Medicare Enrolled
Dr. Robert Hostoffer, DO
Allergy & Immunology · Mayfield Heights, OH
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Hostoffer 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. Hostoffer
Dr. Robert Hostoffer is an allergy & immunology specialist in Mayfield Heights, OH, with 20 years of NPI registration. Based on federal Medicare data, Dr. Hostoffer performed 79,185 Medicare services across 1,067 unique beneficiaries.
Between the years covered by Open Payments, Dr. Hostoffer received a total of $21,253 from 60 pharmaceutical and/or device companies across 1195 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in allergy & immunology. 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. Hostoffer 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 OH
$21,253 industry payments
Medicare Practice Summary
Medicare Utilization ↗79,185
Medicare services
Top 1% in OH for allergy & immunology
1,067
Unique beneficiaries
$44
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~3,959 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 |
|---|---|---|---|
| Injection, immune globulin (bivigam), 500 mg | 49,728 | $55 | $116 |
| Injection, mepolizumab, 1 mg | 11,600 | $23 | $38 |
| Immune globulin infusion (Gammagard) An injection of immune globulin (Gammagard Liquid) to provide antibodies. The dose specified is 500 mg. |
5,518 | $34 | $103 |
| Omalizumab injection (Xolair) for asthma/allergy | 5,475 | $27 | $54 |
| Additional hour of intravenous infusion This code represents each additional hour of intravenous infusion beyond the initial hour for therapy, prevention, or diagnosis. |
1,538 | $15 | $35 |
| Allergy skin test A diagnostic test performed to identify specific allergies by applying or introducing allergenic extracts to the body. The procedure measures the patient's immune response to various potential allergens. |
912 | $3 | $8 |
| Intravenous infusion, 1 hour or less Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less. |
766 | $45 | $100 |
| Intravenous injection of additional new drug or substance Administration of an additional new medication or substance directly into a vein. |
581 | $11 | $35 |
| Allergy immunotherapy preparation A professional service involving the preparation and administration of one or more antigens. |
509 | $10 | $20 |
| Cetirizine hydrochloride injection, 0.5 mg An injection containing 0.5 mg of cetirizine hydrochloride, an antihistamine medication. |
493 | $12 | $21 |
| 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. |
439 | $10 | $25 |
| 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. |
402 | $91 | $150 |
| Allergy injection therapy, multiple injections A professional service involving the administration of multiple allergen injections. |
360 | $7 | $32 |
| Methylprednisolone injection, up to 40 mg An injection of methylprednisolone sodium succinate, a corticosteroid medication, administered in a dose of up to 40 mg. |
203 | $3 | $8 |
| Methylprednisolone injection, up to 125 mg An injection of methylprednisolone sodium succinate, a corticosteroid medication, with a dosage of up to 125 mg. |
192 | $4 | $18 |
| Allergen injection administration Professional service for the administration of a single allergen injection. |
104 | $7 | $20 |
| Health risk assessment administration and interpretation This procedure involves administering a health risk assessment to a patient and interpreting the results. |
89 | $2 | $18 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
41 | $29 | $30 |
| 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. |
40 | $59 | $125 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
39 | $76 | $115 |
| Nitric oxide gas level test A test that measures the level of nitric oxide gas in the body. |
39 | $14 | $37 |
| 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. |
38 | $120 | $215 |
| Expiratory airflow and volume test A test that measures the amount of air you can exhale and the speed at which you can breathe it out. It evaluates lung function by assessing expiratory airflow and volume. |
37 | $20 | $42 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
27 | $29 | $30 |
| Pneumococcal vaccine, 23-valent A vaccine that protects against 23 types of pneumococcal bacteria. It is used to prevent infections caused by these bacteria. |
15 | $131 | $145 |
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.
9.9% high complexity
87.4% medium
2.8% routine
Industry Payment Transparency
Open Payments through 2024 ↗$21,253
Total received (2018-2024)
Avg $3,036/year across 7 years
Top 14% in OH for allergy & immunology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
60
Companies
1,195
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
$19,261 (90.6%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$1,830 (8.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$162 (0.8%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$4,067
2023
$5,153
2022
$3,756
2021
$2,864
2020
$1,742
2019
$1,964
2018
$1,708
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$803
CSL Behring
$421
GlaxoSmithKline, LLC.
$354
Amgen Inc.
$306
Novartis Pharmaceuticals Corporation
$301
PFIZER INC.
$235
ABBVIE INC.
$227
Takeda Pharmaceuticals U.S.A., Inc.
$219
Octapharma USA, Inc.
$155
GENZYME CORPORATION
$135
BioCryst US Sales Co., LLC
$124
Grifols USA, LLC
$92
Regeneron Healthcare Solutions, Inc.
$77
kaleo, Inc.
$77
Genentech USA, Inc.
$65
Pharming Healthcare, Inc.
$57
ADMA BioManufacturing LLC
$46
Incyte Corporation
$45
Jubilant HollisterStier LLC
$39
Phadia US Inc.
$33
Boehringer Ingelheim Pharmaceuticals, Inc.
$33
LEO Pharma Inc.
$29
Dermavant Sciences, Inc.
$23
Optinose US, Inc.
$23
Cycle Pharmaceuticals Inc
$22
TerSera Therapeutics LLC
$21
ALK-Abello, Inc
$20
Mylan Specialty L.P.
$20
Blueprint Medicines Corporation
$20
Invivyd Inc
$16
Lilly USA, LLC
$15
X4 Pharmaceuticals, Inc.
$15
Top 3 companies account for 38.8% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$2,952
GlaxoSmithKline, LLC.
