Medicare Enrolled
Dr. Joseph Germano, DO
Clinical Cardiac Electrophysiology Physician · Mineola, NY
Practice pattern: Remote & Electrophysiology
— Practice combining remote and electrophysiology services
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. Germano 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. Germano
Dr. Joseph Germano is a clinical cardiac electrophysiology physician in Mineola, NY, with 20 years of NPI registration. Based on federal Medicare data, Dr. Germano performed 10,406 Medicare services across 4,602 unique beneficiaries.
Between the years covered by Open Payments, Dr. Germano received a total of $27,422 from 21 pharmaceutical and/or device companies across 876 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in clinical cardiac electrophysiology physician. 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. Germano 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 9% volume in NY
$27,422 industry payments
Medicare Practice Summary
Medicare Utilization ↗10,406
Medicare services
Top 9% in NY for clinical cardiac electrophysiology physician
4,602
Unique beneficiaries
$63
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~520 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 |
|---|---|---|---|
| Remote monitoring of implantable heart rhythm device Evaluation of data transmitted remotely from an implantable cardiovascular monitor, such as a loop recorder or subcutaneous cardiac rhythm monitor, over a period up to 30 days. |
2,322 | $65 | $1,090 |
| Remote cardiac rhythm monitor evaluation, up to 30 days Review and analysis of data from a remote cardiac rhythm monitoring system over a period of up to 30 days. |
2,195 | $22 | $162 |
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
824 | $19 | $527 |
| 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. |
575 | $109 | $550 |
| 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. |
556 | $13 | $145 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
519 | $70 | $687 |
| 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. |
492 | $24 | $201 |
| 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. |
478 | $7 | $44 |
| Remote evaluation of implantable defibrillator system Remote assessment of a single, dual, or multiple lead implantable defibrillator system within 90 days of the previous evaluation. |
380 | $29 | $665 |
| Evaluation of implantable heart and blood vessel monitoring system This procedure involves checking the function and data of an implanted device used to monitor heart and blood vessel activity. |
203 | $44 | $485 |
| 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. |
199 | $79 | $375 |
| Programming of dual lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with two leads to ensure proper function. |
189 | $85 | $807 |
| Remote monitoring of implantable heart device, up to 30 days Remote evaluation of an implanted heart or blood vessel monitoring system over a period of up to 30 days. |
166 | $21 | $440 |
| Programming of multiple lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with multiple leads to ensure proper function. |
159 | $94 | $891 |
| 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. |
125 | $149 | $997 |
| Removal of subcutaneous heart rhythm monitor This procedure involves the removal of a heart rhythm monitor that has been implanted under the skin. It is a minor surgical intervention to extract the device. |
95 | $58 | $1,122 |
| Heart chamber tissue destruction via catheter A procedure that destroys tissue in the upper heart chamber using a tube to treat abnormal heart rhythm. |
89 | $311 | $4,320 |
| Insertion of implantable heart rhythm monitor A small device is placed under the skin to continuously record the heart's electrical activity. This helps detect irregular heart rhythms that may not appear during a standard office visit. |
84 | $82 | $57,429 |
| Cardiac rhythm monitor programming Adjustment and configuration of an implanted cardiac rhythm monitoring device to ensure proper operation and data collection. |
74 | $53 | $589 |
| Programming of single lead implantable defibrillator system Adjustment and testing of the settings for a single-lead implantable cardioverter-defibrillator (ICD) to ensure proper function. |
68 | $73 | $706 |
| Pacemaker programming, single lead Adjustment and testing of a single-lead pacemaker to ensure it functions correctly. |
60 | $60 | $625 |
| Heart catheterization to identify abnormal heart rhythm A tube is inserted into the heart chambers to record electrical activity and locate the source of an irregular heartbeat. |
60 | $270 | $1,440 |
| Atrial fibrillation ablation with pulmonary vein isolation A procedure to treat atrial fibrillation by mapping the heart's electrical activity and destroying tissue causing irregular contractions. This is done by isolating the pulmonary veins using catheter-based destruction. |
58 | $963 | $11,625 |
| External shock to heart to regulate heart beat A procedure that delivers an electric shock to the heart from outside the body to restore a normal heart rhythm. |
57 | $102 | $1,979 |
| 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. |
57 | $121 | $700 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
52 | $24 | $440 |
| 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. |
52 | $74 | $519 |
| Pacemaker system programming Adjustment and testing of a multi-lead pacemaker to ensure proper function and settings. |
50 | $73 | $754 |
| Catheter ablation for abnormal heart rhythm A procedure where catheters are inserted to destroy tissue causing irregular heartbeats. |
45 | $311 | $4,316 |
| Pacemaker insertion with heart chamber electrodes A surgical procedure to implant a pacemaker device and place electrodes into the upper and lower chambers of the heart to regulate heart rhythm. |
40 | $477 | $4,580 |
| Repair of left upper heart chamber with implant A surgical procedure to repair the left upper chamber of the heart using an implanted device, with review by a radiologist. |
33 | $612 | $8,315 |
| Insertion of left lower heart electrode for pacemaker or defibrillator A procedure to place an electrode in the lower part of the left side of the heart. This electrode is used to connect a pacemaker or defibrillator to help regulate the heart's rhythm. |
18 | $470 | $4,030 |
| Removal and replacement of dual lead permanent pacemaker This procedure involves removing an existing permanent pacemaker with two leads and replacing it with a new device. It is performed to update or repair the heart rhythm management system. |
17 | $335 | $3,782 |
| Insertion of implantable defibrillator system A surgical procedure to place an implantable cardioverter-defibrillator (ICD) device into the body. The device is connected to the heart to monitor heart rhythm and deliver shocks if dangerous arrhythmias occur. |
15 | $924 | $7,955 |
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.
