Medicare Enrolled
Dr. Maurice McCarthy, MD
Rheumatology · Winter Haven, FL
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
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. McCarthy 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. McCarthy
Dr. Maurice McCarthy is a rheumatology specialist in Winter Haven, FL, with 20 years of NPI registration. Based on federal Medicare data, Dr. McCarthy performed 106,429 Medicare services across 4,834 unique beneficiaries.
Between the years covered by Open Payments, Dr. McCarthy received a total of $12,076 from 35 pharmaceutical and/or device companies across 647 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in rheumatology. 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. McCarthy 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.
✓ 20 years in practice
▲ Top 24% volume in FL
$12,076 industry payments
Medicare Practice Summary
Medicare Utilization ↗106,429
Medicare services
Top 24% in FL for rheumatology
4,834
Unique beneficiaries
$12
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~5,321 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 |
|---|---|---|---|
| Certolizumab injection (Cimzia) An injection of certolizumab pegol administered under the direct supervision of a physician. |
55,600 | $4 | $16 |
| Golimumab infusion (Simponi Aria) Administration of golimumab medication directly into a vein. This code specifies the dosage amount of 1 milligram for intravenous delivery. |
11,400 | $10 | $48 |
| Abatacept infusion (Orencia) An injection of abatacept administered under the direct supervision of a physician. This code is used for Medicare when the drug is not self-administered. |
9,875 | $33 | $69 |
| Denosumab injection (Prolia/Xgeva) | 9,840 | $18 | $42 |
| Infliximab infusion (Remicade) An injection of infliximab, excluding biosimilar versions, administered in a 10 mg dose. |
8,940 | $26 | $152 |
| Methotrexate sodium, 5 mg | 1,285 | $0 | $2 |
| Non-hormonal chemotherapy injection This procedure involves administering non-hormonal anti-neoplastic chemotherapy medication via injection into the skin or muscle tissue. |
741 | $55 | $121 |
| 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. |
600 | $93 | $243 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
529 | $8 | $10 |
| Sed rate test (inflammation marker) This automated test measures how quickly red blood cells settle in a tube to detect inflammation in the body. |
499 | $3 | $15 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
496 | $8 | $25 |
| Liver function blood test panel | 492 | $8 | $24 |
| C-reactive protein test (inflammation marker) A blood test that measures the level of C-reactive protein to detect the presence of infection or inflammation in the body. |
484 | $5 | $15 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
480 | $8 | $25 |
| Glutamyltransferase (GGT) level test A blood test that measures the level of the liver enzyme glutamyltransferase (GGT) to help evaluate liver health. |
479 | $7 | $20 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
477 | $4 | $18 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
359 | $11 | $33 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
355 | $0 | $10 |
| Intravenous chemotherapy infusion, 1 hour or less Administration of chemotherapy medication directly into a vein. The procedure takes one hour or less to complete. |
295 | $99 | $303 |
| Betamethasone steroid injection An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate. |
251 | $5 | $9 |
| Additional hour of intravenous chemotherapy This code represents the administration of chemotherapy medication into a vein for each additional hour beyond the initial period. |
245 | $22 | $70 |
| Autoimmune disorder antibody test A laboratory test that measures antibodies in the blood to help assess for autoimmune disorders. |
200 | $17 | $48 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
158 | $29 | $85 |
| Rheumatoid factor level | 157 | $6 | $26 |
| Intravenous infusion, 1 hour or less Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less. |
150 | $49 | $139 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
145 | $9 | $30 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
145 | $16 | $53 |
| Total T3 thyroid hormone test A blood test that measures the total amount of triiodothyronine (T3) hormone in your body. T3 is a thyroid hormone that helps regulate metabolism and energy levels. |
141 | $14 | $40 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
140 | $13 | $38 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
124 | $120 | $347 |
| Autoimmune disorder screening test A laboratory test used to screen for the presence of autoimmune disorders. |
121 | $12 | $35 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
94 | $15 | $60 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
82 | $37 | $98 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
71 | $24 | $65 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
71 | $29 | $31 |
| 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. |
70 | $72 | $117 |
| Parathyroid hormone level test A blood test that measures the amount of parathyroid hormone in your body. This hormone helps regulate calcium levels in the blood and bones. |
65 | $40 | $115 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
59 | $3 | $15 |
| Intravenous chemotherapy injection Chemotherapy medication is administered directly into a vein using a push technique. This method involves injecting the drug through a needle or catheter already placed in the vein. |
56 | $78 | $225 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
56 | $29 | $31 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
47 | $13 | $40 |
| DNA antibody test (native or double-stranded) A blood test that measures the level of antibodies targeting native or double-stranded DNA. This test is used to detect the presence of these specific antibodies in the body. |
40 | $13 | $37 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
36 | $14 | $60 |
| Iron binding capacity test A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron. |
