Medicare Enrolled

Dr. Joseph Graham, DO

Orthopaedic Surgery of the Spine Physician · St Augustine, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Consulting-driven
120 HEALTH PARK BLVD, St Augustine, FL 32086
8884812135
In practice since 2007 (18 years)
NPI: 1437359056 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. Graham 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. Graham

Dr. Joseph Graham is an orthopaedic surgery of the spine physician in St Augustine, FL, with 18 years in practice. Based on federal Medicare data, Dr. Graham performed 294 Medicare services across 275 unique beneficiaries.

Between the years covered by Open Payments, Dr. Graham received a total of $43,178 from 27 pharmaceutical and/or device companies across 161 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopaedic surgery of the spine physician. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Graham 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.

✓ 18 years in practice▲ 294 Medicare services$ $43,178 industry payments

Medicare Practice Summary

Medicare Utilization ↗
294
Medicare services
Bottom 20% in FL for orthopaedic surgery of the spine physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
275
Unique beneficiaries
$66
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~16 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
Office visit, established patient (30-39 min)76$84$408
X-ray of lower and sacral spine, minimum of 4 views49$34$210
New patient office visit (45-59 min)49$113$607
Office visit, established patient (20-29 min)38$49$314
X-ray of lower and sacral spine, 2-3 views24$24$126
X-ray of upper spine, 4-5 views16$36$354
Mri scan of lower spinal canal without contrast16$103$622
Aspiration and/or injection of fluid large joint using ultrasound guidance14$68$321
X-ray of upper spine, 2-3 views12$25$127
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.

Industry Payment Transparency

Open Payments through 2024 ↗
$43,178
Total received (2018-2024)
Avg $6,168/year across 7 years
Top 38% in FL for orthopaedic surgery of the spine physician
27
Companies
161
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.

Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$26,442 (61.2%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$16,736 (38.8%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$13,481
2023
$5,797
2022
$9,915
2021
$11,198
2020
$188
2019
$571
2018
$2,028

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
SEASPINE ORTHOPEDICS CORPORATION
$16,244
Zavation Medical Products, LLC
$12,075
4WEB, Inc.
$3,277
Curiteva, Inc.
$2,925
SeaSpine Orthopedics Corporation
$1,447
Globus Medical, Inc.
$1,365
Spineology Inc.
$1,271
Stryker Corporation
$1,018
Abbott Laboratories
$920
Medtronic, Inc.
$768
GS Solutions, Inc.
$437
SI-BONE, INC.
$174
RTI Surgical, Inc.
$144
Integrity Implants Inc.
$139
DePuy Synthes Sales Inc.
$125
Edwards Lifesciences Corporation
$117
Alevio, LLC
$114
OssDsign Incorporated
$113
Cerapedics Inc.
$106
Vertos Medical, Inc.
$105
Wenzel Spine, Inc.
$93
Medtronic USA, Inc.
$60
PARADIGM SPINE, LLC
$57
Nevro Corp.
$33
Alphatec Spine, Inc
$24
ABBVIE INC.
$14
Iroko Pharmaceuticals, LLC
$13
Top 3 companies account for 73.2% of total payments
Associated products mentioned in payments ›
3D Printed Cervical Interbody · 7D Surgical System · AVIATOR · CAPRI CORPECTOMY CAGE SYSTEM · CASCADIA · CASCADIA INTERBODY SYSTEM · CATALYFT PL EXPANDABLE INTERBODY SYSTEM · CD HORIZON SPINAL SYSTEM · COALITION AGX · COALITION MIS · CORPECTOMY CAGE · CREO · CREO Threaded · CROSS-FUSE II VBR/IBF SYSTEM · DIVERGENCE-L ANTERIOR/OBLIQUE LUMBAR FUSION SYSTEM · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · ES2 · ETERNA · EXCELSIUS GPS · Excelsius - GPS · HEDRON · I-FACTOR PEPTIDE ENHANCED BONE GRAFT · INFINITY OCCIPITOCERVICAL UPPER THORACIC SYSTEM · INTELLIS ADAPTIVESTIM · KYPHON Balloon Kyphoplasty · MAZOR X SYSTEM · Mariner · Mariner MIS · Neuromodulation Dspsbls and Accs · NorthStar · NorthStar OCT · OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM · Other · Other - Miscellaneous · PEAK · PIVOX Oblique Lateral Spinal System · PROCLAIM · Penta SCS Leads · Proclaim Family of SCS IPGs · RISE-L · RISE-L . RISE-L A/L · Regatta · Regatta Lateral System · S-Series SCS Leads · SABLE · SCS IPGs · SERRATO · SICURE SACROILIAC JOINT FUSION SYSTEM · SPINE TRUSS SYSTEM · Senza Spinal Cord Stimulation System · Spine · TEMPUS · TFN ADVANCED · TRITANIUM · UBRELVY · VIVLODEX · VariLift · XIA · ZEVO ANTERIOR CERVICAL PLATE SYSTEM · coflex · mild Device Kit
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 (61%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers.

Equivalent to $14,686 per 100 Medicare services performed
Looking for a orthopaedic surgery of the spine physician in St Augustine?
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Geographic Context

Orthopaedic Surgery of the Spine Physicians within 10 mi
1
Per 100K population
0.3
County median income
$106,169
Nearest hospital
FLAGLER 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. Graham is a clinical cardiology specialist, with moderate Medicare volume, and consulting-driven industry engagement, with 18 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. Graham experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Graham performed 76 office visit, established patient (30-39 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. Graham receive payments from pharmaceutical companies?
Yes. Dr. Graham received a total of $43,178 from 27 companies across 161 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. Graham's costs compare to other orthopaedic surgery of the spine physicians in St Augustine?
Dr. Graham's average Medicare payment per service is $66. 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. Graham) 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 →