Medicare Enrolled
Dr. Stephen Hsieh, M.D.
Internal Medicine · Lexington, NC
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Hsieh 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. Hsieh
Dr. Stephen Hsieh is an internal medicine specialist in Lexington, NC, with 20 years of NPI registration. Based on federal Medicare data, Dr. Hsieh performed 2,591 Medicare services across 1,185 unique beneficiaries.
Between the years covered by Open Payments, Dr. Hsieh received a total of $17,000 from 78 pharmaceutical and/or device companies across 1040 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal 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. Hsieh 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 14% volume in NC
$17,000 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,591
Medicare services
Top 14% in NC for internal medicine
1,185
Unique beneficiaries
$54
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~130 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. |
853 | $80 | $240 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
425 | $46 | $62 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
240 | $1 | $3 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
193 | $36 | $50 |
| Annual alcohol misuse screening, 5 to 15 minutes | 140 | $17 | $25 |
| Annual depression screening | 133 | $17 | $25 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
105 | $123 | $130 |
| 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. |
74 | $106 | $320 |
| Complex chronic care management, first 60 minutes This service involves clinical staff time directed by a healthcare professional to manage two or more chronic conditions over a calendar month. It covers the first 60 minutes of this coordinated care effort. |
66 | $94 | $129 |
| 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. |
63 | $10 | $30 |
| Additional chronic care management time, 60 minutes This service covers an additional 60 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions, billed per calendar month. |
61 | $50 | $68 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
49 | $15 | $30 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
34 | $3 | $6 |
| 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. |
28 | $15 | $52 |
| 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. |
22 | $62 | $180 |
| 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. |
21 | $40 | $80 |
| Annual intensive behavioral therapy for cardiovascular disease, 15 minutes A yearly, in-person session focused on intensive behavioral therapy to help manage cardiovascular disease. The session lasts for 15 minutes and is conducted with the patient individually. |
21 | $24 | $30 |
| 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. |
19 | $76 | $315 |
| 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. |
16 | $157 | $225 |
| 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. |
15 | $38 | $42 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
13 | $32 | $48 |
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 ↗$17,000
Total received (2018-2024)
Avg $2,429/year across 7 years
Top 6% in NC for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
78
Companies
1,040
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
$16,912 (99.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$89 (0.5%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,832
2023
$2,125
2022
$2,883
2021
$3,584
2020
$2,001
2019
$2,762
2018
$1,812
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
PFIZER INC.
$272
Novo Nordisk Inc
$191
AstraZeneca Pharmaceuticals LP
$160
Otsuka America Pharmaceutical, Inc.
$155
Bayer Healthcare Pharmaceuticals Inc.
$145
ABBVIE INC.
$142
Lilly USA, LLC
$114
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$85
Baxter Healthcare
$80
Mylan Specialty L.P.
$60
GlaxoSmithKline, LLC.
$45
Lundbeck LLC
$42
Exact Sciences Corporation
$42
Amgen Inc.
$34
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$33
Grifols USA, LLC
$26
Daiichi Sankyo Inc.
$25
IDORSIA PHARMACEUTICALS US INC
$25
Phathom Pharmaceuticals, Inc.
$23
Esperion Therapeutics, Inc.
$22
E.R. Squibb & Sons, L.L.C.
$20
Sumitomo Pharma America, Inc.
$18
Merck Sharp & Dohme LLC
$17
Boehringer Ingelheim Pharmaceuticals, Inc.
$16
Collegium Pharmaceutical, Inc.
$16
Janssen Pharmaceuticals, Inc
$14
InSightec,Inc
$12
Top 3 companies account for 34.0% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$1,653
AstraZeneca Pharmaceuticals LP
$1,638
Lilly USA, LLC
$1,255
PFIZER INC.
$1,021
GlaxoSmithKline, LLC.
$874
ABBVIE INC.
$819
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$791
Boehringer Ingelheim Pharmaceuticals, Inc.
$685
Amgen Inc.
$683
Astellas Pharma US Inc
$625
Otsuka America Pharmaceutical, Inc.
$570
Biohaven Pharmaceuticals, Inc.
$483
SANOFI-AVENTIS U.S. LLC
$467
AbbVie Inc.
$399
Merck Sharp & Dohme Corporation
$340
Biohaven Pharmaceutical Holding Company Ltd.
$311
Daiichi Sankyo Inc.
$272
Eisai Inc.
$242
Philips Electronics North America Corporation
$226
Bayer Healthcare Pharmaceuticals Inc.
$216
Takeda Pharmaceuticals U.S.A., Inc.
$214
Mylan Specialty L.P.
$207
Kowa Pharmaceuticals America, Inc.
$201
PREVENTRIC DIAGNOSTICS, INC.
$200
Allergan, Inc.
$191
Bayer HealthCare Pharmaceuticals Inc.
$156
Baxter Healthcare
$113
Nestle HealthCare Nutrition Inc.
$109
Janssen Pharmaceuticals, Inc
$109
Genentech USA, Inc.
$106
Nevro Corp.
$95
Exact Sciences Corporation
$89
Paratek Pharmaceuticals, Inc.
$84
Abbott Laboratories
$83
Amarin Pharma Inc.
$83
Novartis Pharmaceuticals Corporation
$75
Ironwood Pharmaceuticals, Inc
$73
Sunovion Pharmaceuticals Inc.
