Medicare Enrolled
Dr. Thomas Selznick, D.O.
Family Medicine · Livonia, 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. Selznick 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 Dr. Selznick?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Selznick
Dr. Thomas Selznick is a family medicine specialist in Livonia, MI, with 20 years of NPI registration. Based on federal Medicare data, Dr. Selznick performed 8,512 Medicare services across 4,142 unique beneficiaries.
Between the years covered by Open Payments, Dr. Selznick received a total of $10,990 from 66 pharmaceutical and/or device companies across 729 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. Selznick 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 1% volume in MI
$10,990 industry payments
Medicare Practice Summary
Medicare Utilization ↗8,512
Medicare services
Top 1% in MI for family medicine
4,142
Unique beneficiaries
$23
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~426 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 (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. |
676 | $94 | $292 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
576 | $8 | $16 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
552 | $8 | $20 |
| Erythrocyte sedimentation rate (ESR) test A blood test that measures how quickly red blood cells settle in a test tube to detect inflammation in the body. This specific method is performed manually rather than using an automated machine. |
548 | $4 | $18 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
517 | $10 | $31 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
469 | $7 | $30 |
| Phosphate level test A blood test that measures the amount of phosphate in your body. Phosphate is a mineral that helps keep bones and teeth strong. |
469 | $5 | $9 |
| Manual urinalysis with microscopic examination A urine test performed manually without automated equipment. The sample is examined under a microscope to check for abnormalities. |
368 | $4 | $8 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
326 | $13 | $40 |
| 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. |
326 | $67 | $206 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
295 | $4 | $13 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
251 | $15 | $60 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
251 | $14 | $30 |
| Cardiac enzyme level (CK-MB) test A blood test that measures the total level of creatine kinase, specifically the cardiac enzyme fraction, to help evaluate heart muscle damage. |
230 | $6 | $13 |
| 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. |
212 | $11 | $32 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
180 | $13 | $28 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
176 | $129 | $297 |
| Iron level test | 175 | $6 | $25 |
| Transferrin level test A blood test that measures the amount of transferrin, a protein that binds to and transports iron in the body. |
175 | $12 | $26 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
165 | $9 | $25 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
142 | $9 | $20 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
141 | $16 | $50 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
107 | $6 | $12 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
100 | $31 | $50 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
99 | $28 | $60 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
95 | $5 | $11 |
| 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. |
95 | $70 | $122 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
87 | $1 | $20 |
| Urine culture, bacterial colony count A laboratory test that measures the number of bacteria growing in a urine sample to help identify infections. |
78 | $8 | $16 |
| Routine 12-lead electrocardiogram (ECG) A test that records the electrical activity of the heart using at least 12 leads to produce a tracing. |
74 | $5 | $16 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
70 | $9 | $39 |
| Parathyroid hormone level test A blood test that measures the amount of parathyroid hormone in your body. This hormone helps regulate calcium levels in the blood and bones. |
55 | $40 | $83 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
48 | $55 | $147 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
46 | $18 | $40 |
| PSA test (prostate cancer screening) | 33 | $18 | $40 |
| Free PSA test A blood test that measures the amount of unbound prostate-specific antigen in the blood. |
31 | $18 | $37 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
25 | $31 | $50 |
| Natriuretic peptide level test A blood test that measures the level of natriuretic peptide, a protein produced by the heart and blood vessels. |
24 | $38 | $79 |
| Total testosterone level test A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women. |
23 | $25 | $52 |
| Automated red blood cell count An automated laboratory test that measures the number of red blood cells in a blood sample. |
23 | $4 | $8 |
| Antibiotic sensitivity test A laboratory test that determines which antibiotics, antifungals, or antivirals are effective against a specific microorganism using microdilution or agar dilution methods. |
23 | $8 | $17 |
| Sex hormone binding globulin level test A blood test that measures the level of sex hormone binding globulin, a protein that binds to sex hormones in the bloodstream. |
21 | $21 | $43 |
| Albumin level test A blood test that measures the amount of albumin, a protein made by the liver, in your body. |
20 | $5 | $10 |
| 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. |
19 | $46 | $128 |
| Direct bilirubin level test A blood test that measures the amount of direct bilirubin in your body. Direct bilirubin is the form of the waste product processed by the liver. |
18 | $5 | $10 |
| 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. |
17 | $164 | $467 |
| Glutamyltransferase (GGT) level test A blood test that measures the level of the liver enzyme glutamyltransferase (GGT) to help evaluate liver health. |
14 | $7 | $14 |
| Destruction of precancerous skin growth, 1 Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer. |
12 | $42 | $154 |
| Pneumococcal vaccine, 23-valent A vaccine that protects against 23 types of pneumococcal bacteria. It is used to prevent infections caused by these bacteria. |
12 | $131 | $228 |
| 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. |
12 | $167 | $377 |
| 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. |
11 | $222 | $632 |
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 ↗$10,990
Total received (2018-2024)
Avg $1,570/year across 7 years
Top 3% in MI for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
66
Companies
729
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
$10,840 (98.6%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$150 (1.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,946
2023
$1,787
2022
$1,809
2021
$1,707
2020
$1,181
2019
$1,175
2018
$1,386
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Lilly USA, LLC
$287
AstraZeneca Pharmaceuticals LP
$283
Novo Nordisk Inc
$275
ABBVIE INC.
