Medicare Enrolled
Michael Siino, PAC
Medical Physician Assistant · Orlando, 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 Siino 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 Siino?
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What this data tells you about Siino
Michael Siino is a medical physician assistant in Orlando, FL, with 20 years of NPI registration. Based on federal Medicare data, Siino performed 6,871 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Siino received a total of $7,542 from 23 pharmaceutical and/or device companies across 424 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 Siino 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 2% volume in FL
$7,542 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗6,871
Medicare services
Top 2% in FL for medical physician assistant
Not available
Unique patients (not deduplicated)
$38
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 |
|---|---|---|---|
| Destruction of precancerous skin growths, 2-14 This procedure involves the removal or destruction of two to fourteen precancerous skin lesions. It is performed to eliminate abnormal skin cells that have the potential to develop into cancer. |
3,039 | $4 | $14 |
| 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. |
982 | $53 | $194 |
| Destruction of precancerous skin growth, 1 Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer. |
757 | $31 | $144 |
| Skin biopsy, tangential A procedure to remove a sample of the first identified skin growth for laboratory examination. |
437 | $57 | $218 |
| Additional skin growth biopsy Removal of a sample of an additional skin growth for laboratory examination. This code is used for each extra lesion biopsied during the same session. |
227 | $32 | $108 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
206 | $62 | $245 |
| Destruction of 15 or more precancerous skin growths This procedure involves the removal or destruction of fifteen or more precancerous skin lesions. It is performed to treat abnormal skin cells that have the potential to develop into cancer. |
197 | $102 | $367 |
| Destruction of skin growths (warts/lesions), 1-14 This procedure involves the removal or destruction of one to fourteen skin growths. It is a minor surgical intervention performed on the skin surface. |
186 | $65 | $242 |
| 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. |
123 | $76 | $275 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
97 | $30 | $122 |
| Complicated wound repair, scalp/arms/legs, 2.6-7.5 cm A complex surgical procedure to close a wound on the scalp, arms, or legs that measures between 2.6 and 7.5 centimeters in length. |
71 | $263 | $923 |
| Complicated wound repair, 2.6-7.5 cm A complex surgical procedure to close a wound measuring between 2.6 and 7.5 centimeters on areas such as the face, neck, hands, or feet. |
70 | $306 | $1,032 |
| Surgical removal of skin cancer, 1.1-2.0 cm Surgical excision of a cancerous skin growth measuring between 1.1 and 2.0 centimeters on the body, arms, or legs. |
66 | $84 | $532 |
| Surgical removal of facial skin cancer, 1.1-2.0 cm This procedure involves the surgical excision of a cancerous skin growth located on the face, ears, eyelids, nose, lips, or mouth. The size of the removed tissue is between 1.1 and 2.0 centimeters. |
58 | $89 | $585 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
49 | $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. |
36 | $97 | $362 |
| New patient office visit, 15-29 minutes An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold. |
35 | $34 | $156 |
| Surgical removal of skin cancer, 1.1-2.0 cm Surgical excision of a cancerous skin growth measuring 1.1 to 2.0 centimeters from the scalp, neck, hands, feet, or genitals. |
33 | $88 | $549 |
| Injection into skin growths, 1-7 A procedure involving the injection of medication into one to seven skin growths. |
32 | $24 | $125 |
| Complicated wound repair of trunk, 2.6-7.5 cm A surgical procedure to close a complex wound on the trunk that measures between 2.6 and 7.5 centimeters in length. |
32 | $231 | $865 |
| Destruction of cancer skin growth, 1.1-2.0 cm Removal of a cancerous skin growth on the trunk, arms, or legs that measures between 1.1 and 2.0 centimeters. |
31 | $94 | $389 |
| Punch biopsy of first skin growth A small, circular piece of skin is removed from a skin growth using a circular blade. The sample is then sent to a laboratory for examination. |
26 | $80 | $272 |
| Surgical removal of skin cancer, 2.1-3.0 cm This procedure involves the surgical excision of a cancerous skin growth located on the body, arms, or legs. The size of the removed tissue measures between 2.1 and 3.0 centimeters. |
20 | $104 | $612 |
| Ear tissue biopsy A procedure to remove a small sample of tissue from the ear for laboratory examination. |
18 | $45 | $211 |
| Complex repair of eyelid, nose, ear, or lip wound, 2.6-7.5 cm A surgical procedure to repair a complex wound on the eyelid, nose, ear, or lip that measures between 2.6 and 7.5 centimeters. |
17 | $327 | $1,094 |
| Simple drainage of skin abscess A minor procedure to drain a localized collection of pus from the skin. The abscess is opened to allow the fluid to escape and promote healing. |
13 | $84 | $271 |
| Destruction of cancerous skin growth on face, 1.1-2.0 cm This procedure involves the removal or destruction of a cancerous skin lesion located on the face, ears, eyelids, nose, lips, or mouth. The lesion treated measures between 1.1 and 2.0 centimeters in diameter. |
13 | $133 | $448 |
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 ↗$7,542
Total received (2021-2024)
Avg $1,886/year across 4 years
Top 6% in FL for medical physician assistant
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
23
Companies
424
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
$1,888
2023
$2,460
2022
$1,668
2021
$1,526
Payments by company (2024)
Dermavant Sciences, Inc.
