Medicare Enrolled

Dr. Karen Rizzo, MD

Otolaryngology · Lancaster, PA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
930 RED ROSE CT, Lancaster, PA 17601
7175179083
In practice since 2006 (19 years)
NPI: 1982704607 verify on NPPES ↗
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. Rizzo 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. Rizzo

Dr. Karen Rizzo is an otolaryngology specialist in Lancaster, PA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Rizzo performed 1,801 Medicare services across 1,446 unique beneficiaries.

Between the years covered by Open Payments, Dr. Rizzo received a total of $3,801 from 16 pharmaceutical and/or device companies across 111 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in otolaryngology. 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. Rizzo 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.

✓ 19 years in practice ▲ Top 21% volume in PA $3,801 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,801
Medicare services
Top 21% in PA for otolaryngology
1,446
Unique beneficiaries
$61
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~95 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 (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.
538 $63 $185
Comprehensive hearing and speech recognition test
A diagnostic evaluation that assesses hearing ability and the capacity to understand spoken words. The test measures how well a patient can detect sounds and recognize speech.
226 $25 $150
Middle ear function test
A diagnostic test used to evaluate how well the middle ear is functioning.
223 $11 $75
Ear wax removal
A procedure to remove impacted ear wax from the ear canal.
220 $30 $150
Nasal endoscopy
A diagnostic procedure that uses a thin, lighted tube to examine the inside of the nasal passages.
215 $128 $525
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.
191 $78 $225
Flexible laryngoscopy
A diagnostic exam of the voice box using a flexible endoscope to visualize the larynx.
133 $89 $350
Eardrum incision with tube placement under general anesthesia
A surgical procedure involving an incision in the eardrum to insert a ventilation tube, performed while the patient is under general anesthesia.
20 $125 $440
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.
20 $89 $250
Complex control of nose bleed 15 $187 $400
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 ↗
$3,801
Total received (2018-2024)
Avg $543/year across 7 years
Top 20% in PA for otolaryngology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
16
Companies
111
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
$3,784 (99.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$18 (0.5%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$397
2023
$392
2022
$709
2021
$766
2020
$257
2019
$723
2018
$558

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
AERIN MEDICAL INC.
$213
Optinose US, Inc.
$97
Smith+Nephew, Inc.
$36
GENZYME CORPORATION
$33
Regeneron Healthcare Solutions, Inc.
$18
Top 3 companies account for 87.2% of 2024 payments
All-time payments by company (2018-2024) ›
Intersect ENT, Inc.
$916
Stryker Corporation
$656
OptiNose US, Inc.
$487
Aerin Medical Inc.
$412
Acclarent, Inc
$316
Optinose US, Inc.
$313
AERIN MEDICAL INC.
$213
GENZYME CORPORATION
$141
Smith+Nephew, Inc.
$114
Regeneron Healthcare Solutions, Inc.
$88
ARBOR PHARMACEUTICALS, INC.
$40
GlaxoSmithKline, LLC.
$31
Neurent Medical Limited
$21
Mylan Specialty L.P.
$20
Merck Sharp & Dohme LLC
$18
Smith & Nephew, Inc.
$16
Top 3 companies account for 54.2% of all-time payments
Associated products mentioned in payments ›
ACCLARENT AERA EUSTACHIAN TUBE BALLOON DILATION SYSTEM · Acclarent Aera · CLARIFIX CRYOTHERAPY DEVICE · Coblation · Coblation - Laryngeal Wands · DUPIXENT · Dymista · ENTELLUS - FIAGON SINUS NAVIGATION SYSTEM · ENTELLUS - XPRESS ENT DILATION SYSTEM · HALO · INC. · LATERA · MEDLINE INDUSTRIES · NEUROMARK Device · NUCALA · Otovel · PROPEL · SCOPIS ENT · SINUVA · SPIROX - LATERA · TULA System · TruDi NAV Cable · TruDi Navigation System · VIVAER STYLUS · VivAer · Vivaer RF Stylus · XPRESS ENT DILATION SYSTEM · Xhance
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an otolaryngology specialist in Lancaster?
Compare otolaryngologists in the Lancaster area by procedure volume, costs, and industry payment transparency.
Browse otolaryngologists nearby

Geographic Context

Otolaryngologists within 10 mi
47
Per 100K population
8.5
County median income
$83,703
Nearest hospital
PENN STATE HEALTH LANCASTER MEDICAL CENTER
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. Rizzo is a clinical cardiology specialist, with above-average Medicare volume (top 21% in PA), with low-engagement industry engagement in the top 20% of PA peers, with 19 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. Rizzo experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Rizzo performed 538 office visit, established patient (20-29 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. Rizzo receive payments from pharmaceutical companies?
Yes. Dr. Rizzo received a total of $3,801 from 16 companies across 111 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. Rizzo's costs compare to other otolaryngologists in Lancaster?
Dr. Rizzo's average Medicare payment per service is $61. 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. Rizzo) 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 →
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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →