Medicare Enrolled
Dr. Laurence Fine, M.D.
Neurology · Bryn Mawr, PA
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. Fine 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. Fine
Dr. Laurence Fine is a neurology specialist in Bryn Mawr, PA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Fine performed 9,975 Medicare services across 1,562 unique beneficiaries.
Between the years covered by Open Payments, Dr. Fine received a total of $3,645 from 35 pharmaceutical and/or device companies across 110 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurology. 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. Fine 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 3% volume in PA
$3,645 industry payments
Medicare Practice Summary
Medicare Utilization ↗9,975
Medicare services
Top 3% in PA for neurology
1,562
Unique beneficiaries
$30
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~499 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 |
|---|---|---|---|
| Botox injection, per unit An injection of onabotulinumtoxinA, a medication used to temporarily relax muscles or reduce gland activity. The dose is measured in units, with this code representing a single unit administered. |
7,000 | $5 | $15 |
| 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. |
964 | $141 | $270 |
| Tendon or ligament injection A procedure involving the injection of medication into a tendon or ligament. |
369 | $47 | $112 |
| Electromyography of arm or leg muscles A test that measures the electrical activity in the muscles of the arm or leg using a needle electrode. It helps evaluate the health of muscles and the nerve cells that control them. |
131 | $81 | $142 |
| Injection, methylprednisolone acetate, 40 mg | 127 | $6 | $20 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
125 | $42 | $148 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
110 | $91 | $272 |
| MRI scan of brain, without contrast A magnetic resonance imaging test of the brain that does not use contrast dye. This procedure creates detailed images of the brain's structure using magnetic fields and radio waves. |
106 | $57 | $148 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
95 | $21 | $85 |
| MRI of lower spine, without contrast A magnetic resonance imaging scan of the lower spinal canal that does not use contrast dye to create detailed images of the spine. |
87 | $57 | $150 |
| 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. |
67 | $142 | $305 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
63 | $54 | $157 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
62 | $96 | $316 |
| CT scan of head/brain, without contrast A CT scan uses X-rays to create detailed images of the head or brain without the use of contrast dye. |
58 | $32 | $126 |
| EEG, extended monitoring A test that records electrical activity in the brain while the patient is both awake and asleep. |
55 | $46 | $105 |
| MRI of upper spine without contrast An MRI scan of the upper spinal canal that does not use contrast dye. This imaging test uses magnetic fields and radio waves to create detailed pictures of the spine. |
53 | $56 | $165 |
| New patient office visit, complex (60-74 min) | 50 | $175 | $308 |
| Nerve conduction studies, 11-12 A diagnostic test that measures how well nerves send electrical signals. It involves performing 11 to 12 separate nerve conduction studies. |
44 | $181 | $366 |
| Methylprednisolone acetate injection, 20 mg A 20 mg injection of methylprednisolone acetate, a corticosteroid medication. This code specifies the drug and dosage administered. |
44 | $5 | $15 |
| Chemical nerve block for facial paralysis Injection of a chemical agent to paralyze specific nerves or muscles on the side of the face. |
37 | $87 | $430 |
| Chemical nerve block for neck muscles Injection of a chemical agent to paralyze specific muscles on the side of the neck, excluding the voice box. |
36 | $175 | $410 |
| Spinal nerve root injection with imaging guidance An injection of anesthetic or steroid medication into a single nerve root in the upper or middle spine. The procedure uses imaging guidance to ensure accurate placement. |
35 | $107 | $350 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
34 | $86 | $206 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
34 | $49 | $103 |
| MRI of head blood vessels without contrast An MRI scan that creates detailed images of the blood vessels in the head without using contrast dye. |
31 | $47 | $143 |
| MRI of neck blood vessels without contrast This procedure uses magnetic resonance imaging to create detailed pictures of the blood vessels in the neck without the use of contrast dye. |
31 | $45 | $143 |
| MRI of brain with contrast A magnetic resonance imaging scan of the brain that uses a contrast dye to enhance the visibility of internal structures. |
19 | $68 | $182 |
| Nerve conduction study, 9-10 studies A diagnostic test that measures how well nerves send electrical signals. It involves performing 9 to 10 separate nerve conduction studies to evaluate nerve function. |
18 | $161 | $310 |
| CT scan of head blood vessels with contrast A CT scan that uses contrast dye to create detailed images of the blood vessels in the head. |
17 | $68 | $110 |
| CT scan of neck blood vessels with contrast A computed tomography scan that uses dye to visualize the blood vessels in the neck. This imaging test helps examine the structure and flow within the neck's vascular system. |
17 | $65 | $110 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
15 | $31 | $130 |
| MRI of middle spinal canal, without contrast This procedure uses magnetic resonance imaging to create detailed pictures of the middle section of the spinal canal. It is performed without the use of contrast dye. |
14 | $57 | $165 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
14 | $98 | $305 |
| CT scan of upper spine, without contrast A CT scan uses X-rays to create detailed images of the upper spine. This procedure is performed without the use of contrast dye. |
13 | $35 | $130 |
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 ↗$3,645
Total received (2018-2024)
Avg $521/year across 7 years
Top 33% in PA for neurology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
35
Companies
110
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
$3,623 (99.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$22 (0.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$432
2023
$279
2022
$347
2021
$131
2020
$438
2019
$1,363
2018
$655
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novartis Pharmaceuticals Corporation
$135
GE HEALTHCARE
$115
AstraZeneca Pharmaceuticals LP
$92
Alexion Pharmaceuticals, Inc.
