Medicare Enrolled

Dr. Atul Agrawal, MD

Rheumatology · Antioch, CA
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
5601 DEER VALLEY RD, Antioch, CA 94531
9258136500
In practice since 2006 (19 years)
NPI: 1528146016 verify on NPPES ↗
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. Agrawal 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. Agrawal

Dr. Atul Agrawal is a rheumatology specialist in Antioch, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Agrawal performed 22,905 Medicare services across 781 unique beneficiaries.

Between the years covered by Open Payments, Dr. Agrawal received a total of $5,163 from 32 pharmaceutical and/or device companies across 221 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in rheumatology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Agrawal 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 in practice ▲ Top 17% volume in CA $5,163 industry payments

Medicare Practice Summary

Medicare Utilization ↗
22,905
Medicare services
Top 17% in CA for rheumatology
781
Unique beneficiaries
$29
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~1,206 Medicare services per year of practice

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
Abatacept infusion (Orencia)
An injection of abatacept administered under the direct supervision of a physician. This code is used for Medicare when the drug is not self-administered.
12,075 $34 $75
Golimumab infusion (Simponi Aria)
Administration of golimumab medication directly into a vein. This code specifies the dosage amount of 1 milligram for intravenous delivery.
5,900 $10 $30
Denosumab injection (Prolia/Xgeva) 2,160 $19 $30
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
1,148 $1 $15
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.
892 $116 $250
Intravenous infusion, 1 hour or less
Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less.
249 $67 $300
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
185 $68 $249
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.
110 $110 $250
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.
101 $14 $45
Joint fluid aspiration or injection, small joint
Removal of fluid from a small joint or injection of medication into a small joint.
38 $43 $140
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.
18 $49 $300
New patient office visit, complex (60-74 min) 17 $200 $400
Joint fluid aspiration or injection, medium joint
Removal of fluid from a medium-sized joint or injection of medication into the joint space.
12 $53 $173
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. A higher procedure volume generally indicates more experience with that procedure.
79.6% high complexity
15.9% medium
4.5% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$5,163
Total received (2022-2024)
Avg $1,721/year across 3 years
Top 39% in CA for rheumatology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
32
Companies
221
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,145 (99.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$18 (0.4%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,447
2023
$2,604
2022
$112

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Amgen Inc.
$666
UCB, Inc.
$396
Aurinia Pharma U.S., Inc.
$293
ABBVIE INC.
$235
PFIZER INC.
$170
Alexion Pharmaceuticals, Inc.
$126
Novartis Pharmaceuticals Corporation
$71
Mallinckrodt Hospital Products Inc.
$63
AstraZeneca Pharmaceuticals LP
$59
Kiniksa Pharmaceuticals International, plc
$55
Octapharma USA, Inc.
$54
Lilly USA, LLC
$37
Organon Llc
$32
ANI Pharmaceuticals, Inc.
$29
SOBI, INC
$29
Boehringer Ingelheim Pharmaceuticals, Inc.
$25
Alnylam Pharmaceuticals Inc.
$23
GlaxoSmithKline, LLC.
$23
Sandoz Inc.
$22
E.R. Squibb & Sons, L.L.C.
$21
Teva Pharmaceuticals USA, Inc.
$18
Top 3 companies account for 55.4% of 2024 payments
All-time payments by company (2022-2024) ›
Amgen Inc.
$1,259
UCB, Inc.
$730
Aurinia Pharma U.S., Inc.
$358
PFIZER INC.
$343
AstraZeneca Pharmaceuticals LP
$258
ABBVIE INC.
$235
Mallinckrodt Hospital Products Inc.
$192
AbbVie Inc.
$184
Janssen Biotech, Inc.
$162
Novartis Pharmaceuticals Corporation
$152
ANI Pharmaceuticals, Inc.
$138
Merck Sharp & Dohme LLC
$134
Alexion Pharmaceuticals, Inc.
$126
Organon LLC
$96
Boehringer Ingelheim Pharmaceuticals, Inc.
$93
GlaxoSmithKline, LLC.
$86
Octapharma USA, Inc.
$74
Lilly USA, LLC
$73
Horizon Therapeutics plc
$61
Kiniksa Pharmaceuticals International, plc
$55
Sandoz Inc.
$53
Kiniksa Pharmaceuticals, Ltd.
$50
GENZYME CORPORATION
$40
Organon Llc
$32
SOBI, INC
$29
SANOFI-AVENTIS U.S. LLC
$26
Alnylam Pharmaceuticals Inc.
$23
Ultragenyx Pharmaceutical Inc.
$22
E.R. Squibb & Sons, L.L.C.
$21
Kyowa Kirin, Inc.
$20
Celltrion USA Inc.
$18
Teva Pharmaceuticals USA, Inc.
$18
Top 3 companies account for 45.5% of all-time payments
Associated products mentioned in payments ›
ACTHAR · Arcalyst · BELSOMRA · BENLYSTA · Bimzelx · COSENTYX · CUTAQUIG · Cimzia · Crysvita · EVENITY · Enbrel · GIVLAARI · HADLIMA · HYRIMOZ · ILARIS · KEVZARA · KINERET · KRYSTEXXA · LUPKYNIS · OCTAGAM IMMUNE GLOBULIN (HUMAN) · OFEV · ORENCIA · Otezla · PANZYGA · PURIFIED CORTROPHIN GEL · REMICADE · RENFLEXIS · RINVOQ · SAPHNELO · SIMLANDI · SIMPONI ARIA · SKYRIZI · STRENSIQ · SYNVISC-ONE · TALTZ · TAVNEOS · XELJANZ · YUFLYMA
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. 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 →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for a rheumatology specialist in Antioch?
Compare rheumatologists in the Antioch area by procedure volume, costs, and industry payment transparency.
Browse rheumatologists nearby

Geographic Context

Rheumatologists within 10 mi
19
Per 100K population
1.6
County median income
$125,727
Nearest hospital
KAISER FOUNDATION HOSPITAL - ANTIOCH
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public 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. Agrawal is a mixed practice specialist, with above-average Medicare volume (top 17% in CA), with low-engagement industry engagement, 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. Agrawal experienced with abatacept infusion (orencia)?
Based on Medicare claims data, Dr. Agrawal performed 12,075 abatacept infusion (orencia) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Agrawal receive payments from pharmaceutical companies?
Yes. Dr. Agrawal received a total of $5,163 from 32 companies across 221 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. 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. Agrawal's costs compare to other rheumatologists in Antioch?
Dr. Agrawal's average Medicare payment per service is $29. 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. Agrawal) 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 a long track record of practice, Medicare participation, and industry disclosure. 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?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): 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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Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →