Medicare Enrolled
Dr. Steven Manuli, MD
Sleep Medicine (Internal Medicine) Physician · Elizabeth City, NC
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Speaking/Promotional
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. Manuli 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. Manuli
Dr. Steven Manuli is a sleep medicine physician in Elizabeth City, NC, with 21 years of NPI registration. Based on federal Medicare data, Dr. Manuli performed 5,079 Medicare services across 3,351 unique beneficiaries.
Between the years covered by Open Payments, Dr. Manuli received a total of $232,215 from 67 pharmaceutical and/or device companies across 1527 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in sleep medicine (internal medicine) physician. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Manuli 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.
✓ 21 years in practice
▲ Top 6% volume in NC
$232,215 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,079
Medicare services
Top 6% in NC for sleep medicine (internal medicine) physician
3,351
Unique beneficiaries
$61
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~242 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 (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. |
1,425 | $55 | $158 |
| 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. |
1,012 | $76 | $213 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
684 | $124 | $145 |
| Annual depression screening | 633 | $18 | $50 |
| 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. |
346 | $9 | $40 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
153 | $3 | $10 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
125 | $0 | $0 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
108 | $16 | $30 |
| COVID-19 immunoassay detection test A laboratory test that uses an immunoassay method to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) through direct visual observation. |
65 | $41 | $50 |
| 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. |
65 | $194 | $300 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
64 | $14 | $50 |
| 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. |
39 | $9 | $35 |
| 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. |
35 | $159 | $200 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
34 | $35 | $118 |
| 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. |
34 | $23 | $85 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
31 | $56 | $169 |
| 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. |
31 | $149 | $247 |
| 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. |
30 | $156 | $250 |
| Electrocardiogram, 1-3 leads with physician review A heart rhythm test using one to three electrodes to record electrical activity, with interpretation by a physician. |
19 | $10 | $40 |
| Awake and drowsy EEG A test that records electrical activity in the brain while the patient is awake and drowsy. |
19 | $289 | $547 |
| Visual evoked potential test A test that measures how quickly electrical signals travel from the eye to the brain in response to visual stimuli. |
19 | $50 | $180 |
| Digital analysis of brain wave activity (EEG) This procedure involves the digital analysis of brain wave activity recorded via an electroencephalogram (EEG). It focuses on the technical interpretation of the digital data rather than the initial recording or supervision. |
19 | $205 | $497 |
| Neuropsychological test evaluation, first hour A professional assessment of cognitive and behavioral functioning using standardized tests. This service covers the initial hour of the evaluation process. |
19 | $101 | $150 |
| Psychological test administration, first 30 minutes A technician administers psychological or neuropsychological testing for the first 30 minutes. |
19 | $23 | $75 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
19 | $131 | $237 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
19 | $40 | $85 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
13 | $15 | $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. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$232,215
Total received (2018-2024)
Avg $33,174/year across 7 years
Top 5% in NC for sleep medicine (internal medicine) physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
67
Companies
1,527
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.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$202,772 (87.3%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$18,883 (8.1%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$10,560 (4.5%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$40,677
2023
$83,308
2022
$62,936
2021
$5,139
2020
$15,737
2019
$21,398
2018
$3,019
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Corcept Therapeutics
$37,980
AstraZeneca Pharmaceuticals LP
$357
Novo Nordisk Inc
$304
JAZZ PHARMACEUTICALS INC.
$296
Amgen Inc.
$283
ABBVIE INC.
$238
Lilly USA, LLC
$226
Bayer Healthcare Pharmaceuticals Inc.
$167
GlaxoSmithKline, LLC.
$98
Xeris Pharmaceuticals, Inc.
$84
Exact Sciences Corporation
$62
PFIZER INC.
$59
Avadel CNS Pharmaceuticals, LLC
$53
Mylan Specialty L.P.
$48
Merck Sharp & Dohme LLC
$45
Kyowa Kirin, Inc.
$41
Axsome Therapeutics, Inc.
$32
Takeda Pharmaceuticals U.S.A., Inc.
$32
Inspire Medical Systems, Inc.
$31
Boehringer Ingelheim Pharmaceuticals, Inc.
$29
Radius Health, Inc.
$27
HARMONY BIOSCIENCES LLC
$24
Harmony Biosciences Llc
$23
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$22
CashFlow Solutions, LLC
$18
Novartis Pharmaceuticals Corporation
$18
Phathom Pharmaceuticals, Inc.
$18
Sumitomo Pharma America, Inc.
$17
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$15
Abbott Laboratories
$14
Azurity Pharmaceuticals, Inc.
$14
Top 3 companies account for 95.0% of 2024 payments
All-time payments by company (2018-2024) ›
Corcept Therapeutics
$135,339
IDORSIA PHARMACEUTICALS US INC
$33,895
JAZZ PHARMACEUTICALS INC.
$16,599
Axsome Therapeutics, Inc.
$10,593
PFIZER INC.
$9,814
Jazz Pharmaceuticals Inc.
$5,112
Harmony Biosciences LLC
$4,020
Novo Nordisk Inc
$2,545
AstraZeneca Pharmaceuticals LP
$1,839
Amgen Inc.
$1,702
ABBVIE INC.
$1,084
Lilly USA, LLC
$897
Janssen Pharmaceuticals, Inc
$806
Boehringer Ingelheim Pharmaceuticals, Inc.
