Medicare Enrolled
Dr. Miodrag Zivic, M.D.
Internal Medicine · Beachwood, OH
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. Zivic 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. Zivic
Dr. Miodrag Zivic is an internal medicine specialist in Beachwood, OH, with 20 years of NPI registration. Based on federal Medicare data, Dr. Zivic performed 4,018 Medicare services across 1,585 unique beneficiaries.
Between the years covered by Open Payments, Dr. Zivic received a total of $23,185 from 75 pharmaceutical and/or device companies across 1544 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. Zivic 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 3% volume in OH
$23,185 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,018
Medicare services
Top 3% in OH for internal medicine
1,585
Unique beneficiaries
$65
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~201 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 |
|---|---|---|---|
| Nursing facility visit, low complexity A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care. |
1,279 | $57 | $140 |
| 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. |
1,094 | $60 | $111 |
| 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. |
265 | $82 | $200 |
| 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. |
256 | $41 | $95 |
| 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. |
189 | $130 | $322 |
| Hospital discharge day management, 30 minutes or less This service covers the final day of hospital care when the patient is being discharged. It includes coordination of care and instructions for the patient within a time frame of 30 minutes or less. |
110 | $62 | $112 |
| 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. |
86 | $125 | $221 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
83 | $10 | $25 |
| Nursing facility visit, moderate complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes. |
78 | $44 | $185 |
| Critical care, first 30-74 min Emergency medical care for a critically ill or injured patient lasting between 30 and 74 minutes. This service involves direct patient care and medical decision making to stabilize the patient. |
75 | $161 | $419 |
| Hospital discharge management, 30+ min This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge. |
73 | $86 | $165 |
| Behavioral health care management, 20+ minutes This service involves clinical staff time directed by a healthcare professional to manage behavioral health conditions. It requires at least 20 minutes of dedicated clinical staff time. |
56 | $30 | $73 |
| 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. |
52 | $92 | $166 |
| Blood glucose level test A test that measures the amount of sugar in your blood. |
46 | $4 | $10 |
| Initial nursing facility care, high complexity An initial visit by a healthcare provider to a patient in a nursing facility involving a high level of medical decision making, lasting at least 45 minutes. |
42 | $139 | $230 |
| Nursing facility discharge management, more than 30 minutes This service involves care coordination and management activities performed by a healthcare professional to prepare a patient for discharge from a nursing facility. It requires more than 30 minutes of time spent on these activities. |
42 | $101 | $190 |
| Blood glucose test using hand-held instrument A test that measures the level of sugar in the blood using a portable device. The result helps monitor blood glucose levels. |
36 | $3 | $20 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
36 | $25 | $26 |
| 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. |
35 | $72 | $74 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
34 | $30 | $84 |
| 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. |
24 | $39 | $108 |
| Same-day hospital admission and discharge, high complexity Initial hospital care for a patient admitted and discharged on the same day, involving a high level of medical decision making. This service requires at least 85 minutes of time spent on the day of the visit. |
15 | $154 | $345 |
| Annual depression screening | 12 | $17 | $28 |
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 ↗$23,185
Total received (2018-2024)
Avg $3,312/year across 7 years
Top 4% in OH for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
75
Companies
1,544
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
$23,185 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,990
2023
$3,114
2022
$3,129
2021
$3,685
2020
$3,241
2019
$3,791
2018
$3,234
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$430
Amgen Inc.
$264
Novo Nordisk Inc
$225
Lundbeck LLC
$192
ABBVIE INC.
$191
PFIZER INC.
$186
Otsuka America Pharmaceutical, Inc.
$149
GlaxoSmithKline, LLC.
$137
Lilly USA, LLC
$127
Novartis Pharmaceuticals Corporation
$105
Abbott Laboratories
$103
Exact Sciences Corporation
$101
Bayer Healthcare Pharmaceuticals Inc.
$98
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$80
Astellas Pharma US Inc
$68
AIMMUNE THERAPEUTICS, INC.
$55
Boehringer Ingelheim Pharmaceuticals, Inc.
$50
E.R. Squibb & Sons, L.L.C.
$46
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$45
Dexcom, Inc.
$42
VIVUS LLC
$34
Axsome Therapeutics, Inc.
$32
Sumitomo Pharma America, Inc.
$23
Xeris Pharmaceuticals, Inc.
$23
Alexion Pharmaceuticals, Inc.
$23
ViiV Healthcare Company
$22
Janssen Pharmaceuticals, Inc
$21
Neurocrine Biosciences, Inc.
$20
Corcept Therapeutics
$20
Alkermes, Inc.
$19
Merck Sharp & Dohme LLC
$18
Teva Pharmaceuticals USA, Inc.
$16
Eisai Inc.
$15
Takeda Pharmaceuticals U.S.A., Inc.
$14
Top 3 companies account for 30.7% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$2,384
PFIZER INC.
$2,369
Novo Nordisk Inc
$1,479
GlaxoSmithKline, LLC.
$1,388
Lilly USA, LLC
$1,307
AbbVie Inc.
$1,076
Amgen Inc.
$887
Novartis Pharmaceuticals Corporation
$869
Janssen Pharmaceuticals, Inc
$737
Boehringer Ingelheim Pharmaceuticals, Inc.
$719
ABBVIE INC.
$617
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$617
Astellas Pharma US Inc
$519
E.R. Squibb & Sons, L.L.C.
$476
SANOFI-AVENTIS U.S. LLC
$450
Allergan Inc.
$401
Lundbeck LLC
$388
UCB, Inc.
$329
Allergan, Inc.
$320
Otsuka America Pharmaceutical, Inc.
$320
Takeda Pharmaceuticals U.S.A., Inc.
