Medicare Enrolled
Dr. Michael Heile, MD
Family Medicine · Cincinnati, OH
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Speaking/Promotional
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. Heile 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. Heile
Dr. Michael Heile is a family medicine specialist in Cincinnati, OH, with 20 years of NPI registration. Based on federal Medicare data, Dr. Heile performed 1,541 Medicare services across 969 unique beneficiaries.
Between the years covered by Open Payments, Dr. Heile received a total of $314,767 from 75 pharmaceutical and/or device companies across 1044 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. 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. Heile 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 11% volume in OH
$314,767 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,541
Medicare services
Top 11% in OH for family medicine
969
Unique beneficiaries
$34
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~77 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. |
309 | $45 | $110 |
| 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. |
308 | $3 | $5 |
| Hemoglobin a1c level, by device for home use | 303 | $9 | $15 |
| 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. |
156 | $59 | $160 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
111 | $60 | $168 |
| Continuous glucose monitoring with interpretation This procedure involves monitoring blood sugar levels in tissue fluid using a sensor placed under the skin, along with the interpretation and reporting of the results. |
99 | $24 | $54 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
58 | $29 | $40 |
| 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. |
45 | $70 | $100 |
| 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. |
21 | $90 | $213 |
| 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. |
20 | $281 | $500 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
20 | $29 | $40 |
| 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. |
19 | $39 | $66 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
18 | $3 | $5 |
| 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. |
16 | $9 | $25 |
| 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. |
15 | $50 | $77 |
| Recombinant quadrivalent influenza vaccine A flu shot that protects against four strains of influenza virus. It is produced using recombinant DNA technology rather than growing the virus in eggs. |
12 | $72 | $115 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
11 | $90 | $268 |
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 ↗$314,767
Total received (2018-2024)
Avg $44,967/year across 7 years
Top 0% in OH for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
75
Companies
1,044
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
$258,622 (82.2%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$40,117 (12.7%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$16,028 (5.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$34,419
2023
$34,848
2022
$53,480
2021
$38,643
2020
$36,324
2019
$52,994
2018
$64,058
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$18,939
Dexcom, Inc.
$9,943
SANOFI-AVENTIS U.S. LLC
$2,781
Insulet Corporation
$1,347
Abbott Laboratories
$488
Lilly USA, LLC
$185
Amgen Inc.
$108
Corcept Therapeutics
$83
BETA BIONICS, INC.
$78
Exact Sciences Corporation
$56
Bayer Healthcare Pharmaceuticals Inc.
$55
ABBVIE INC.
$54
Tandem Diabetes Care, Inc.
$52
Xeris Pharmaceuticals, Inc.
$48
ALK-Abello, Inc
$23
PFIZER INC.
$22
Medtronic, Inc.
$19
Amphastar Pharmaceuticals, Inc.
$19
Sumitomo Pharma America, Inc.
$19
Astellas Pharma US Inc
$18
Esperion Therapeutics, Inc.
$18
Boehringer Ingelheim Pharmaceuticals, Inc.
$18
Sequel Med Tech, LLC
$17
Novartis Pharmaceuticals Corporation
$14
AstraZeneca Pharmaceuticals LP
$13
CeQur Corporation
$5
Top 3 companies account for 92.0% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$149,643
Dexcom, Inc.
$43,384
Janssen Pharmaceuticals, Inc
$28,691
Abbott Laboratories
$23,146
Insulet Corporation
$21,060
Roche Diabetes Care GmbH
$13,800
SANOFI-AVENTIS U.S. LLC
$8,987
Roche Diabetes Care, Inc.
$7,417
DEXCOM, INC.
$4,599
AstraZeneca Pharmaceuticals LP
$3,868
Tandem Diabetes Care, Inc.
$2,378
Lilly USA, LLC
$1,113
Valeritas, Inc.
$816
Corcept Therapeutics
$624
Amgen Inc.
$584
ABBVIE INC.
$358
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$348
Medtronic MiniMed, Inc.
$288
Boehringer Ingelheim Pharmaceuticals, Inc.
$279
Amarin Pharma Inc.
$207
Xeris Pharmaceuticals, Inc.
$198
Bayer Healthcare Pharmaceuticals Inc.
$190
PFIZER INC.
$174
Merck Sharp & Dohme Corporation
$150
Mannkind Corporation
$147
Novartis Pharmaceuticals Corporation
$146
Bayer HealthCare Pharmaceuticals Inc.
$140
Exact Sciences Corporation
$119
AbbVie Inc.
$118
LifeScan, Inc.
$116
Esperion Therapeutics, Inc.
$116
MannKind Corporation
$111
Astellas Pharma US Inc
$110
Takeda Pharmaceuticals U.S.A., Inc.
$95
Medtronic, Inc.
$94
GlaxoSmithKline, LLC.
$90
BETA BIONICS, INC.
$78
Cranial Technologies, Inc
$70
Otsuka America Pharmaceutical, Inc.
