Medicare Enrolled
Dr. Vian Misho, MD
Family Medicine · Berkley, MI
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. Misho 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. Misho
Dr. Vian Misho is a family medicine specialist in Berkley, MI, with 19 years of NPI registration. Based on federal Medicare data, Dr. Misho performed 3,470 Medicare services across 1,978 unique beneficiaries.
Between the years covered by Open Payments, Dr. Misho received a total of $6,486 from 51 pharmaceutical and/or device companies across 356 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. Misho 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 2% volume in MI
$6,486 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,470
Medicare services
Top 2% in MI for family medicine
1,978
Unique beneficiaries
$29
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~183 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 |
|---|---|---|---|
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
414 | $7 | $8 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
394 | $3 | $5 |
| 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. |
350 | $10 | $35 |
| Blood glucose level test A test that measures the amount of sugar in your blood. |
310 | $4 | $10 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
202 | $1 | $5 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
190 | $10 | $25 |
| 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. |
168 | $64 | $115 |
| 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. |
138 | $89 | $175 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
136 | $130 | $150 |
| Annual depression screening | 132 | $18 | $30 |
| 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. |
102 | $30 | $75 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
100 | $1 | $4 |
| 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. |
94 | $133 | $200 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
88 | $0 | $15 |
| 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. |
71 | $6 | $10 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
69 | $31 | $35 |
| Nursing facility visit, low complexity A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care. |
63 | $59 | $125 |
| 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. |
52 | $72 | $85 |
| 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. |
50 | $25 | $60 |
| 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. |
42 | $10 | $50 |
| 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. |
33 | $39 | $150 |
| Nursing facility visit, established patient, straightforward A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves straightforward medical decision making and lasts at least 10 minutes. |
30 | $31 | $75 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
29 | $55 | $79 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
27 | $203 | $350 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
25 | $40 | $69 |
| Ear wax removal by washing This procedure involves the removal of impacted ear wax using a washing technique. |
23 | $11 | $32 |
| Complete ultrasound of abdomen A diagnostic imaging test that uses sound waves to create detailed pictures of the organs and structures within the abdomen. |
22 | $85 | $165 |
| Influenza vaccine, quadrivalent, 0.5 ml dosage | 18 | $20 | $60 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
17 | $23 | $65 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
16 | $26 | $60 |
| Stool test for blood to screen for colon tumors A test that analyzes a stool sample to detect hidden blood, which is used to screen for colon tumors. |
16 | $4 | $13 |
| 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. |
14 | $167 | $175 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
13 | $15 | $30 |
| X-ray of upper spine, 2-3 views An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures. |
11 | $25 | $50 |
| 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. |
11 | $166 | $200 |
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 ↗$6,486
Total received (2018-2024)
Avg $927/year across 7 years
Top 6% in MI for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
51
Companies
356
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
$6,486 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$434
2023
$656
2022
$559
2021
$1,305
2020
$1,374
2019
$1,203
2018
$955
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$95
SHIELD THERAPEUTICS INC
$64
Novo Nordisk Inc
$41
ABBVIE INC.
$38
ACADIA Pharmaceuticals Inc
$35
PFIZER INC.
$34
Exact Sciences Corporation
$22
Esperion Therapeutics, Inc.
$21
Sumitomo Pharma America, Inc.
$19
ALK-Abello, Inc
$19
GlaxoSmithKline, LLC.
$17
Kowa Pharmaceuticals America, Inc.
$15
Ardelyx, Inc.
$13
Top 3 companies account for 46.1% of 2024 payments
All-time payments by company (2018-2024) ›
PFIZER INC.
$1,646
Amarin Pharma Inc.
$537
AstraZeneca Pharmaceuticals LP
$445
Amgen Inc.
$392
GlaxoSmithKline, LLC.
$342
Boehringer Ingelheim Pharmaceuticals, Inc.
$333
Novo Nordisk Inc
$234
Lilly USA, LLC
$211
Kowa Pharmaceuticals America, Inc.
$189
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$152
Novartis Pharmaceuticals Corporation
$152
Astellas Pharma US Inc
$130
Teva Pharmaceuticals USA, Inc.
$102
VIVUS, Inc.
$96
Gilead Sciences, Inc.
$93
ABBVIE INC.
$84
AbbVie Inc.
$76
ARBOR PHARMACEUTICALS, INC.
$75
Phadia US Inc.
$69
SHIELD THERAPEUTICS INC
$64
Circassia Pharmaceuticals Inc
$64
Esperion Therapeutics, Inc.
$60
Ardelyx, Inc.
$59
Allergan Inc.
$55
ASCEND Therapeutics US, LLC
$53
VIVUS LLC
$52
E.R. Squibb & Sons, L.L.C.
$51
Takeda Pharmaceuticals U.S.A., Inc.
$51
Bayer HealthCare Pharmaceuticals Inc.
$48
Shield Therapeutics Inc
$48
ACADIA Pharmaceuticals Inc
$47
Bayer Healthcare Pharmaceuticals Inc.
$45
Exact Sciences Corporation
$42
Sunovion Pharmaceuticals Inc.
$37
RedHill Biopharma Inc.
$36
Eisai Inc.
$35
Allergan, Inc.
$34
Radius Health, Inc.
$28
Concordia Pharmaceuticals Inc.
$21
Sumitomo Pharma America, Inc.
$19
ALK-Abello, Inc
$19
West-Ward Pharmaceuticals
$19
Biohaven Pharmaceutical Holding Company Ltd.
$17
SANOFI-AVENTIS U.S. LLC
$17
NESTLE HEALTHCARE NUTRITION INC.
$17
Scilex Pharmaceuticals Inc.
$17
Janssen Pharmaceuticals, Inc
$16
EISAI INC.
$15
Merck Sharp & Dohme Corporation
$14
UROVANT SCIENCES INC
$14
Abbott Laboratories
$12
Top 3 companies account for 40.5% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · AJOVY · ANORO · ANORO ELLIPTA · AREXVY · Aemcolo · Aimovig · Austedo XR · BASAGLAR · BINOSTO · BREO · BREZTRI · BREZTRI AEROSPHERE · CAMZYOS · CHANTIX · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · CYCLOSET · Cologuard Collection Kit · DONNATAL · Dayvigo · Dexilant · ELIQUIS · ENTRESTO · EUCRISA · EVENITY · Edarbi · FARXIGA · FLECTOR · FreeStyle Libre 2 · GEMTESA · IBSRELA · INVOKANA · ImmunoCAP · JANUVIA · JARDIANCE · Kerendia · LEQVIO · LINZESS · LYRICA · Livalo · MOTEGRITY · MOUNJARO · MYRBETRIQ · Mitigare · NEXLETOL · NEXLIZET · NUPLAZID · NURTEC ODT · Odactra · Otezla · Ozempic · PAXLOVID · PRALUENT · PREMARIN · PREVNAR 20 · Prolia · QSYMIA · Qsymia · Rybelsus · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SYMBICORT · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · TUDORZA PRESSAIR · Tresiba · Trintellix · Truvada · Tymlos · UBRELVY · Utibron · VIBERZI · VRAYLAR · VYNDAMAX · Vascepa · Victoza · Wegovy · XIFAXAN · ZENPEP · ZORYVE · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH
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 6% for family medicine in MI.
Geographic Context
Family medicine physicians within 10 mi
1,942
Per 100K population
152.6
County median income
$95,296
Nearest hospital
BEAUMONT HOSPITAL ROYAL OAK
1.8 mi
1.8 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. Misho is a clinical cardiology specialist, with above-average Medicare volume (top 2% in MI), with low-engagement industry engagement in the top 6% 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. Misho experienced with blood draw (venipuncture)?
Based on Medicare claims data, Dr. Misho performed 414 blood draw (venipuncture) 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. Misho receive payments from pharmaceutical companies?
Yes. Dr. Misho received a total of $6,486 from 51 companies across 356 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. Misho's costs compare to other family medicine physicians in Berkley?
Dr. Misho's average Medicare payment per service is $29. 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. Misho) 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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