Medicare Enrolled
Janine Forche, PA-C
Medical Physician Assistant · Lambertville, MI
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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 Forche 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 →
Are you Forche?
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What this data tells you about Forche
Janine Forche is a medical physician assistant in Lambertville, MI, with 19 years of NPI registration. Based on federal Medicare data, Forche performed 969 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Forche received a total of $6,634 from 39 pharmaceutical and/or device companies across 398 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 Forche 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 of NPI registration
▲ Top 9% volume in MI
$6,634 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗969
Medicare services
Top 9% in MI for medical physician assistant
Not available
Unique patients (not deduplicated)
$59
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 |
|---|---|---|---|
| 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. |
304 | $40 | $134 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
141 | $103 | $215 |
| 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. |
88 | $66 | $191 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
63 | $29 | $47 |
| 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. |
55 | $15 | $40 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
53 | $76 | $131 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
39 | $10 | $32 |
| 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. |
34 | $128 | $276 |
| 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. |
28 | $273 | $360 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
28 | $28 | $47 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
17 | $16 | $73 |
| Knee X-ray, 3 views An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures. |
16 | $18 | $63 |
| 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. |
15 | $14 | $52 |
| 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 | $129 | $272 |
| 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. |
13 | $7 | $35 |
| 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. |
13 | $76 | $247 |
| Lung cancer screening counseling visit A visit to discuss the need for lung cancer screening using a low-dose CT scan. This service is used to determine eligibility and facilitate shared decision making. |
13 | $23 | $85 |
| 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. |
12 | $12 | $48 |
| X-ray of hand, minimum of 3 views An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints. |
12 | $16 | $53 |
| 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 | $16 | $54 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$6,634
Total received (2021-2024)
Avg $1,659/year across 4 years
Top 6% in MI for medical physician assistant
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
39
Companies
398
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
$129
2023
$1,940
2022
$2,502
2021
$2,063
Payments by company (2024)
Exact Sciences Corporation
$90
Phadia US Inc.
$20
Dexcom, Inc.
$18
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2021-2024) ›
Corcept Therapeutics
$934
Novo Nordisk Inc
$750
AstraZeneca Pharmaceuticals LP
$672
ABBVIE INC.
$501
Lilly USA, LLC
$495
GlaxoSmithKline, LLC.
$296
AbbVie Inc.
$285
Exact Sciences Corporation
$228
PFIZER INC.
$226
Otsuka America Pharmaceutical, Inc.
$217
Biohaven Pharmaceutical Holding Company Ltd.
$217
Boehringer Ingelheim Pharmaceuticals, Inc.
$195
Amgen Inc.
$172
Axsome Therapeutics, Inc.
$157
Takeda Pharmaceuticals U.S.A., Inc.
$154
JAZZ PHARMACEUTICALS INC.
$134
Biohaven Pharmaceuticals, Inc.
$115
Janssen Pharmaceuticals, Inc
$95
Neurocrine Biosciences, Inc.
$94
Amarin Pharma Inc.
$87
Dexcom, Inc.
$68
Merck Sharp & Dohme LLC
$68
Sumitomo Pharma America, Inc.
$50
Bayer HealthCare Pharmaceuticals Inc.
$48
Bayer Healthcare Pharmaceuticals Inc.
$41
Teva Pharmaceuticals USA, Inc.
$37
Novartis Pharmaceuticals Corporation
$36
UPSHER-SMITH LABORATORIES LLC
$34
Phadia US Inc.
$33
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$30
Currax Pharmaceuticals LLC
$28
Merck Sharp & Dohme Corporation
$27
SANOFI-AVENTIS U.S. LLC
$26
Nestle HealthCare Nutrition Inc.
$18
IMPEL PHARMACEUTICALS INC.
$16
Abbott Laboratories
$13
kaleo, Inc.
$13
Genentech USA, Inc.
$13
Endogastric Solutions, Inc
$10
Top 3 companies account for 35.5% of all-time payments
Associated products mentioned in payments ›
ABILIFY MAINTENA · AJOVY · AREXVY · AUVI-Q · Aimovig · Auvelity · BREZTRI · COLOGUARD DNA CAPTURE REAGENTS · COMIRNATY · CONTRAVE · CREON · Cologuard Collection Kit · DIFICID · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · ESOPHYX · EVENITY · FARXIGA · FASENRA · FREESTYLE LIBRE 2 · GEMTESA · INGREZZA · ImmunoCAP · JANUVIA · JARDIANCE · Kerendia · Korlym · LINZESS · MOTEGRITY · MOUNJARO · NURTEC ODT · Ozempic · PREMARIN · PREVNAR 13 · PREVNAR 20 · QULIPTA · RELISTOR · REXULTI · RYBELSUS · Rybelsus · SHINGRIX · SOLIQUA 100/33 · STIOLTO RESPIMAT · SUNOSI · Saxenda · TOSYMRA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Trudhesa · UBRELVY · VRAYLAR · Vascepa · Wegovy · XARELTO · Xofluza · ZENPEP
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
Medical physician assistants in nearby ZIP areas
94
County median income
$75,272
Nearest hospital to ZIP centroid (approximate)
PROMEDICA TOLEDO HOSPITAL
5.6 mi
5.6 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
Forche is a clinical cardiology specialist, with above-average Medicare volume (top 9% in MI), 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 Forche experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Forche performed 304 office visit, established patient (20-29 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Forche receive payments from pharmaceutical companies?
Yes. Forche received a total of $6,634 from 39 companies across 398 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 Forche's costs compare to other medical physician assistants in Lambertville?
Forche's average Medicare payment per service is $59. 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 Forche) 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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