Medicare Enrolled
Dr. Michael Lynch, M.D.
Internal Medicine · Fresno, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Lynch 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. Lynch
Dr. Michael Lynch is an internal medicine specialist in Fresno, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Lynch performed 40,467 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Lynch received a total of $14,097 from 80 pharmaceutical and/or device companies across 757 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Lynch 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 of NPI registration
▲ Top 1% volume in CA
$14,097 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗40,467
Medicare services
Top 1% in CA for internal medicine
Not available
Unique patients (not deduplicated)
$19
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 |
|---|---|---|---|
| Testosterone injection An injection of testosterone cypionate, a form of testosterone hormone. The dose is measured in milligrams. |
28,200 | $0 | $0 |
| 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. |
3,861 | $62 | $130 |
| 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. |
1,876 | $45 | $85 |
| 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. |
851 | $91 | $180 |
| 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. |
729 | $11 | $70 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
682 | $134 | $200 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
428 | $32 | $49 |
| 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. |
416 | $35 | $65 |
| 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. |
402 | $72 | $80 |
| 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. |
381 | $64 | $100 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
354 | $1 | $15 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
292 | $42 | $70 |
| 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. |
230 | $10 | $33 |
| Technetium Tc-99m sestamibi diagnostic injection A diagnostic injection of technetium Tc-99m sestamibi used for imaging studies. |
200 | $90 | $400 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review. |
145 | $53 | $285 |
| 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. |
103 | $40 | $80 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
100 | $364 | $600 |
| 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. |
93 | $278 | $350 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
93 | $31 | $39 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
88 | $49 | $130 |
| 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. |
88 | $218 | $380 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
84 | $40 | $70 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
76 | $102 | $185 |
| Hospital discharge day management, 30 minutes or less This service covers the final day of hospital care when the patient is being discharged. It includes coordination of care and instructions for the patient within a time frame of 30 minutes or less. |
72 | $66 | $120 |
| Remote vital sign monitoring management, each additional 20 minutes This code covers the time spent by a provider managing patient data from remote vital sign monitoring devices. It applies to each additional 20-minute increment beyond the initial monthly service period. |
72 | $32 | $60 |
| Destruction of precancerous skin growth, 1 Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer. |
57 | $49 | $150 |
| Ambulatory blood pressure monitoring, 1 day or longer This procedure involves wearing a device to record blood pressure over a day or longer. It includes analyzing the data, interpreting the results, and providing a report. |
57 | $32 | $220 |
| Aminophylline injection, up to 250 mg Administration of aminophylline medication via injection for a dose of up to 250 mg. |
51 | $6 | $14 |
| Destruction of precancerous skin growths, 2-14 This procedure involves the removal or destruction of two to fourteen precancerous skin lesions. It is performed to eliminate abnormal skin cells that have the potential to develop into cancer. |
48 | $4 | $30 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
48 | $1 | $15 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
41 | $35 | $85 |
| 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. |
32 | $64 | $160 |
| 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. |
32 | $42 | $100 |
| Joint fluid aspiration or injection, small joint Removal of fluid from a small joint or injection of medication into a small joint. |
22 | $41 | $75 |
| 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. |
21 | $172 | $250 |
| Recombinant quadrivalent influenza vaccine A flu shot that protects against four strains of influenza virus. It is produced using recombinant DNA technology rather than growing the virus in eggs. |
20 | $69 | $80 |
| 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. |
20 | $151 | $330 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
18 | $21 | $50 |
| 30-day continuous ECG with patient-triggered event transmission and review This procedure involves continuous electrocardiogram monitoring for up to 30 days, including the transmission of patient-triggered events. A healthcare professional reviews the data and provides a report. |
18 | $733 | $1,400 |
| 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. |
18 | $172 | $193 |
| ECG screening, interpretation and report only A routine 12-lead electrocardiogram is interpreted and reported as part of an initial preventive physical examination. |
15 | $4 | $65 |
| 2-day continuous ECG with review and report A two-day continuous electrocardiogram recording that includes a professional review and written report of the results. |
11 | $54 | $200 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
11 | $32 | $80 |
| Pap smear screening test A screening test to collect and prepare a cervical or vaginal sample for laboratory analysis. |
11 | $46 | $50 |
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. These counts do not measure clinical quality or years of experience.
