Medicare Enrolled

Alexsandra Lachance, MSN, APRN, FNP-C

Nurse Practitioner - Family · West Bloomfield, MI
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
2300 HAGGERTY RD STE 2000, West Bloomfield, MI 48323
2486249900
Registered in NPPES since 2021
NPI: 1023788445 verify on NPPES ↗
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 Lachance 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 Lachance

Alexsandra Lachance is a nurse practitioner - family in West Bloomfield, MI, with 4 years of NPI registration. Based on federal Medicare data, Lachance performed 116 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Lachance received a total of $1,613 from 22 pharmaceutical and/or device companies across 58 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 Lachance 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.

✓ 4 years of NPI registration ▲ 116 Medicare services $1,613 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
116
Medicare services
Bottom 37% in MI for nurse practitioner - family
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
Not available
Unique patients (not deduplicated)
$45
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
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.
34 $2 $6
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.
31 $87 $149
Lower leg neurostimulator electrode insertion
A procedure to place an electrode in the lower leg for neurostimulation therapy.
29 $80 $200
Bladder ultrasound after voiding
An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder.
22 $8 $30
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 ↗
$1,613
Total received (2021-2024)
Avg $403/year across 4 years
Top 18% in MI for nurse practitioner - family
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
22
Companies
58
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
$545
2023
$992
2022
$47
2021
$30

Payments by company (2024)

Bayer Healthcare Pharmaceuticals Inc.
$136
Antares Pharma, Inc.
$116
COLOPLAST CORP
$48
Sumitomo Pharma America, Inc.
$46
Axonics, Inc.
$44
Endo Pharmaceuticals Inc.
$38
Verity Pharmaceuticals Inc.
$33
UROGEN PHARMA, INC.
$21
Endo USA, Inc.
$21
IMMUNITYBIO, INC.
$15
180 Medical, Inc.
$15
Avation Medical, Inc.
$13
Top 3 companies account for 54.9% of 2024 payments
All-time payments by company (2021-2024) ›
Axonics, Inc.
$227
Myriad Genetic Laboratories, Inc.
$155
AstraZeneca Pharmaceuticals LP
$143
Supernus Pharmaceuticals, Inc.
$141
Bayer Healthcare Pharmaceuticals Inc.
$136
Antares Pharma, Inc.
$116
Coloplast Corp
$103
Janssen Biotech, Inc.
$102
Sumitomo Pharma America, Inc.
$76
Endo Pharmaceuticals Inc.
$57
180 Medical, Inc.
$53
COLOPLAST CORP
$48
Dexcom, Inc.
$47
Dendreon Pharmaceuticals LLC
$34
Verity Pharmaceuticals Inc.
$33
DEXCOM, INC.
$30
Merck Sharp & Dohme LLC
$26
UROGEN PHARMA, INC.
$21
Endo USA, Inc.
$21
Medtronic, Inc.
$18
IMMUNITYBIO, INC.
$15
Avation Medical, Inc.
$13
Top 3 companies account for 32.5% of all-time payments
Associated products mentioned in payments ›
ANKTIVA · Axonics · DEXCOM G6 TRANSMITTER · Dexcom G6 Transmitter · ERLEADA · GEMTESA · GENTLECATH · INTERSTIM · JELMYTO · KEYTRUDA · LYNPARZA · MYRISK · Nubeqa · PROVENGE · Porges Coloplast · SpeediCath · TLANDO · Tlando · Vivally · XIAFLEX · XYOSTED
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 →
Looking for a nurse practitioner - family in West Bloomfield?
Compare family nurse practitioners in the West Bloomfield area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family nurse practitioners in nearby ZIP areas
1,765
County median income
$95,296
Nearest hospital to ZIP centroid (approximate)
HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL
2.3 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

Lachance is a clinical cardiology specialist, with moderate Medicare volume.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Lachance experienced with automated urinalysis?
Based on Medicare claims data, Lachance performed 34 automated urinalysis services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Lachance receive payments from pharmaceutical companies?
Yes. Lachance received a total of $1,613 from 22 companies across 58 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 Lachance's costs compare to other family nurse practitioners in West Bloomfield?
Lachance's average Medicare payment per service is $45. 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 Lachance) 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 →
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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →