Medicare Enrolled
Dr. Joseph Guarino, M.D.
Cardiovascular Disease · Toms River, NJ
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. Guarino 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. Guarino
Dr. Joseph Guarino is a cardiovascular disease specialist in Toms River, NJ, with 19 years of NPI registration. Based on federal Medicare data, Dr. Guarino performed 2,771 Medicare services across 1,718 unique beneficiaries.
Between the years covered by Open Payments, Dr. Guarino received a total of $16,972 from 38 pharmaceutical and/or device companies across 554 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. 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. Guarino 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.
✓ 19 years in practice
▲ Top 48% volume in NJ
$16,972 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,771
Medicare services
Top 48% in NJ for cardiovascular disease
1,718
Unique beneficiaries
$87
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~146 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. |
1,233 | $99 | $300 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
393 | $99 | $350 |
| 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. |
367 | $11 | $100 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
262 | $165 | $371 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
145 | $109 | $400 |
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
138 | $7 | $50 |
| New patient office visit, complex (60-74 min) | 38 | $178 | $600 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review. |
28 | $46 | $400 |
| ECG, 1-3 leads with physician review A simple electrocardiogram recording using one to three leads. A physician reviews the results. |
24 | $6 | $22 |
| 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. |
21 | $130 | $500 |
| Remote pacemaker monitoring, 90 days Remote assessment of a pacemaker system, including single, dual, multiple lead, or leadless devices, performed up to 90 days apart. |
20 | $22 | $100 |
| 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. |
19 | $77 | $250 |
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
18 | $18 | $100 |
| External EKG monitoring, 8-15 days Continuous external electrocardiogram recording and review over a period of 8 to 15 days to monitor heart rhythm. |
15 | $21 | $50 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while an electrocardiogram is monitored under physician supervision. |
14 | $17 | $100 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results. |
14 | $12 | $50 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
11 | $145 | $600 |
| Emergency department visit, moderate complexity An emergency department visit for an established or new patient involving a moderate level of medical decision making. |
11 | $100 | $400 |
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.
10.8% high complexity
2.0% medium
87.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$16,972
Total received (2018-2024)
Avg $2,425/year across 7 years
Top 12% in NJ for cardiovascular disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
38
Companies
554
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
$16,972 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,158
2023
$2,560
2022
$2,368
2021
$3,068
2020
$1,993
2019
$1,767
2018
$4,057
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$386
E.R. Squibb & Sons, L.L.C.
$271
Abbott Laboratories
$222
Novartis Pharmaceuticals Corporation
$99
Novo Nordisk Inc
$44
Boehringer Ingelheim Pharmaceuticals, Inc.
$33
iRhythm Technologies, Inc.
$32
Edwards Lifesciences Corporation
$23
Boston Scientific Corporation
$19
GlaxoSmithKline, LLC.
$16
Acarix USA Inc.
$14
Top 3 companies account for 75.9% of 2024 payments
All-time payments by company (2018-2024) ›
Abbott Laboratories
$2,732
AstraZeneca Pharmaceuticals LP
$2,667
E.R. Squibb & Sons, L.L.C.
$2,201
BOSTON SCIENTIFIC CORPORATION
$2,049
Janssen Pharmaceuticals, Inc
$1,985
Novartis Pharmaceuticals Corporation
$1,031
Amgen Inc.
$991
Boston Scientific Corporation
$440
Amarin Pharma Inc.
$419
PFIZER INC.
$355
Boehringer Ingelheim Pharmaceuticals, Inc.
$224
iRhythm Technologies, Inc.
$223
Merck Sharp & Dohme LLC
$171
Shockwave Medical, Inc
$171
Bayer HealthCare Pharmaceuticals Inc.
$154
Biohaven Pharmaceutical Holding Company Ltd.
$125
Allergan Inc.
$118
Medtronic, Inc.
$103
Merck Sharp & Dohme Corporation
$96
Stereotaxis Inc
$91
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$75
Novo Nordisk Inc
$73
Gilead Sciences, Inc.
$55
ARALEZ PHARMACEUTICALS US INC.
$53
Kowa Pharmaceuticals America, Inc.
$52
ARBOR PHARMACEUTICALS, INC.
$47
Preventice Services, LLC
$46
Edwards Lifesciences Corporation
$40
CVRx, Inc.
$32
BIOTRONIK INC.
$29
Takeda Pharmaceuticals U.S.A., Inc.
$24
Regeneron Healthcare Solutions, Inc.
$16
GlaxoSmithKline, LLC.
$16
SANOFI-AVENTIS U.S. LLC
$14
Tactile Systems Technology Inc
$14
Acarix USA Inc.
$14
Kiniksa Pharmaceuticals, Ltd.
$13
Esperion Therapeutics, Inc.
$13
Top 3 companies account for 44.8% of all-time payments
Associated products mentioned in payments ›
ACCOLADE · ACCOLADE SR · AMPLATZER AMULET · AVEIR · Acticor 7 VR-T DX · Allure CRT Pacemaker · Allure Quadra RF CRT Pacemaker · Arcalyst · Assurity Pacemaker · BG Mini Plus · BRILINTA · BYSTOLIC · Barostim Neo System · CADScor System · CAMZYOS · CHANTIX · Confirm Rx · Corlanor · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · ELIQUIS · ENSITE PRECISION · ENTRESTO · EVKEEZA · Edarbi · Edarbyclor · FARXIGA · FLEXITOUCH · General - Therapies · JARDIANCE · Kerendia · LEQVIO · LOKELMA · LUX DX · LYNPARZA · LifeVest · Livalo · MICRA · MITRACLIP · Merlin Connectivity and Remote · NEXLETOL · NURTEC ODT · Niobe · Otezla · PRALUENT · Pacemakers · Quadra Assura CRT Defibrillator · RESONATE · Repatha · Resolute · Rybelsus · SHINGRIX · THORATEC HEARTMATE 3 LVAS IMPLANT KIT · Trintellix · VERQUVO · VIIBRYD · VYNDAQEL · Vascepa · Vascular Lithotripsy · Victoza · WAINUA · WATCHMAN · WATCHMAN FLX · Wegovy · XARELTO · ZIO Patch · ZIO XT Patch · ZONTIVITY
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.
Geographic Context
Cardiologists within 10 mi
134
Per 100K population
20.7
County median income
$86,411
Nearest hospital
COMMUNITY 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. Guarino is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 12% of NJ peers, with 19 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. Guarino experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Guarino performed 1,233 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. Guarino receive payments from pharmaceutical companies?
Yes. Dr. Guarino received a total of $16,972 from 38 companies across 554 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. Guarino's costs compare to other cardiologists in Toms River?
Dr. Guarino's average Medicare payment per service is $87. 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. Guarino) 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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