Industry Payment Transparency
Open Payments through 2024 ↗$14,097
Total received (2018-2024)
Avg $2,014/year across 7 years
Top 8% in CA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
80
Companies
757
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,755
2023
$1,618
2022
$2,214
2021
$2,961
2020
$1,705
2019
$1,909
2018
$1,935
Payments by company (2024)
AstraZeneca Pharmaceuticals LP
$337
GlaxoSmithKline, LLC.
$191
Lexicon Pharmaceuticals, Inc.
$184
Novo Nordisk Inc
$165
Esperion Therapeutics, Inc.
$150
Otsuka America Pharmaceutical, Inc.
$122
Novartis Pharmaceuticals Corporation
$83
Boehringer Ingelheim Pharmaceuticals, Inc.
$64
Abbott Laboratories
$63
ABIOMED
$56
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$50
Phathom Pharmaceuticals, Inc.
$29
Boston Scientific Corporation
$27
Amgen Inc.
$25
SCILEX PHARMACEUTICALS INC.
$23
Exact Sciences Corporation
$23
Baxter Healthcare
$22
Xeris Pharmaceuticals, Inc.
$20
E.R. Squibb & Sons, L.L.C.
$20
Daiichi Sankyo Inc.
$20
Astellas Pharma US Inc
$19
Electromed, Inc.
$18
Inspire Medical Systems, Inc.
$16
ABBVIE INC.
$15
PFIZER INC.
$13
Top 3 companies account for 40.6% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$1,945
Amgen Inc.
$1,601
Novo Nordisk Inc
$877
Esperion Therapeutics, Inc.
$747
GlaxoSmithKline, LLC.
$714
Janssen Pharmaceuticals, Inc
$652
Lilly USA, LLC
$479
Boehringer Ingelheim Pharmaceuticals, Inc.
$450
Daiichi Sankyo Inc.
$421
Abbott Laboratories
$392
Novartis Pharmaceuticals Corporation
$365
ABBVIE INC.
$342
SANOFI-AVENTIS U.S. LLC
$312
Amarin Pharma Inc.
$311
Astellas Pharma US Inc
$297
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$297
E.R. Squibb & Sons, L.L.C.
$264
Biohaven Pharmaceuticals, Inc.
$259
Otsuka America Pharmaceutical, Inc.
$217
Lexicon Pharmaceuticals, Inc.
$184
Flexion Therapeutics, Inc.
$161
Takeda Pharmaceuticals U.S.A., Inc.
$147
AbbVie Inc.
$141
Bayer HealthCare Pharmaceuticals Inc.
$124
PFIZER INC.
$119
Philips Electronics North America Corporation
$111
Akcea Therapeutics, Inc.
$111
Pacira Therapeutics, Inc.
$110
Radius Health, Inc.
$108
Arbor Pharmaceuticals, Inc.
$90
ARBOR PHARMACEUTICALS, INC.
$82
Nevro Corp.
$81
Baxter Healthcare
$77
AbbVie, Inc.
$73
Boston Scientific Corporation
$68
Eisai Inc.
$65
Ironwood Pharmaceuticals, Inc
$64
Kowa Pharmaceuticals America, Inc.
$63
Nestle HealthCare Nutrition Inc.
$60
SANOFI PASTEUR INC.
$60
ABIOMED
$56
IDORSIA PHARMACEUTICALS US INC
$56
Merck Sharp & Dohme Corporation
$53
Mannkind Corporation
$47
Mylan Specialty L.P.
$46
SK Life Science, Inc.
$46
Allergan, Inc.
$45
Exact Sciences Corporation
$41
FIDIA PHARMA USA INC.
$39
Scilex Pharmaceuticals Inc.
$37
Allergan Inc.
$36
Covidien LP
$34
Horizon Therapeutics plc
$30
Phathom Pharmaceuticals, Inc.
$29
Biohaven Pharmaceutical Holding Company Ltd.
$29
Alnylam Pharmaceuticals Inc.
$24
Regeneron Healthcare Solutions, Inc.
$23
SCILEX PHARMACEUTICALS INC.
$23
Echosens North America, Inc.
$21
Dexcom, Inc.
