Medicare Enrolled
Dr. Loren Decarlo, D.O.
Family Medicine · Capac, 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. Decarlo 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. Decarlo
Dr. Loren Decarlo is a family medicine specialist in Capac, MI, with 20 years of NPI registration. Based on federal Medicare data, Dr. Decarlo performed 2,898 Medicare services across 1,530 unique beneficiaries.
Between the years covered by Open Payments, Dr. Decarlo received a total of $5,209 from 34 pharmaceutical and/or device companies across 357 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. Decarlo 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 3% volume in MI
$5,209 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,898
Medicare services
Top 3% in MI for family medicine
1,530
Unique beneficiaries
$37
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~145 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 (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. |
733 | $54 | $140 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
515 | $6 | $6 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
245 | $46 | $162 |
| 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. |
195 | $70 | $180 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
151 | $1 | $25 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
128 | $125 | $316 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
124 | $9 | $27 |
| 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. |
93 | $10 | $40 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
89 | $0 | $8 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
86 | $30 | $40 |
| 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. |
80 | $2 | $12 |
| Quadrivalent influenza vaccine, preservative-free A flu shot containing four strains of the influenza virus, formulated without preservatives, administered in a 0.5 ml dose. |
60 | $22 | $45 |
| 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. |
43 | $8 | $50 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
38 | $34 | $170 |
| COVID-19 immunoassay detection test A laboratory test that uses an immunoassay method to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) through direct visual observation. |
34 | $38 | $60 |
| Quadrivalent influenza vaccine, cell-culture derived A flu shot containing four strains of influenza virus, produced using cell culture technology rather than eggs. This formulation is free from preservatives and antibiotics. |
29 | $31 | $44 |
| 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. |
28 | $23 | $60 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
21 | $16 | $40 |
| 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. |
21 | $158 | $353 |
| Chronic care management services Comprehensive assessment and care planning for patients requiring ongoing chronic care management. |
20 | $39 | $95 |
| Methylprednisolone injection, up to 125 mg An injection of methylprednisolone sodium succinate, a corticosteroid medication, with a dosage of up to 125 mg. |
19 | $3 | $30 |
| 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. |
18 | $6 | $12 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
18 | $30 | $40 |
| Ear wax removal by washing This procedure involves the removal of impacted ear wax using a washing technique. |
17 | $8 | $120 |
| 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. |
15 | $14 | $15 |
| 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. |
14 | $282 | $380 |
| 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. |
14 | $40 | $70 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
13 | $16 | $35 |
| 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. |
13 | $160 | $390 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
12 | $5 | $12 |
| Expiratory airflow and volume test A test that measures the amount of air you can exhale and the speed at which you can breathe it out. It evaluates lung function by assessing expiratory airflow and volume. |
12 | $12 | $120 |
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 ↗$5,209
Total received (2018-2024)
Avg $744/year across 7 years
Top 8% in MI for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
34
Companies
357
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
$5,209 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$682
2023
$724
2022
$764
2021
$641
2020
$801
2019
$636
2018
$960
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Lilly USA, LLC
$151
Novo Nordisk Inc
$104
ABBVIE INC.
$91
Otsuka America Pharmaceutical, Inc.
$68
Amgen Inc.
$67
AstraZeneca Pharmaceuticals LP
$50
PFIZER INC.
$45
Dexcom, Inc.
$44
GlaxoSmithKline, LLC.
$42
Supernus Pharmaceuticals, Inc.
$20
Top 3 companies account for 50.7% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$723
Lilly USA, LLC
$537
Boehringer Ingelheim Pharmaceuticals, Inc.
$485
AstraZeneca Pharmaceuticals LP
$445
Takeda Pharmaceuticals U.S.A., Inc.
$440
Merck Sharp & Dohme Corporation
$306
Amgen Inc.
$225
GlaxoSmithKline, LLC.
$212
PFIZER INC.
$198
Janssen Pharmaceuticals, Inc
$181
SANOFI-AVENTIS U.S. LLC
$159
Amarin Pharma Inc.
$149
Otsuka America Pharmaceutical, Inc.
$122
ABBVIE INC.
$121
Allergan, Inc.
$119
Astellas Pharma US Inc
$108
Exact Sciences Corporation
$95
Bayer HealthCare Pharmaceuticals Inc.
$95
Novartis Pharmaceuticals Corporation
$67
AbbVie Inc.
$60
Allergan Inc.
$44
Dexcom, Inc.
$44
Supernus Pharmaceuticals, Inc.
$43
Bayer Healthcare Pharmaceuticals Inc.
$36
Shire North American Group Inc
$27
GENZYME CORPORATION
$26
Alexion Pharmaceuticals, Inc.
$24
Tris Pharma Inc
$23
Avanir Pharmaceuticals, Inc.
$22
Abbott Laboratories
$17
DEXCOM, INC.
$16
Biohaven Pharmaceutical Holding Company Ltd.
$15
Indivior Inc.
$15
Orexigen Therapeutics, Inc.
$12
Top 3 companies account for 33.5% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AREXVY · Aimovig · BELSOMRA · BREZTRI · BREZTRI AEROSPHERE · BRILINTA · BYDUREON · CHANTIX · COLOGUARD · CONTRAVE · Cologuard Collection Kit · DEXCOM G6 TRANSMITTER · Dexcom G6 Transmitter · EMGALITY · ENTRESTO · EUCRISA · FARXIGA · FreeStyle Libre 2 · INVOKANA · JANUMET · JANUVIA · JARDIANCE · Kerendia · LINZESS · LYRICA · MOTEGRITY · MOUNJARO · MYRBETRIQ · Myrbetriq · NUCALA · NURTEC ODT · Nuedexta · Otezla · Ozempic · PAXLOVID · PERSERIS · QELBREE · QULIPTA · Qelbree · Quillivant XR · REXULTI · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SOLIQUA 100/33 · SPIRIVA · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · STRENSIQ · SYMBICORT · Saxenda · TOUJEO · TOVIAZ · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Trintellix · UBRELVY · VESICARE · VRAYLAR · VYVANSE · Vascepa · Victoza · Vyvanse · Wegovy · XARELTO
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 8% for family medicine in MI.
Geographic Context
Family medicine physicians within 10 mi
148
Per 100K population
92.4
County median income
$69,349
Nearest hospital
MCLAREN LAPEER REGION
20.7 mi
20.7 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. Decarlo is a clinical cardiology specialist, with above-average Medicare volume (top 3% in MI), with low-engagement industry engagement in the top 8% of MI 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. Decarlo experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Decarlo performed 733 office visit, established patient (20-29 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. Decarlo receive payments from pharmaceutical companies?
Yes. Dr. Decarlo received a total of $5,209 from 34 companies across 357 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. Decarlo's costs compare to other family medicine physicians in Capac?
Dr. Decarlo's average Medicare payment per service is $37. 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. Decarlo) 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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