Medicare Enrolled
Dr. Raafat Issa, M.D
Internal Medicine · Saint Clair Shores, MI
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. Issa 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. Issa
Dr. Raafat Issa is an internal medicine specialist in Saint Clair Shores, MI, with 20 years of NPI registration. Based on federal Medicare data, Dr. Issa performed 3,907 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Issa received a total of $9,308 from 37 pharmaceutical and/or device companies across 409 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. Issa 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 4% volume in MI
$9,308 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗3,907
Medicare services
Top 4% in MI for internal medicine
Not available
Unique patients (not deduplicated)
$38
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 |
|---|---|---|---|
| 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. |
478 | $78 | $209 |
| 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. |
338 | $85 | $150 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
244 | $6 | $6 |
| 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. |
240 | $60 | $100 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
174 | $13 | $30 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
167 | $10 | $25 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
160 | $16 | $30 |
| 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. |
158 | $8 | $25 |
| 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. |
133 | $4 | $15 |
| Initial nursing facility care, moderate complexity Initial care provided to a patient in a nursing facility with moderate medical decision making, taking at least 35 minutes. |
128 | $100 | $267 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
126 | $10 | $30 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
113 | $29 | $60 |
| Blood creatinine level test A blood test that measures the amount of creatinine, a waste product from muscle wear and tear, to help assess kidney function. |
108 | $5 | $15 |
| Blood urea nitrogen test A blood test that measures the amount of urea nitrogen to assess kidney function. |
108 | $4 | $15 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
104 | $7 | $20 |
| Electrolyte blood test panel A blood test that measures the levels of sodium, potassium, chloride, and carbon dioxide to evaluate electrolyte balance. |
103 | $7 | $50 |
| Phosphate level test A blood test that measures the amount of phosphate in your body. Phosphate is a mineral that helps keep bones and teeth strong. |
102 | $5 | $15 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
90 | $15 | $25 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
84 | $130 | $150 |
| 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. |
73 | $56 | $166 |
| 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. |
64 | $55 | $149 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
58 | $31 | $35 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
57 | $9 | $25 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
57 | $74 | $79 |
| Liver enzyme (SGOT) level test A blood test that measures the level of the liver enzyme SGOT to help assess liver health. |
55 | $5 | $15 |
| Liver enzyme (SGPT) level test A blood test that measures the level of the liver enzyme SGPT to assess liver function. |
55 | $5 | $15 |
| Alkaline phosphatase level test A blood test that measures the level of alkaline phosphatase, an enzyme found in the liver and bones. |
54 | $5 | $15 |
| Blood glucose level test A test that measures the amount of sugar in your blood. |
47 | $4 | $15 |
| 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. |
47 | $10 | $50 |
| 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. |
40 | $141 | $190 |
| Total T3 thyroid hormone test A blood test that measures the total amount of triiodothyronine (T3) hormone in your body. T3 is a thyroid hormone that helps regulate metabolism and energy levels. |
35 | $14 | $25 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
34 | $19 | $35 |
| Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 23 | $62 | $163 |
| Manual urinalysis with microscopic examination A urine test performed manually without automated equipment. The sample is examined under a microscope to check for abnormalities. |
19 | $4 | $10 |
| Total bilirubin level test A blood test that measures the total amount of bilirubin, a waste product from the breakdown of red blood cells, in your body. |
16 | $5 | $15 |
| 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. |
15 | $25 | $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 ↗$9,308
Total received (2018-2024)
Avg $1,330/year across 7 years
Top 8% in MI for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
37
Companies
409
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
$1,413
2023
$2,171
2022
$1,651
2021
$1,199
2020
$784
2019
$1,194
2018
$897
Payments by company (2024)
AstraZeneca Pharmaceuticals LP
$364
GlaxoSmithKline, LLC.
$314
Amgen Inc.
$158
ABBVIE INC.
$136
ACADIA Pharmaceuticals Inc
$99
Novo Nordisk Inc
$95
PFIZER INC.
$65
Exact Sciences Corporation
$49
Lilly USA, LLC
$47
Boehringer Ingelheim Pharmaceuticals, Inc.
