Medicare Enrolled
Dr. Kenneth Bingener, DO
Family Medicine · Boyertown, PA
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. Bingener 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. Bingener
Dr. Kenneth Bingener is a family medicine specialist in Boyertown, PA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Bingener performed 3,876 Medicare services across 2,465 unique beneficiaries.
Between the years covered by Open Payments, Dr. Bingener received a total of $3,733 from 31 pharmaceutical and/or device companies across 203 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family 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. Bingener 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 2% volume in PA
$3,733 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,876
Medicare services
Top 2% in PA for family medicine
2,465
Unique beneficiaries
$64
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~194 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. |
925 | $78 | $208 |
| 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. |
659 | $45 | $86 |
| Annual depression screening | 380 | $17 | $31 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
338 | $123 | $212 |
| 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. |
273 | $58 | $147 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
179 | $37 | $83 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
147 | $29 | $30 |
| 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. |
143 | $72 | $90 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
132 | $17 | $49 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
124 | $36 | $102 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
117 | $77 | $136 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
55 | $206 | $447 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
55 | $29 | $35 |
| 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. |
42 | $283 | $375 |
| 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. |
40 | $27 | $56 |
| 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. |
39 | $147 | $330 |
| 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. |
36 | $38 | $70 |
| 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. |
32 | $8 | $24 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
30 | $158 | $268 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
21 | $36 | $60 |
| 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. |
21 | $28 | $52 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
20 | $158 | $269 |
| Remote physiologic monitoring setup and education Initial setup of remote monitoring equipment and patient education on its use. |
17 | $13 | $31 |
| Retinal photography (fundus photo) This procedure involves taking photographs of the retina, the light-sensitive tissue at the back of the eye. It is used to document the condition of the eye's interior structures. |
15 | $15 | $100 |
| Continuous glucose monitoring, sensor under skin This procedure involves continuous monitoring of blood sugar levels in tissue fluid using a sensor placed under the skin with provider-supplied equipment. |
13 | $75 | $256 |
| Routine 12-lead ECG screening A standard 12-lead electrocardiogram performed as part of an initial preventive physical examination. The service includes both the performance of the test and the physician's interpretation and report. |
12 | $9 | $24 |
| Automated retinal imaging for disease detection Imaging of the retina to detect disease, featuring automated review and a report generated at the point of care. |
11 | $24 | $100 |
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 ↗$3,733
Total received (2018-2024)
Avg $533/year across 7 years
Top 15% in PA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
31
Companies
203
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
$3,197 (85.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$536 (14.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$987
2023
$1,192
2022
$492
2021
$223
2020
$233
2019
$515
2018
$91
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$261
Lilly USA, LLC
$142
AstraZeneca Pharmaceuticals LP
$133
Abbott Laboratories
$108
ABBVIE INC.
$59
Bausch & Lomb Americas Inc.
$54
Bayer Healthcare Pharmaceuticals Inc.
$36
Amgen Inc.
$33
Astellas Pharma US Inc
$31
GlaxoSmithKline, LLC.
$28
Novartis Pharmaceuticals Corporation
$23
Azurity Pharmaceuticals, Inc.
$21
PFIZER INC.
$21
Boehringer Ingelheim Pharmaceuticals, Inc.
$21
Tolmar, Inc.
$16
Top 3 companies account for 54.4% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$653
Bayer Healthcare Pharmaceuticals Inc.
$514
Lilly USA, LLC
$457
AstraZeneca Pharmaceuticals LP
$356
Abbott Laboratories
$331
PFIZER INC.
$232
AbbVie Inc.
$167
Boehringer Ingelheim Pharmaceuticals, Inc.
$147
GlaxoSmithKline, LLC.
$127
SANOFI-AVENTIS U.S. LLC
$87
Kowa Pharmaceuticals America, Inc.
$77
ABBVIE INC.
$72
Novartis Pharmaceuticals Corporation
$60
Bausch & Lomb Americas Inc.
$54
Amgen Inc.
$50
Amarin Pharma Inc.
$43
Janssen Pharmaceuticals, Inc
$38
Astellas Pharma US Inc
$31
AbbVie, Inc.
$29
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$26
MannKind Corporation
$23
Azurity Pharmaceuticals, Inc.
$21
Merck Sharp & Dohme LLC
$19
Mannkind Corporation
$18
SANOFI PASTEUR INC.
$17
Exact Sciences Corporation
$16
Tolmar, Inc.
$16
Allergan, Inc.
$14
EISAI INC.
$14
Allergan Inc.
$12
Merck Sharp & Dohme Corporation
$11
Top 3 companies account for 43.5% of all-time payments
Associated products mentioned in payments ›
AFREZZA · AIRSUPRA · AREXVY · BELSOMRA · BEXSERO · BREZTRI · Belviq · CHANTIX · Cologuard Collection Kit · ENTRESTO · EUCRISA · EVENITY · FARXIGA · FLUBLOK QUADRIVALENT · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · HORIZANT · JARDIANCE · JATENZO · Kerendia · LEQVIO · LOKELMA · LYRICA · Livalo · MOUNJARO · Ozempic · PAXLOVID · PREVNAR - 13 · PREVNAR 20 · QULIPTA · ROTATEQ · Repatha · Rybelsus · SHINGRIX · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STIOLTO · SYMBICORT · SYNJARDY · SYNTHROID · Synthroid · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · UBRELVY · VRAYLAR · Vascepa · Veozah · XARELTO · XIFAXAN · ZEPBOUND · enVista MX60 IOL
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 (86%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Family medicine physicians within 10 mi
989
Per 100K population
230.0
County median income
$77,684
Nearest hospital
POTTSTOWN HOSPITAL
7.2 mi
7.2 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. Bingener is a clinical cardiology specialist, with above-average Medicare volume (top 2% in PA), with low-engagement industry engagement in the top 15% of PA 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. Bingener experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Bingener performed 925 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. Bingener receive payments from pharmaceutical companies?
Yes. Dr. Bingener received a total of $3,733 from 31 companies across 203 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. Bingener's costs compare to other family medicine physicians in Boyertown?
Dr. Bingener's average Medicare payment per service is $64. 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. Bingener) 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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