$49
Amgen Inc.
$21
ABBVIE INC.
$21
Top 3 companies account for 79.0% of 2024 payments
All-time payments by company (2018-2024) ›
Sunovion Pharmaceuticals Inc.
$346
Boston Scientific Corporation
$300
Insmed, Inc.
$271
Alexion Pharmaceuticals, Inc.
$251
Janssen Scientific Affairs, LLC
$238
Novartis Pharmaceuticals Corporation
$226
AstraZeneca Pharmaceuticals LP
$206
Supernus Pharmaceuticals, Inc.
$151
ABBVIE INC.
$129
Amarin Pharma Inc.
$126
Merck Sharp & Dohme Corporation
$125
Paratek Pharmaceuticals, Inc.
$123
Otsuka America Pharmaceutical, Inc.
$120
Flexion Therapeutics, Inc.
$119
GE HEALTHCARE
$115
Adamas Pharmaceuticals, Inc.
$107
Shire North American Group Inc
$102
Boehringer Ingelheim Pharmaceuticals, Inc.
$102
Genentech USA, Inc.
$68
Amgen Inc.
$65
Avanir Pharmaceuticals, Inc.
$39
ARBOR PHARMACEUTICALS, INC.
$33
EMD Serono, Inc.
$32
Allergan Inc.
$28
Janssen Pharmaceuticals, Inc
$25
UCB, Inc.
$24
CSL Behring
$23
Kedrion Biopharma Inc.
$23
Akcea Therapeutics, Inc.
$22
Upsher-Smith Laboratories LLC
$22
Amneal Pharmaceuticals LLC
$19
BOSTON SCIENTIFIC CORPORATION
$19
AbbVie Inc.
$18
Medtronic Vascular, Inc.
$15
Biohaven Pharmaceuticals, Inc.
$15
Top 3 companies account for 25.1% of all-time payments
Associated products mentioned in payments ›
AIMOVIG · APTIOM · Aimovig · Arikayce · BOTOX · BOTOX THERAPEUTIC · DIFICID · DUOPA · FASENRA · GATTEX · GOCOVRI · Gammaked · Hizentra · Horizant · JARDIANCE · JYNARQUE · KESIMPTA · LUX-Dx Insertable Cardiac Monitor · NUEDEXTA · NURTEC ODT · NUZYRA · OCREVUS · Ponvory · QUDEXY XR Topiramate Extended Release Capsules · QULIPTA · RYTARY · Rebif · Reveal LINQ · STELARA · Soliris · TAGRISSO · TEGSEDI · TROKENDI XR · UBRELVY · ULTOMIRIS · UPLIZNA · Vascepa · Vimpat · WATCHMAN · Zilretta
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 (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Neurologists within 10 mi
515
Per 100K population
89.4
County median income
$88,576
Nearest hospital
BRYN MAWR 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. Fine is a mixed practice specialist, with above-average Medicare volume (top 3% in PA), with low-engagement industry engagement, 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. Fine experienced with botox injection, per unit?
Based on Medicare claims data, Dr. Fine performed 7,000 botox injection, per unit 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. Fine receive payments from pharmaceutical companies?
Yes. Dr. Fine received a total of $3,645 from 35 companies across 110 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. Fine's costs compare to other neurologists in Bryn Mawr?
Dr. Fine's average Medicare payment per service is $30. 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. Fine) 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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