Medicare Enrolled

Dr. Carlos Sagebien, M.D.

Orthopedic Surgery · Somerset, NJ
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Speaking/Promotional
2 WORLDS FAIR DR, Somerset, NJ 08873
7325370909
In practice since 2005 (20 years)
NPI: 1538142666 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 Dr. Sagebien 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. Sagebien

Dr. Carlos Sagebien is an orthopedic surgery specialist in Somerset, NJ, with 20 years of NPI registration. Based on federal Medicare data, Dr. Sagebien performed 639 Medicare services across 518 unique beneficiaries.

Between the years covered by Open Payments, Dr. Sagebien received a total of $39,877 from 15 pharmaceutical and/or device companies across 62 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. 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. Sagebien 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 ▲ 639 Medicare services $39,877 industry payments

Medicare Practice Summary

Medicare Utilization ↗
639
Medicare services
Bottom 30% in NJ for orthopedic surgery
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
518
Unique beneficiaries
$227
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~32 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.
114 $72 $255
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
90 $68 $239
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.
89 $36 $213
X-ray of thigh bone, minimum 2 views
An X-ray imaging test of the thigh bone using at least two different angles to visualize the bone structure.
61 $28 $162
Surgical repair of broken thigh bone with implant
A surgical procedure to fix a fractured femur by using a bone implant to stabilize the broken bone.
59 $1,075 $13,986
Initial hospital admission, low complexity
Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter.
53 $71 $336
Knee X-ray, 1-2 views
An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures.
44 $26 $157
Ankle X-ray, minimum 3 views
An X-ray imaging test of the ankle that captures at least three different angles to evaluate the bones and joints.
31 $29 $164
Surgical repair of broken thigh bone with stabilization or replacement
This procedure involves surgically treating the upper part of a fractured femur by inserting a device to stabilize the bone or replacing it with a prosthetic implant.
24 $1,046 $13,608
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.
17 $105 $368
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
16 $57 $354
Placement of stabilizing device for upper thigh bone
A procedure to insert a device to stabilize the upper part of the thigh bone (femur) where it is broken.
14 $799 $12,434
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.
14 $146 $553
Treatment of broken thigh bone with implant
This procedure involves setting a fractured thigh bone and securing it with an internal implant to support healing.
13 $1,174 $15,231
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.
3.8% high complexity
2.5% medium
93.7% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$39,877
Total received (2018-2024)
Avg $5,697/year across 7 years
Top 11% in NJ for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
15
Companies
62
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
$22,511 (56.5%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$15,196 (38.1%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$2,169 (5.4%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$13,116
2023
$107
2022
$473
2021
$2,459
2020
$412
2019
$10,306
2018
$13,004

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Kuros Biosciences USA, Inc
$12,856
BIOCOMPOSITES INC
$175
Stryker Corporation
$67
DePuy Synthes Sales Inc.
$17
Top 3 companies account for 99.9% of 2024 payments
All-time payments by company (2018-2024) ›
Kuros Biosciences USA, Inc
$12,856
Smith & Nephew, Inc.
$12,580
Smith+Nephew, Inc.
$10,239
Synthes USA Products LLC
$2,340
Globus Medical, Inc.
$316
DePuy Synthes Sales Inc.
$245
Stryker Corporation
$243
Avanos Medical
$217
BIOCOMPOSITES INC
$175
Integra LifeSciences Corporation
$149
Medical Device Business Services, Inc.
$113
ORGANOGENESIS INC.
$113
Biocomposites Inc
$101
KCI USA, Inc.
$97
OsteoCentric Technologies, Inc.
$92
Top 3 companies account for 89.5% of all-time payments
Associated products mentioned in payments ›
ANTHEM · AXSOS · BILAYER WOUND MATRIX (BWM) · BME NITINOL CONTINUOUS COMPRESSION IMPLANTS · Cannulated Screws · Clavical Fixation (16-186) · DISTAL FEMUR PLATE · EVOS · Excelsius Robotics System · GAMMA · MAGNETOS · MAKO · NA · ON-Q* PUMP AND ACCESSORIES · PNB AND ACCESSORIES · PREVENA · Peri-Loc · Peri-Loc VLP · Puraply · REDAPT Revision Hip System · STIMULAN · Stimulan · Stimulan Rapid Cure · TAYLOR SPATIAL FRAME · TFN ADVANCED · TRIGEN · TRIGEN Femoral (FAN/TAN/Meta Nail) · TRIGEN INTERTAN · Unifi Technology · VA-LCP PLATES & SCREWS
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 (56%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in orthopedic surgery and does not inherently indicate bias, but patients may wish to be aware.

Looking for an orthopedic surgery specialist in Somerset?
Compare orthopedic surgeons in the Somerset area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Orthopedic surgeons within 10 mi
260
Per 100K population
75.1
County median income
$135,960
Nearest hospital
UNIVERSITY BEHAVIORAL HEALTH CARE
4.6 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. Sagebien is a clinical cardiology specialist, with moderate Medicare volume, with speaking/promotional industry engagement in the top 11% of NJ 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. Sagebien experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Sagebien performed 114 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. Sagebien receive payments from pharmaceutical companies?
Yes. Dr. Sagebien received a total of $39,877 from 15 companies across 62 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. Sagebien's costs compare to other orthopedic surgeons in Somerset?
Dr. Sagebien's average Medicare payment per service is $227. 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. Sagebien) 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 →
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

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. Payments from industry are legal and do not indicate wrongdoing. 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 →