Medicare Enrolled
Dr. Sheeja Francis, M.D.
Rheumatology · Ann Arbor, MI
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Consulting-driven
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. Francis 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. Francis
Dr. Sheeja Francis is a rheumatology specialist in Ann Arbor, MI, with 19 years of NPI registration. Based on federal Medicare data, Dr. Francis performed 5,030 Medicare services across 1,694 unique beneficiaries.
Between the years covered by Open Payments, Dr. Francis received a total of $28,780 from 49 pharmaceutical and/or device companies across 234 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in rheumatology. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Francis 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 25% volume in MI
$28,780 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,030
Medicare services
Top 25% in MI for rheumatology
1,694
Unique beneficiaries
$31
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~265 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) | 2,400 | $18 | $50 |
| 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. |
311 | $139 | $471 |
| 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. |
304 | $100 | $337 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
263 | $8 | $11 |
| 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. |
199 | $5 | $13 |
| Blood urea nitrogen test A blood test that measures the amount of urea nitrogen to assess kidney function. |
199 | $4 | $10 |
| 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. |
196 | $8 | $19 |
| Liver function blood test panel | 195 | $8 | $20 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
152 | $29 | $74 |
| Erythrocyte sedimentation rate (ESR) test A blood test that measures how quickly red blood cells settle in a test tube to detect inflammation in the body. This specific method is performed manually rather than using an automated machine. |
149 | $4 | $17 |
| 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. |
149 | $5 | $13 |
| 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. |
92 | $73 | $238 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
78 | $9 | $23 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
78 | $16 | $42 |
| 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. |
78 | $12 | $59 |
| New patient office visit, complex (60-74 min) | 54 | $159 | $577 |
| Telephone medical discussion, 21-30 minutes A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone. |
38 | $91 | $337 |
| Total calcium level test A blood test that measures the total amount of calcium in your body. |
28 | $5 | $13 |
| 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. |
22 | $146 | $439 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
19 | $13 | $33 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
15 | $14 | $38 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
11 | $65 | $237 |
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 ↗$28,780
Total received (2018-2024)
Avg $4,111/year across 7 years
Top 13% in MI for rheumatology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
49
Companies
234
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.
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$24,583 (85.4%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$4,081 (14.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$116 (0.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$4,871
2023
$670
2022
$577
2021
$2,903
2020
$9,427
2019
$673
2018
$9,658
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Janssen Biotech, Inc.
$3,961
ABBVIE INC.
$90
AstraZeneca Pharmaceuticals LP
$68
Novartis Pharmaceuticals Corporation
$65
Sumitomo Pharma America, Inc.
$57
E.R. Squibb & Sons, L.L.C.
$55
GlaxoSmithKline, LLC.
$52
GENZYME CORPORATION
$46
Lilly USA, LLC
$43
Amgen Inc.
$42
PROGENICS PHARMACEUTICALS, INC.
$38
Antares Pharma, Inc.
$31
ANI Pharmaceuticals, Inc.
$30
AIMMUNE THERAPEUTICS, INC.
$24
UROGEN PHARMA, INC.
$24
Intercept Pharmaceuticals, Inc.
$24
Takeda Pharmaceuticals U.S.A., Inc.
$23
PFIZER INC.
$23
Celltrion USA Inc.
$22
PROCEPT BioRobotics Corporation
$22
UCB, Inc.
$21
180 Medical, Inc.
$21
Myriad Genetic Laboratories, Inc.
$20
Kiniksa Pharmaceuticals International, plc
$20
Bayer Healthcare Pharmaceuticals Inc.
$16
COLOPLAST CORP
$15
Medtronic, Inc.
$14
Top 3 companies account for 84.6% of 2024 payments
All-time payments by company (2018-2024) ›
Mallinckrodt LLC
$8,780
Janssen Biotech, Inc.
$8,644
Gilead Sciences, Inc.
$4,568
Janssen Scientific Affairs, LLC
$2,750
Amgen Inc.
$548
ABBVIE INC.
