Medicare Enrolled
Dr. Lori Lavelle, DO
Rheumatology · Duncansville, 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. Lavelle 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. Lavelle
Dr. Lori Lavelle is a rheumatology specialist in Duncansville, PA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Lavelle performed 64,243 Medicare services across 3,771 unique beneficiaries.
Between the years covered by Open Payments, Dr. Lavelle received a total of $11,806 from 33 pharmaceutical and/or device companies across 996 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in rheumatology. 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. Lavelle 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 20% volume in PA
$11,806 industry payments
Medicare Practice Summary
Medicare Utilization ↗64,243
Medicare services
Top 20% in PA for rheumatology
3,771
Unique beneficiaries
$6
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~3,212 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 |
|---|---|---|---|
| Certolizumab injection (Cimzia) An injection of certolizumab pegol administered under the direct supervision of a physician. |
57,000 | $4 | $17 |
| Denosumab injection (Prolia/Xgeva) | 1,560 | $18 | $40 |
| 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. |
567 | $88 | $183 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
494 | $8 | $45 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
492 | $8 | $80 |
| Erythrocyte sedimentation rate (ESR) test A blood test that measures how quickly red blood cells settle in a test tube to detect inflammation in the body. This specific method is performed manually rather than using an automated machine. |
486 | $4 | $56 |
| C-reactive protein test (inflammation marker) A blood test that measures the level of C-reactive protein to detect the presence of infection or inflammation in the body. |
471 | $5 | $70 |
| Autoimmune disorder antibody test A laboratory test that measures antibodies in the blood to help assess for autoimmune disorders. |
377 | $18 | $106 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
327 | $10 | $82 |
| Non-hormonal chemotherapy injection This procedure involves administering non-hormonal anti-neoplastic chemotherapy medication via injection into the skin or muscle tissue. |
275 | $51 | $137 |
| 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. |
238 | $51 | $153 |
| Blood creatinine level test A blood test that measures the amount of creatinine, a waste product from muscle wear and tear, to help assess kidney function. |
175 | $5 | $42 |
| Liver enzyme (SGOT) level test A blood test that measures the level of the liver enzyme SGOT to help assess liver health. |
174 | $5 | $44 |
| Liver enzyme (SGPT) level test A blood test that measures the level of the liver enzyme SGPT to assess liver function. |
174 | $5 | $44 |
| Intravenous chemotherapy infusion, 1 hour or less Administration of chemotherapy medication directly into a vein. The procedure takes one hour or less to complete. |
110 | $93 | $300 |
| DNA antibody test (native or double-stranded) A blood test that measures the level of antibodies targeting native or double-stranded DNA. This test is used to detect the presence of these specific antibodies in the body. |
94 | $13 | $81 |
| Complement and antigen measurement A laboratory test to measure levels of complement proteins and antigens in the blood. |
74 | $12 | $152 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
66 | $48 | $272 |
| Rheumatoid factor level | 61 | $5 | $72 |
| Autoimmune disorder antibody titer test A blood test that measures the level of specific antibodies to help assess autoimmune disorders. |
59 | $11 | $70 |
| X-ray of hand, minimum of 3 views An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints. |
58 | $27 | $145 |
| Autoimmune disorder screening test A laboratory test used to screen for the presence of autoimmune disorders. |
58 | $12 | $82 |
| Tuberculosis blood test (gamma interferon) A blood test that measures the immune system's response to tuberculosis bacteria using gamma interferon levels. |
56 | $61 | $158 |
| Zoledronic acid injection, 1 mg An injection of zoledronic acid administered at a dose of 1 mg. |
55 | $6 | $110 |
| 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. |
53 | $111 | $265 |
| Additional hour of intravenous chemotherapy This code represents the administration of chemotherapy medication into a vein for each additional hour beyond the initial period. |
52 | $20 | $200 |
| Albumin level test A blood test that measures the amount of albumin, a protein made by the liver, in your body. |
49 | $5 | $44 |
| 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. |
45 | $9 | $86 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
44 | $9 | $50 |
| Rheumatoid arthritis antibody test A blood test to measure antibodies used in assessing rheumatoid arthritis. |
43 | $12 | $134 |
| Foot X-ray, 3+ views An X-ray imaging test of the foot that captures at least three different views to evaluate the bones and joints. |
36 | $27 | $146 |
| Knee X-ray, 3 views An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures. |
34 | $28 | $151 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
32 | $3 | $59 |
| Injection, methylprednisolone acetate, 40 mg | 32 | $5 | $43 |
| Bone density scan (DEXA) of hip, pelvis, and spine This test measures bone density in the hip, pelvis, and spine to assess bone strength. It also includes an assessment for spine fractures. |
31 | $49 | $455 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
29 | $4 | $44 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
27 | $24 | $206 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
27 | $16 | $100 |
| Cardiac enzyme level (CK-MB) test A blood test that measures the total level of creatine kinase, specifically the cardiac enzyme fraction, to help evaluate heart muscle damage. |
26 | $6 | $72 |
| X-ray of lower and sacral spine, minimum of 4 views An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints. |
24 | $37 | $209 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
24 | $29 | $262 |
| Total calcium level test A blood test that measures the total amount of calcium in your body. |
23 | $5 | $42 |
| Pelvis X-ray, 1-2 views An X-ray imaging test of the pelvic area using one to two different angles to visualize the bones and joints. |
16 | $19 | $139 |
| Hepatitis B surface antibody test A blood test that measures the level of antibodies against the hepatitis B surface antigen. This test is used to check for immunity to hepatitis B or to verify the effectiveness of the hepatitis B vaccine. |
15 | $10 | $89 |
| Hepatitis C antibody test A blood test that checks for antibodies to the hepatitis C virus. This test helps determine if a person has been exposed to the virus. |
15 | $13 | $62 |
| Hepatitis B surface antigen test A blood test that uses an immunoassay technique to detect the presence of the hepatitis B surface antigen. This test identifies whether the hepatitis B virus is currently present in the body. |
15 | $9 | $83 |
| X-ray of upper spine, 4-5 views An X-ray imaging test of the upper spine using 4 to 5 different views to visualize the bones and structures in that area. |
14 | $36 | $199 |
| Parathyroid hormone level test A blood test that measures the amount of parathyroid hormone in your body. This hormone helps regulate calcium levels in the blood and bones. |
13 | $40 | $217 |
| Lyme disease antibody test A blood test that checks for antibodies to the bacteria that causes Lyme disease. |
12 | $17 | $133 |
| 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. |
11 | $48 | $307 |
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.
