Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $2,501 | 53 | 85.4% |
| Travel and Lodging | $426.93 | 1 | 14.6% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Boston Scientific Corporation | $1,216 | 12 | $0 (2024) |
| Medtronic, Inc. | $547.86 | 6 | $0 (2024) |
| ShockWave Medical, Inc | $228.77 | 2 | $0 (2024) |
| PFIZER INC. | $138.22 | 9 | $0 (2024) |
| Pharmacosmos Therapeutics Inc. | $120.29 | 1 | $0 (2024) |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $117.40 | 1 | $0 (2021) |
| Amgen Inc. | $104.65 | 2 | $0 (2023) |
| CVRx, Inc. | $103.78 | 5 | $0 (2024) |
| Abbott Laboratories | $102.35 | 2 | $0 (2021) |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $66.50 | 3 | $0 (2024) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $1,185 | 22 | Medtronic, Inc. ($336.05) |
| 2023 | $1,150 | 16 | Boston Scientific Corporation ($661.26) |
| 2022 | $214.30 | 6 | Boston Scientific Corporation ($181.12) |
| 2021 | $378.22 | 10 | Boehringer Ingelheim Pharmaceuticals, Inc. ($117.40) |
All Payment Transactions
54 individual payment records from CMS Open Payments — Page 1 of 3
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/11/2024 | Boston Scientific Corporation | WATCHMAN FLX (Device) | Food and Beverage | In-kind items and services | $140.19 | General |
| Category: WATCHMAN FLX_IC | ||||||
| 11/12/2024 | ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | LifeVest (Device) | Food and Beverage | Cash or cash equivalent | $24.29 | General |
| Category: Electromedical and Electrotherapeutic Apparatus | ||||||
| 11/06/2024 | PFIZER INC. | ELIQUIS (Drug), PAXLOVID, NURTEC ODT | Food and Beverage | In-kind items and services | $16.58 | General |
| Category: CARDIOVASCULAR;METABOLIC DISEASE | ||||||
| 11/05/2024 | Medtronic, Inc. | FFRANGIO (Device) | Food and Beverage | In-kind items and services | $15.76 | General |
| Category: Fractional Flow Reserve (FFR) Systems | ||||||
| 10/17/2024 | Medtronic, Inc. | FFRANGIO (Device) | Food and Beverage | In-kind items and services | $154.53 | General |
| Category: Fractional Flow Reserve (FFR) Systems | ||||||
| 10/07/2024 | ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | LifeVest (Device) | Food and Beverage | Cash or cash equivalent | $20.96 | General |
| Category: Electromedical and Electrotherapeutic Apparatus | ||||||
| 09/25/2024 | PFIZER INC. | ELIQUIS (Drug), PAXLOVID, NURTEC ODT | Food and Beverage | In-kind items and services | $15.21 | General |
| Category: CARDIOVASCULAR;METABOLIC DISEASE | ||||||
| 09/18/2024 | ShockWave Medical, Inc | Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter (Device) | Food and Beverage | In-kind items and services | $105.93 | General |
| Category: Lithoplasty | ||||||
| 08/22/2024 | PFIZER INC. | ELIQUIS (Drug), PAXLOVID, NURTEC ODT | Food and Beverage | In-kind items and services | $16.37 | General |
| Category: CARDIOVASCULAR;METABOLIC DISEASE | ||||||
| 08/12/2024 | Medtronic, Inc. | FFRANGIO (Device) | Food and Beverage | In-kind items and services | $31.17 | General |
| Category: Fractional Flow Reserve (FFR) Systems | ||||||
| 07/26/2024 | Merck Sharp & Dohme LLC | DIFICID (Drug), RECARBRIO, ZERBAXA | Food and Beverage | In-kind items and services | $15.38 | General |
| Category: INFECTIOUS DISEASE | ||||||
| 07/02/2024 | Janssen Pharmaceuticals, Inc | XARELTO (Drug) | Food and Beverage | In-kind items and services | $13.23 | General |
| Category: Cardiovascular & Metabolism | ||||||
| 06/20/2024 | PFIZER INC. | VYNDAQEL (Drug) | Food and Beverage | In-kind items and services | $15.67 | General |