$158
Bayer Healthcare Pharmaceuticals Inc.
$100
Amgen Inc.
$84
GlaxoSmithKline, LLC.
$70
Abbott Laboratories
$69
PFIZER INC.
$66
Sumitomo Pharma America, Inc.
$64
Exact Sciences Corporation
$61
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$48
Astellas Pharma US Inc
$38
Lundbeck LLC
$36
Pulmonx Corporation
$33
Phathom Pharmaceuticals, Inc.
$32
Boehringer Ingelheim Pharmaceuticals, Inc.
$28
Otsuka America Pharmaceutical, Inc.
$26
Actelion Pharmaceuticals US, Inc.
$22
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$20
ALK-Abello, Inc
$20
SHIELD THERAPEUTICS INC
$18
Antares Pharma, Inc.
$17
Cranial Technologies, Inc
$16
IBSA Pharma Inc.
$16
Currax Pharmaceuticals LLC
$16
Teva Pharmaceuticals USA, Inc.
$15
Esperion Therapeutics, Inc.
$15
AIMMUNE THERAPEUTICS, INC.
$13
Top 3 companies account for 43.5% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$1,961
Lilly USA, LLC
$1,089
Janssen Pharmaceuticals, Inc
$699
Boehringer Ingelheim Pharmaceuticals, Inc.
$560
PFIZER INC.
$522
AstraZeneca Pharmaceuticals LP
$513
Amgen Inc.
$505
SANOFI-AVENTIS U.S. LLC
$447
GlaxoSmithKline, LLC.
$420
Abbott Laboratories
$293
ABBVIE INC.
$242
Nestle HealthCare Nutrition Inc.
$236
Teva Pharmaceuticals USA, Inc.
$233
AbbVie Inc.
$222
Merck Sharp & Dohme Corporation
$217
Astellas Pharma US Inc
$195
Bayer Healthcare Pharmaceuticals Inc.
$189
Bayer HealthCare Pharmaceuticals Inc.
$185
Otsuka America Pharmaceutical, Inc.
$163
COMSORT, Inc
$150
Merck Sharp & Dohme LLC
$144
Novartis Pharmaceuticals Corporation
$119
Exact Sciences Corporation
$104
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$100
Esperion Therapeutics, Inc.
$93
Allergan, Inc.
$87
Biohaven Pharmaceuticals, Inc.
$81
Sunovion Pharmaceuticals Inc.
$65
Dexcom, Inc.
$65
Sumitomo Pharma America, Inc.
$64
Currax Pharmaceuticals LLC
$64
IBSA Pharma Inc.
$56
Adlon Therapeutics L.P.
$53
Ironshore Pharmaceuticals Inc.
$52
Phathom Pharmaceuticals, Inc.
$50
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$48
EISAI INC.
$40
SANOFI PASTEUR INC.
$37
Genentech USA, Inc.
$36
Lundbeck LLC
$36
ALK-Abello, Inc
$35
Pulmonx Corporation
$33
Amarin Pharma Inc.
$33
Shire North American Group Inc
$32
West-Ward Pharmaceuticals
$30
DEXCOM, INC.
$28
Horizon Therapeutics plc
$27
Supernus Pharmaceuticals, Inc.
$26
Neurocrine Biosciences, Inc.
$23
Actelion Pharmaceuticals US, Inc.