$61
Merck Sharp & Dohme LLC
$59
Nestle HealthCare Nutrition Inc.
$59
Biohaven Pharmaceuticals, Inc.
$57
Eisai Inc.
$52
SANOFI PASTEUR INC.
$42
Genentech USA, Inc.
$40
Amphastar Pharmaceuticals, Inc.
$37
Avanir Pharmaceuticals, Inc.
$34
Teva Pharmaceuticals USA, Inc.
$31
Grifols USA, LLC
$28
Horizon Therapeutics plc
$26
Senseonics, Incorporated
$25
Allergan Inc.
$24
Allergan, Inc.
$23
ALK-Abello, Inc
$23
Paratek Pharmaceuticals, Inc.
$23
Sumitomo Pharma America, Inc.
$19
EISAI INC.
$17
Sequel Med Tech, LLC
$17
Ironshore Pharmaceuticals Inc.
$16
LIFESCAN, INC.
$16
Noden Pharma USA Inc
$15
Lundbeck LLC
$15
Alexion Pharmaceuticals, Inc.
$15
Antares Pharma, Inc.
$15
Boston Scientific Corporation
$14
Scilex Pharmaceuticals Inc.
$13
IDORSIA PHARMACEUTICALS US INC
$13
Seqirus USA Inc
$13
Medtronic USA, Inc.
$13
Kowa Pharmaceuticals America, Inc.
$12
Ascensia Diabetes Care US Inc.
$11
Sun Pharmaceutical Industries Inc.
$11
E.R. Squibb & Sons, L.L.C.
$11
Shire North American Group Inc
$11
CeQur Corporation
$5
Top 3 companies account for 70.4% of all-time payments
Associated products mentioned in payments ›
AFREZZA · AIMOVIG · AJOVY · AREXVY · Accu-Chek Instruments · Aimovig · Amitiza · BAQSIMI · BASAGLAR · BELSOMRA · BEXSERO · BREO · BYDUREON · BYSTOLIC · Belviq · CHANTIX · CYCLOSET · Cables · CeQur Simplicity · Cologuard Collection Kit · DC ACCU-CHEK Diabetes Management Solutions · DC ACCU-CHEK Pump · DEXCOM CGM · DEXCOM G6 CGM SYSTEM · DEXCOM G6 TRANSMITTER · DEXCOM G7 GSS (161) · DISEASE STATE · DRIZALMA SPRINKLE · Dexcom CGM · Dexcom G6 Transmitter · Doc Band · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · Eversense · FARXIGA · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FLUCELVAX QUADRIVALENT · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre · FreeStyle Libre 2 · FreeStyle Libre Pro · GARDASIL 9 · GEMTESA · GENERAL PAIN MANAGEMENT · GUARDIAN CONNECT · GVOKE HYPOPEN · GVOKE PFS · INFINITY · INVOKANA · Infusion Sets and Accessories · JANUVIA · JARDIANCE · Jornay PM 20mg capsules (Bottle of 100) · KRYSTEXXA · KYPHON Balloon Kyphoplasty · Kerendia · Kits · Kits and Accessories · Korlym · LEQVIO · LINZESS · LOKELMA · LYRICA · Levemir · Livalo · MINIMED 780G · MOUNJARO · MYRBETRIQ · Minimed 670G System · Myrbetriq · NEXLETOL · NUEDEXTA · NURTEC ODT · NUZYRA · Nuedexta · ONETOUCH VERIO FLEX · OT Verio Flex Starter Kit · Odactra · Omnipod · OneTouch · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · PREMARIN · PREVNAR 20 · Prolastin-C Liquid · Prolia · QULIPTA · QUVIVIQ · RELISTOR · REXULTI · ROTATEQ · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPRAVATO · STEGLATRO · STIOLTO RESPIMAT · STRENSIQ · SYMBICORT · Saxenda · Software · TEKTURNA · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · TZIELD · Tresiba · Trintellix · UBRELVY · V-GO · VRAYLAR · VYEPTI · VYVANSE · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · XYOSTED · Xofluza · ZENPEP · ZEPBOUND · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · iLet Bionic Pancreas · iPro2 · t-slim insulin pump · t:slim X2 Insulin Pump with Control-IQ · t:slim X2 insulin pump
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 (82%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in family medicine and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 0% for family medicine in OH.
Geographic Context
Family medicine physicians within 10 mi
778
Per 100K population
94.0
County median income
$70,816
Nearest hospital
MERCY HEALTH - WEST HOSPITAL
3.4 mi
3.4 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. Heile is a clinical cardiology specialist, with above-average Medicare volume (top 11% in OH), with speaking/promotional industry engagement in the top 0% 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. Heile experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Heile performed 309 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. Heile receive payments from pharmaceutical companies?
Yes. Dr. Heile received a total of $314,767 from 75 companies across 1,044 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. Heile's costs compare to other family medicine physicians in Cincinnati?
Dr. Heile's average Medicare payment per service is $34. 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. Heile) 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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