| Category: CARDIOVASCULAR | ||||||
| 06/06/2024 | CVRx, Inc. | Barostim Neo System (Device) | Food and Beverage | Cash or cash equivalent | $8.03 | General |
| Category: Heart Failure and Hypertension | ||||||
| 06/04/2024 | PFIZER INC. | ELIQUIS (Drug), PAXLOVID, NURTEC ODT | Food and Beverage | In-kind items and services | $16.61 | General |
| Category: CARDIOVASCULAR;METABOLIC DISEASE | ||||||
| 05/13/2024 | CVRx, Inc. | Barostim Neo System (Device) | Food and Beverage | Cash or cash equivalent | $18.82 | General |
| Category: Heart Failure and Hypertension | ||||||
| 05/01/2024 | Medtronic, Inc. | ONYX FRONTIER (Device) | Food and Beverage | In-kind items and services | $134.59 | General |
| Category: Stents | ||||||
| 04/17/2024 | Boston Scientific Corporation | WATCHMAN FLX (Device) | Food and Beverage | In-kind items and services | $140.08 | General |
| Category: WATCHMAN FLX_IC | ||||||
| 04/04/2024 | Merck Sharp & Dohme LLC | DIFICID (Drug), RECARBRIO, ZERBAXA | Food and Beverage | In-kind items and services | $19.98 | General |
| Category: INFECTIOUS DISEASE | ||||||
| 04/04/2024 | CVRx, Inc. | Barostim Neo System (Device) | Food and Beverage | Cash or cash equivalent | $18.75 | General |
| Category: Heart Failure and Hypertension | ||||||
| 03/27/2024 | ShockWave Medical, Inc | Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter (Device) | Food and Beverage | In-kind items and services | $122.84 | General |
| Category: Lithoplasty | ||||||
| 02/12/2024 | Pharmacosmos Therapeutics Inc. | MONOFERRIC (Drug) | Food and Beverage | In-kind items and services | $120.29 | General |
| Category: HEMATOLOGY | ||||||
| 12/15/2023 | Medtronic, Inc. | ONYX FRONTIER (Device) | Food and Beverage | In-kind items and services | $119.06 | General |
| Category: Stents | ||||||
| 11/19/2023 | PFIZER INC. | ELIQUIS (Drug), PAXLOVID, NURTEC ODT | Food and Beverage | In-kind items and services | $15.00 | General |
| Category: CARDIOVASCULAR;METABOLIC DISEASE | ||||||
| 11/13/2023 | La Jolla Pharmaceutical Company | XERAVA (Drug) | Food and Beverage | In-kind items and services | $27.84 | General |
| Category: TETRACYCLINE CLASS ANTIBACTERIAL | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 4 | 551 | 1,069 | $254,400 | $73,323 |
| 2022 | 7 | 497 | 995 | $233,100 | $61,898 |
| 2021 | 5 | 527 | 1,007 | $228,700 | $65,659 |
| 2020 | 5 | 622 | 1,317 | $203,721 | $81,581 |
All Medicare Procedures & Services
24 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Facility | 2023 | 296 | 663 | $132,600 | $37,733 | 28.5% |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | Facility | 2023 | 178 | 325 | $97,500 | $28,018 | 28.7% |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 60 | 64 | $19,200 | $5,915 | 30.8% |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | Facility | 2023 | 17 | 17 | $5,100 | $1,656 | 32.5% |
| 99232 | Follow-up hospital inpatient care per day, typically 25 minutes | Facility | 2022 | 214 | 538 | $107,600 | $27,930 | 26.0% |
| 99233 | Follow-up hospital inpatient care per day, typically 35 minutes | Facility | 2022 | 133 | 255 | $76,500 | $18,813 | 24.6% |
| 99309 | Follow-up nursing facility visit per day, typically 25 minutes | Facility | 2022 | 33 | 70 | $14,100 | $4,511 | 32.0% |
| 99222 | Initial hospital inpatient care per day, typically 50 minutes | Facility | 2022 | 45 | 45 | $13,500 | $4,174 | 30.9% |
| 99305 | Initial nursing facility visit per day, typically 35 minutes | Facility | 2022 | 39 | 39 | $11,700 | $3,692 | 31.6% |
