Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $1,062 | 64 | 98.2% |
| Education | $20.00 | 1 | 1.8% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Janssen Pharmaceuticals, Inc | $264.46 | 18 | $0 (2022) |
| AstraZeneca Pharmaceuticals LP | $111.55 | 6 | $0 (2024) |
| Alexion Pharmaceuticals, Inc. | $72.67 | 5 | $0 (2022) |
| ABBVIE INC. | $70.83 | 4 | $0 (2024) |
| ORGANOGENESIS INC. | $67.88 | 3 | $0 (2021) |
| CSL Behring | $67.14 | 3 | $0 (2024) |
| E.R. Squibb & Sons, L.L.C. | $66.40 | 4 | $0 (2021) |
| PORTOLA PHARMACEUTICALS, LLC | $58.21 | 2 | $0 (2020) |
| Smith+Nephew, Inc. | $45.54 | 3 | $0 (2020) |
| RARE DISEASE THERAPEUTICS, INC. | $43.50 | 3 | $0 (2024) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $140.52 | 7 | AstraZeneca Pharmaceuticals LP ($56.43) |
| 2023 | $114.65 | 6 | CSL Behring ($24.68) |
| 2022 | $202.43 | 14 | Alexion Pharmaceuticals, Inc. ($72.67) |
| 2021 | $134.68 | 7 | Janssen Pharmaceuticals, Inc ($52.64) |
| 2020 | $283.44 | 16 | Janssen Pharmaceuticals, Inc ($144.30) |
| 2019 | $104.60 | 8 | Merck Sharp & Dohme Corporation ($39.92) |
| 2018 | $43.76 | 3 | Organogenesis Inc. ($18.95) |
| 2017 | $57.97 | 4 | Smith & Nephew, Inc. ($26.41) |
All Payment Transactions
65 individual payment records from CMS Open Payments — Page 1 of 3
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/02/2024 | CSL Behring | Kcentra (Biological) | Food and Beverage | In-kind items and services | $22.46 | General |
| Category: Trauma (Emergency, Injury, Surgery) | ||||||
| 11/20/2024 | ABBVIE INC. | DALVANCE (Drug) | Food and Beverage | In-kind items and services | $22.33 | General |
| Category: ANTI-INFECTIVE | ||||||
| 10/24/2024 | AstraZeneca Pharmaceuticals LP | ANDEXXA (Biological) | Food and Beverage | In-kind items and services | $19.90 | General |
| Category: Rare Disease | ||||||
| 09/24/2024 | AstraZeneca Pharmaceuticals LP | ANDEXXA (Biological) | Food and Beverage | In-kind items and services | $19.63 | General |
| Category: Rare Disease | ||||||
| 06/25/2024 | RARE DISEASE THERAPEUTICS, INC. | Anavip (Biological) | Food and Beverage | In-kind items and services | $19.30 | General |
| Category: Antivenin | ||||||
| 03/12/2024 | AstraZeneca Pharmaceuticals LP | ANDEXXA (Biological) | Food and Beverage | In-kind items and services | $16.90 | General |
| Category: Rare Disease | ||||||
| 01/30/2024 | CSL Behring | Kcentra (Biological) | Education | In-kind items and services | $20.00 | General |
| Category: Trauma (Emergency, Injury, Surgery) | ||||||
| 11/20/2023 | Ultragenyx Pharmaceutical Inc. | — | Food and Beverage | In-kind items and services | $15.28 | General |
| 10/14/2023 | CSL Behring | Kcentra (Biological) | Food and Beverage | In-kind items and services | $24.68 | General |
| Category: Trauma (Emergency, Injury, Surgery) | ||||||
| 09/13/2023 | AstraZeneca Pharmaceuticals LP | ANDEXXA (Biological) | Food and Beverage | In-kind items and services | $18.96 | General |
| Category: Rare Disease | ||||||
| 06/21/2023 | EAGLE PHARMACEUTICALS, INC. | BYFAVO (Drug) | Food and Beverage | In-kind items and services | $16.08 | General |
| Category: Anesthesiology | ||||||
| 03/08/2023 | BrainScope Company, Inc. | BrainScope One (Device) | Food and Beverage | Cash or cash equivalent | $21.45 | General |
| Category: Neurology | ||||||
| 03/02/2023 | BioXcel Therapeutics, Inc. | IGALMI (Drug) | Food and Beverage | In-kind items and services | $18.20 | General |
| Category: NEUROSCIENCE | ||||||
