Medicare Enrolled
Dr. Samir Elian, M.D.
Cardiovascular Disease · Flint, MI
Practice pattern: Remote & Cardiac
— Practice combining remote and cardiac services
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. Elian 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. Elian
Dr. Samir Elian is a cardiovascular disease specialist in Flint, MI, with 20 years of NPI registration. Based on federal Medicare data, Dr. Elian performed 5,199 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Elian received a total of $10,719 from 39 pharmaceutical and/or device companies across 391 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 Dr. Elian 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 of NPI registration
▲ Top 5% volume in MI
$10,719 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗5,199
Medicare services
Top 5% in MI for cardiovascular disease
Not available
Unique patients (not deduplicated)
$72
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 |
|---|---|---|---|
| Remote monitoring of implantable heart rhythm device Evaluation of data transmitted remotely from an implantable cardiovascular monitor, such as a loop recorder or subcutaneous cardiac rhythm monitor, over a period up to 30 days. |
750 | $53 | $140 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
461 | $42 | $90 |
| 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. |
449 | $86 | $220 |
| Remote cardiac rhythm monitor evaluation, up to 30 days Review and analysis of data from a remote cardiac rhythm monitoring system over a period of up to 30 days. |
404 | $19 | $60 |
| 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. |
388 | $59 | $162 |
| Remote monitoring of implantable heart device, up to 30 days Remote evaluation of an implanted heart or blood vessel monitoring system over a period of up to 30 days. |
352 | $19 | $59 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
346 | $95 | $325 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
295 | $38 | $85 |
| Technetium Tc-99m sestamibi diagnostic injection A diagnostic injection of technetium Tc-99m sestamibi used for imaging studies. |
252 | $100 | $247 |
| 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. |
198 | $61 | $149 |
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
182 | $15 | $72 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
126 | $312 | $965 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review. |
126 | $46 | $149 |
| Remote evaluation of implantable defibrillator system Remote assessment of a single, dual, or multiple lead implantable defibrillator system within 90 days of the previous evaluation. |
120 | $27 | $142 |
| 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. |
101 | $9 | $45 |
| Remote pacemaker monitoring, 90 days Remote assessment of a pacemaker system, including single, dual, multiple lead, or leadless devices, performed up to 90 days apart. |
64 | $21 | $72 |
| 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. |
64 | $134 | $421 |
| 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. |
52 | $100 | $292 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
38 | $19 | $58 |
| Continuous ECG monitoring with symptom tracking, up to 30 days This procedure involves continuous electrocardiogram monitoring for up to 30 days. It includes symptom monitoring to correlate heart activity with patient-reported events. |
38 | $6 | $25 |
| Continuous ECG monitoring with transmission and review Continuous electrocardiogram monitoring for up to 30 days with symptom tracking. The data is transmitted and reviewed by a healthcare professional who provides a report. |
38 | $18 | $58 |
| 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. |
36 | $126 | $409 |
| 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. |
31 | $89 | $279 |
| Cardiac catheterization | 28 | $185 | $725 |
| 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. |
28 | $135 | $479 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
28 | $34 | $175 |
| Emergency department visit, high complexity An emergency department visit involving a high level of medical decision making. |
26 | $137 | $376 |
| 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. |
25 | $112 | $337 |
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
24 | $6 | $25 |
| Emergency department visit, moderate complexity An emergency department visit for an established or new patient involving a moderate level of medical decision making. |
24 | $94 | $247 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
23 | $19 | $100 |
| 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. |
22 | $173 | $511 |
| Insertion of implantable heart rhythm monitor A small device is placed under the skin to continuously record the heart's electrical activity. This helps detect irregular heart rhythms that may not appear during a standard office visit. |
16 | $3,160 | $10,861 |
| Coronary stent placement A procedure to insert a stent into a coronary artery or its branch to keep it open, using balloon dilation during the process. |
16 | $435 | $1,296 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
14 | $59 | $188 |
| Emergency department visit, low level of medical decision making An emergency department visit for a patient requiring a low level of medical decision making. |
14 | $56 | $130 |
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.
14.8% high complexity
21.3% medium
63.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$10,719
Total received (2018-2024)
Avg $1,531/year across 7 years
Top 23% in MI for cardiovascular disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
39
Companies
391
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
$1,535
2023
$1,896
2022
$1,309
2021
$914
2020
$2,999
2019
$1,268
2018
$799
Payments by company (2024)
Novartis Pharmaceuticals Corporation
$382
Boston Scientific Corporation
$191
Merck Sharp & Dohme LLC
$170
Amgen Inc.
$110
PFIZER INC.
$99
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$93
Kestra Medical Technology Services, Inc.
$76
Novo Nordisk Inc
$65
SCPHARMACEUTICALS INC.
$41
Alnylam Pharmaceuticals Inc.
