgical repair of broken thigh bone with implant A surgical procedure to fix a fractured femur by using a bone implant to stabilize the broken bone. |
27 | $1,011 | $3,711 |
| X-ray of upper spine, 2-3 views An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures. |
27 | $27 | $115 |
| Elbow to finger cast application Application of a cast extending from the elbow to the fingers to immobilize the arm. |
25 | $55 | $260 |
| Arthroscopic rotator cuff repair A minimally invasive surgery to repair torn shoulder tendons using a small camera and instruments inserted through tiny incisions. |
25 | $882 | $3,233 |
| X-ray of hand, minimum of 3 views An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints. |
21 | $29 | $105 |
| Surgical repair of broken thigh bone with stabilization or replacement This procedure involves surgically treating the upper part of a fractured femur by inserting a device to stabilize the bone or replacing it with a prosthetic implant. |
18 | $985 | $3,610 |
| Hamstring tendon lengthening, multiple tendons A surgical procedure to lengthen several hamstring tendons in the leg to improve flexibility or correct tightness. |
18 | $271 | $1,984 |
| Total knee replacement | 18 | $1,062 | $3,891 |
| Elbow X-ray, 2 views An X-ray imaging test of the elbow joint using two different angles to visualize the bones and surrounding structures. |
18 | $20 | $85 |
| Foot X-ray, 3+ views An X-ray imaging test of the foot that captures at least three different views to evaluate the bones and joints. |
18 | $25 | $98 |
| Removal of both knee cartilages using an endoscope | 17 | $453 | $1,699 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
17 | $119 | $520 |
| X-ray of middle spine, 2 views An X-ray imaging test that produces two views of the middle section of the spine to visualize the bones and joints. |
15 | $24 | $98 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
14 | $200 | $740 |
| X-ray of shoulder, 1 view An X-ray image of the shoulder joint taken from a single angle. This imaging test is used to visualize the bones and surrounding structures of the shoulder. |
14 | $15 | $63 |
| Wrist X-ray, minimum 3 views An imaging test using X-rays to capture at least three different angles of the wrist bones and joints. |
13 | $26 | $117 |
| Ultrasound therapy, each 15 minutes Application of ultrasound waves to tissue for therapeutic purposes. The procedure is billed in 15-minute increments. |
13 | $9 | $42 |
| Joint fluid aspiration or injection, small joint Removal of fluid from a small joint or injection of medication into a small joint. |
12 | $35 | $155 |
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.
0.4% high complexity
12.3% medium
87.3% routine
Industry Payment Transparency
Open Payments through 2024 ↗$10,384
Total received (2018-2024)
Avg $1,483/year across 7 years
Top 36% in FL for orthopedic surgery
18
Companies
71
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.
Financial / Ownership
Ownership or investment interests, royalties, and licensing fees
$8,270 (79.6%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,541 (14.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$573 (5.5%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,706
2023
$988
2022
$1,391
2021
$1,241
2020
$1,181
2019
$1,382
2018
$1,497
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
BioPro, Inc.
$8,270
DePuy Synthes Sales Inc.
$607
Arthrex, Inc.
$573
Medtronic, Inc.
$160
ENCORE MEDICAL, LP
$138
Ferring Pharmaceuticals Inc.
$123
Boston Scientific Corporation
$114
Zimmer Biomet Holdings, Inc.
$70
Pacira Pharmaceuticals Incorporated
$69
Medical Device Business Services, Inc.
$47
Ethicon US, LLC
$36
Bioventus LLC
$35
Stryker Corporation
$32
Heron Therapeutics, Inc.
$25
FIDIA PHARMA USA INC.
$23
Spinal Simplicity, LLC
$22
SPR Therapeutics, Inc
$20
Averitas Pharma Inc.
$20
Top 3 companies account for 91.0% of total payments
Associated products mentioned in payments ›
ACTIS · ATTUNE · COBRA · CORAIL · DJO Surgical AltiVate Anatomic System · DJO Surgical Empowr Knee System · DJO Surgical Foundation Hip System · EBI Bone Healing System · EUFLEXXA · EXPAREL · Exogen · Exogen Ultrasound Bone Healing System · Exparel · HA MINUTEMAN G3-R · Hymovis · INTELLIS ADAPTIVESTIM · Iovera System · Kincise Surgical Automated System · LCS · LIVING HIP · Living Hip · NONE · PSI Glenoid Bone Models · QUTENZA · SPRINT PNS System · STRATAFIX · Superion Indirect Decompression System · Tapestry · Zynrelef
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 →
Payments are distributed across multiple categories with no single dominant type.
Equivalent to $56 per 100 Medicare services performed
Geographic Context
Orthopedic surgeons within 10 mi
126
Per 100K population
31.6
County median income
$69,956
Nearest hospital
ADVENTHEALTH WATERMAN
6.0 mi
6.0 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. Manoogian is a mixed practice specialist, with above-average Medicare volume (top 2% in FL), with mixed engagement industry engagement, with 20 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. Manoogian experienced with physical therapy exercise, per 15 min?
Based on Medicare claims data, Dr. Manoogian performed 5,674 physical therapy exercise, per 15 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. Manoogian receive payments from pharmaceutical companies?
Yes. Dr. Manoogian received a total of $10,384 from 18 companies across 71 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. Manoogian's costs compare to other orthopedic surgeons in Mount Dora?
Dr. Manoogian's average Medicare payment per service is $35. 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. Manoogian) 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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