Medicare Enrolled
Dr. David Lorelli, MD
Vascular Surgery Physician · Detroit, MI
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Lorelli 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. Lorelli
Dr. David Lorelli is a vascular surgery physician in Detroit, MI, with 20 years of NPI registration. Based on federal Medicare data, Dr. Lorelli performed 1,998 Medicare services across 995 unique beneficiaries.
Between the years covered by Open Payments, Dr. Lorelli received a total of $5,328 from 22 pharmaceutical and/or device companies across 98 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in vascular surgery physician. 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. Lorelli 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 24% volume in MI
$5,328 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,998
Medicare services
Top 24% in MI for vascular surgery physician
995
Unique beneficiaries
$49
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~100 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 |
|---|---|---|---|
| Contrast dye for imaging (iodine-based) A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures. |
930 | $0 | $5 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages. |
256 | $18 | $50 |
| 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. |
103 | $108 | $213 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
94 | $11 | $20 |
| Ultrasound guidance for blood vessel access Use of ultrasound imaging to help locate and access a blood vessel. This guidance assists healthcare providers in performing procedures such as inserting IV lines or drawing blood. |
80 | $12 | $56 |
| Fluoroscopic guidance for central vein access device Use of live X-ray imaging to guide the placement or removal of a central vein access device. |
74 | $15 | $178 |
| 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. |
53 | $66 | $110 |
| Central venous port insertion A surgical procedure to place a small reservoir under the skin for long-term access to the bloodstream. The device is connected to a vein to allow for repeated medication administration or blood draws. |
36 | $283 | $550 |
| Vein-to-vein shunt insertion for hemodialysis A surgical procedure to create a connection between two veins. This shunt allows blood to flow directly from one vein to another to support hemodialysis treatment. |
36 | $102 | $280 |
| 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. |
36 | $87 | $138 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
31 | $30 | $61 |
| Insertion of tunneled central venous catheter for infusion, age 5+ A surgical procedure to place a long-term catheter into a large vein for delivering medications or fluids. The catheter is tunneled under the skin to reduce infection risk and provide stable access for patients aged 5 and older. |
29 | $214 | $500 |
| Ultrasound of arm and leg arteries A non-invasive imaging test that uses sound waves to examine the blood vessels in the arms and legs. It evaluates blood flow and checks for blockages or other vascular issues. |
24 | $83 | $265 |
| Pre-op ultrasound of artery and vein blood flow for hemodialysis access An ultrasound exam to assess blood flow in the arteries and veins on both sides of the body before surgery for hemodialysis access. |
22 | $171 | $443 |
| Ultrasound of hemodialysis access An ultrasound imaging test used to evaluate the blood flow and structure of a hemodialysis access site. |
22 | $98 | $310 |
| 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. |
21 | $144 | $311 |
| Relocation of major arm vein to artery for hemodialysis A surgical procedure to move a large vein in the upper arm and connect it to an artery. This creates a vascular access point for hemodialysis treatment. |
19 | $602 | $1,200 |
| Ultrasound of leg arteries or grafts An ultrasound exam that uses sound waves to create images of the arteries in one leg or any grafts present in that leg. |
19 | $19 | $50 |
| Ultrasound of arm arteries or grafts An ultrasound exam of the arteries in one arm or any arterial grafts present. This imaging test uses sound waves to visualize blood flow and vessel structure. |
17 | $19 | $50 |
| Arteriovenous graft creation for hemodialysis Surgical procedure to create a connection between an artery and a vein using a synthetic tube graft to provide access for hemodialysis. |
16 | $576 | $1,184 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
14 | $149 | $370 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
14 | $119 | $375 |
| 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. |
14 | $59 | $95 |
| Hemodialysis circuit intervention with balloon dilation A procedure to insert a needle or tube into a hemodialysis circuit and dilate the dialysis segment using a balloon, with radiological review. |
13 | $993 | $1,958 |
| Ultrasound of arm arteries or grafts This procedure uses sound waves to create images of the blood vessels in the arm or any grafts present. It allows for the visualization of blood flow and vessel structure. |
13 | $159 | $375 |
| Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts A complete ultrasound exam of the aorta, vena cava, groin vessels, or bypass grafts. This imaging test uses sound waves to visualize these blood vessels. |
12 | $32 | $50 |
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.