$383
ABBVIE INC.
$317
Janssen Biotech, Inc.
$264
MAYNE PHARMA COMMERCIAL LLC
$175
Novartis Pharmaceuticals Corporation
$166
Amgen Inc.
$142
Regeneron Healthcare Solutions, Inc.
$128
Lilly USA, LLC
$105
GENZYME CORPORATION
$84
E.R. Squibb & Sons, L.L.C.
$46
UCB, Inc.
$32
PFIZER INC.
$23
Arcutis Biotherapeutics, Inc.
$22
Top 3 companies account for 51.0% of 2024 payments
All-time payments by company (2021-2024) ›
ABBVIE INC.
$1,298
Janssen Biotech, Inc.
$1,173
Dermavant Sciences, Inc.
$835
Regeneron Healthcare Solutions, Inc.
$707
GENZYME CORPORATION
$520
MAYNE PHARMA COMMERCIAL LLC
$480
AbbVie Inc.
$465
Amgen Inc.
$422
Lilly USA, LLC
$331
MAYNE PHARMA INC.
$295
Novartis Pharmaceuticals Corporation
$247
Ortho Dermatologics, a division of Bausch Health US, LLC
$118
E.R. Squibb & Sons, L.L.C.
$114
Galderma Laboratories, L.P.
$95
Journey Medical Corporation
$86
Incyte Corporation
$85
LEO Pharma Inc.
$74
Arcutis Biotherapeutics, Inc.
$63
Sebela Pharmaceuticals Inc.
$43
UCB, Inc.
$32
PFIZER INC.
$23
SUN PHARMACEUTICAL INDUSTRIES INC.
$20
Almirall LLC
$17
Top 3 companies account for 43.8% of all-time payments
Associated products mentioned in payments ›
ADBRY · AKLIEF · ARAZLO · Absorica LD · Bimzelx · COSENTYX · DUOBRII · DUPIXENT · EUCRISA · HUMIRA · JUBLIA · NAFTIN · OLUMIANT · OPZELURA · Otezla · REMICADE · RINVOQ · SKYRIZI · Seysara · Sotyktu · TALTZ · TREMFYA · TargaDox · VTAMA · Zoryve
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
Medical physician assistants in nearby ZIP areas
389
County median income
$77,011
Nearest hospital to ZIP centroid (approximate)
ASPIRE HEALTH PARTNERS
4.7 mi
4.7 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
Siino is a clinical cardiology specialist, with above-average Medicare volume (top 2% in FL), 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 Siino experienced with destruction of precancerous skin growths, 2-14?
Based on Medicare claims data, Siino performed 3,039 destruction of precancerous skin growths, 2-14 services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Siino receive payments from pharmaceutical companies?
Yes. Siino received a total of $7,542 from 23 companies across 424 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 Siino's costs compare to other medical physician assistants in Orlando?
Siino's average Medicare payment per service is $38. 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 Siino) 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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