$779
Novartis Pharmaceuticals Corporation
$731
SANOFI-AVENTIS U.S. LLC
$710
GlaxoSmithKline, LLC.
$561
Merck Sharp & Dohme Corporation
$465
Takeda Pharmaceuticals U.S.A., Inc.
$444
Astellas Pharma US Inc
$423
Bayer Healthcare Pharmaceuticals Inc.
$327
AbbVie Inc.
$307
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$271
Teva Pharmaceuticals USA, Inc.
$256
Allergan Inc.
$219
Mylan Specialty L.P.
$188
Bayer HealthCare Pharmaceuticals Inc.
$185
Biohaven Pharmaceuticals, Inc.
$180
Allergan, Inc.
$175
Amarin Pharma Inc.
$165
Kowa Pharmaceuticals America, Inc.
$147
Avadel CNS Pharmaceuticals, LLC
$146
AbbVie, Inc.
$104
Abbott Laboratories
$104
Sunovion Pharmaceuticals Inc.
$87
Xeris Pharmaceuticals, Inc.
$84
Exact Sciences Corporation
$77
Merck Sharp & Dohme LLC
$74
Insulet Corporation
$61
Upsher-Smith Laboratories LLC
$57
Eisai Inc.
$57
Dexcom, Inc.
$46
Kyowa Kirin, Inc.
$41
Sumitomo Pharma America, Inc.
$39
EISAI INC.
$33
E.R. Squibb & Sons, L.L.C.
$32
Biohaven Pharmaceutical Holding Company Ltd.
$31
Inspire Medical Systems, Inc.
$31
Radius Health, Inc.
$27
HARMONY BIOSCIENCES LLC
$24
Harmony Biosciences Llc
$23
ARBOR PHARMACEUTICALS, INC.
$22
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$22
Smith+Nephew, Inc.
$19
CashFlow Solutions, LLC
$18
Horizon Therapeutics plc
$18
Phathom Pharmaceuticals, Inc.
$18
Orexigen Therapeutics, Inc.
$18
Synergy Pharmaceuticals Inc
$16
UPSHER-SMITH LABORATORIES LLC
$15
Medtronic MiniMed, Inc.
$15
Daiichi Sankyo Inc.
$15
Arbor Pharmaceuticals, Inc.
$14
ITI, Inc.
$14
Azurity Pharmaceuticals, Inc.
$14
Aytu BioScience, Inc
$11
Shire North American Group Inc
$11
Top 3 companies account for 80.0% of all-time payments
Associated products mentioned in payments ›
AIMOVIG · AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · AUSTEDO · Aimovig · Amitiza · Androgel · BASAGLAR · BELSOMRA · BREO · BREZTRI · BYDUREON · BYSTOLIC · Belviq · CAPLYTA · CHANTIX · COLOGUARD · COMIRNATY · CONTRAVE · Cologuard Collection Kit · Crysvita · DIABETES - DISEASE · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EVENITY · Edarbyclor · FARXIGA · FASENRA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre blood glucose Flash Monitoring System · GARDASIL · GARDASIL 9 · GEMTESA · HORIZANT · Horizant · INSPIRE · INVOKANA · JANUVIA · JARDIANCE · Kerendia · Korlym · LEQVIO · LINZESS · LUMRYZ · LYMPHA PRESS OPTIMAL PLUS(US) BT · LYRICA · Livalo · MOUNJARO · MYRBETRIQ · Minimed 630G · Movantik · Myrbetriq · NAMZARIC · NEXPLANON · NUCALA · NURTEC ODT · Natesto · Omnipod · Otezla · Ozempic · PAXLOVID · PICO Single Use Negative Pressure Wound Therapy · PNEUMOVAX 23 · PREMARIN · PREVNAR 13 · PREVNAR 20 · Prolia · QULIPTA · QUVIVIQ · RAYOS · RECORLEV · REYVOW · RYBELSUS · Repatha · Rybelsus · SEGLENTIS · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STEGLATRO · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · SYNTHROID · Saxenda · Sunosi · Synthroid · TOSYMRA · TOSYMRA SUMATRIPTAN NASAL SPRAY · TOUJEO · TOVIAZ · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Tresiba · Trintellix · Trulance · Tymlos · UBRELVY · VERQUVO · VESICARE · VIBERZI · VOQUEZNA · VRAYLAR · VYVANSE · Vascepa · Veozah · Victoza · Vyvanse · WAKIX · Wakix · Wegovy · XARELTO · XIFAXAN · XYREM · XYWAV · Xultophy 100/3.6 · Xyrem · YUPELRI · Yupelri
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 →
The majority of payments (87%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in sleep medicine (internal medicine) physician and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 5% for sleep medicine (internal medicine) physician in NC.
Geographic Context
Sleep medicine physicians within 10 mi
1
Per 100K population
2.4
County median income
$63,912
Nearest hospital
SENTARA ALBEMARLE MEDICAL CENTER
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. Manuli is a clinical cardiology specialist, with above-average Medicare volume (top 6% in NC), with speaking/promotional industry engagement in the top 5% of NC peers, with 21 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. Manuli experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Manuli performed 1,425 office visit, established patient (20-29 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. Manuli receive payments from pharmaceutical companies?
Yes. Dr. Manuli received a total of $232,215 from 67 companies across 1,527 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. Manuli's costs compare to other sleep medicine physicians in Elizabeth City?
Dr. Manuli's average Medicare payment per service is $61. 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. Manuli) 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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