29.6% high complexity
0.0% medium
70.4% routine
Industry Payment Transparency
Open Payments through 2024 ↗$27,422
Total received (2018-2024)
Avg $3,917/year across 7 years
Top 39% in NY for clinical cardiac electrophysiology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
21
Companies
876
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
$27,422 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$3,672
2023
$4,087
2022
$5,658
2021
$3,764
2020
$2,758
2019
$5,179
2018
$2,303
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$1,878
BIOTRONIK INC.
$569
Medical Device Business Services, Inc.
$416
Biosense Webster, Inc.
$374
Boston Scientific Corporation
$252
CORDIS US CORP.
$43
Impulse Dynamics (USA) Inc.
$36
Actelion Pharmaceuticals US, Inc.
$34
HEARTFLOW, INC.
$26
Abbott Laboratories
$25
CARDIVA MEDICAL, INC.
$20
Top 3 companies account for 78.0% of 2024 payments
All-time payments by company (2018-2024) ›
BIOTRONIK INC.
$7,538
Medtronic, Inc.
$7,481
Medtronic Vascular, Inc.
$3,503
Abbott Laboratories
$3,218
Medical Device Business Services, Inc.
$1,483
Boston Scientific Corporation
$1,337
Biosense Webster, Inc.
$1,275
Impulse Dynamics (USA) Inc.
$339
BOSTON SCIENTIFIC CORPORATION
$315
Stryker Corporation
$265
Janssen Pharmaceuticals, Inc
$136
PFIZER INC.
$110
CARDIVA MEDICAL, INC.
$91
Philips Electronics North America Corporation
$87
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$54
E.R. Squibb & Sons, L.L.C.
$45
CORDIS US CORP.
$43
Actelion Pharmaceuticals US, Inc.
$34
HEARTFLOW, INC.
$26
Boehringer Ingelheim Pharmaceuticals, Inc.
$24
Novartis Pharmaceuticals Corporation
$19
Top 3 companies account for 67.5% of all-time payments
Associated products mentioned in payments ›
(9210) EPD Solutions Und · ADVISOR · AMPLATZER AMULET · AMPLATZER Vascular Plug and Accs · AMVIA EDGE · AURORA EV-ICD MRI SURESCAN · AVEIR · AZURE XT DR MRI SURESCAN · Acticor · Acticor 7 VR-T DX · Advisa · Advisor Catheter · Allure Quadra RF CRT Pacemaker · Arctic Front · Azure · BIOMONITOR · BioMonitor · CAPSUREFIX NOVUS MRI SURESCAN · CARDIOMEMS · CARDIVA VASCADE MVP VVCS 6-12F · CARTO 3 · COBALT DR MRI SURESCAN · CONFIRM RX · CardioInsight · Cardiva VASCADE MVP VVCS 6-12F · CareLink · CareLink Express · Carto 3 · Carto 3 System · Carto Smarttouch · CartoSound · Claria MRI · Cobalt · Confidense · Confirm Rx · ELIQUIS · EMBLEM · EMBLEM MRI S-ICD · EMBLEM S-ICD ELECTRODE DELIVERY SYSTEM · ENSITE PRECISION · Edora · Edora 8 DR-T · Ellipse ICD · EnSite Precision Cardiac Mapping System · Ensite Cardiac Mapping System · Evera · FFRct · Fortify Assura · GENERAL TACHY · GENERAL THERAPIES · GENERAL - EP · GENERAL - TACHY · General - EP · General - Tachy · General - Therapies · JARDIANCE · LATITUDE · LATITUDE Communicator Power Supply · LEQVIO · LINQ II · LUX DX · LUX-Dx Insertable Cardiac Monitor · LifeVest · MAKO · MICRA · MITRACLIP · MYCARELINK · Micra · Mynx Venous VCD · N/A · OCTARAY MAPPING CATHETER · Occluders · Optimizer · Optimizer Smart System · PERCEPTA QUAD CRT-P MRI SURESCAN · Perclose ProGlide suture mediated closure system · Performa · QDOT MICRO Catheter · RESONATE · REVEAL LINQ · RHYTHMIA · Reveal LINQ · Rivacor · Rivacor 7 DR-T · SELECTSECURE · SELECTSITE · SENSOR ENABLED · SelectSecure · Selectra · Solia · Sprint Quattro · SureScan · TACTICATH ABLATION CATHETER · TRIATHLON · TYRX · UPTRAVI · VYNDAQEL · Vascular Closure Device · ViewFlex Xtra ICE Catheter · Visia AF · WATCHMAN · WATCHMAN FLX · XARELTO · ZOOM · ZOOM Wireless Transmitter · myLUX Patient Kit with mobile device
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
Clinical cardiac electrophysiology physicians within 10 mi
77
Per 100K population
5.5
County median income
$143,408
Nearest hospital
LONG ISLAND JEWISH MEDICAL CENTER
2.2 mi
2.2 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. Germano is a remote & electrophysiology specialist, with above-average Medicare volume (top 9% in NY), with low-engagement industry engagement, 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. Germano experienced with remote monitoring of implantable heart rhythm device?
Based on Medicare claims data, Dr. Germano performed 2,322 remote monitoring of implantable heart rhythm device 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. Germano receive payments from pharmaceutical companies?
Yes. Dr. Germano received a total of $27,422 from 21 companies across 876 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. Germano's costs compare to other clinical cardiac electrophysiology physicians in Mineola?
Dr. Germano's average Medicare payment per service is $63. 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. Germano) 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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