Medicare Enrolled
Dr. Michele Hornstein, DO
Family Medicine · Ocala, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Hornstein 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. Hornstein?
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What this data tells you about Dr. Hornstein
Dr. Michele Hornstein is a family medicine specialist in Ocala, FL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Hornstein performed 1,070 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Hornstein received a total of $10,114 from 45 pharmaceutical and/or device companies across 368 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Hornstein is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years of NPI registration
▲ Top 33% volume in FL
$10,114 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 | 7237 | 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 — 2023
Medicare Utilization ↗1,070
Medicare services
Top 33% in FL for family medicine
Not available
Unique patients (not deduplicated)
$63
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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) 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. |
443 | $78 | $381 |
| 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. |
200 | $61 | $270 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
68 | $30 | $92 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
56 | $1 | $3 |
| 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. |
50 | $85 | $498 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
43 | $70 | $210 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
38 | $127 | $383 |
| Annual depression screening | 32 | $18 | $55 |
| Annual alcohol misuse screening, 5 to 15 minutes | 29 | $18 | $55 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
25 | $78 | $249 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
17 | $17 | $68 |
| Quadrivalent influenza vaccine, preservative-free A flu shot containing four strains of the influenza virus, formulated without preservatives, administered in a 0.5 ml dose. |
16 | $22 | $65 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
14 | $51 | $217 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
14 | $2 | $7 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
13 | $3 | $11 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
12 | $202 | $821 |
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. These counts do not measure clinical quality or years of experience.
Industry Payment Transparency
Open Payments through 2024 ↗$10,114
Total received (2018-2024)
Avg $1,445/year across 7 years
Top 4% in FL for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
45
Companies
368
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,106
2023
$1,735
2022
$1,953
2021
$2,040
2020
$892
2019
$618
2018
$770
Payments by company (2024)
AstraZeneca Pharmaceuticals LP
$491
ABBVIE INC.
$383
Amgen Inc.
$367
Novo Nordisk Inc
$313
Lilly USA, LLC
$113
Lundbeck LLC
$98
PFIZER INC.
$86
Astellas Pharma US Inc
$55
Novartis Pharmaceuticals Corporation
$53
Exact Sciences Corporation
$38
Otsuka America Pharmaceutical, Inc.
$35
GlaxoSmithKline, LLC.
$30
Boston Scientific Corporation
$25
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$19
Top 3 companies account for 58.9% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$1,570
ABBVIE INC.
$1,404
Amgen Inc.
$1,190
AstraZeneca Pharmaceuticals LP
$976
Lilly USA, LLC
$757
AbbVie Inc.
$669
Lundbeck LLC
$480
Biohaven Pharmaceuticals, Inc.
$298
Novartis Pharmaceuticals Corporation
$290
Boehringer Ingelheim Pharmaceuticals, Inc.
$235
GlaxoSmithKline, LLC.
$191
SANOFI-AVENTIS U.S. LLC
$169
Biohaven Pharmaceutical Holding Company Ltd.
$153
PFIZER INC.
$144
IDORSIA PHARMACEUTICALS US INC
$143
Ipsen Biopharmaceuticals, Inc
$125
EISAI INC.
$113
Allergan, Inc.
$101
E.R. Squibb & Sons, L.L.C.
$99
Corium, LLC
$91
Exact Sciences Corporation
$86
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$85
Merck Sharp & Dohme Corporation
$72
Allergan Inc.
$70
Astellas Pharma US Inc
$70
Amarin Pharma Inc.
$60
Otsuka America Pharmaceutical, Inc.
$49
Sunovion Pharmaceuticals Inc.
$43
Xeris Pharmaceuticals, Inc.
$40
Nestle HealthCare Nutrition Inc.
$37
Philips Electronics North America Corporation
$34
Bayer HealthCare Pharmaceuticals Inc.
$31
Eisai Inc.
$26
Boston Scientific Corporation
$25
Esperion Therapeutics, Inc.
$22
Lexicon Pharmaceuticals, Inc.
$21
Mylan Specialty L.P.
$20
AbbVie, Inc.
$19
Teva Pharmaceuticals USA, Inc.
$18
BIOTRONIK INC.
$18
Janssen Pharmaceuticals, Inc
$17
Merck Sharp & Dohme LLC
$16
KVK-Tech, Inc.
$15
Bayer Healthcare Pharmaceuticals Inc.
$14
Takeda Pharmaceuticals U.S.A., Inc.
$11
Top 3 companies account for 41.2% of all-time payments
Associated products mentioned in payments ›
(7999) SRC Undivided · AIRSUPRA · AMYVID · ANORO · AREXVY · AUSTEDO · Adlarity · Aimovig · BASAGLAR · BELSOMRA · BREZTRI · BRILINTA · BYDUREON · CREON · Cologuard Collection Kit · Corlanor · Creon · Dayvigo · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · FARXIGA · GVOKE HYPOPEN · GVOKE PFS · Inpefa · JANUVIA · JARDIANCE · Kerendia · LATUDA · LEQVIO · LINZESS · Levemir · MOUNJARO · MYRBETRIQ · NEXLETOL · NUEDEXTA · NURTEC ODT · Otezla · Ozempic · PAXLOVID · PREMARIN · QULIPTA · QUVIVIQ · REXULTI · REYVOW · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · STIOLTO RESPIMAT · SYNTHROID · Somatuline Depot · TRELEGY ELLIPTA · TRULICITY · Tresiba · UBRELVY · VIBERZI · VIIBRYD · VRAYLAR · VYEPTI · VYVANSE · Vascepa · Veozah · WATCHMAN FLX · Wegovy · XARELTO · XIFAXAN · Yupelri · ZENPEP · ZEPOSIA
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Family medicine physicians in nearby ZIP areas
184
County median income
$58,535
Nearest hospital to ZIP centroid (approximate)
ADVENTHEALTH OCALA
6.3 mi
6.3 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Hornstein is a clinical cardiology specialist, with moderate Medicare volume, with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Hornstein experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Hornstein performed 443 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Hornstein receive payments from pharmaceutical companies?
Yes. Dr. Hornstein received a total of $10,114 from 45 companies across 368 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Hornstein's costs compare to other family medicine physicians in Ocala?
Dr. Hornstein's average Medicare payment per service is $63. 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. Hornstein) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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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