Medicare Enrolled
Dr. Gerhard Muelheims, MD, FACC
Cardiovascular Disease · Spokane, WA
Practice pattern: Electrophysiology & Remote
— Practice combining electrophysiology and remote services
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. Muelheims 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. Muelheims
Dr. Gerhard Muelheims is a cardiovascular disease specialist in Spokane, WA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Muelheims performed 5,842 Medicare services across 2,564 unique beneficiaries.
Between the years covered by Open Payments, Dr. Muelheims received a total of $2,752 from 12 pharmaceutical and/or device companies across 87 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. 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. Muelheims 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 WA
$2,752 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,842
Medicare services
Top 3% in WA for cardiovascular disease
2,564
Unique beneficiaries
$40
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~292 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 |
|---|---|---|---|
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
2,018 | $18 | $65 |
| Remote pacemaker monitoring, 90 days Remote assessment of a pacemaker system, including single, dual, multiple lead, or leadless devices, performed up to 90 days apart. |
1,452 | $23 | $85 |
| Remote evaluation of implantable defibrillator system Remote assessment of a single, dual, or multiple lead implantable defibrillator system within 90 days of the previous evaluation. |
578 | $27 | $105 |
| 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. |
312 | $92 | $368 |
| 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. |
243 | $10 | $42 |
| Remote cardiac rhythm monitor evaluation, up to 30 days Review and analysis of data from a remote cardiac rhythm monitoring system over a period of up to 30 days. |
213 | $19 | $75 |
| Remote monitoring of implantable heart rhythm device Evaluation of data transmitted remotely from an implantable cardiovascular monitor, such as a loop recorder or subcutaneous cardiac rhythm monitor, over a period up to 30 days. |
212 | $52 | $129 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
171 | $54 | $226 |
| 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. |
97 | $126 | $479 |
| 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. |
76 | $53 | $260 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
66 | $10 | $36 |
| Pacemaker insertion with heart chamber electrodes A surgical procedure to implant a pacemaker device and place electrodes into the upper and lower chambers of the heart to regulate heart rhythm. |
57 | $396 | $1,486 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
46 | $61 | $227 |
| Programming of dual lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with two leads to ensure proper function. |
38 | $62 | $283 |
| Pacemaker programming, single lead Adjustment and testing of a single-lead pacemaker to ensure it functions correctly. |
37 | $52 | $188 |
| Programming of multiple lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with multiple leads to ensure proper function. |
32 | $68 | $287 |
| External shock to heart to regulate heart beat A procedure that delivers an electric shock to the heart from outside the body to restore a normal heart rhythm. |
25 | $76 | $309 |
| Insertion of implantable defibrillator system A surgical procedure to place an implantable cardioverter-defibrillator (ICD) device into the body. The device is connected to the heart to monitor heart rhythm and deliver shocks if dangerous arrhythmias occur. |
18 | $698 | $2,619 |
| 2-day continuous ECG monitoring A continuous electrocardiogram recording that captures heart activity over a 48-hour period. This test helps detect irregular heart rhythms or other cardiac issues that may not appear during a standard, short-term ECG. |
18 | $9 | $53 |
| 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. |
18 | $82 | $323 |
| Pacemaker system programming Adjustment and testing of a multi-lead pacemaker to ensure proper function and settings. |
17 | $52 | $231 |
| Programming of single lead implantable defibrillator system Adjustment and testing of the settings for a single-lead implantable cardioverter-defibrillator (ICD) to ensure proper function. |
16 | $55 | $228 |
| Radiofrequency ablation for supraventricular tachycardia A procedure to locate and destroy abnormal heart tissue in the upper chambers of the heart that causes a rapid heart rate. |
16 | $642 | $2,395 |
| Insertion of left lower heart electrode for pacemaker or defibrillator A procedure to place an electrode in the lower part of the left side of the heart. This electrode is used to connect a pacemaker or defibrillator to help regulate the heart's rhythm. |
15 | $355 | $1,325 |
| 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. |
15 | $136 | $498 |
| Removal of permanent pacemaker pulse generator This procedure involves the surgical removal of the pulse generator component of a permanent pacemaker. The pulse generator is the device that sends electrical impulses to regulate the heart's rhythm. |
13 | $113 | $673 |
| Pacemaker and lower heart chamber electrode insertion A surgical procedure to implant a pacemaker device and place an electrode in the lower chamber of the heart to help regulate the heartbeat. |
12 | $354 | $1,372 |
| Insertion of implantable heart rhythm monitor A small device is placed under the skin to continuously record the heart's electrical activity. This helps detect irregular heart rhythms that may not appear during a standard office visit. |
11 | $61 | $251 |
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.
