Medicare Enrolled
Dr. Michael Esposito, M.D.
Anesthesiology · Vero Beach, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Speaking/Promotional
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. Esposito 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. Esposito? Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Esposito
Dr. Michael Esposito is an anesthesiology in Vero Beach, FL, with 15 years in practice. Based on federal Medicare data, Dr. Esposito performed 16,342 Medicare services across 3,168 unique beneficiaries.
Between the years covered by Open Payments, Dr. Esposito received a total of $744,305 from 59 pharmaceutical and/or device companies across 1574 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in anesthesiology. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Esposito is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 15 years in practice▲ Top 0% volume in FL$ $744,305 industry payments
Medicare Practice Summary
Medicare Utilization ↗16,342
Medicare services
Top 0% in FL for anesthesiology
3,168
Unique beneficiaries
$43
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~1,089 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 |
|---|---|---|---|
| Dexamethasone injection (steroid) | 4,798 | $0 | $1 |
| Botox injection, per unit | 4,011 | $5 | $31 |
| Steroid injection (triamcinolone) | 2,119 | $1 | $6 |
| Office visit, established patient (30-39 min) | 1,844 | $101 | $657 |
| Contrast dye for imaging, lower concentration | 841 | $0 | $2 |
| New patient office visit (45-59 min) | 389 | $131 | $877 |
| Injection of lower or sacral spine facet joint using imaging guidance, single level | 168 | $190 | $1,637 |
| Injection of lower or sacral spine facet joint using imaging guidance, second level | 168 | $100 | $857 |
| Injection of substance into lower spine canal using imaging guidance | 158 | $206 | $1,370 |
| Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 150 | $238 | $1,784 |
| Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 144 | $32 | $209 |
| Injection, ketorolac tromethamine, per 15 mg | 125 | $0 | $3 |
| Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level | 124 | $104 | $764 |
| Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint | 90 | $261 | $2,116 |
| Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 89 | $482 | $3,902 |
| Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 86 | $147 | $1,052 |
| Remote patient monitoring device, 30 days | 85 | $39 | $276 |
| New patient office visit, complex (60-74 min) | 83 | $177 | $1,140 |
| Insertion of spinal neurostimulator electrode array through skin | 77 | $1,391 | $12,225 |
| Remote patient monitoring management, 20 min/month | 72 | $39 | $256 |
| Injection of substance into middle or upper spine canal using imaging guidance | 64 | $207 | $1,384 |
| Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician | 58 | $75 | $492 |
| Injection of trigger points, 3 or more muscles | 57 | $51 | $328 |
| Injection of upper or middle spine facet joint using imaging guidance, single level | 55 | $206 | $1,710 |
| Injection of upper or middle spine facet joint using imaging guidance, second level | 55 | $105 | $876 |
| Joint injection, major joint | 53 | $53 | $465 |
| Office visit, established patient, complex (40-54 min) | 43 | $143 | $930 |
| Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming | 38 | $47 | $298 |
| Injection of anesthetic agent and/or steroid into other nerve or branch | 36 | $55 | $469 |
| Fluoroscopic guidance for needle placement | 30 | $94 | $610 |
| Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint | 27 | $276 | $2,166 |
| Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 26 | $483 | $3,643 |
| Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 26 | $42 | $276 |
| Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance | 25 | $191 | $1,370 |
| Office visit, established patient (20-29 min) | 23 | $70 | $469 |
| Insertion of spinal neurostimulator generator or receiver | 20 | $171 | $2,016 |
| Destruction of peripheral nerve or branch | 18 | $205 | $1,373 |
| Injection of contrast for imaging of hip joint | 16 | $202 | $1,405 |
| Review by radiologist of hip joint image | 16 | $111 | $738 |
| Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 12 | $782 | $6,606 |
| Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level | 12 | $242 | $1,632 |
| Placement of stabilizing device to lower spine level | 11 | $356 | $2,326 |
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
81.8% medium
17.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$744,305
Total received (2018-2024)
Avg $106,329/year across 7 years
Top 0% in FL for anesthesiology
59
Companies
1,574
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.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$543,873 (73.1%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$176,876 (23.8%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$23,555 (3.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024$74,503
2023$104,224
2022$124,159
2021$196,419
2020$87,232
2019$106,004
2018$51,764
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Boston Scientific Corporation
$314,565
BOSTON SCIENTIFIC CORPORATION
$158,542
Abbott Laboratories
$139,462
Nevro Corp.
$36,234
Vertiflex, Inc.
$29,562
Stimwave Technologies Incorporated
$16,639
Medtronic, Inc.
$8,853
Flowonix Medical Incorporated
$8,126
Medtronic USA, Inc.
$7,612
Curonix LLC
$7,017
Vertos Medical, Inc.
$3,836
OrthoFundamentals, LLC
$3,639
TerSera Therapeutics LLC
$3,587
Spinal Simplicity, LLC
$1,346
Relievant Medsystems, Inc.
$985
PAINTEQ LLC
$980
ABBVIE INC.
$471
Foundation Fusion Solutions, LLC
$292
Collegium Pharmaceutical, Inc.
$231
SPR Therapeutics, Inc
$218
Saluda Medical Americas, Inc.
$190
MML US, Inc.
$190
Daiichi Sankyo Inc.
$168
Jazz Pharmaceuticals Inc.
$159
BIOTRONIK NRO, Inc.
$149
Allergan, Inc.
$97
Teva Pharmaceuticals USA, Inc.
$81
PROTEGA PHARMACEUTIALS LLC
$80
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$77
Amgen Inc.
$73
SCILEX PHARMACEUTICALS INC.
$71
PFIZER INC.
$67
Scilex Pharmaceuticals Inc.
$61
DePuy Synthes Sales Inc.
$52
GRT US Holding, Inc.
$48
SI-BONE, INC.
$44
Electronic Waveform Lab, Inc.
$41
Valinor Pharma, LLC
$36
Kowa Pharmaceuticals America, Inc.
$35
Lilly USA, LLC
$30
Pernix Therapeutics Holdings, Inc.
$28
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$28
BioDelivery Sciences International, Inc.
$28
Fidia Pharma USA Inc.
$26
Flexion Therapeutics, Inc.
$25
AbbVie Inc.
$25
IBSA Pharma Inc.
$24
Averitas Pharma Inc.
$21
Takeda Pharmaceuticals U.S.A., Inc.
$19
Biohaven Pharmaceutical Holding Company Ltd.
$17
Biohaven Pharmaceuticals, Inc.
$16
Radius Health, Inc.
$15
Wright Medical Technology, Inc.
$14
West Therapeutics Development, LLC
$14
INSYS Therapeutics Inc
$13
Kaleo, Inc.
$12
Shionogi Inc
$12
Pacira Therapeutics, Inc.
$11
Nuvectra Corporation
$10
Top 3 companies account for 82.3% of total payments
Associated products mentioned in payments ›
AJOVY · AXIUM · Aimovig · Algovita · AngioJet · Axium INS DRG IPG · BELBUCA · BOTOX · BUNAVAIL 2.1 mg 30-count box · CFNS StimQ Peripheral Nerve StimulatorSystem · DRG IPGs · DRG leads · Delivery Systems · EMGALITY · ETERNA · EVENITY · Eon Family of SCS IPGs · Evoke SCS · Evzio · GENERAL THERAPIES · GENERAL - PAIN MANAGEMENT · GENERAL - THERAPIES · GENERAL PAIN MANAGEMENT · General - DBS · General - EP · General - Pain Management · General - Therapies · General - Vascular Access · General - Vascular Intervention · HA MINUTEMAN G3-R · HYMOVIS · INTELLIS · INTELLIS ADAPTIVESTIM · Infinion 16 · Intracept · KYPHON Balloon Kyphoplasty · LYRICA · MONOVISC · MOVANTIK · Morphabond ER · N'VISION · NURTEC ODT · Neuromodulation Disposables and Accessories · Neuromodulation Dspsbls and Accs · Neuromodulation-Research Only · No Associated Product · OCTRODE · ORTHOVISC · OSTEOCOOL RF ABLATION · Octrode SCS Leads · Omnia · PAINTEQ · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PRIALT · PROCLAIM · Prialt · Proclaim DRG IPG · Proclaim Family of SCS IPGs · Proclaim IPG · Prodigy Family of SCS IPGs · Prolia · Prometra II · Prospera · QULIPTA · QUTENZA · Qutenza · RELISTOR · RELISTOR ORAL · ReActiv8 · Roxybond · SCS IPGs · SEGLENTIS · SPECTRA WAVEWRITER · SPRINT PNS System · SUBSYS · SUPERION · SYNCHROMED · SYNCHROMEDII · Seglentis · Senza · Senza Spinal Cord Stimulation System · SlimTip lead DRG Lead · Spectra WaveWriter · StimQ Peripheral Nerve StimulatorSystem · StimQ Receiver Stimulator Kit Channel A US w Receiver · StimQ Receiver Stimulator Kit Channel A US w/Receiver · Subsys · Superion · Superion ISS · Superion Indirect Decompression System · Swift-Lock SCS · Symproic · THERAPIES · TREXIMET · TRINTELLIX · Tirosint · Tymlos · UBRELVY · VERIFLEX · Vanta · Viaflow · WAVEWRITER ALPHA · WaveWriter Alpha Prime 16 · XTAMPZA · XTAMPZAER · ZOHYDRO ER · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zilretta · 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 (73%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in anesthesiology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 0% for anesthesiology in FL.
Equivalent to $4,555 per 100 Medicare services performed
Geographic Context
Anesthesiologys within 10 mi
63
Per 100K population
38.4
County median income
$71,049
Nearest hospital
CLEVELAND CLINIC INDIAN RIVER HOSPITAL
0.0 mi
0.0 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. Esposito is a clinical cardiology specialist, with above-average Medicare volume (top 0% in FL), and high industry engagement (speaking/promotional, top 0%), with 15 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. Esposito experienced with dexamethasone injection (steroid)?
Based on Medicare claims data, Dr. Esposito performed 4,798 dexamethasone injection (steroid) 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. Esposito receive payments from pharmaceutical companies?
Yes. Dr. Esposito received a total of $744,305 from 59 companies across 1,574 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. Esposito's costs compare to other anesthesiologys in Vero Beach?
Dr. Esposito's average Medicare payment per service is $43. 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. Esposito) 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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