Medicare Enrolled
Dr. Ralph Augostini, MD
Cardiovascular Disease · Columbus, OH
Practice pattern: Electrophysiology & Remote
— Practice combining electrophysiology and remote services
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. Augostini 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. Augostini
Dr. Ralph Augostini is a cardiovascular disease specialist in Columbus, OH, with 21 years of NPI registration. Based on federal Medicare data, Dr. Augostini performed 1,666 Medicare services across 1,483 unique beneficiaries.
Between the years covered by Open Payments, Dr. Augostini received a total of $172,654 from 11 pharmaceutical and/or device companies across 192 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. 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. Augostini 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.
✓ 21 years in practice
▲ Top 39% volume in OH
$172,654 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,666
Medicare services
Top 39% in OH for cardiovascular disease
1,483
Unique beneficiaries
$108
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~79 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 pacemaker monitoring, 90 days Remote assessment of a pacemaker system, including single, dual, multiple lead, or leadless devices, performed up to 90 days apart. |
238 | $21 | $110 |
| 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. |
159 | $26 | $195 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
134 | $20 | $95 |
| 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. |
129 | $45 | $144 |
| 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. |
101 | $84 | $410 |
| 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. |
80 | $71 | $218 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
75 | $27 | $140 |
| 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. |
73 | $18 | $95 |
| 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. |
60 | $94 | $357 |
| Pacemaker system programming Adjustment and configuration of a pacemaker device to ensure proper operation. This service involves setting device parameters before or after surgical implantation. |
50 | $11 | $55 |
| 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. |
43 | $102 | $385 |
| 2-day continuous ECG with professional review A two-day continuous electrocardiogram recording that includes a review by a healthcare professional. |
40 | $14 | $80 |
| 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. |
36 | $616 | $2,660 |
| 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. |
33 | $40 | $195 |
| 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. |
32 | $750 | $3,365 |
| 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. |
29 | $710 | $3,115 |
| 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. |
26 | $366 | $1,585 |
| 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. |
26 | $46 | $215 |
| 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. |
25 | $137 | $515 |
| Radiofrequency ablation for supraventricular tachycardia A procedure to locate and destroy abnormal heart tissue in the upper chambers of the heart that causes a rapid heart rate. |
23 | $662 | $2,850 |
| Implantable defibrillator programming Adjustment and configuration of an implanted heart rhythm device before or after surgery. |
22 | $17 | $76 |
| 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. |
20 | $62 | $215 |
| 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. |
18 | $385 | $1,775 |
| Continuous EKG monitoring review, 48-7 days Review and interpretation of continuous external EKG recordings lasting more than 48 hours up to 7 days. |
18 | $18 | $90 |
| Continuous ECG monitoring with transmission and review Continuous electrocardiogram monitoring for up to 30 days with symptom tracking. The data is transmitted and reviewed by a healthcare professional who provides a report. |
18 | $19 | $85 |
| Catheter ablation for abnormal heart rhythm A procedure where catheters are inserted to destroy tissue causing irregular heartbeats. |
17 | $243 | $1,365 |
| 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. |
15 | $257 | $1,215 |
| Removal and replacement of multiple lead defibrillator This procedure involves removing existing defibrillator leads and replacing them with new ones. It is performed to update or repair the electrical connections of a cardiac rhythm management device. |
15 | $292 | $1,385 |
| 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. |
15 | $37 | $300 |
| Removal of permanent pacemaker pulse generator This procedure involves the surgical removal of the pulse generator component of a permanent pacemaker. The pulse generator is the device that sends electrical impulses to regulate the heart's rhythm. |
14 | $104 | $810 |
| Removal of dual electrodes from right heart This procedure involves the extraction of dual electrodes located in the right side of the heart. |
14 | $429 | $2,180 |
| 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. |
12 | $58 | $310 |
| Pacemaker programming, single lead Adjustment and testing of a single-lead pacemaker to ensure it functions correctly. |
12 | $22 | $115 |
| 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. |
11 | $31 | $150 |
| Heart rhythm stimulator programming after drug infusion Adjustment of a heart rhythm stimulation device following a drug infusion. This procedure involves reprogramming the device settings to ensure proper function after the medication has been administered. |
11 | $64 | $465 |
| Heart conduction tissue destruction A procedure that destroys heart conduction tissue to create a heart block. |
11 | $419 | $1,990 |
| Ultrasound of heart blood vessels with radiologist review An ultrasound exam that evaluates blood vessels within the heart, including a review of the results by a radiologist. |
11 | $57 | $415 |
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.
49.6% high complexity
0.7% medium
49.8% routine
Industry Payment Transparency
Open Payments through 2024 ↗$172,654
Total received (2018-2024)
Avg $24,665/year across 7 years
Top 4% in OH for cardiovascular disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
11
Companies
192
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
$116,573 (67.5%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$35,021 (20.3%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$21,060 (12.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$24,526
2023
$19,914
2022
$30,495
2021
$30,145
2020
$17,401
2019
$28,589
2018
$21,585
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Boston Scientific Corporation
$22,399
Medtronic, Inc.
$989
Philips North America LLC
$811
ZOLL Respicardia, Inc.
$180
Biosense Webster, Inc.
$148
Top 3 companies account for 98.7% of 2024 payments
All-time payments by company (2018-2024) ›
ZOLL Respicardia, Inc.
$46,716
Respicardia, Inc.
$31,799
Medtronic, Inc.
$31,438
Medtronic Vascular, Inc.
$28,684
Boston Scientific Corporation
$24,241
Philips Electronics North America Corporation
$7,326
BOSTON SCIENTIFIC CORPORATION
$1,204
Philips North America LLC
$811
Biosense Webster, Inc.
$348
Cardiovascular Systems Inc.
$76
Merck Sharp & Dohme LLC
$12
Top 3 companies account for 63.7% of all-time payments
Associated products mentioned in payments ›
(6557) Mechanical Tools · (9027) TightRail · (9272) GlideLight · (9278) Bridge · (BS2) LM Undivided · Adapta · Azure · Bridge · CARTO 3 · CG FUTURE · COBALT DR MRI SURESCAN · CVX-300 · Carto 3 System · Comet · Coronary Orbital Atherectomy System · EMBLEM · EMBLEM MRI S-ICD · EVERA MRI XT DR SURESCAN · GENERAL EP · GENERAL - THERAPIES · GENERAL THERAPIES · General - Therapies · IGT D Service Syst · LUX DX · MICRA · Micra · PENDITURE · PULSESELECT · RHYTHMIA · Rhythmia Mapping System · SQ-RX PULSE GENERATOR · Spectranetics Undiv · Turbo Elite · VERQUVO · remede System
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 (68%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in cardiovascular disease and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 4% for cardiovascular disease in OH.
Geographic Context
Cardiologists within 10 mi
152
Per 100K population
11.5
County median income
$73,795
Nearest hospital
OHIO STATE UNIVERSITY STATE HEALTH SYSTEM
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. Augostini is an electrophysiology & remote specialist, with moderate Medicare volume, with speaking/promotional industry engagement in the top 4% of OH peers, with 21 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. Augostini experienced with remote pacemaker monitoring, 90 days?
Based on Medicare claims data, Dr. Augostini performed 238 remote pacemaker monitoring, 90 days 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. Augostini receive payments from pharmaceutical companies?
Yes. Dr. Augostini received a total of $172,654 from 11 companies across 192 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. Augostini's costs compare to other cardiologists in Columbus?
Dr. Augostini's average Medicare payment per service is $108. 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. Augostini) 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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