$312
Abbott Laboratories
$303
Horizon Therapeutics plc
$279
Radius Health, Inc.
$265
Teva Pharmaceuticals USA, Inc.
$257
Merck Sharp & Dohme Corporation
$212
AbbVie, Inc.
$204
Merck Sharp & Dohme LLC
$203
Amarin Pharma Inc.
$162
Nestle HealthCare Nutrition Inc.
$159
Bayer Healthcare Pharmaceuticals Inc.
$159
Sunovion Pharmaceuticals Inc.
$155
Mylan Specialty L.P.
$151
Bayer HealthCare Pharmaceuticals Inc.
$149
ITI, Inc.
$149
Exact Sciences Corporation
$143
Alkermes, Inc.
$142
Ferring Pharmaceuticals Inc.
$122
VIVUS LLC
$117
Dexcom, Inc.
$116
Shire North American Group Inc
$107
Neurocrine Biosciences, Inc.
$100
Nabriva Therapeutics, plc
$97
Scilex Pharmaceuticals Inc.
$95
Xeris Pharmaceuticals, Inc.
$90
Sumitomo Pharma America, Inc.
$85
Eisai Inc.
$82
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$80
Avanir Pharmaceuticals, Inc.
$78
Ironwood Pharmaceuticals, Inc
$73
Biohaven Pharmaceuticals, Inc.
$69
NESTLE HEALTHCARE NUTRITION INC.
$68
Axsome Therapeutics, Inc.
$62
AIMMUNE THERAPEUTICS, INC.
$55
Biogen, Inc.
$50
Horizon Pharma plc
$48
CALLIDITAS THERAPEUTICS US INC.
$45
Esperion Therapeutics, Inc.
$45
Alexion Pharmaceuticals, Inc.
$42
Hikma Pharmaceuticals USA
$38
Paratek Pharmaceuticals, Inc.
$38
ACADIA Pharmaceuticals Inc
$36
Ultragenyx Pharmaceutical Inc.
$33
Neos Therapeutics, LP
$32
DEXCOM, INC.
$32
Boston Scientific Corporation
$28
Biohaven Pharmaceutical Holding Company Ltd.
$27
ViiV Healthcare Company
$22
Corcept Therapeutics
$20
Global Blood Therapeutics, Inc.
$19
SCILEX PHARMACEUTICALS INC.
$18
Circassia Pharmaceuticals Inc
$18
Mylan Pharmaceuticals Inc.
$14
Purdue Pharma L.P.
$13
Collegium Pharmaceutical, Inc.
$13
Top 3 companies account for 26.9% of all-time payments
Associated products mentioned in payments ›
ADUHELM · AIMOVIG · AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · APTIOM · AREXVY · ARISTADA · AUSTEDO · Adzenys XR-ODT · Aimovig · AirDuo Digihaler · Austedo XR · Auvelity · BAQSIMI · BASAGLAR · BELSOMRA · BENLYSTA · BEVESPI AEROSPHERE · BREO · BREZTRI · BYDUREON · BYSTOLIC · Briviact · CAPLYTA · CHANTIX · COBENFY · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · COMIRNATY · CREON · CRYSVITA · Cologuard Collection Kit · Cotempla XR-ODT · Creon · DEXCOM CGM · DEXCOM G6 TRANSMITTER · DIFICID · DOVATO · DUEXIS · DUZALLO · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EUFLEXXA · EVENITY · FARXIGA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre · FreeStyle Libre 2 · GATTEX · GEMTESA · GVOKE HYPOPEN · GVOKE PFS · Glatiramer Acetate · HUMALOG · HUMIRA · INGREZZA · INVEGA SUSTENNA · INVOKANA · JANUVIA · JARDIANCE · JYNARQUE · KRYSTEXXA · Kerendia · Korlym · LEQVIO · LINZESS · LOKELMA · LONHALA MAGNAIR · LYRICA · Leqembi · Linzess · MOUNJARO · MYRBETRIQ · Mitigare · Myrbetriq · NEXLETOL · NUEDEXTA · NUPLAZID · NURTEC ODT · NUZYRA · Nuedexta · OFEV · OXBRYTA · Ongentys · Otezla · Ozempic · PAXLOVID · PREMARIN · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Prolia · QSYMIA · QULIPTA · Qsymia · REXULTI · Repatha · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STIOLTO · STIOLTO RESPIMAT · STRENSIQ · SYMBICORT · SYMPROIC · Saxenda · TARPEYO · TOUJEO · TOVIAZ · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · TUDORZA PRESSAIR · Tresiba · Trintellix · Tymlos · UBRELVY · ULTOMIRIS · VERQUVO · VESICARE · VIBERZI · VRAYLAR · VYNDAMAX · VYVANSE · Vascepa · Veozah · Victoza · Vimpat · WATCHMAN Access System · Wegovy · XARELTO · XIFAXAN · XTAMPZA · Xenleta · YUPELRI · Yupelri · ZENPEP · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH
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 4% for internal medicine in OH.
Geographic Context
Internal medicine physicians within 10 mi
1,205
Per 100K population
96.4
County median income
$62,823
Nearest hospital
SOUTH POINTE HOSPITAL
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. Zivic is a clinical cardiology specialist, with above-average Medicare volume (top 3% in OH), with low-engagement industry engagement in the top 4% of OH 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. Zivic experienced with nursing facility visit, low complexity?
Based on Medicare claims data, Dr. Zivic performed 1,279 nursing facility visit, low complexity 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. Zivic receive payments from pharmaceutical companies?
Yes. Dr. Zivic received a total of $23,185 from 75 companies across 1,544 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. Zivic's costs compare to other internal medicine physicians in Beachwood?
Dr. Zivic's average Medicare payment per service is $65. 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. Zivic) 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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