76.9% high complexity
0.0% medium
23.1% routine
Industry Payment Transparency
Open Payments through 2024 ↗$2,752
Total received (2018-2024)
Avg $393/year across 7 years
Top 27% in WA for cardiovascular disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
12
Companies
87
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
$2,752 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$462
2023
$348
2022
$370
2021
$213
2020
$141
2019
$409
2018
$809
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$253
Abbott Laboratories
$135
Boston Scientific Corporation
$33
CARDIVA MEDICAL, INC.
$21
CORDIS US CORP.
$20
Top 3 companies account for 91.1% of 2024 payments
All-time payments by company (2018-2024) ›
Abbott Laboratories
$1,437
Medtronic, Inc.
$307
Biosense Webster, Inc.
$305
Medtronic Vascular, Inc.
$262
Boston Scientific Corporation
$176
BIOTRONIK INC.
$84
Terumo Medical Corporation
$48
BOSTON SCIENTIFIC CORPORATION
$41
Janssen Pharmaceuticals, Inc
$37
CARDIVA MEDICAL, INC.
$21
CORDIS US CORP.
$20
Boehringer Ingelheim Pharmaceuticals, Inc.
$14
Top 3 companies account for 74.5% of all-time payments
Associated products mentioned in payments ›
ASSURITY · AVEIR · AZURE XT DR MRI SURESCAN · Accent Pacemaker · Advisa · Advisor Catheter · Agilis NxT EP Introducer · Allure CRT Pacemaker · Allure Quadra RF CRT Pacemaker · AngioSeal · Aptus Heli-FX · Assurity Pacemaker · Azure · CAPSUREFIX NOVUS MRI SURESCAN · CARDIVA VASCADE MVP VVCS 6-12F · COBALT DR MRI SURESCAN · CRT-Ps · Carto 3 System · CartoSound · Confirm Rx · ENSITE · Ellipse ICD · EnSite Precision Cardiac Mapping System · Endurity Pacemaker · Fortify Assura · GALLANT · GENERAL THERAPIES · Glidesheath · JARDIANCE · JOT DX · LATITUDE · LINQ II · MICRA · MetaCross · Micra · Mynx Venous VCD · PULSESELECT · Pacemakers · Quartet CRT Lead · RESONATE · RHYTHMIA · Reveal LINQ · SELECTSECURE · TENDRIL · TactiCath Quartz CFA Catheter · Tendril Pacing Lead · Visia AF · XARELTO
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.
Geographic Context
Cardiologists within 10 mi
37
Per 100K population
6.8
County median income
$73,513
Nearest hospital
SHRINERS HOSPITAL FOR CHILDREN
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. Muelheims is an electrophysiology & remote specialist, with above-average Medicare volume (top 3% in WA), 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. Muelheims experienced with remote pacemaker/defibrillator monitoring, 90 days?
Based on Medicare claims data, Dr. Muelheims performed 2,018 remote pacemaker/defibrillator monitoring, 90 days 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. Muelheims receive payments from pharmaceutical companies?
Yes. Dr. Muelheims received a total of $2,752 from 12 companies across 87 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. Muelheims's costs compare to other cardiologists in Spokane?
Dr. Muelheims's average Medicare payment per service is $40. 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. Muelheims) 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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