Medicare Enrolled
Dr. Barbara Hrach, M.D.
Internal Medicine · Santa Barbara, CA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Hrach 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 →
Are you Dr. Hrach?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Hrach
Dr. Barbara Hrach is an internal medicine specialist in Santa Barbara, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Hrach performed 15,088 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Hrach received a total of $4,072 from 36 pharmaceutical and/or device companies across 155 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. Hrach 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 2% volume in CA
$4,072 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗15,088
Medicare services
Top 2% in CA for internal medicine
Not available
Unique patients (not deduplicated)
$30
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 |
|---|---|---|---|
| Denosumab injection (Prolia/Xgeva) | 3,540 | $18 | $25 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
773 | $8 | $76 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
733 | $8 | $125 |
| 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. |
649 | $8 | $55 |
| Liver function blood test panel | 618 | $8 | $129 |
| High-sensitivity C-reactive protein test A blood test that measures high-sensitivity C-reactive protein to detect infection or inflammation. |
444 | $13 | $100 |
| 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. |
420 | $97 | $397 |
| Iron level test | 403 | $6 | $45 |
| Iron binding capacity test A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron. |
403 | $9 | $50 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
402 | $10 | $75 |
| 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. |
387 | $72 | $363 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
361 | $16 | $125 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
360 | $13 | $120 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
341 | $29 | $175 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
329 | $39 | $174 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
318 | $9 | $110 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
309 | $13 | $90 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
288 | $15 | $114 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
284 | $2 | $64 |
| 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. |
273 | $131 | $460 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
261 | $138 | $240 |
| Nursing facility visit, moderate complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes. |
260 | $83 | $242 |
| Free T3 thyroid hormone test A blood test that measures the level of free triiodothyronine (T3) hormone in your body. This helps assess how well your thyroid gland is functioning. |
208 | $17 | $130 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
208 | $66 | $226 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
162 | $33 | $35 |
| Nursing facility visit, established patient, straightforward A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves straightforward medical decision making and lasts at least 10 minutes. |
161 | $29 | $142 |
| 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. |
156 | $72 | $125 |
| 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. |
146 | $11 | $150 |
| 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. |
135 | $11 | $100 |
| COVID-19 vaccine administration Administration of a single dose of the coronavirus vaccine. |
123 | $44 | $70 |
| COVID-19 vaccine (Pfizer bivalent) Administration of a 30 mcg dose of the SARS-CoV-2 vaccine via intramuscular injection. |
123 | $128 | $181 |
| Nursing facility visit, low complexity A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care. |
123 | $55 | $154 |
| 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. |
116 | $4 | $60 |
| Home visit, established patient, moderate complexity A home visit for an established patient involving moderate medical decision making. The visit requires at least 40 minutes of time if time is used to determine the level of service. |
103 | $101 | $282 |
| Expiratory airflow and volume test A test that measures the amount of air you can exhale and the speed at which you can breathe it out. It evaluates lung function by assessing expiratory airflow and volume. |
101 | $20 | $120 |
| Nursing facility visit, high complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves a high level of medical decision making and takes at least 45 minutes. |
97 | $118 | $300 |
| Respiratory virus detection test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus and influenza viruses. |
60 | $54 | $150 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
48 | $33 | $35 |
| SARS-CoV-2 vaccine, 30 mcg/0.3 mL Administration of the SARS-CoV-2 (COVID-19) vaccine containing 30 micrograms of antigen in a 0.3 milliliter dose. |
47 | $44 | $50 |
| 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. |
47 | $282 | $317 |
| SARS-CoV-2 vaccine, 30 mcg/0.3 mL A vaccine injection to protect against the SARS-CoV-2 virus. The dose contains 30 micrograms of antigen in a 0.3 milliliter volume. |
47 | $0 | $1 |
| 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. |
46 | $4 | $35 |
| Urine culture, bacterial colony count A laboratory test that measures the number of bacteria growing in a urine sample to help identify infections. |
43 | $8 | $53 |
| Urine culture, bacterial identification A laboratory test that grows and identifies bacteria from a urine sample to detect infections. |
43 | $8 | $52 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
40 | $0 | $35 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
35 | $18 | $247 |
| Lipase level test A blood test that measures the amount of lipase, a fat-digesting enzyme, in your body. |
33 | $7 | $55 |
| PSA test (prostate cancer screening) | 32 | $18 | $135 |
| Amylase enzyme level test A blood test that measures the amount of amylase, an enzyme produced by the pancreas and salivary glands, to help evaluate pancreatic health. |
31 | $6 | $35 |
| 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. |
31 | $40 | $150 |
| 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. |
31 | $223 | $700 |
| Home visit, established patient, high complexity A home visit for an established patient involving high-level medical decision making, lasting at least 60 minutes. |
27 | $145 | $308 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
27 | $1 | $50 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
25 | $37 | $150 |
| 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. |
25 | $6 | $59 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
23 | $7 | $55 |
| Telephone medical discussion, 21-30 minutes A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone. |
23 | $91 | $265 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
22 | $35 | $100 |
| Total estradiol level test A blood test that measures the total amount of estradiol, a form of estrogen, in the body. |
21 | $27 | $110 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
19 | $16 | $80 |
| Home visit, established patient, low complexity A physician visits an existing patient at their residence to provide care involving a low level of medical decision making. The visit lasts at least 30 minutes. |
18 | $60 | $150 |
| Adm sarscv2 bvl 50mcg/.5ml a | 16 | $44 | $50 |
| SARS-CoV-2 vaccine, 50 mcg/0.5 mL Administration of a SARS-CoV-2 vaccine containing 50 micrograms of antigen in a 0.5 milliliter dose. |
16 | $0 | $1 |
| New patient office visit, complex (60-74 min) | 16 | $174 | $386 |
| Progesterone level test A blood test that measures the amount of progesterone, a reproductive hormone, in your body. |
15 | $20 | $150 |
| Bacterial culture, non-urine, non-blood, non-stool A laboratory test to identify bacteria from a sample other than urine, blood, or stool. The sample is grown in a lab to detect aerobic bacteria. |
15 | $8 | $80 |
| Home visit, established patient, straightforward decision making A home visit for an established patient involving straightforward medical decision making. The visit lasts at least 15 minutes when time is used to determine the level of service. |
14 | $37 | $150 |
| Manual urinalysis with microscopic examination A urine test performed manually without automated equipment. The sample is examined under a microscope to check for abnormalities. |
12 | $4 | $30 |
| Initial nursing facility care, high complexity An initial visit by a healthcare provider to a patient in a nursing facility involving a high level of medical decision making, lasting at least 45 minutes. |
11 | $137 | $250 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
11 | $63 | $250 |
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 ↗$4,072
Total received (2018-2024)
Avg $582/year across 7 years
Top 18% in CA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
36
Companies
155
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
$603
2023
$816
2022
$450
2021
$491
2020
$118
2019
$1,049
2018
$545
Payments by company (2024)
Lilly USA, LLC
$105
Radius Health, Inc.
