Medicare Enrolled
Dr. John Hoelscher, MD
Internal Medicine · Alton, IL
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. Hoelscher 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. Hoelscher
Dr. John Hoelscher is an internal medicine specialist in Alton, IL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Hoelscher performed 4,151 Medicare services across 1,997 unique beneficiaries.
Between the years covered by Open Payments, Dr. Hoelscher received a total of $10,903 from 65 pharmaceutical and/or device companies across 714 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal 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. Hoelscher 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.
✓ 19 years in practice
▲ Top 6% volume in IL
$10,903 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,151
Medicare services
Top 6% in IL for internal medicine
1,997
Unique beneficiaries
$53
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~218 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 |
|---|---|---|---|
| Denosumab injection (Prolia/Xgeva) | 1,260 | $18 | $40 |
| 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. |
524 | $82 | $219 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
520 | $126 | $236 |
| 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. |
306 | $55 | $150 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
221 | $58 | $150 |
| Anticoagulant management for warfarin Management of anticoagulant therapy for a patient taking warfarin. This service involves monitoring and adjusting the medication regimen. |
214 | $7 | $27 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
177 | $4 | $18 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
144 | $30 | $49 |
| 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. |
134 | $72 | $88 |
| Hospital discharge management, 30+ min This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge. |
81 | $88 | $219 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
72 | $92 | $281 |
| 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. |
67 | $9 | $58 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
61 | $1 | $6 |
| 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. |
58 | $39 | $107 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
51 | $40 | $83 |
| Hospital discharge day management, 30 minutes or less This service covers the final day of hospital care when the patient is being discharged. It includes coordination of care and instructions for the patient within a time frame of 30 minutes or less. |
34 | $64 | $150 |
| 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. |
30 | $282 | $355 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
30 | $30 | $49 |
| 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. |
29 | $162 | $348 |
| 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. |
28 | $9 | $50 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
27 | $46 | $231 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
24 | $163 | $338 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
22 | $159 | $338 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
19 | $31 | $90 |
| Routine 12-lead ECG screening A standard 12-lead electrocardiogram performed as part of an initial preventive physical examination. The service includes both the performance of the test and the physician's interpretation and report. |
18 | $4 | $48 |
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 ↗$10,903
Total received (2018-2024)
Avg $1,558/year across 7 years
Top 7% in IL for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
65
Companies
714
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
$10,797 (99.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$107 (1.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,288
2023
$1,312
2022
$632
2021
$415
2020
$2,262
2019
$2,516
2018
$2,478
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Lilly USA, LLC
$254
AstraZeneca Pharmaceuticals LP
$193
Novo Nordisk Inc
$187
Amgen Inc.
$157
Novartis Pharmaceuticals Corporation
$73
Exact Sciences Corporation
$54
ABBVIE INC.
$50
PFIZER INC.
$45
Abbott Laboratories
$35
GlaxoSmithKline, LLC.
$34
Kowa Pharmaceuticals America, Inc.
$33
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$31
Valinor Pharma, LLC
$30
Verity Pharmaceuticals Inc.
$26
Sumitomo Pharma America, Inc.
$25
Xeris Pharmaceuticals, Inc.
$24
Lundbeck LLC
$19
Astellas Pharma US Inc
$18
Top 3 companies account for 49.2% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$1,164
Amgen Inc.
$1,009
Lilly USA, LLC
$851
AstraZeneca Pharmaceuticals LP
$837
PFIZER INC.
$779
GlaxoSmithKline, LLC.
$689
Allergan, Inc.
$574
Novartis Pharmaceuticals Corporation
$438
Boehringer Ingelheim Pharmaceuticals, Inc.
$434
ABBVIE INC.
$385
AbbVie Inc.
$362
SANOFI-AVENTIS U.S. LLC
$358
Allergan Inc.
$283
Astellas Pharma US Inc
$275
Janssen Pharmaceuticals, Inc
$205
Abbott Laboratories
$191
Amarin Pharma Inc.
$186
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$156
Takeda Pharmaceuticals U.S.A., Inc.
$116
Philips Electronics North America Corporation
$100
Exact Sciences Corporation
$96
AbbVie, Inc.
$92
Merck Sharp & Dohme Corporation
$91
Antares Pharma, Inc.
$83
AKRIMAX PHARMACEUTICALS, LLC
$61
Ironwood Pharmaceuticals, Inc
$55
Eisai Inc.
$53
Kowa Pharmaceuticals America, Inc.
$49
Sumitomo Pharma America, Inc.
$49
UCB, Inc.