| 12/09/2022 | ABBVIE INC. | DALVANCE (Drug) | Food and Beverage | In-kind items and services | $20.51 | General |
| Category: ANTI-INFECTIVE | ||||||
| 11/17/2022 | Alexion Pharmaceuticals, Inc. | ANDEXXA (Biological) | Food and Beverage | In-kind items and services | $15.44 | General |
| Category: Rare Disease | ||||||
| 10/17/2022 | ABBVIE INC. | DALVANCE (Drug) | Food and Beverage | In-kind items and services | $16.25 | General |
| Category: ANTI-INFECTIVE | ||||||
| 10/11/2022 | Alexion Pharmaceuticals, Inc. | ANDEXXA (Biological) | Food and Beverage | In-kind items and services | $11.68 | General |
| Category: Rare Disease | ||||||
| 09/23/2022 | Alexion Pharmaceuticals, Inc. | ANDEXXA (Biological) | Food and Beverage | In-kind items and services | $11.85 | General |
| Category: Rare Disease | ||||||
| 07/27/2022 | AstraZeneca Pharmaceuticals LP | LOKELMA (Drug) | Food and Beverage | In-kind items and services | $13.28 | General |
| Category: Cardiovascular and Metabolism | ||||||
| 06/17/2022 | Janssen Pharmaceuticals, Inc | XARELTO (Drug) | Food and Beverage | In-kind items and services | $13.76 | General |
| Category: Cardiovascular & Metabolism | ||||||
| 06/17/2022 | Janssen Pharmaceuticals, Inc | XARELTO (Drug) | Food and Beverage | In-kind items and services | $12.63 | General |
| Category: Cardiovascular & Metabolism | ||||||
| 06/16/2022 | Janssen Pharmaceuticals, Inc | XARELTO (Drug) | Food and Beverage | In-kind items and services | $11.87 | General |
| Category: Cardiovascular & Metabolism | ||||||
| 06/07/2022 | Alexion Pharmaceuticals, Inc. | ANDEXXA (Biological) | Food and Beverage | In-kind items and services | $11.85 | General |
| Category: Rare Disease | ||||||
| 04/12/2022 | RARE DISEASE THERAPEUTICS, INC. | ANAVIP (Biological) | Food and Beverage | In-kind items and services | $12.20 | General |
| Category: ANTIVENOM | ||||||
| 03/09/2022 | Janssen Pharmaceuticals, Inc | XARELTO (Drug) | Food and Beverage | In-kind items and services | $14.47 | General |
| Category: Cardiovascular & Metabolism | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 5 | 727 | 809 | $143,224 | $41,252 |
| 2022 | 6 | 847 | 905 | $153,885 | $55,748 |
| 2021 | 6 | 1,058 | 1,135 | $210,183 | $86,782 |
| 2020 | 6 | 1,200 | 1,312 | $266,906 | $99,308 |
All Medicare Procedures & Services
23 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | Facility | 2023 | 255 | 279 | $83,142 | $23,751 | 28.6% |
| 99283 | Emergency department visit with low level of medical decision making | Facility | 2023 | 148 | 153 | $24,174 | $7,433 | 30.7% |
| 99285 | Emergency department visit with high level of medical decision making | Facility | 2023 | 36 | 37 | $16,280 | $4,409 | 27.1% |
| 99291 | Critical care, first 30-74 minutes | Facility | 2023 | 20 | 24 | $12,360 | $3,777 | 30.6% |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | Facility | 2023 | 268 | 316 | $7,268 | $1,881 | 25.9% |
| 99285 | Emergency department visit for life threatening or functioning severity | Facility | 2022 | 131 | 135 | $46,919 | $19,662 | 41.9% |
| 99284 | Emergency department visit for problem of high severity | Facility | 2022 | 188 | 203 | $53,978 | $18,151 | 33.6% |
| 99283 | Emergency department visit for problem of moderate severity | Facility | 2022 | 171 | 181 | $26,434 | $9,322 | 35.3% |
| 99291 | Critical care, first 30-74 minutes | Facility | 2022 | 29 | 29 | $14,575 | $4,868 | 33.4% |
| 99282 | Emergency department visit for problem of mild to moderate severity | Facility | 2022 | 60 | 62 | $6,032 | $1,924 | 31.9% |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | Facility | 2022 | 268 | 295 | $5,947 | $1,822 | 30.6% |
| 99285 | Emergency department visit, problem with significant threat to life or function | Facility | 2021 | 316 | 334 | $113,894 | $49,132 | 43.1% |
| 99284 | Emergency department visit, problem of high severity | Facility | 2021 | 245 | 260 | $60,060 | $23,771 | 39.6% |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | Facility | 2021 | 41 | 41 | $20,131 | $7,521 | 37.4% |
| 99283 | Emergency department visit, moderately severe problem | Facility | 2021 | 60 | 61 | $7,503 | $3,431 | 45.7% |
| 93010 | Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report | Facility | 2021 | 385 | 428 | $7,704 | $2,549 | 33.1% |
| 99282 | Emergency department visit, low to moderately severe problem | Facility | 2021 | 11 | 11 | $891.00 | $377.66 | 42.4% |
| 99285 | Emergency department visit, problem with significant threat to life or function | Facility | 2020 | 404 | 445 | $151,745 | $59,633 | 39.3% |
| 99284 | Emergency department visit, problem of high severity | Facility | 2020 | 302 | 320 | $73,920 | $26,220 | 35.5% |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | Facility | 2020 | 43 | 43 | $21,113 | $7,292 | 34.5% |
| 93010 | Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report | Facility | 2020 | 389 | 440 | $7,920 | $2,830 | 35.7% |
| 99283 | Emergency department visit, moderately severe problem | Facility | 2020 | 46 | 48 | $5,904 | $2,232 | 37.8% |
| 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | Facility | 2020 | 16 | 16 | $6,304 | $1,102 | 17.5% |
About Dr. John Fleming, DO
Dr. John Fleming, DO is a Emergency Medicine healthcare provider based in Pikeville, Kentucky. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 07/02/2006. The National Provider Identifier (NPI) number assigned to this provider is 1093744807.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. John Fleming, DO has received a total of $1,082 in payments from pharmaceutical and medical device companies, with $140.52 received in 2024. These payments were reported across 65 transactions from 19 companies. The most common payment nature is "Food and Beverage" ($1,062).
As a Medicare-enrolled provider, Fleming has provided services to 3,832 Medicare beneficiaries, totaling 4,161 services with total Medicare billing of $283,090. Data is available for 4 years (2020–2023), covering 23 distinct procedure/service records.
Practice Information
- Specialty Emergency Medicine
- Other Specialties Family Medicine
- Location Pikeville, KY
- Active Since 07/02/2006
- Last Updated 10/07/2022
- Taxonomy Code 207P00000X
- Entity Type Individual
- NPI Number 1093744807
Products in Payments
- XARELTO (Drug) $264.46
- ANDEXXA (Biological) $192.29
- DALVANCE (Drug) $111.90
- ELIQUIS (Drug) $79.59
- Kcentra (Biological) $67.14
- Santyl (Drug) $45.54
- ZERBAXA (Drug) $39.92
- LOKELMA (Drug) $36.16
- Anavip (Biological) $31.30
- Puraply Antimicrobial (Medical Supply) $30.04
- i-STAT 1 (Device) $23.99
- BrainScope One (Device) $21.45
- Apligraf (Biological) $18.95
- Apligraf (Device) $18.89
- IGALMI (Drug) $18.20
- BYFAVO (Drug) $16.08
- ANDEXXA (Drug) $13.98
- Activase (Biological) $13.86
- ANAVIP (Biological) $12.20
- CHANTIX (Drug) $10.83
Explore
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
Emergency Medicine Doctors in Pikeville
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