$2,553
Pharming Healthcare, Inc.
$1,645
Novartis Pharmaceuticals Corporation
$1,602
CSL Behring
$1,416
GENZYME CORPORATION
$945
Takeda Pharmaceuticals U.S.A., Inc.
$893
Amgen Inc.
$764
Teva Pharmaceuticals USA, Inc.
$700
PFIZER INC.
$661
Regeneron Healthcare Solutions, Inc.
$661
ABBVIE INC.
$625
Octapharma USA, Inc.
$608
BioCryst US Sales Co., LLC
$520
kaleo, Inc.
$429
Genentech USA, Inc.
$421
OptiNose US, Inc.
$362
Grifols USA, LLC
$337
Horizon Therapeutics plc
$321
AbbVie Inc.
$255
Optinose US, Inc.
$227
Boehringer Ingelheim Pharmaceuticals, Inc.
$225
ADMA BioManufacturing LLC
$213
Blueprint Medicines Corporation
$204
Shire North American Group Inc
$155
SANOFI-AVENTIS U.S. LLC
$141
Biohaven Pharmaceuticals, Inc.
$134
Sunovion Pharmaceuticals Inc.
$126
ALK-Abello, Inc
$100
TerSera Therapeutics LLC
$97
Horizon Pharma plc
$79
AIMMUNE THERAPEUTICS, INC.
$65
Mylan Specialty L.P.
$62
Bio Products Laboratory USA, Inc.
$59
Jubilant HollisterStier LLC
$58
Biohaven Pharmaceutical Holding Company Ltd.
$56
Baxter Healthcare
$46
Incyte Corporation
$45
Covis Pharma GmBH
$41
Janssen Biotech, Inc.
$39
AbbVie, Inc.
$34
Phadia US Inc.
$33
Allergan, Inc.
$32
LEO Pharma Inc.
$29
Dermavant Sciences, Inc.
$23
Mayne Pharma Inc.
$23
Aimmune Therapeutics, Inc.
$22
Kaleo, Inc.
$22
Cycle Pharmaceuticals Inc
$22
Hikma Pharmaceuticals USA
$21
ADVANCED RESPIRATORY, INC
$20
Merck Sharp & Dohme LLC
$16
Circassia Pharmaceuticals Inc
$16
Invivyd Inc
$16
Lilly USA, LLC
$15
X4 Pharmaceuticals, Inc.
$15
BioCryst Pharmaceuticals, Inc.
$14
Endo Pharmaceuticals Inc.
$14
Merck Sharp & Dohme Corporation
$13
Eyevance Pharmaceuticals LLC
$13
Top 3 companies account for 33.6% of all-time payments
Associated products mentioned in payments ›
ACTIMMUNE · ADBRY · AIMOVIG · AIRSUPRA · AJOVY · ALVESCO · ARALAST · AREXVY · AUVI-Q · AYVAKIT · AirDuo Digihaler · AirDuo RespiClick · Auvi-Q · BEVESPI AEROSPHERE · BREO · BREO ELLIPTA · BREZTRI · BREZTRI AEROSPHERE · CINQAIR · COMIRNATY · CREON · CUTAQUIG · CUVITRU · CYLTEZO · Creon · DERMATITIS - DISEASE · DORYX · DUPIXENT · DUPIXENT DUPILUMAB INJECTION · Dymista · EBGLYSS · EOHILIA · EUCRISA · Enbrel · FARXIGA · FASENRA · FIRAZYR · FLUMIST QUADRIVALENT · Flarex · GAMMAGARD · GLASSIA · Gammaplex · Gamunex-C · Grastek · HYQVIA · Haegarda · Hillrom - Vest System Model 105 Home Care · Hizentra · ILARIS · ImmunoCAP · JOENJA · Kcentra · Kloxxado · LONHALA MAGNAIR · NASCOBAL · NUCALA · NURTEC ODT · OCTAGAM · OCTAGAM IMMUNE GLOBULIN (HUMAN) · OPZELURA · ORLADEYO · Odactra · Orladeyo · PALFORZIA · PANZYGA · PAZEO · PEMGARDA · PRE-PEN · PREVNAR 20 · Privigen · ProAir Digihaler · QULIPTA · QVAR · Quzyttir · RINVOQ · RUCONEST · SIMPONI · SPIRIVA RESPIMAT · STANDARDIZED · STIOLTO RESPIMAT · SYMBICORT · Sajazir · TAKHZYRO · TEZSPIRE · TIMOTHY · TRELEGY ELLIPTA · TUDORZA PRESSAIR · The Vest System Model 105 Home Care · UBRELVY · VTAMA · XOLAIR · XOLREMDI · Xembify · Xhance · Xofluza · Xolair · YUPELRI
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 (91%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Allergy & immunologists within 10 mi
19
Per 100K population
1.5
County median income
$62,823
Nearest hospital
HILLCREST 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. Hostoffer is a mixed practice specialist, with above-average Medicare volume (top 1% in OH), with low-engagement industry engagement in the top 14% 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. Hostoffer experienced with injection, immune globulin (bivigam), 500 mg?
Based on Medicare claims data, Dr. Hostoffer performed 49,728 injection, immune globulin (bivigam), 500 mg 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. Hostoffer receive payments from pharmaceutical companies?
Yes. Dr. Hostoffer received a total of $21,253 from 60 companies across 1,195 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. Hostoffer's costs compare to other allergy & immunologists in Mayfield Heights?
Dr. Hostoffer's average Medicare payment per service is $44. 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. Hostoffer) 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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