$48
Sunovion Pharmaceuticals Inc.
$48
Xeris Pharmaceuticals, Inc.
$47
Biohaven Pharmaceutical Holding Company Ltd.
$45
Merck Sharp & Dohme LLC
$45
Daiichi Sankyo Inc.
$44
Nestle HealthCare Nutrition Inc.
$42
SANOFI PASTEUR INC.
$31
Valinor Pharma, LLC
$30
MannKind Corporation
$29
Sanofi Pasteur Inc.
$28
Otsuka America Pharmaceutical, Inc.
$27
Verity Pharmaceuticals Inc.
$26
ITI, Inc.
$26
Corcept Therapeutics
$25
LifeScan, Inc.
$23
Biogen, Inc.
$21
Valeritas, Inc.
$21
Pernix Therapeutics Holdings, Inc.
$20
Lundbeck LLC
$19
Collegium Pharmaceutical, Inc.
$19
JAZZ PHARMACEUTICALS INC.
$18
Gilead Sciences, Inc.
$17
Medtronic, Inc.
$17
Bayer HealthCare Pharmaceuticals Inc.
$16
Hikma Pharmaceuticals USA
$16
Grifols USA, LLC
$15
Optos, Inc.
$15
Phadia US Inc.
$14
Shire North American Group Inc
$14
IRONWOOD PHARMACEUTICALS, INC
$14
Apria Healthcare LLC
$13
Shionogi Inc
$13
Mannkind Corporation
$13
Purdue Pharma L.P.
$13
E.R. Squibb & Sons, L.L.C.
$13
Top 3 companies account for 27.7% of all-time payments
Associated products mentioned in payments ›
(8874) inCourage · ADVAIR · AFREZZA · AIRSUPRA · ANORO · AREXVY · Aimovig · Amitiza · BASAGLAR · BEXSERO · BREO · BREZTRI · BREZTRI AEROSPHERE · BRILINTA · BYSTOLIC · Belviq · CAPLYTA · CHANTIX · COLOGUARD · COMIRNATY · CREON · Cologuard Collection Kit · Creon · DALVANCE · Dayvigo · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EVENITY · FARXIGA · FASENRA · FLUBLOK QUADRIVALENT · FLUZONE HIGH-DOSE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre · FreeStyle Libre 2 · FreeStyle Lite system · GARDASIL 9 · GEMTESA · GVOKE HYPOPEN · INFINITY · INJECTAFER · INTELLIS ADAPTIVESTIM · INVOKANA · ImmunoCAP · JANUVIA · JARDIANCE · Kerendia · Korlym · LINZESS · LIVALO · LONHALA MAGNAIR · LUCEMYRA · LYRICA · Linzess · MOUNJARO · MOVANTIK · MYRBETRIQ · Medela · NAMZARIC · NURTEC ODT · OT Verio Reflect "One Touch Meter and Strips" · OTREXUP · Otezla · Otrexup · Ozempic · P200DTx · PNEUMOVAX 23 · PREVNAR - 13 · PREVNAR 13 · Prolastin-C Liquid · Prolia · QULIPTA · REXULTI · Repatha · Ryaltris · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · SPRAVATO · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · SYMPROIC · SYNTHROID · Seglentis · Stendra · Symproic · Synthroid · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRULANCE · TRULICITY · Tlando · Tresiba · Trilogy 100 · Trintellix · UBRELVY · Uloric · V-GO · VIBERZI · VRAYLAR · VYNDAMAX · VYVANSE · Vascepa · Veozah · Victoza · Vimpat · Wegovy · Wellcentive Undiv · XARELTO · XIFAXAN · XTAMPZA · XYOSTED · ZENPEP · ZOHYDRO ER · ZOSTAVAX · inCourage
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 (99%) 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 internal medicine in IL.
Geographic Context
Internal medicine physicians within 10 mi
1,132
Per 100K population
427.8
County median income
$74,800
Nearest hospital
ALTON MEMORIAL 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 reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Hoelscher is a clinical cardiology specialist, with above-average Medicare volume (top 6% in IL), with low-engagement industry engagement in the top 7% of IL peers, with 19 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. Hoelscher experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Dr. Hoelscher performed 1,260 denosumab injection (prolia/xgeva) 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. Hoelscher receive payments from pharmaceutical companies?
Yes. Dr. Hoelscher received a total of $10,903 from 65 companies across 714 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. Hoelscher's costs compare to other internal medicine physicians in Alton?
Dr. Hoelscher's average Medicare payment per service is $53. 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. Hoelscher) 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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