2.1% high complexity
76.4% medium
21.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$5,328
Total received (2018-2024)
Avg $761/year across 7 years
Top 38% in MI for vascular surgery physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
22
Companies
98
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
$5,282 (99.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$46 (0.9%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,421
2023
$551
2022
$436
2021
$727
2020
$81
2019
$1,006
2018
$106
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Terumo Medical Corporation
$1,928
Inari Medical, Inc.
$249
LeMaitre Vascular, Inc.
$102
Abbott Laboratories
$42
Chiesi USA, Inc.
$36
Cook Medical LLC
$29
Mozarc Medical US LLC
$21
Janssen Pharmaceuticals, Inc
$14
Top 3 companies account for 94.1% of 2024 payments
All-time payments by company (2018-2024) ›
Terumo Medical Corporation
$2,215
BARD PERIPHERAL VASCULAR, INC.
$834
Silk Road Medical, Inc.
$614
Inari Medical, Inc.
$585
LeMaitre Vascular, Inc.
$211
Cook Medical LLC
$164
LivaNova USA, Inc.
$118
Cardiovascular Systems Inc.
$88
Janssen Pharmaceuticals, Inc
$59
Bard Peripheral Vascular, Inc.
$57
Covidien LP
$52
Philips Electronics North America Corporation
$45
AngioDynamics, Inc.
$44
Abbott Laboratories
$42
Medtronic, Inc.
$40
Chiesi USA, Inc.
$36
Cook Incorporated
$27
BOSTON SCIENTIFIC CORPORATION
$26
ConvaTec Inc.
$21
Mozarc Medical US LLC
$21
Boston Scientific Corporation
$15
CARDIVA MEDICAL, INC.
$13
Top 3 companies account for 68.7% of all-time payments
Associated products mentioned in payments ›
ALPHAVAC · ANGIO-SEAL · ANGIOJET · AZUR CX DETACHABLE · Azur CX Detachable · CARDIVA VASCADE 6/7F VCS · CHAMELEON · CLEVIPREX · COOK CELECT · COOK MEDICAL ZILVER PTX · CT THROMBECTOMY SYSTEM KIT · Cook Medical Embolization · Cook Medical Zilver PTX · ELUVIA · ENDURANT IIS · ENROUTE Transcarotid Neuroprotection System · ENROUTE Transcarotid Stent · FLOWTRIEVER CATHETER · Glidesheath · INNOVAMATRIX AC · JETI ALL IN ONE NON-STERILE KIT · JETSTREAM · KENGREAL · METACROSS OTW · NAVICROSS · Palindrome · Peripheral Orbital Atherectomy System · RESTOREFLOW · S · SOFT-VU · Stellarex Long · TORNADO · Trilogy 100 · VNS - Sentiva · VNS Therapy · XARELTO · ZILVER PTX · ZILVER VENA
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.
Geographic Context
Vascular surgery physicians within 10 mi
57
Per 100K population
3.2
County median income
$59,521
Nearest hospital
HENRY FORD HEALTH ST JOHN 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. Lorelli is a mixed practice specialist, with above-average Medicare volume (top 24% in MI), with low-engagement industry engagement, 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. Lorelli experienced with contrast dye for imaging (iodine-based)?
Based on Medicare claims data, Dr. Lorelli performed 930 contrast dye for imaging (iodine-based) 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. Lorelli receive payments from pharmaceutical companies?
Yes. Dr. Lorelli received a total of $5,328 from 22 companies across 98 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. Lorelli's costs compare to other vascular surgery physicians in Detroit?
Dr. Lorelli's average Medicare payment per service is $49. 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. Lorelli) 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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