$331
Lilly USA, LLC
$306
Novartis Pharmaceuticals Corporation
$274
PFIZER INC.
$261
AstraZeneca Pharmaceuticals LP
$206
Antares Pharma, Inc.
$171
AbbVie Inc.
$159
Celgene Corporation
$159
Bayer HealthCare Pharmaceuticals Inc.
$125
UCB, Inc.
$117
DePuy Synthes Sales Inc.
$114
GlaxoSmithKline, LLC.
$77
UroGen Pharma, Inc.
$73
E.R. Squibb & Sons, L.L.C.
$73
Genentech USA, Inc.
$71
180 Medical, Inc.
$64
Takeda Pharmaceuticals U.S.A., Inc.
$63
Sumitomo Pharma America, Inc.
$57
Regeneron Healthcare Solutions, Inc.
$56
Mallinckrodt Enterprises LLC
$54
UROVANT SCIENCES INC
$52
Bayer Healthcare Pharmaceuticals Inc.
$51
GENZYME CORPORATION
$46
ANI Pharmaceuticals, Inc.
$46
PROGENICS PHARMACEUTICALS, INC.
$38
Radius Health, Inc.
$35
AbbVie, Inc.
$35
Horizon Therapeutics plc
$34
Myriad Genetic Laboratories, Inc.
$33
Endo Pharmaceuticals Inc.
$27
AIMMUNE THERAPEUTICS, INC.
$24
UROGEN PHARMA, INC.
$24
Intercept Pharmaceuticals, Inc.
$24
Boehringer Ingelheim Pharmaceuticals, Inc.
$23
Alexion Pharmaceuticals, Inc.
$23
Celltrion USA Inc.
$22
PROCEPT BioRobotics Corporation
$22
Sobi, Inc
$20
Kiniksa Pharmaceuticals International, plc
$20
Flexion Therapeutics, Inc.
$19
MEDAC PHARMA, INC.
$15
COLOPLAST CORP
$15
Medtronic, Inc.
$14
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$14
Top 3 companies account for 76.4% of all-time payments
Associated products mentioned in payments ›
ACTHAR · AQUABEAM SYSTEM · Actemra · Adempas · Arcalyst · BENLYSTA · Bimzelx · COSENTYX · Cimzia · EOHILIA · ERLEADA · EVENITY · EVUSHELD · Enbrel · FORTEO · GATTEX · GEMTESA · GENTLECATH · Humira · INTERSTIM · JELMYTO · KEVZARA · KEVZARA SARILUMAB INJECTION · KRYSTEXXA · Kineret · NOCDURNA · Nubeqa · OCALIVA · OFEV · OMVOH · ORENCIA · ORTHOVISC · OTREXUP · Otezla · Otrexup · PROLARIS · PURIFIED CORTROPHIN GEL · PYLARIFY · Prolia · REMICADE · RINVOQ · Rasuvo · Rinvoq · Rituxan · SAPHNELO · SELF CATH · SIMPONI ARIA · SKYRIZI · STELARA · STRENSIQ · SpeediCath · TALTZ · TAVNEOS · TREMFYA · Tavneos · Tymlos · VEGZELMA · XELJANZ · XIAFLEX · XIFAXAN · XYOSTED · ZENPEP · Zilretta
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 (85%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers.
Geographic Context
Rheumatologists within 10 mi
42
Per 100K population
11.4
County median income
$87,156
Nearest hospital
UNIVERSITY OF MICHIGAN HEALTH SYSTEM
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. Francis is a clinical cardiology specialist, with above-average Medicare volume (top 25% in MI), with consulting-driven industry engagement in the top 13% of MI 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. Francis experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Dr. Francis performed 2,400 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. Francis receive payments from pharmaceutical companies?
Yes. Dr. Francis received a total of $28,780 from 49 companies across 234 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. Francis's costs compare to other rheumatologists in Ann Arbor?
Dr. Francis's average Medicare payment per service is $31. 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. Francis) 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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