$22
Circassia Pharmaceuticals Inc
$21
NESTLE HEALTHCARE NUTRITION INC.
$20
Sanofi Pasteur Inc.
$20
Allergan Inc.
$20
IDORSIA PHARMACEUTICALS US INC
$19
Ferring Pharmaceuticals Inc.
$19
Medtronic, Inc.
$18
SHIELD THERAPEUTICS INC
$18
Antares Pharma, Inc.
$17
Cranial Technologies, Inc
$16
Eisai Inc.
$15
Alfasigma USA, Inc.
$15
Bausch Health US, LLC
$14
AIMMUNE THERAPEUTICS, INC.
$13
Synergy Pharmaceuticals Inc
$12
Kowa Pharmaceuticals America, Inc.
$12
Top 3 companies account for 34.1% of all-time payments
Associated products mentioned in payments ›
ABILIFY ASIMTUFII · ACCRUFER · ADHANSIA XR · AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · Aimovig · AirDuo Digihaler · BELSOMRA · BREO · BREZTRI · BREZTRI AEROSPHERE · Belviq · CAPLYTA · CHANTIX · CHARTIS CATHETER · CONTRAVE · Cologuard Collection Kit · DEXCOM G6 TRANSMITTER · Dexcom G6 Transmitter · Doc Band · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EUFLEXXA · EVENITY · FARXIGA · FASENRA · FIASP · FLUBLOK QUADRIVALENT · FLUMIST QUADRIVALENT · FLUZONE HIGH-DOSE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · GEMTESA · INGREZZA · INVOKANA · JANUVIA · JARDIANCE · Jornay PM 20mg capsules (Bottle of 100) · Kerendia · LATUDA · LEQVIO · LINZESS · LYRICA · Levemir · Livalo · MOUNJARO · MYDAYIS · MYRBETRIQ · Minimed 770G System · Mitigare · NEXLETOL · NUCALA · NURTEC ODT · OFEV · OPSUMIT · Odactra · Otezla · Ozempic · PAXLOVID · PENNSAID · PNEUMOVAX 23 · PREVNAR - 13 · PREVNAR 13 · Prolia · QULIPTA · QUVIVIQ · QVAR · REXULTI · RYBELSUS · Rybelsus · SHINGRIX · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STEGLATRO · STIOLTO RESPIMAT · SYMBICORT · SYNJARDY · Saxenda · TLANDO · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · TUDORZA PRESSAIR · Tirosint · Tresiba · Trulance · UBRELVY · VIBERZI · VOQUEZNA · VRAYLAR · VYNDAMAX · VYVANSE · Vascepa · Veozah · Victoza · WELLBUTRIN · XARELTO · XIFAXAN · XYOSTED · Xofluza · ZENPEP
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. Total industry engagement is in the top 3% for family medicine in MI.
Geographic Context
Family medicine physicians within 10 mi
2,009
Per 100K population
113.3
County median income
$59,521
Nearest hospital
ST JOE MERCY HOSPITAL SYSTEM LIVONIA
1.9 mi
1.9 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. Selznick is a mixed practice specialist, with above-average Medicare volume (top 1% in MI), with low-engagement industry engagement in the top 3% 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. Selznick experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Selznick performed 676 office visit, established patient (30-39 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. Selznick receive payments from pharmaceutical companies?
Yes. Dr. Selznick received a total of $10,990 from 66 companies across 729 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. Selznick's costs compare to other family medicine physicians in Livonia?
Dr. Selznick's average Medicare payment per service is $23. 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. Selznick) 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 →
Explore related providers
Specialty guide
Understanding Family Medicine
Common procedures, typical costs, and what industry payments mean in family medicine.
Same specialty & city
Family Medicine Physicians in Livonia
Browse family medicine physicians in Livonia ranked by procedure volume and transparency data.
Highest volume
Top Family Medicine Physicians in MI
Family medicine physicians ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Family Medicine Physicians in MI
Which MI family medicine physicians receive the most from drug and device companies.
By company
Novo Nordisk Inc Payments to Doctors
See all physicians who received payments from Novo Nordisk Inc.
By company
Lilly USA, LLC Payments to Doctors
See all physicians who received payments from Lilly USA, LLC.
By company
Janssen Pharmaceuticals, Inc Payments to Doctors
See all physicians who received payments from Janssen Pharmaceuticals, Inc.
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.
Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology