Medicare Enrolled
Dr. Andrew Hirsch, DO
Family Medicine · Goshen, NY
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. Hirsch 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 →
Are you Dr. Hirsch?
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What this data tells you about Dr. Hirsch
Dr. Andrew Hirsch is a family medicine specialist in Goshen, NY, with 20 years of NPI registration. Based on federal Medicare data, Dr. Hirsch performed 13,673 Medicare services across 8,767 unique beneficiaries.
Between the years covered by Open Payments, Dr. Hirsch received a total of $15,114 from 54 pharmaceutical and/or device companies across 901 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family 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. Hirsch 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 1% volume in NY
$15,114 industry payments
Medicare Practice Summary
Medicare Utilization ↗13,673
Medicare services
Top 1% in NY for family medicine
8,767
Unique beneficiaries
$38
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~684 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. |
1,445 | $96 | $213 |
| 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. |
1,248 | $66 | $144 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
1,194 | $8 | $15 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
1,086 | $10 | $27 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
1,082 | $8 | $23 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
957 | $13 | $37 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
844 | $16 | $47 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
597 | $9 | $27 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
466 | $15 | $42 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
387 | $14 | $41 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
378 | $38 | $136 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
364 | $138 | $231 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
345 | $39 | $135 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
206 | $16 | $27 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
199 | $80 | $180 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
185 | $33 | $44 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
181 | $275 | $306 |
| Cardiac enzyme level (CK-MB) test A blood test that measures the total level of creatine kinase, specifically the cardiac enzyme fraction, to help evaluate heart muscle damage. |
179 | $6 | $18 |
| COVID-19 amplified DNA/RNA probe detection A laboratory test that uses amplified DNA or RNA probes to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) antigen. |
170 | $49 | $150 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
170 | $33 | $44 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
169 | $71 | $90 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
147 | $6 | $16 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
145 | $3 | $12 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
145 | $5 | $14 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
142 | $9 | $25 |
| Free T3 thyroid hormone test A blood test that measures the level of free triiodothyronine (T3) hormone in your body. This helps assess how well your thyroid gland is functioning. |
130 | $17 | $38 |
| Glutamyltransferase (GGT) level test A blood test that measures the level of the liver enzyme glutamyltransferase (GGT) to help evaluate liver health. |
121 | $7 | $20 |
| Iron level test | 94 | $6 | $18 |
| Iron binding capacity test A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron. |
94 | $9 | $24 |
| 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. |
91 | $12 | $42 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
89 | $13 | $38 |
| 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. |
81 | $12 | $49 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
72 | $1 | $5 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
53 | $69 | $145 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
48 | $15 | $24 |
| 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. |
45 | $119 | $328 |
| PSA test (prostate cancer screening) | 42 | $18 | $51 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
39 | $19 | $51 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
33 | $4 | $13 |
| 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 | $177 | $304 |
| Parathyroid hormone level test A blood test that measures the amount of parathyroid hormone in your body. This hormone helps regulate calcium levels in the blood and bones. |
25 | $40 | $80 |
| Erythrocyte sedimentation rate (ESR) test A blood test that measures how quickly red blood cells settle in a test tube to detect inflammation in the body. This specific method is performed manually rather than using an automated machine. |
25 | $4 | $10 |
| 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. |
21 | $36 | $87 |
| 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. |
21 | $236 | $482 |
| Quadrivalent influenza vaccine, preservative-free A flu shot containing four strains of the influenza virus, formulated without preservatives, administered in a 0.5 ml dose. |
17 | $22 | $39 |
| Remote vital sign monitoring management, each additional 20 minutes This code covers the time spent by a provider managing patient data from remote vital sign monitoring devices. It applies to each additional 20-minute increment beyond the initial monthly service period. |
17 | $34 | $107 |
| 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. |
16 | $83 | $215 |
| LDL cholesterol level test A blood test that measures the amount of low-density lipoprotein (LDL) cholesterol in your blood. LDL is often referred to as "bad" cholesterol. |
13 | $10 | $27 |
| Vaccine administration The process of giving a vaccine to a patient. This code covers the administration service only and does not include the cost of the vaccine itself. |
13 | $11 | $50 |
| 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. |
11 | $176 | $250 |
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 ↗$15,114
Total received (2018-2024)
Avg $2,159/year across 7 years
Top 3% in NY for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
54
Companies
901
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
$15,001 (99.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$113 (0.8%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$3,104
2023
$2,822
2022
$1,707
2021
$1,403
2020
$1,354
2019
$2,188
2018
$2,535
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$736
PFIZER INC.
$367
Lilly USA, LLC
$340
AstraZeneca Pharmaceuticals LP
$329
Novo Nordisk Inc
$231
Boehringer Ingelheim Pharmaceuticals, Inc.
$204
Phathom Pharmaceuticals, Inc.
$186
GlaxoSmithKline, LLC.
$151
Abbott Laboratories
$125
Axsome Therapeutics, Inc.
$61
Novartis Pharmaceuticals Corporation
$59
Esperion Therapeutics, Inc.
$56
Amgen Inc.
$56
Exact Sciences Corporation
$48
Merck Sharp & Dohme LLC
$44
Astellas Pharma US Inc
$36
AIMMUNE THERAPEUTICS, INC.
$22
Meridian Bioscience Inc.
$20
Regeneron Healthcare Solutions, Inc.
$17
Greer Laboratories, Inc.
$16
Top 3 companies account for 46.5% of 2024 payments
All-time payments by company (2018-2024) ›
Lilly USA, LLC
$1,897
ABBVIE INC.
$1,864
AstraZeneca Pharmaceuticals LP
$1,807
PFIZER INC.
$1,097
Novo Nordisk Inc
$976
Boehringer Ingelheim Pharmaceuticals, Inc.
$906
GlaxoSmithKline, LLC.
$705
Amgen Inc.
$620
Janssen Pharmaceuticals, Inc
$516
Merck Sharp & Dohme Corporation
$497
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$335
Novartis Pharmaceuticals Corporation
$322
Amarin Pharma Inc.
$316
AbbVie Inc.
$297
Takeda Pharmaceuticals U.S.A., Inc.
$258
AbbVie, Inc.
$241
Astellas Pharma US Inc
$217
Abbott Laboratories
$203
Phathom Pharmaceuticals, Inc.
$186
Axsome Therapeutics, Inc.
$176
Allergan, Inc.
$165
Eisai Inc.
$140
E.R. Squibb & Sons, L.L.C.
$124
Esperion Therapeutics, Inc.
$86
Teva Pharmaceuticals USA, Inc.
$86
Horizon Therapeutics plc
$81
Kowa Pharmaceuticals America, Inc.
$76
Avanir Pharmaceuticals, Inc.
$73
Exact Sciences Corporation
$67
Biohaven Pharmaceutical Holding Company Ltd.
$63
Genentech USA, Inc.
$60
Bayer Healthcare Pharmaceuticals Inc.
$56
Allergan Inc.
$49
Merck Sharp & Dohme LLC
$44
Mylan Specialty L.P.
$44
ITI, Inc.
$43
Medtronic, Inc.
$42
Biohaven Pharmaceuticals, Inc.
$41
Sanofi Pasteur Inc.
$39
ARBOR PHARMACEUTICALS, INC.
$37
Regeneron Healthcare Solutions, Inc.
$36
Currax Pharmaceuticals LLC
$26
AIMMUNE THERAPEUTICS, INC.
$22
Amneal Pharmaceuticals LLC
$22
Meridian Bioscience Inc.
$20
SANOFI PASTEUR INC.
$19
Seqirus USA Inc
$18
Greer Laboratories, Inc.
$16
Paratek Pharmaceuticals, Inc.
$15
Grifols USA, LLC
$15
IDORSIA PHARMACEUTICALS US INC
$15
Corium, LLC
$14
Bardy Diagnostics, Inc.
$14
EISAI INC.
$13
Top 3 companies account for 36.8% of all-time payments
Associated products mentioned in payments ›
ADACEL · ADVAIR · AIRSUPRA · AJOVY · ANORO ELLIPTA · AREXVY · Aduhelm · Aimovig · Amitiza · Auvelity · Azstarys · BASAGLAR · BELSOMRA · BEVESPI AEROSPHERE · BREO · BREZTRI · BYSTOLIC · CAPLYTA · CHANTIX · COMIRNATY · CONTRAVE · CREON · Carnation Ambulatory Monitor · Cologuard Collection Kit · Corlanor · Creon · DUPIXENT · Dayvigo · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · EVKEEZA · Edarbi · FARXIGA · FASENRA · FLUZONE HIGH-DOSE · FORTEO · FREESTYLE LIBRE · Flucelvax · FreeStyle Libre blood glucose Flash Monitoring System · GARDASIL · GUARDIAN CONNECT · INPEN SMART INSULIN DELIVERY SYSTEM · INVOKANA · JANUVIA · JARDIANCE · KRYSTEXXA · Kerendia · LEQVIO · LINZESS · LYRICA · Livalo · MENACTRA · MOUNJARO · MOVANTIK · NEXLETOL · NURTEC ODT · NUZYRA · Nuedexta · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · PREMARIN · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Palforzia · Prolastin-C · Prolia · QULIPTA · QUVIVIQ · REYVOW · ROTATEQ · Repatha · Rybelsus · SHINGRIX · SPIRIVA · SPIRIVA RESPIMAT · SPRAVATO · STEGLUJAN · STIOLTO · SYMBICORT · SYNJARDY · SYNTHROID · Saxenda · Synthroid · TOVIAZ · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULANCE · TRULICITY · Tresiba · Trintellix · UBRELVY · UNITHROID · UPLIZNA · VESICARE · VIIBRYD · VOQUEZNA · VRAYLAR · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · Xofluza · YUPELRI · Yupelri · ZENPEP · ZEPBOUND · ZOSTAVAX
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 (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 3% for family medicine in NY.
Geographic Context
Family medicine physicians within 10 mi
209
Per 100K population
51.8
County median income
$96,497
Nearest hospital
MID HUDSON FORENSIC PSYCHIATRIC CTR
3.7 mi
3.7 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. Hirsch is a clinical cardiology specialist, with above-average Medicare volume (top 1% in NY), with low-engagement industry engagement in the top 3% of NY 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. Hirsch experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Hirsch performed 1,445 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. Hirsch receive payments from pharmaceutical companies?
Yes. Dr. Hirsch received a total of $15,114 from 54 companies across 901 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. Hirsch's costs compare to other family medicine physicians in Goshen?
Dr. Hirsch's average Medicare payment per service is $38. 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. Hirsch) 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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