Dr. Joshua Horenstein, MD
What this data tells you about Dr. Horenstein
Dr. Joshua Horenstein is a nuclear cardiology physician in Port Orange, FL, with 16 years in practice. Based on federal Medicare data, Dr. Horenstein performed 6,505 Medicare services across 3,753 unique beneficiaries.
Between the years covered by Open Payments, Dr. Horenstein received a total of $2,019 from 23 pharmaceutical and/or device companies across 125 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in nuclear cardiology physician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Horenstein 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 |
|---|---|---|---|
| Electrocardiogram (EKG), 12-lead | 1,196 | $10 | $42 |
| Regadenoson injection (Lexiscan) for heart stress test | 800 | $44 | $100 |
| Office visit, established patient (30-39 min) | 717 | $89 | $185 |
| EKG interpretation and report | 593 | $6 | $40 |
| Office visit, established patient, complex (40-54 min) | 426 | $125 | $250 |
| Technetium tc-99m sestamibi, diagnostic, per study dose | 402 | $88 | $175 |
| Echocardiogram, transthoracic | 254 | $141 | $400 |
| Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec | 212 | $28 | $70 |
| Nuclear medicine studies of heart muscle at rest and with stress and spect | 201 | $324 | $800 |
| Infusion, normal saline solution, 250 cc | 200 | $1 | $25 |
| Prothrombin time test (blood clotting) | 192 | $4 | $10 |
| Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 189 | $17 | $40 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | 184 | $48 | $200 |
| Evaluation of cardiac rhythm monitor system, remote up to 30 days | 149 | $20 | $69 |
| New patient office visit, complex (60-74 min) | 98 | $154 | $360 |
| Hospital follow-up visit, high complexity | 97 | $94 | $150 |
| Electrocardiogram (ecg) 2-day continuous with review and report by health care professional | 82 | $50 | $200 |
| Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days | 78 | $20 | $58 |
| Initial hospital admission, high complexity | 58 | $137 | $300 |
| Remote pacemaker/defibrillator monitoring, 90 days | 39 | $16 | $70 |
| Programming of dual lead pacemaker system | 38 | $58 | $125 |
| Remote pacemaker monitoring, 90 days | 38 | $22 | $75 |
| Heart rhythm recording of continous external ekg over 8-15 days | 36 | $9 | $40 |
| Heart rhythm review and interpretation of continous external ekg over 8-15 days | 36 | $20 | $50 |
| Hospital follow-up visit, moderate complexity | 33 | $58 | $100 |
| Evaluation of implantable heart and blood vessel monitoring system | 25 | $34 | $60 |
| Evaluation of cardiac rhythm monitor system | 25 | $38 | $85 |
| New patient office visit (45-59 min) | 22 | $109 | $285 |
| Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 22 | $313 | $800 |
| Insertion of heart rhythm monitor under skin | 14 | $70 | $200 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician | 14 | $11 | $33 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician | 13 | $16 | $50 |
| Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 11 | $2,094 | $5,000 |
| Ultrasound study of arm and leg arteries | 11 | $58 | $240 |
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 ›
Most payments (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
7.2 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. Horenstein is a cardiac & electrophysiology specialist, with above-average Medicare volume (top 15% in FL), and low-engagement industry engagement, with 16 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. Horenstein experienced with electrocardiogram (ekg), 12-lead?
Does Dr. Horenstein receive payments from pharmaceutical companies?
How do Dr. Horenstein's costs compare to other nuclear cardiology physicians in Port Orange?
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Explore related providers
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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