Medicare Enrolled
Dr. Hermogenes Pagsisihan, M.D.
Family Medicine · Carrollton, GA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Pagsisihan 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. Pagsisihan
Dr. Hermogenes Pagsisihan is a family medicine specialist in Carrollton, GA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Pagsisihan performed 1,847 Medicare services across 1,294 unique beneficiaries.
Between the years covered by Open Payments, Dr. Pagsisihan received a total of $8,940 from 47 pharmaceutical and/or device companies across 588 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. 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. Pagsisihan 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 in practice
▲ Top 19% volume in GA
$8,940 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,847
Medicare services
Top 19% in GA for family medicine
1,294
Unique beneficiaries
$49
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~92 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 |
|---|---|---|---|
| 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. |
479 | $77 | $246 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
249 | $2 | $53 |
| 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. |
134 | $120 | $359 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
117 | $123 | $220 |
| Urine microalbumin test A laboratory test that measures the amount of a specific protein called microalbumin in a urine sample. This analysis helps assess kidney function. |
110 | $6 | $49 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
110 | $5 | $42 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
97 | $13 | $95 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
89 | $24 | $25 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
79 | $76 | $90 |
| Blood glucose test using hand-held instrument A test that measures the level of sugar in the blood using a portable device. The result helps monitor blood glucose levels. |
74 | $3 | $24 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
66 | $10 | $76 |
| 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. |
59 | $8 | $65 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
51 | $70 | $160 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
27 | $1 | $25 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
22 | $9 | $138 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
21 | $158 | $280 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
19 | $39 | $75 |
| Respiratory virus detection test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus and influenza viruses. |
18 | $47 | $120 |
| 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. |
15 | $51 | $168 |
| 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. |
11 | $104 | $396 |
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 ↗$8,940
Total received (2018-2024)
Avg $1,277/year across 7 years
Top 7% in GA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
47
Companies
588
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
$8,940 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,555
2023
$1,524
2022
$1,517
2021
$431
2020
$325
2019
$1,710
2018
$1,878
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$269
Lilly USA, LLC
$178
AstraZeneca Pharmaceuticals LP
$158
Boehringer Ingelheim Pharmaceuticals, Inc.
$152
PFIZER INC.
$145
Sumitomo Pharma America, Inc.
$114
Novo Nordisk Inc
$86
Grifols USA, LLC
$56
Amgen Inc.
$49
Axsome Therapeutics, Inc.
$43
Neurocrine Biosciences, Inc.
$35
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$30
Philips North America LLC
$23
Phathom Pharmaceuticals, Inc.
$23
Takeda Pharmaceuticals U.S.A., Inc.
$22
Insmed, Inc.
$21
Saluda Medical Americas, Inc.
$21
Novartis Pharmaceuticals Corporation
$20
Janssen Pharmaceuticals, Inc
$18
Esperion Therapeutics, Inc.
$18
ANI Pharmaceuticals, Inc.
$17
Actelion Pharmaceuticals US, Inc.
$16
GlaxoSmithKline, LLC.
$15
Electromed, Inc.
$14
Exact Sciences Corporation
$13
Top 3 companies account for 38.9% of 2024 payments
All-time payments by company (2018-2024) ›
Boehringer Ingelheim Pharmaceuticals, Inc.
$1,086
PFIZER INC.
$898
AstraZeneca Pharmaceuticals LP
$839
Novo Nordisk Inc
$751
Lilly USA, LLC
$682
Amgen Inc.
$670
ABBVIE INC.
$614
Astellas Pharma US Inc
$605
GlaxoSmithKline, LLC.
$439
SANOFI-AVENTIS U.S. LLC
$266
Janssen Pharmaceuticals, Inc
$266
Takeda Pharmaceuticals U.S.A., Inc.
$254
Novartis Pharmaceuticals Corporation
$209
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$205
Sumitomo Pharma America, Inc.
$149
AbbVie Inc.
$76
Merck Sharp & Dohme Corporation
$73
Shire North American Group Inc
$68
AbbVie, Inc.
$64
Esperion Therapeutics, Inc.
$57
Grifols USA, LLC
$56
Dexcom, Inc.
$53
Allergan Inc.
$44
Axsome Therapeutics, Inc.
$43
Exact Sciences Corporation
$38
Neurocrine Biosciences, Inc.
$35
Sunovion Pharmaceuticals Inc.
$27
ConvaTec Inc.
$25
Abbott Laboratories
$24
Philips North America LLC
$23
Phathom Pharmaceuticals, Inc.
$23
Jazz Pharmaceuticals Inc.
$22
Otsuka America Pharmaceutical, Inc.
$22
Insmed, Inc.
$21
Saluda Medical Americas, Inc.
$21
Bayer HealthCare Pharmaceuticals Inc.
$20
Merck Sharp & Dohme LLC
$19
IDORSIA PHARMACEUTICALS US INC
$19
Circassia Pharmaceuticals Inc
$18
Ironwood Pharmaceuticals, Inc
$17
ANI Pharmaceuticals, Inc.
$17
Mylan Specialty L.P.
$16
Actelion Pharmaceuticals US, Inc.
$16
Electromed, Inc.
$14
MannKind Corporation
$13
Inogen, Inc.
$13
E.R. Squibb & Sons, L.L.C.
$12
Top 3 companies account for 31.6% of all-time payments
Associated products mentioned in payments ›
(AK6) Vest Therapy · AFREZZA · AIRSUPRA · ANDEXXA · ANORO · ANORO ELLIPTA · Aimovig · Amitiza · Androgel · Arikayce · Auvelity · BASAGLAR · BELSOMRA · BEVESPI AEROSPHERE · BOOSTRIX · BREO · BREZTRI · CHANTIX · Cologuard Collection Kit · Creon · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · Evoke · FARXIGA · FASENRA · FreeStyle Libre blood glucose Flash Monitoring System · GEMTESA · GLASSIA · IMFINZI · INGREZZA · INNOVAMATRIX AC · INOGEN ONE G5 OXYGEN CONCENTRATOR - BLUETOOTH · JANUVIA · JARDIANCE · Kerendia · LEQVIO · LINZESS · Linzess · MOUNJARO · MYRBETRIQ · Myrbetriq · NEXLETOL · OFEV · OPSUMIT · Otezla · Ozempic · PNEUMOVAX 23 · PURIFIED CORTROPHIN GEL · Prolastin-C Liquid · Prolia · QUVIVIQ · REXULTI · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SMARTVEST · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · SYNTHROID · Saxenda · Synthroid · TEZSPIRE · TOUJEO · TOVIAZ · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · TUDORZA PRESSAIR · Tresiba · Trintellix · UBRELVY · VESICARE · VIBERZI · VOQUEZNA · VRAYLAR · VYVANSE · Victoza · XARELTO · XIFAXAN · Yupelri · ZEPBOUND · ZOSTAVAX
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 7% for family medicine in GA.
Geographic Context
Family medicine physicians within 10 mi
80
Per 100K population
65.5
County median income
$72,327
Nearest hospital
TANNER MEDICAL CENTER - CARROLLTON
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 reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Pagsisihan is a clinical cardiology specialist, with above-average Medicare volume (top 19% in GA), with low-engagement industry engagement in the top 7% of GA peers, 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 Dr. Pagsisihan experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Pagsisihan performed 479 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. Pagsisihan receive payments from pharmaceutical companies?
Yes. Dr. Pagsisihan received a total of $8,940 from 47 companies across 588 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. Pagsisihan's costs compare to other family medicine physicians in Carrollton?
Dr. Pagsisihan's average Medicare payment per service is $49. 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. Pagsisihan) 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. 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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