Medicare Enrolled
Justin Chen
Family Medicine · Chicago, IL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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 Chen 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 Chen?
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What this data tells you about Chen
Justin Chen is a family medicine specialist in Chicago, IL, with 8 years of NPI registration. Based on federal Medicare data, Chen performed 383 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Chen received a total of $5,409 from 38 pharmaceutical and/or device companies across 274 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Chen 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.
✓ 8 years of NPI registration
▲ 383 Medicare services
$5,409 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗383
Medicare services
Bottom 43% in IL for family medicine
Not available
Unique patients (not deduplicated)
$98
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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. |
101 | $95 | $278 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
44 | $99 | $229 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
36 | $134 | $283 |
| 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. |
31 | $132 | $397 |
| 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. |
28 | $60 | $160 |
| 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. |
27 | $58 | $200 |
| 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. |
23 | $93 | $235 |
| 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. |
17 | $73 | $293 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
17 | $32 | $68 |
| 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. |
13 | $72 | $140 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
13 | $145 | $428 |
| 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. |
11 | $283 | $549 |
| 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 | $119 | $371 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
11 | $32 | $68 |
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. These counts do not measure clinical quality or years of experience.
Industry Payment Transparency
Open Payments through 2024 ↗$5,409
Total received (2018-2024)
Avg $773/year across 7 years
Top 8% in IL for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
38
Companies
274
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,992
2023
$1,854
2022
$1,196
2021
$249
2020
$51
2019
$42
2018
$24
Payments by company (2024)
ABBVIE INC.
$340
Novo Nordisk Inc
$266
GlaxoSmithKline, LLC.
$152
PFIZER INC.
$128
Dynavax Technologies Corporation
$105
Merck Sharp & Dohme LLC
$101
Otsuka America Pharmaceutical, Inc.
$89
Abbott Laboratories
$88
Phathom Pharmaceuticals, Inc.
$78
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$76
Exact Sciences Corporation
$65
Lundbeck LLC
$54
Novartis Pharmaceuticals Corporation
$51
Lilly USA, LLC
$49
Seqirus USA Inc
$48
Dexcom, Inc.
$46
Amgen Inc.
$46
Boehringer Ingelheim Pharmaceuticals, Inc.
$44
AstraZeneca Pharmaceuticals LP
$40
Bayer Healthcare Pharmaceuticals Inc.
$38
SANOFI PASTEUR INC.
$35
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$21
MAYNE PHARMA COMMERCIAL LLC
$17
Kowa Pharmaceuticals America, Inc.
$16
Top 3 companies account for 38.0% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$1,016
ABBVIE INC.
$530
AbbVie Inc.
$408
GlaxoSmithKline, LLC.
$388
PFIZER INC.
$329
Dynavax Technologies Corporation
$290
Lilly USA, LLC
$204
Merck Sharp & Dohme LLC
$204
Otsuka America Pharmaceutical, Inc.
$161
Boehringer Ingelheim Pharmaceuticals, Inc.
$152
Amgen Inc.
$138
Exact Sciences Corporation
$134
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$133
Dexcom, Inc.
$120
Novartis Pharmaceuticals Corporation
$117
Abbott Laboratories
$103
Bayer HealthCare Pharmaceuticals Inc.
$101
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$79
Phathom Pharmaceuticals, Inc.
$78
Bayer Healthcare Pharmaceuticals Inc.
$75
SANOFI PASTEUR INC.
$72
Lundbeck LLC
$67
Biogen, Inc.
$56
AstraZeneca Pharmaceuticals LP
$54
Seqirus USA Inc
$48
Cranial Technologies, Inc
$46
Kowa Pharmaceuticals America, Inc.
$44
Ultragenyx Pharmaceutical Inc.
$40
VBI Vaccines (Delaware) Inc.
$29
IDORSIA PHARMACEUTICALS US INC
$27
Takeda Pharmaceuticals U.S.A., Inc.
$27
Bausch Health US, LLC
$25
Mylan Specialty L.P.
$24
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$21
Merck Sharp & Dohme Corporation
$18
MAYNE PHARMA COMMERCIAL LLC
$17
Sumitomo Pharma America, Inc.
$16
Currax Pharmaceuticals LLC
$15
Top 3 companies account for 36.1% of all-time payments
Associated products mentioned in payments ›
ADUHELM · APLENZIN · AREXVY · BRILINTA · CAPLYTA · COMIRNATY · CONTRAVE · Cologuard Collection Kit · Dexcom G6 Transmitter · Doc Band · ENTRESTO · ETERNA · EVENITY · FARXIGA · FLUZONE HIGH-DOSE · FLUZONE QUADRIVALENT NORTHERN HEMISPHERE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · Fluad · GARDASIL · GARDASIL 9 · GEMTESA · GLASSIA · Heplisav-B · JARDIANCE · KRYSTEXXA · Kerendia · LEQVIO · LifeVest · MENQUADFI · MOUNJARO · NUCALA · Ozempic · PREVNAR 13 · PREVNAR 20 · PROCLAIM · PreHevbrio · QUVIVIQ · REXULTI · ROTATEQ · RYBELSUS · Repatha · Rybelsus · SEGLENTIS · SHINGRIX · STEGLATRO · STIOLTO RESPIMAT · Saxenda · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · TRUMENBA · VAXELIS · VOQUEZNA · VRAYLAR · VYNDAMAX · Wegovy · XIFAXAN · Yupelri · ZORYVE
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Family medicine physicians in nearby ZIP areas
2,818
County median income
$81,797
Nearest hospital to ZIP centroid (approximate)
SWEDISH HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | 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
Chen is a clinical cardiology specialist, with moderate Medicare volume.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Chen experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Chen performed 101 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Chen receive payments from pharmaceutical companies?
Yes. Chen received a total of $5,409 from 38 companies across 274 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Chen's costs compare to other family medicine physicians in Chicago?
Chen's average Medicare payment per service is $98. 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 Chen) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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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