Medicare Enrolled
Dr. John Horinger, M.D.
Internal Medicine · South Euclid, 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. Horinger 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. Horinger
Dr. John Horinger is an internal medicine specialist in South Euclid, OH, with 14 years of NPI registration. Based on federal Medicare data, Dr. Horinger performed 854 Medicare services across 696 unique beneficiaries.
Between the years covered by Open Payments, Dr. Horinger received a total of $8,839 from 60 pharmaceutical and/or device companies across 534 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. Horinger 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.
✓ 14 years in practice
▲ Top 31% volume in OH
$8,839 industry payments
Medicare Practice Summary
Medicare Utilization ↗854
Medicare services
Top 31% in OH for internal medicine
696
Unique beneficiaries
$58
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~61 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 (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. |
335 | $53 | $175 |
| 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. |
146 | $48 | $126 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
126 | $68 | $203 |
| 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 | $44 |
| 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. |
55 | $66 | $67 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
36 | $10 | $40 |
| 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. |
23 | $111 | $245 |
| 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 | $665 |
| 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 | $44 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
12 | $50 | $175 |
| 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. |
12 | $87 | $302 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
11 | $34 | $65 |
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 ↗$8,839
Total received (2018-2024)
Avg $1,263/year across 7 years
Top 9% in OH for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
60
Companies
534
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
$8,348 (94.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$490 (5.5%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,797
2023
$1,601
2022
$1,386
2021
$877
2020
$360
2019
$1,064
2018
$1,752
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$308
AstraZeneca Pharmaceuticals LP
$276
GlaxoSmithKline, LLC.
$187
PFIZER INC.
$150
GENZYME CORPORATION
$98
Merck Sharp & Dohme LLC
$92
Abbott Laboratories
$87
Sumitomo Pharma America, Inc.
$80
Lilly USA, LLC
$72
Amgen Inc.
$70
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$60
Boehringer Ingelheim Pharmaceuticals, Inc.
$57
Dynavax Technologies Corporation
$44
Xeris Pharmaceuticals, Inc.
$43
Phathom Pharmaceuticals, Inc.
$42
Astellas Pharma US Inc
$41
ABBVIE INC.
$39
Inspire Medical Systems, Inc.
$21
Kowa Pharmaceuticals America, Inc.
$16
Bayer Healthcare Pharmaceuticals Inc.
$14
Top 3 companies account for 42.9% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$924
GlaxoSmithKline, LLC.
$876
AstraZeneca Pharmaceuticals LP
$653
Lilly USA, LLC
$600
PFIZER INC.
$595
Amgen Inc.
$488
Biofrontera Inc.
$469
ABBVIE INC.
$443
Boehringer Ingelheim Pharmaceuticals, Inc.
$344
Abbott Laboratories
$322
SANOFI-AVENTIS U.S. LLC
$270
Merck Sharp & Dohme Corporation
$213
AbbVie Inc.
$189
Bayer HealthCare Pharmaceuticals Inc.
$172
Astellas Pharma US Inc
$147
Merck Sharp & Dohme LLC
$145
E.R. Squibb & Sons, L.L.C.
$131
Bayer Healthcare Pharmaceuticals Inc.
$131
Janssen Pharmaceuticals, Inc
$121
Novartis Pharmaceuticals Corporation
$106
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$104
GENZYME CORPORATION
$98
Ortho Dermatologics, a division of Bausch Health US, LLC
$88
Sumitomo Pharma America, Inc.
$80
Dynavax Technologies Corporation
$70
Janssen Biotech, Inc.
$68
Xeris Pharmaceuticals, Inc.
$65
Jazz Pharmaceuticals Inc.
$64
Teva Pharmaceuticals USA, Inc.
$60
Radius Health, Inc.
$51
Amarin Pharma Inc.
$50
Otsuka America Pharmaceutical, Inc.
$47
AbbVie, Inc.
$45
Phathom Pharmaceuticals, Inc.
$42
Mylan Specialty L.P.
$41
MannKind Corporation
$36
Biohaven Pharmaceutical Holding Company Ltd.
$36
OptiNose US, Inc.
$35
SANOFI PASTEUR INC.
$34
Daiichi Sankyo Inc.
$33
Mannkind Corporation
$28
Circassia Pharmaceuticals Inc
$28
Vanda Pharmaceuticals Inc.
$25
Esperion Therapeutics, Inc.
$21
Hikma Pharmaceuticals USA
$21
Inspire Medical Systems, Inc.
$21
Biohaven Pharmaceuticals, Inc.
$21
Dexcom, Inc.
$20
Eisai Inc.
$18
Nevro Corp.
$16
Kowa Pharmaceuticals America, Inc.
$16
Horizon Therapeutics plc
$15
Sunovion Pharmaceuticals Inc.
$15
Endo Pharmaceuticals Inc.
$14
Exact Sciences Corporation
$14
Resmed Corp
$13
PORTOLA PHARMACEUTICALS, INC.
$12
Allergan Inc.
$12
Takeda Pharmaceuticals U.S.A., Inc.
$11
Allergan, Inc.
$11
Top 3 companies account for 27.8% of all-time payments
Associated products mentioned in payments ›
ADACEL · ADVAIR · AFREZZA · AIRSUPRA · AJOVY · ALTRENO · ANDEXXA · ANORO · ANORO ELLIPTA · AREXVY · Aimovig · AirDuo Digihaler · AirSense · Ameluz · BASAGLAR · BELSOMRA · BEVESPI AEROSPHERE · BREO · BREZTRI · BYDUREON · CHANTIX · COMIRNATY · COSENTYX · Cologuard Collection Kit · Creon · DUPIXENT · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · FARXIGA · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre · FreeStyle Libre 2 · GARDASIL · GARDASIL 9 · GEMTESA · GVOKE HYPOPEN · HETLIOZ · Heplisav-B · INJECTAFER · INSPIRE · INVOKANA · JANUVIA · JARDIANCE · JYNARQUE · KEVEYIS · KRYSTEXXA · Kerendia · Kloxxado · LEQVIO · LINZESS · MOUNJARO · MYRBETRIQ · Myrbetriq · NASCOBAL · NEXLETOL · NUEDEXTA · NURTEC ODT · OFEV · Otezla · Ozempic · PNEUMOVAX 23 · PRALUENT · PREVNAR 13 · PREVNAR 20 · Prolia · QULIPTA · Repatha · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · SPRAVATO · STIOLTO RESPIMAT · Saxenda · Senza · Synthroid · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TREMFYA · TRULICITY · TUDORZA PRESSAIR · Tresiba · Trintellix · Tymlos · UBRELVY · VARIVAX · VIBERZI · VOQUEZNA · VRAYLAR · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · XYREM · Xhance · Xyrem · YUPELRI · Yupelri · ZORYVE
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 (94%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 9% for internal medicine in OH.
Geographic Context
Internal medicine physicians within 10 mi
1,135
Per 100K population
90.8
County median income
$62,823
Nearest hospital
HILLCREST HOSPITAL
3.7 mi
3.7 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. Horinger is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 9% of OH peers.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Horinger experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Horinger performed 335 office visit, established patient (30-39 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. Horinger receive payments from pharmaceutical companies?
Yes. Dr. Horinger received a total of $8,839 from 60 companies across 534 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. Horinger's costs compare to other internal medicine physicians in South Euclid?
Dr. Horinger's average Medicare payment per service is $58. 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. Horinger) 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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