35 | $9 | $24 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
35 | $9 | $15 |
| Iron level test | 34 | $7 | $18 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
33 | $280 | $375 |
| Blood creatinine level test A blood test that measures the amount of creatinine, a waste product from muscle wear and tear, to help assess kidney function. |
31 | $5 | $24 |
| Wrist X-ray, minimum 3 views An imaging test using X-rays to capture at least three different angles of the wrist bones and joints. |
30 | $30 | $50 |
| Blood glucose level test A test that measures the amount of sugar in your blood. |
29 | $4 | $15 |
| X-ray of hand, minimum of 3 views An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints. |
26 | $28 | $52 |
| Pneumococcal vaccine, 23-valent A vaccine that protects against 23 types of pneumococcal bacteria. It is used to prevent infections caused by these bacteria. |
26 | $131 | $228 |
| Electrolyte blood test panel A blood test that measures the levels of sodium, potassium, chloride, and carbon dioxide to evaluate electrolyte balance. |
24 | $7 | $20 |
| Total calcium level test A blood test that measures the total amount of calcium in your body. |
23 | $5 | $18 |
| Blood urea nitrogen test A blood test that measures the amount of urea nitrogen to assess kidney function. |
23 | $4 | $11 |
| Urine culture, bacterial colony count A laboratory test that measures the number of bacteria growing in a urine sample to help identify infections. |
23 | $8 | $24 |
| Automated red blood cell count An automated laboratory test that measures the number of red blood cells in a blood sample. |
21 | $4 | $12 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
15 | $34 | $80 |
| Hepatitis C antibody test A blood test that checks for antibodies to the hepatitis C virus. This test helps determine if a person has been exposed to the virus. |
14 | $14 | $40 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
12 | $6 | $25 |
| Rheumatoid arthritis antibody test A blood test to measure antibodies used in assessing rheumatoid arthritis. |
12 | $13 | $35 |
| X-ray of upper spine, 6 or more views An X-ray imaging test of the upper spine using six or more separate views to capture detailed images of the bones and structures in that area. |
11 | $35 | $111 |
| Bacterial culture, aerobic A laboratory test that grows and identifies bacteria capable of surviving in oxygen. The results help determine the presence of specific aerobic microorganisms. |
11 | $8 | $25 |
| Antibiotic sensitivity test A laboratory test that determines which antibiotics, antifungals, or antivirals are effective against a specific microorganism using microdilution or agar dilution methods. |
11 | $8 | $25 |
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.
28.8% high complexity
63.4% medium
7.8% routine
Industry Payment Transparency
Open Payments through 2024 ↗$12,076
Total received (2018-2024)
Avg $1,725/year across 7 years
Top 38% in FL for rheumatology
35
Companies
647
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.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$11,665 (96.6%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$411 (3.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,027
2023
$1,555
2022
$1,796
2021
$1,495
2020
$961
2019
$2,344
2018
$2,898
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Amgen Inc.
$2,031
Janssen Biotech, Inc.
$1,469
Novartis Pharmaceuticals Corporation
$1,298
PFIZER INC.
$1,080
GlaxoSmithKline, LLC.
$1,024
UCB, Inc.
$967
E.R. Squibb & Sons, L.L.C.
$513
AbbVie, Inc.
$501
AstraZeneca Pharmaceuticals LP
$470
Genentech USA, Inc.
$368
GENZYME CORPORATION
$347
Radius Health, Inc.
$317
AbbVie Inc.
$300
Janssen Scientific Affairs, LLC
$241
ABBVIE INC.
$169
Janssen Pharmaceuticals, Inc
$158
Novo Nordisk Inc
$122
Celgene Corporation
$120
Lilly USA, LLC
$103
Ferring Pharmaceuticals Inc.
$61
Abbott Laboratories
$48
Sobi, Inc
$38
Takeda Pharmaceuticals U.S.A., Inc.
$38
Antares Pharma, Inc.
$34
Horizon Therapeutics plc
$33
Ironwood Pharmaceuticals, Inc
$30
Merck Sharp & Dohme Corporation
$28
Boehringer Ingelheim Pharmaceuticals, Inc.
$28
Biohaven Pharmaceuticals, Inc.
$27
Esperion Therapeutics, Inc.
$25
MEDEXUS PHARMA, INC.
$24
Horizon Pharma plc
$21
Merck Sharp & Dohme LLC
$21
Eisai Inc.
$14
MEDAC PHARMA, INC.
$11
Top 3 companies account for 39.7% of total payments
Associated products mentioned in payments ›
Actemra · Amitiza · BELSOMRA · BENLYSTA · COSENTYX · CYLTEZO · Cimzia · DUZALLO · Dayvigo · EUFLEXXA · EVENITY · Enbrel · FARXIGA · FREESTYLE LIBRE 3 · GARDASIL 9 · HUMIRA · Humira · INFLECTRA · KEVZARA · KRYSTEXXA · Kineret · LEQVIO · LINZESS · NEXLETOL · NURTEC ODT · ORENCIA · Otezla · Otrexup · Ozempic · PENNSAID · Prolia · REMICADE · RENFLEXIS · RINVOQ · Rasuvo · Rinvoq · Rituxan · Rybelsus · SAPHNELO · SIMPONI ARIA · SKYRIZI · TALTZ · TREMFYA · Tymlos · Uloric · XELJANZ
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 →
Most payments (97%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $11 per 100 Medicare services performed
Geographic Context
Rheumatologists within 10 mi
15
Per 100K population
2.0
County median income
$63,644
Nearest hospital
WINTER HAVEN 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. McCarthy is a mixed practice specialist, with above-average Medicare volume (top 24% in FL), with low-engagement industry engagement, with 20 years of NPI registration.
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. McCarthy experienced with certolizumab injection (cimzia)?
Based on Medicare claims data, Dr. McCarthy performed 55,600 certolizumab injection (cimzia) 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. McCarthy receive payments from pharmaceutical companies?
Yes. Dr. McCarthy received a total of $12,076 from 35 companies across 647 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. McCarthy's costs compare to other rheumatologists in Winter Haven?
Dr. McCarthy's average Medicare payment per service is $12. 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. McCarthy) 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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