$98
Amgen Inc.
$89
PFIZER INC.
$62
Novartis Pharmaceuticals Corporation
$57
Merck Sharp & Dohme LLC
$32
Dexcom, Inc.
$30
Astellas Pharma US Inc
$29
ALK-Abello, Inc
$24
Novo Nordisk Inc
$24
SHIELD THERAPEUTICS INC
$20
ABBVIE INC.
$18
AstraZeneca Pharmaceuticals LP
$14
Top 3 companies account for 48.5% of 2024 payments
All-time payments by company (2018-2024) ›
Amgen Inc.
$897
PFIZER INC.
$352
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$336
Novartis Pharmaceuticals Corporation
$330
Janssen Pharmaceuticals, Inc
$253
Lilly USA, LLC
$199
Teva Pharmaceuticals USA, Inc.
$151
Gilead Sciences, Inc.
$139
Radius Health, Inc.
$113
Myriad Women's Health, Inc.
$109
GlaxoSmithKline, LLC.
$106
Novo Nordisk Inc
$99
SANOFI PASTEUR INC.
$98
IDORSIA PHARMACEUTICALS US INC
$94
Dexcom, Inc.
$76
Astellas Pharma US Inc
$68
Xeris Pharmaceuticals, Inc.
$60
ABBVIE INC.
$56
UCB, Inc.
$53
ALK-Abello, Inc
$49
TherapeuticsMD, Inc.
$43
Kowa Pharmaceuticals America, Inc.
$42
AbbVie Inc.
$42
Bioventus LLC
$41
Merck Sharp & Dohme LLC
$32
AstraZeneca Pharmaceuticals LP
$31
Medicure Pharma Inc.
$27
Sunovion Pharmaceuticals Inc.
$24
Almatica Pharma LLC
$23
Sanofi Pasteur Inc.
$23
DEXCOM, INC.
$22
Melinta Therapeutics, Inc.
$21
SHIELD THERAPEUTICS INC
$20
Merck Sharp & Dohme Corporation
$15
Abbott Laboratories
$15
SANOFI-AVENTIS U.S. LLC
$14
Top 3 companies account for 38.9% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · ADACEL · AJOVY · ANNOVERA · APTIOM · AREXVY · BEXSERO · BREZTRI · Baxdela · DEXCOM G6 CGM SYSTEM · DEXCOM G6 TRANSMITTER · Dexcom G6 Transmitter · ELIQUIS · ENTRESTO · EVENITY · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FLUZONE HIGH-DOSE · FreeStyle Libre Pro · GARDASIL · GVOKE HYPOPEN · IMVEXXY · INVOKANA · LEQVIO · LOREEV XR · LYRICA · Livalo · MENACTRA · MOUNJARO · MYRBETRIQ · MYRISK · Odactra · Ozempic · PNEUMOVAX 23 · PREVNAR 13 · PREVNAR 20 · Prolia · QULIPTA · QUVIVIQ · RYBELSUS · SHINGRIX · SOLIQUA 100/33 · Supartz FX Sodium Hyaluronate · TRULICITY · Truvada · Tymlos · UBRELVY · Veozah · Vimpat · XARELTO · XIFAXAN · Zypitamag
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
153
County median income
$95,977
Nearest hospital to ZIP centroid (approximate)
SANTA BARBARA COUNTY PSYCHIATRIC HEALTH FACILITY
3.7 mi
3.7 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. Hrach is a mixed practice specialist, with above-average Medicare volume (top 2% 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. Hrach experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Dr. Hrach performed 3,540 denosumab injection (prolia/xgeva) 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. Hrach receive payments from pharmaceutical companies?
Yes. Dr. Hrach received a total of $4,072 from 36 companies across 155 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. Hrach's costs compare to other internal medicine physicians in Santa Barbara?
Dr. Hrach'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. Hrach) 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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