Medicare Enrolled

Dr. Rama Pathi, MD

Orthopedic Surgery · Apple Valley, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
18145 HIGHWAY 18, Apple Valley, CA 92307
7609460020
In practice since 2006 (19 years)
NPI: 1346348968 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. Pathi 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. Pathi

Dr. Rama Pathi is an orthopedic surgery specialist in Apple Valley, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Pathi performed 2,689 Medicare services across 794 unique beneficiaries.

Between the years covered by Open Payments, Dr. Pathi received a total of $62 from 2 pharmaceutical and/or device companies across 4 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. 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. Pathi 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 22% volume in CA $62 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,689
Medicare services
Top 22% in CA for orthopedic surgery
794
Unique beneficiaries
$56
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~142 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
Physical therapy exercise, per 15 min
A therapy session using exercises to improve strength, endurance, range of motion, and flexibility. Each 15-minute unit is billed separately.
604 $22 $82
Manual therapy (hands-on treatment), per 15 min 544 $16 $74
Electrical stimulation therapy
Application of electrical stimulation to one or more body areas as part of a therapy plan. This procedure is used for indications other than wound care.
488 $7 $40
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.
453 $69 $192
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
158 $64 $189
Evaluation for physical therapy, typically 45 minutes 65 $63 $150
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
58 $78 $283
Initial hospital admission, moderate complexity
Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter.
57 $102 $355
Re-evaluation for physical therapy, typically 20 minutes 31 $56 $150
Incision of connective tissue between thigh and knee
A surgical procedure involving an incision into the connective tissue located between the thigh and the knee.
24 $160 $1,260
Primary suture of ruptured thigh muscle
Surgical repair of a torn muscle in the thigh using stitches to close the wound.
23 $201 $1,515
Incision of hip or thigh connective tissue
A surgical procedure involving a cut into the connective tissue of the hip or thigh area.
20 $317 $2,412
Knee ligament release using endoscope
A minimally invasive procedure to cut or loosen ligaments on the outer side of the knee joint using a small camera and surgical instruments.
20 $116 $1,389
Knee arthroscopy with synovectomy
A minimally invasive procedure using a small camera to remove the inflamed lining of the knee joint.
20 $211 $1,727
Knee arthroscopy with drilling or scraping
A minimally invasive procedure using a small camera to examine the knee joint. The surgeon uses instruments to drill or scrape tissue inside the joint.
20 $541 $1,741
Arthroscopic removal of knee cartilage
A minimally invasive surgical procedure to remove damaged or loose pieces of cartilage from the knee joint using a small camera and instruments inserted through tiny incisions.
20 $122 $1,427
Partial removal of collar bone 17 $222 $1,538
Shoulder tendon release
A surgical procedure to cut or release a tendon in the shoulder joint to improve movement or relieve pain.
15 $288 $1,810
Repair of chronic torn shoulder rotator cuff
Surgical repair of a long-standing tear in the shoulder's rotator cuff tendons to restore function and reduce pain.
15 $621 $2,234
Bone graft harvest from large bone
Surgical removal of bone tissue from a large bone to be used as a graft for another part of the body.
14 $112 $745
Anchoring of biceps tendon 12 $310 $1,953
Surgical repair of broken thigh bone with plate and screws
A surgical procedure to fix a broken thigh bone (femur) by using metal plates and screws to hold the bone fragments in place while they heal.
11 $994 $3,221
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.

Industry Payment Transparency

Open Payments through 2019 ↗
$62
Total received (2018-2019)
Avg $31/year across 2 years
Bottom 7% in CA for orthopedic surgery
2
Companies
4
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
$62 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2019
$14
2018
$48

Payments by company (2019)

Consulting
Speaking
Meals & Travel
Research
Mallinckrodt Enterprises LLC
$14
Top 3 companies account for 100.0% of 2019 payments
All-time payments by company (2018-2019) ›
Mallinckrodt LLC
$48
Mallinckrodt Enterprises LLC
$14
Top 3 companies account for 100.0% of all-time payments
Associated products mentioned in payments ›
OFIRMEV
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 an orthopedic surgery specialist in Apple Valley?
Compare orthopedic surgeons in the Apple Valley area by procedure volume, costs, and industry payment transparency.
Browse orthopedic surgeons nearby

Geographic Context

Orthopedic surgeons within 10 mi
12
Per 100K population
0.5
County median income
$82,184
Nearest hospital
PROVIDENCE ST MARY MEDICAL CENTER
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 2019
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. Pathi is a clinical cardiology specialist, with above-average Medicare volume (top 22% 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. Pathi experienced with physical therapy exercise, per 15 min?
Based on Medicare claims data, Dr. Pathi performed 604 physical therapy exercise, per 15 min 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. Pathi receive payments from pharmaceutical companies?
Yes. Dr. Pathi received a total of $62 from 2 companies across 4 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. Pathi's costs compare to other orthopedic surgeons in Apple Valley?
Dr. Pathi's average Medicare payment per service is $56. 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. Pathi) 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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

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 →