Medicare Enrolled
Dr. Russell Hines, M.D.
Internal Medicine · Thousand Oaks, 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. Hines 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. Hines
Dr. Russell Hines is an internal medicine specialist in Thousand Oaks, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Hines performed 8,594 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Hines received a total of $9,611 from 73 pharmaceutical and/or device companies across 531 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. Hines 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 of NPI registration
▲ Top 3% volume in CA
$9,611 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗8,594
Medicare services
Top 3% in CA for internal medicine
Not available
Unique patients (not deduplicated)
$70
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) | 1,500 | $18 | $33 |
| 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. |
1,417 | $68 | $135 |
| 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. |
1,218 | $101 | $160 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
779 | $141 | $165 |
| Annual depression screening | 768 | $21 | $25 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
691 | $100 | $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. |
266 | $34 | $40 |
| 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. |
261 | $72 | $100 |
| 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. |
199 | $176 | $350 |
| Hospital discharge management, 30+ min This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge. |
179 | $97 | $210 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
169 | $35 | $100 |
| 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. |
117 | $12 | $60 |
| 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. |
108 | $12 | $50 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
103 | $3 | $15 |
| Fecal immunochemical test (FIT), 1-3 simultaneous A screening test that uses a stool sample to detect hidden blood in the feces, helping to identify potential colorectal cancer. |
101 | $18 | $50 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
97 | $34 | $40 |
| 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. |
88 | $281 | $450 |
| 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. |
51 | $180 | $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. |
47 | $84 | $130 |
| 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. |
38 | $89 | $180 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
37 | $44 | $200 |
| 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. |
36 | $60 | $130 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
34 | $28 | $80 |
| 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. |
31 | $45 | $80 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
28 | $36 | $80 |
| 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. |
25 | $149 | $310 |
| Continuous external EKG monitoring, 48 hours to 7 days This procedure involves recording the heart's electrical activity continuously using an external device for a period exceeding 48 hours but not more than 7 days. |
22 | $10 | $200 |
| Continuous EKG monitoring review, 48-7 days Review and interpretation of continuous external EKG recordings lasting more than 48 hours up to 7 days. |
22 | $17 | $150 |
| 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. |
22 | $180 | $270 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
19 | $161 | $600 |
| COVID-19 vaccine administration Administration of a single dose of the coronavirus vaccine. |
18 | $45 | $60 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
18 | $179 | $450 |
| 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. |
18 | $42 | $80 |
| 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. |
18 | $156 | $215 |
| Routine 12-lead ECG screening A standard 12-lead electrocardiogram performed as part of an initial preventive physical examination. The service includes both the performance of the test and the physician's interpretation and report. |
15 | $7 | $60 |
| Complete ultrasound of retroperitoneum An ultrasound examination of the structures located behind the abdominal cavity. |
12 | $94 | $310 |
| COVID-19 amplified DNA/RNA probe detection A laboratory test that uses amplified DNA or RNA probes to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) antigen. |
11 | $50 | $150 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages. |
11 | $106 | $365 |
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.
0.2% high complexity
19.2% medium
80.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$9,611
Total received (2018-2024)
Avg $1,373/year across 7 years
Top 10% in CA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
73
Companies
531
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
$1,619
2023
$2,012
2022
$1,261
2021
$1,287
2020
$1,308
2019
$1,120
2018
$1,003
Payments by company (2024)
ABBVIE INC.
$424
Astellas Pharma US Inc
$162
Amgen Inc.
$113
PFIZER INC.
$94
Otsuka America Pharmaceutical, Inc.
$82
Merck Sharp & Dohme LLC
$80
Abbott Laboratories
$76
GlaxoSmithKline, LLC.
$74
Lundbeck LLC
$58
Nevro Corp.
$56
Lilly USA, LLC
$43
Novartis Pharmaceuticals Corporation
$42
Grifols USA, LLC
$41
Bayer Healthcare Pharmaceuticals Inc.
$37
Phathom Pharmaceuticals, Inc.
$36
Neurocrine Biosciences, Inc.
$35
Exact Sciences Corporation
$31
AstraZeneca Pharmaceuticals LP
$30
Boston Scientific Corporation
$22
Alnylam Pharmaceuticals Inc.
$18
Novo Nordisk Inc
$18
Radius Health, Inc.
$16
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$15
Becton, Dickinson and Company
$14
Top 3 companies account for 43.2% of 2024 payments
All-time payments by company (2018-2024) ›
Amgen Inc.
$1,579
ABBVIE INC.
$1,325
AbbVie Inc.
$469
PFIZER INC.
$449
Abbott Laboratories
$437
Astellas Pharma US Inc
$425
Janssen Pharmaceuticals, Inc
$358
Lilly USA, LLC
$343
Allergan, Inc.
$337
Novartis Pharmaceuticals Corporation
$268
Merck Sharp & Dohme Corporation
$201
GlaxoSmithKline, LLC.
$198
Takeda Pharmaceuticals U.S.A., Inc.
$165
Merck Sharp & Dohme LLC
$149
AbbVie, Inc.
$143
Amarin Pharma Inc.
$133
Novo Nordisk Inc
$129
Grifols USA, LLC
$126
Otsuka America Pharmaceutical, Inc.
$124
Allergan Inc.