| 99308 | Follow-up nursing facility visit per day, typically 15 minutes | Facility | 2022 | 16 | 30 | $4,500 | $1,477 | 32.8% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Facility | 2022 | 17 | 18 | $5,200 | $1,303 | 25.1% |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | Facility | 2021 | 129 | 315 | $63,200 | $21,089 | 33.4% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2021 | 180 | 379 | $75,800 | $19,844 | 26.2% |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | Facility | 2021 | 122 | 199 | $59,700 | $15,122 | 25.3% |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | Facility | 2021 | 80 | 86 | $25,800 | $8,156 | 31.6% |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | Facility | 2021 | 16 | 28 | $4,200 | $1,447 | 34.5% |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | Facility | 2020 | 199 | 522 | $92,214 | $35,836 | 38.9% |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | Facility | 2020 | 104 | 106 | $31,800 | $10,489 | 33.0% |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | Office | 2020 | 80 | 186 | $24,878 | $10,138 | 40.8% |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | Office | 2020 | 72 | 232 | $23,316 | $9,590 | 41.1% |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | Facility | 2020 | 73 | 164 | $17,260 | $8,229 | 47.7% |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Office | 2020 | 26 | 26 | $4,426 | $2,916 | 65.9% |
| 99497 | Advance care planning by the physician or other qualified health care professional | Facility | 2020 | 34 | 39 | $4,418 | $2,218 | 50.2% |
| 99497 | Advance care planning by the physician or other qualified health care professional | Office | 2020 | 34 | 42 | $5,410 | $2,165 | 40.0% |
About Margaret Fleck, NP
Margaret Fleck, NP is a Nurse Practitioner healthcare provider based in Piscataway, New Jersey. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 09/26/2005. The National Provider Identifier (NPI) number assigned to this provider is 1205822178.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Margaret Fleck, NP has received a total of $2,928 in payments from pharmaceutical and medical device companies, with $1,185 received in 2024. These payments were reported across 54 transactions from 16 companies. The most common payment nature is "Food and Beverage" ($2,501).
As a Medicare-enrolled provider, Fleck has provided services to 2,197 Medicare beneficiaries, totaling 4,388 services with total Medicare billing of $282,460. Data is available for 4 years (2020–2023), covering 24 distinct procedure/service records.
Practice Information
- Specialty Nurse Practitioner
- Location Piscataway, NJ
- Active Since 09/26/2005
- Last Updated 06/01/2009
- Taxonomy Code 363L00000X
- Entity Type Individual
- NPI Number 1205822178
Products in Payments
- WATCHMAN Access System (Device) $828.12
- ONYX FRONTIER (Device) $346.40
- WATCHMAN FLX (Device) $280.27
- Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter (Device) $228.77
- FFRANGIO (Device) $201.46
- MONOFERRIC (Drug) $120.29
- JARDIANCE (Drug) $117.40
- ELIQUIS (Drug) $107.55
- Repatha (Biological) $104.65
- Barostim Neo System (Device) $103.78
- MitraClip System (Device) $79.96
- LUX DX (Device) $75.00
- LifeVest (Device) $66.50
- XARELTO (Drug) $61.57
- DIFICID (Drug) $53.71
- VYNDAQEL (Drug) $30.67
- XERAVA (Drug) $27.84
- Confirm Rx (Device) $22.39
- WATCHMAN (Device) $18.26
- ENTRESTO (Drug) $16.23
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.