$67
Boston Scientific Corporation
$65
Allergan Inc.
$62
AbbVie, Inc.
$61
Medtronic, Inc.
$54
Grifols USA, LLC
$48
Merck Sharp & Dohme LLC
$46
Axsome Therapeutics, Inc.
$44
Lundbeck LLC
$42
IDORSIA PHARMACEUTICALS US INC
$40
Avanir Pharmaceuticals, Inc.
$40
SANOFI PASTEUR INC.
$39
Circassia Pharmaceuticals Inc
$38
SCILEX PHARMACEUTICALS INC.
$38
FORTE BIO-PHARMA LLC
$33
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$33
Xeris Pharmaceuticals, Inc.
$31
Synergy Pharmaceuticals Inc
$28
Strongbridge US INC.
$26
Masimo Corporation
$26
CVRx, Inc.
$25
Medtronic USA, Inc.
$24
Medtronic MiniMed, Inc.
$24
Phathom Pharmaceuticals, Inc.
$23
DEXCOM, INC.
$22
Esperion Therapeutics, Inc.
$22
ITI, Inc.
$22
Valeritas, Inc.
$21
E.R. Squibb & Sons, L.L.C.
$20
EISAI INC.
$19
SI-BONE, Inc.
$19
Sumitomo Pharma America, Inc.
$18
INTRA-SANA LABORATORIES
$17
Supernus Pharmaceuticals, Inc.
$16
Collegium Pharmaceutical, Inc.
$16
Shire North American Group Inc
$15
Teva Pharmaceuticals USA, Inc.
$13
InSightec,Inc
$12
Kaleo, Inc.
$12
Purdue Pharma L.P.
$10
ARBOR PHARMACEUTICALS, INC.
$10
Top 3 companies account for 26.7% of all-time payments
Associated products mentioned in payments ›
(7999) SRC Und · (8874) inCourage · AIRSUPRA · ANORO · ANORO ELLIPTA · AUVI-Q · Aduhelm · Aimovig · AirDuo Digihaler · Amitiza · Auvelity · BASAGLAR · BELSOMRA · BPRO BT AMBULATORY BLOOD PRESSURE MONITORING SYSTEM · BREO · BREZTRI · BYDUREON · Barostim Neo System · Belbuca · CAPLYTA · CHANTIX · COLOGUARD · COMIRNATY · CREON · Cologuard Collection Kit · Creon · DEXCOM G6 TRANSMITTER · DIFICID · Dayvigo · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · Exablate · FARXIGA · FASENRA · FLUBLOK QUADRIVALENT · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FREESTYLE LIBRE 2 · FreeStyle Libre 2 · FreeStyle Lite system · GARDASIL 9 · GEMTESA · GENERAL PAIN MANAGEMENT · GVOKE HYPOPEN · GVOKE PFS · General - Pain Management · Hillrom - Carnation Ambulatory Monitor · Hillrom - Vest System Model 105 Home Care · Horizant · INJECTAFER · INTELLIS ADAPTIVESTIM · JANUVIA · JARDIANCE · KEVEYIS · KYPHON Balloon Kyphoplasty · Kerendia · LINZESS · LONHALA MAGNAIR · LUCEMYRA · LYRICA · Linzess · Livalo · MOUNJARO · MYRBETRIQ · Minimed 630G · Motegrity · Myrbetriq · NEXLETOL · NUEDEXTA · NURTEC ODT · NUZYRA · Omnia · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · PRALUENT · PREVNAR - 13 · PROCLAIM · PROLATE · Prolastin-C Liquid · Prolia · QULIPTA · QUVIVIQ · RELTONE 200 MG · REXULTI · RYBELSUS · Repatha · Rybelsus · SET and rainbow SET · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STIOLTO · STIOLTO RESPIMAT · SYMBICORT · SYMPROIC · Saxenda · Senza · TOUJEO · TOVIAZ · TRELEGY ELLIPTA · TRINTELLIX · TROKENDI XR · TRULANCE · TRULICITY · TUDORZA PRESSAIR · Tresiba · Trilogy 100 · Trintellix · Trulance · UBRELVY · V-GO · VIBERZI · VOQUEZNA · VRAYLAR · VYEPTI · VYVANSE · Vascepa · Victoza · Wegovy · XARELTO · XIFAXAN · Xofluza · Xolair · Xultophy 100/3.6 · YUPELRI · Yupelri · ZENPEP · ZTLido · iPro2 · inCourage
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 6% for internal medicine in NC.
Geographic Context
Internal medicine physicians within 10 mi
341
Per 100K population
199.3
County median income
$62,426
Nearest hospital
NOVANT HEALTH THOMASVILLE MEDICAL CENTER
10.4 mi
10.4 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. Hsieh is a clinical cardiology specialist, with above-average Medicare volume (top 14% in NC), with low-engagement industry engagement in the top 6% of NC 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. Hsieh experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Hsieh performed 853 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. Hsieh receive payments from pharmaceutical companies?
Yes. Dr. Hsieh received a total of $17,000 from 78 companies across 1,040 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. Hsieh's costs compare to other internal medicine physicians in Lexington?
Dr. Hsieh's average Medicare payment per service is $54. 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. Hsieh) 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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