$112
Kowa Pharmaceuticals America, Inc.
$102
Genentech USA, Inc.
$87
E.R. Squibb & Sons, L.L.C.
$86
Nevro Corp.
$86
Lucid Diagnostics Inc.
$85
AstraZeneca Pharmaceuticals LP
$82
Becton, Dickinson and Company
$81
Exact Sciences Corporation
$77
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$76
Alnylam Pharmaceuticals Inc.
$69
Eisai Inc.
$68
Radius Health, Inc.
$65
Regeneron Healthcare Solutions, Inc.
$64
Bayer Healthcare Pharmaceuticals Inc.
$58
Lundbeck LLC
$58
Phadia US Inc.
$53
Teva Pharmaceuticals USA, Inc.
$51
ARBOR PHARMACEUTICALS, INC.
$48
Esperion Therapeutics, Inc.
$48
SK Life Science, Inc.
$45
SANOFI-AVENTIS U.S. LLC
$42
Duchesnay USA Incorporated
$42
Boehringer Ingelheim Pharmaceuticals, Inc.
$41
Medtronic, Inc.
$40
IDORSIA PHARMACEUTICALS US INC
$37
Phathom Pharmaceuticals, Inc.
$36
Neurocrine Biosciences, Inc.
$35
Horizon Therapeutics plc
$27
Merit Medical Systems Inc
$26
AMAG Pharmaceuticals, Inc.
$24
Nestle HealthCare Nutrition Inc.
$24
Boston Scientific Corporation
$22
DePuy Synthes Sales Inc.
$22
Shield Therapeutics Inc
$22
Assertio Therapeutics, Inc.
$22
Bayer HealthCare Pharmaceuticals Inc.
$22
Sanofi Pasteur Inc.
$22
Almatica Pharma LLC
$20
Hologic Sales and Service, LLC
$20
AngioDynamics, Inc.
$20
Vertiflex, Inc.
$19
Biohaven Pharmaceuticals, Inc.
$19
Acerus Pharmaceuticals Corporation
$17
SANOFI PASTEUR INC.
$16
Bioventus LLC
$15
Sunovion Pharmaceuticals Inc.
$15
Advanced Respiratory, Inc
$15
Hologic, LLC
$14
Sun Pharmaceutical Industries Inc.
$14
Xeris Pharmaceuticals, Inc.
$13
Gilead Sciences, Inc.
$13
IBSA Pharma Inc.
$11
Endogastric Solutions, Inc
$6
Top 3 companies account for 35.1% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · ACESSA PROVU SYSTEM · AJOVY · APTIMA · AREXVY · AURYON LASER SYSTEM 100-120 VAC · Aimovig · Amitiza · Androgel · BD Affirm VPIII Microbial Identification Test · BD MAX Instrument · BD MAX System · BD Onclarity · BEXSERO · BREZTRI · BYSTOLIC · BYVALSON · CHANTIX · COMIRNATY · COREVALVE EVOLUT R · CREON · Cologuard Collection Kit · Creon · DUPIXENT · Dayvigo · Descovy · ELIQUIS · EMGALITY · ENTRESTO · ESOPHYX · EVENITY · Edarbi · FARXIGA · FLUZONE HIGH-DOSE · FLUZONE QUADRIVALENT NORTHERN HEMISPHERE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · GARDASIL · GARDASIL 9 · GVOKE PFS · HUMALOG · HUMIRA · Horizant · INGREZZA · INTELLIS ADAPTIVESTIM · INTRAROSA · ImmunoCAP · JANUVIA · JARDIANCE · KAPSPARGO · KRYSTEXXA · Kerendia · LEQVIO · LINZESS · Leqembi · Life 2000 Ventilation System · Livalo · MONOVISC · MOUNJARO · MYRBETRIQ · Mitra Clip system · Myrbetriq · NEXLETOL · NURTEC ODT · Natesto · ONPATTRO · Omnia · Osphena · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · PREVNAR 13 · PREVNAR 20 · Proclaim IPG · Prolastin-C Liquid · Prolia · QULIPTA · QUVIVIQ · REXULTI · ROTATEQ · Repatha · Rybelsus · SERTRALINE HCL · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SYNTHROID · Saxenda · Seglentis · Senza · StabiliT · Supartz FX Sodium Hyaluronate · Superion ISS · Synthroid · TALTZ · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · TRUMENBA · Tirosint · Tresiba · Trintellix · Tymlos · UBRELVY · UTIBRON NEOHALER · Uloric · VIBERZI · VIIBRYD · VOQUEZNA · VRAYLAR · Vascepa · Veozah · Victoza · XARELTO · XIFAXAN · Xofluza · ZENPEP · ZIPSOR · ZOSTAVAX
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
993
County median income
$107,327
Nearest hospital to ZIP centroid (approximate)
LOS ROBLES HOSPITAL & 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. Hines is a clinical cardiology specialist, with above-average Medicare volume (top 3% in CA), 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. Hines experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Dr. Hines performed 1,500 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. Hines receive payments from pharmaceutical companies?
Yes. Dr. Hines received a total of $9,611 from 73 companies across 531 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. Hines's costs compare to other internal medicine physicians in Thousand Oaks?
Dr. Hines's average Medicare payment per service is $70. 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. Hines) 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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