$19
Pulmonx Corporation
$19
Abbott Laboratories
$17
Actelion Pharmaceuticals US, Inc.
$16
Otsuka America Pharmaceutical, Inc.
$14
Top 3 companies account for 59.2% of 2024 payments
All-time payments by company (2018-2024) ›
GlaxoSmithKline, LLC.
$2,095
ABBVIE INC.
$913
PFIZER INC.
$793
AstraZeneca Pharmaceuticals LP
$675
Lilly USA, LLC
$668
Novo Nordisk Inc
$637
Abbott Laboratories
$517
Teva Pharmaceuticals USA, Inc.
$357
Amgen Inc.
$330
AbbVie Inc.
$255
ACADIA Pharmaceuticals Inc
$204
Boehringer Ingelheim Pharmaceuticals, Inc.
$202
Neurocrine Biosciences, Inc.
$192
Janssen Pharmaceuticals, Inc
$185
Horizon Pharma plc
$131
SANOFI-AVENTIS U.S. LLC
$131
Merck Sharp & Dohme Corporation
$129
Regeneron Healthcare Solutions, Inc.
$118
Exact Sciences Corporation
$95
Kowa Pharmaceuticals America, Inc.
$83
Biohaven Pharmaceutical Holding Company Ltd.
$77
Otsuka America Pharmaceutical, Inc.
$71
Horizon Therapeutics plc
$67
Bayer Healthcare Pharmaceuticals Inc.
$48
Currax Pharmaceuticals LLC
$42
Shire North American Group Inc
$39
Bausch Health US, LLC
$39
Lundbeck LLC
$29
E.R. Squibb & Sons, L.L.C.
$29
Biohaven Pharmaceuticals, Inc.
$28
Boston Scientific Corporation
$26
Takeda Pharmaceuticals U.S.A., Inc.
$20
Pulmonx Corporation
$19
DEXCOM, INC.
$16
Allergan Inc.
$16
Actelion Pharmaceuticals US, Inc.
$16
Inari Medical, Inc.
$14
Top 3 companies account for 40.8% of all-time payments
Associated products mentioned in payments ›
ABILIFY MAINTENA · AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · AREXVY · AUSTEDO · Austedo XR · BREO · BREZTRI · BREZTRI AEROSPHERE · CHANTIX · CHARTIS CATHETER · COLOGUARD · COMIRNATY · CONTRAVE · CREON · Cologuard Collection Kit · DEXCOM G6 TRANSMITTER · DUPIXENT · ELIQUIS · EMGALITY · EUCRISA · EVENITY · FARXIGA · FLOWTRIEVER CATHETER · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · HUMALOG · INGREZZA · INVOKANA · JANUVIA · JARDIANCE · KRYSTEXXA · Kerendia · LINZESS · LOKELMA · LYRICA · Livalo · MIGRANAL · MOUNJARO · MYDAYIS · NUPLAZID · NURTEC ODT · OFEV · OPSUMIT · Otezla · Ozempic · PAXLOVID · PREMARIN · PRIMARY CARE - DISEASE STATE · QULIPTA · REXULTI · Repatha · Rybelsus · S · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SYMBICORT · Saxenda · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Tresiba · UBRELVY · VIMOVO · VRAYLAR · Victoza · WATCHMAN FLX · Wegovy · XARELTO · ZEPBOUND
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
2,578
County median income
$76,399
Nearest hospital to ZIP centroid (approximate)
HENRY FORD HEALTH ST JOHN HOSPITAL
5.0 mi
5.0 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. Issa is a clinical cardiology specialist, with above-average Medicare volume (top 4% in MI), 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. Issa experienced with nursing facility visit, moderate complexity?
Based on Medicare claims data, Dr. Issa performed 478 nursing facility visit, moderate complexity 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. Issa receive payments from pharmaceutical companies?
Yes. Dr. Issa received a total of $9,308 from 37 companies across 409 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. Issa's costs compare to other internal medicine physicians in Saint Clair Shores?
Dr. Issa's average Medicare payment per service is $38. 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. Issa) 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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