$41
CORDIS US CORP.
$39
Kiniksa Pharmaceuticals International, plc
$37
Vital Connect, Inc
$36
E.R. Squibb & Sons, L.L.C.
$34
Janssen Pharmaceuticals, Inc
$29
Daiichi Sankyo Inc.
$23
Boehringer Ingelheim Pharmaceuticals, Inc.
$21
Lexicon Pharmaceuticals, Inc.
$18
Inari Medical, Inc.
$18
VivaQuant Inc, dba Rhythm Express
$12
Top 3 companies account for 48.4% of 2024 payments
All-time payments by company (2018-2024) ›
Medtronic Vascular, Inc.
$3,792
Novartis Pharmaceuticals Corporation
$1,217
Boston Scientific Corporation
$926
Amgen Inc.
$579
Merck Sharp & Dohme LLC
$486
BIOTRONIK INC.
$464
Actelion Pharmaceuticals US, Inc.
$389
PFIZER INC.
$262
AstraZeneca Pharmaceuticals LP
$247
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$243
Cook Medical LLC
$236
Janssen Pharmaceuticals, Inc
$233
BOSTON SCIENTIFIC CORPORATION
$193
E.R. Squibb & Sons, L.L.C.
$136
Merck Sharp & Dohme Corporation
$132
Esperion Therapeutics, Inc.
$128
GlaxoSmithKline, LLC.
$125
Kiniksa Pharmaceuticals, Ltd.
$103
Alnylam Pharmaceuticals Inc.
$90
Kestra Medical Technology Services, Inc.
$90
CORDIS US CORP.
$82
Getinge USA Sales, LLC
$73
Novo Nordisk Inc
$65
SCPHARMACEUTICALS INC.
$59
Inari Medical, Inc.
$51
Kiniksa Pharmaceuticals International, plc
$37
Vital Connect, Inc
$36
Medtronic, Inc.
$35
Amarin Pharma Inc.
$24
Daiichi Sankyo Inc.
$23
Cardinal Health 200 LLC
$21
Boehringer Ingelheim Pharmaceuticals, Inc.
$21
Cardiovascular Systems Inc.
$21
Astellas Pharma US Inc
$21
Abbott Laboratories
$18
Lexicon Pharmaceuticals, Inc.
$18
ABIOMED
$17
Bardy Diagnostics, Inc.
$13
VivaQuant Inc, dba Rhythm Express
$12
Top 3 companies account for 55.4% of all-time payments
Associated products mentioned in payments ›
ADVANCE · Acticor 7 VR-T DX · Advance · Advisa · Amplia MRI · Arcalyst · Assure WCD · Azure · BRILINTA · BodyGuardian · CAMZYOS · CARDIOSAVE HYBRID · COOK MEDICAL ANGIOPLASTY · Carnation Ambulatory Monitor · CoreValve Evolut · Corlanor · Diamondback Peripheral · ELIQUIS · EMBLEM · EMBLEM MRI S-ICD · EMBLEM S-ICD ELECTRODE DELIVERY SYSTEM · ENTRESTO · FARXIGA · FLOWTRIEVER CATHETER · FUROSCIX · Fusion Bioline Supported Vascular Grafts · GENERAL THERAPIES · General - Therapies · HeartMate 3 Left Ventricular Assist Device · INFINITI · INJECTAFER · Impella · JARDIANCE · LEQVIO · LEXISCAN · LINQ II · LUX-DX · LUX-Dx Insertable Cardiac Monitor · LifeVest · MYNXGRIP · Micra · NEXLETOL · ONPATTRO · OPSUMIT · Ozempic · RAIN SHEATH · RESONATE · RESONATE EL ICD VR · Repatha · Resolute · Reveal LINQ · Rhythm Express · Rivacor · Rybelsus · S · SQ-RX PULSE GENERATOR · Solia · TYPE B PLUG · TYRX · VERQUVO · VITALPATCH RTM · VYNDAQEL · Vascepa · Visia AF · WATCHMAN Access System · WATCHMAN FLX · Wegovy · XARELTO · Zilver Vena · myLUX Patient Kit with mobile device
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
Cardiologists in nearby ZIP areas
34
County median income
$60,673
Nearest hospital to ZIP centroid (approximate)
MCLAREN FLINT
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
Dr. Elian is a remote & cardiac specialist, with above-average Medicare volume (top 5% in MI), 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. Elian experienced with remote monitoring of implantable heart rhythm device?
Based on Medicare claims data, Dr. Elian performed 750 remote monitoring of implantable heart rhythm device services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Elian receive payments from pharmaceutical companies?
Yes. Dr. Elian received a total of $10,719 from 39 companies across 391 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 Dr. Elian's costs compare to other cardiologists in Flint?
Dr. Elian's average Medicare payment per service is $72. 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. Elian) 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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