0.2% high complexity
92.0% medium
7.8% routine
Industry Payment Transparency
Open Payments through 2024 ↗$11,806
Total received (2018-2024)
Avg $1,687/year across 7 years
Top 26% in PA for rheumatology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
33
Companies
996
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
$11,741 (99.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$65 (0.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,723
2023
$2,238
2022
$1,413
2021
$1,374
2020
$1,058
2019
$1,443
2018
$1,557
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$1,171
Amgen Inc.
$350
Novartis Pharmaceuticals Corporation
$254
GlaxoSmithKline, LLC.
$231
Janssen Biotech, Inc.
$182
AstraZeneca Pharmaceuticals LP
$148
PFIZER INC.
$141
UCB, Inc.
$107
E.R. Squibb & Sons, L.L.C.
$53
Aurinia Pharma U.S., Inc.
$38
GENZYME CORPORATION
$31
Novo Nordisk Inc
$17
Top 3 companies account for 65.2% of 2024 payments
All-time payments by company (2018-2024) ›
ABBVIE INC.
$2,346
Novartis Pharmaceuticals Corporation
$1,916
PFIZER INC.
$1,671
Janssen Biotech, Inc.
$1,289
Amgen Inc.
$981
GlaxoSmithKline, LLC.
$555
Horizon Therapeutics plc
$504
AstraZeneca Pharmaceuticals LP
$392
UCB, Inc.
$313
Genentech USA, Inc.
$298
AbbVie Inc.
$200
GENZYME CORPORATION
$197
Aurinia Pharma U.S., Inc.
$169
E.R. Squibb & Sons, L.L.C.
$133
Novo Nordisk Inc
$116
AbbVie, Inc.
$107
SANOFI-AVENTIS U.S. LLC
$99
Exeltis, USA Inc.
$72
Ultragenyx Pharmaceutical Inc.
$72
Lilly USA, LLC
$60
Horizon Pharma plc
$50
Antares Pharma, Inc.
$46
Pacira Pharmaceuticals Incorporated
$37
Flexion Therapeutics, Inc.
$27
ANI Pharmaceuticals, Inc.
$26
MEDEXUS PHARMA, INC.
$22
Boehringer Ingelheim Pharmaceuticals, Inc.
$20
Mallinckrodt Hospital Products Inc.
$17
Eisai Inc.
$17
Sebela Pharmaceuticals Inc.
$17
Hikma Pharmaceuticals USA
$17
Celgene Corporation
$13
Amniox Medical, Inc.
$6
Top 3 companies account for 50.3% of all-time payments
Associated products mentioned in payments ›
ACTHAR · AMJEVITA · AVSOLA · BENLYSTA · Bimzelx · COSENTYX · CYLTEZO · Cimzia · Crysvita · DUEXIS · Dayvigo · EVENITY · Enbrel · FORTEO · HUMIRA · Humira · ILARIS · INFLECTRA · Iovera · KEVZARA · KRYSTEXXA · LUPKYNIS · LYRICA · Mitigare · NEOX · NUCALA · Neupro · OCTAGAM IMMUNE GLOBULIN (HUMAN) · ORENCIA · Otezla · Otrexup · PENNSAID · PREVNAR - 13 · PREVNAR 13 · PURIFIED CORTROPHIN GEL · RAYOS · REMICADE · RIDAURA · RINVOQ · Rasuvo · Rinvoq · Rituxan · SAPHNELO · SIMPONI · SIMPONI ARIA · SKYRIZI · STELARA · Saxenda · TALTZ · TAVNEOS · TREMFYA · Wegovy · XELJANZ · 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
Rheumatologists within 10 mi
5
Per 100K population
4.1
County median income
$60,594
Nearest hospital
JAMES E. VAN ZANDT VA MEDICAL CENTER (ALTOONA)
6.8 mi
6.8 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. Lavelle is a mixed practice specialist, with above-average Medicare volume (top 20% 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. Lavelle experienced with certolizumab injection (cimzia)?
Based on Medicare claims data, Dr. Lavelle performed 57,000 certolizumab injection (cimzia) 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. Lavelle receive payments from pharmaceutical companies?
Yes. Dr. Lavelle received a total of $11,806 from 33 companies across 996 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. Lavelle's costs compare to other rheumatologists in Duncansville?
Dr. Lavelle's average Medicare payment per service is $6. 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. Lavelle) 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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