$20
Xeris Pharmaceuticals, Inc.
$20
GE HealthCare
$20
Sanofi Pasteur Inc.
$19
Corcept Therapeutics
$19
Bavarian Nordic A/S
$19
Electromed, Inc.
$18
Optinose US, Inc.
$18
Seqirus USA Inc
$17
Stimwave Technologies Incorporated
$16
Vertiflex, Inc.
$16
Bayer Healthcare Pharmaceuticals Inc.
$16
ARALEZ PHARMACEUTICALS US INC.
$16
Inspire Medical Systems, Inc.
$16
Upsher-Smith Laboratories LLC
$15
IRONWOOD PHARMACEUTICALS, INC
$14
Lundbeck LLC
$14
Phadia US Inc.
$14
Bioventus LLC
$13
Tactile Systems Technology Inc
$12
Nabriva Therapeutics, plc
$11
Top 3 companies account for 31.4% of all-time payments
Associated products mentioned in payments ›
(7999) SRC Und · (8874) inCourage · AFREZZA · AIMOVIG · AIRSUPRA · ANDEXXA · ANORO · ANORO ELLIPTA · AREXVY · Aimovig · BASAGLAR · BELSOMRA · BREZTRI · BREZTRI AEROSPHERE · BRILINTA · BYSTOLIC · Belviq · CHANTIX · Cologuard Collection Kit · Corlanor · Dayvigo · Dexcom G6 Transmitter · Durolane · ELIQUIS · ELYXYB - CELECOXIB · EMGALITY · ENTRESTO · EVENITY · Edarbi · FARXIGA · FASENRA · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FLUZONE HIGH-DOSE · FLUZONE QUADRIVALENT · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FibroScan · Fixate · Flexitouch Plus · Fluad Quadrivalent · FreeStyle Libre 2 · GVOKE HYPOPEN · HUMALOG · Hillrom - Cardiac Ambulatory Monitor · Hillrom - Life 2000 Ventilation System · Hillrom - Monarch Airway Clearance System · Humira · Hymovis · INCRUSE · INJECTAFER · INSPIRE · INVOKANA · ImmunoCAP · Impella · Inpefa · JANUVIA · JARDIANCE · KRYSTEXXA · Kerendia · Korlym · LEQVIO · LINZESS · Linzess · Livalo · MITRACLIP · MOUNJARO · MULTAQ · MYRBETRIQ · Mavyret · NEXLETOL · NEXLIZET · NURTEC ODT · OFEV · ONPATTRO · Omnia · Otezla · Ozempic · PRADAXA · PRALUENT · PRALUENT ALIROCUMAB INJECTION · PREVNAR - 13 · PREVNAR 20 · Proclaim Family of SCS IPGs · Prolia · QUDEXY XR Topiramate Extended Release Capsules · QULIPTA · QUVIVIQ · REXULTI · RYBELSUS · Repatha · Respiratoriy Care Undiv · Rybelsus · SHINGRIX · SMARTVEST · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SYMBICORT · Senza · Situate · StimQ Receiver Stimulator Kit Channel A US w Receiver · Superion ISS · TEGSEDI · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULANCE · TRULICITY · Tresiba · Trintellix · Tymlos · UBRELVY · VIBERZI · VOQUEZNA · VRAYLAR · Vascepa · Veozah · Victoza · WATCHMAN · Wegovy · Wellcentive Undiv · XARELTO · XIFAXAN · XIFIXAN · Xenleta · Xhance · Yupelri · ZENPEP · ZONTIVITY · ZTLido · Zilretta
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Internal medicine physicians in nearby ZIP areas
493
County median income
$71,434
Nearest hospital to ZIP centroid (approximate)
SAINT AGNES MEDICAL CENTER
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | 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. Lynch is a clinical cardiology specialist, with above-average Medicare volume (top 1% in CA), 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. Lynch experienced with testosterone injection?
Based on Medicare claims data, Dr. Lynch performed 28,200 testosterone injection services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Lynch receive payments from pharmaceutical companies?
Yes. Dr. Lynch received a total of $14,097 from 80 companies across 757 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Lynch's costs compare to other internal medicine physicians in Fresno?
Dr. Lynch's average Medicare payment per service is $19. 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. Lynch) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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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