Medicare Enrolled

Dr. Mansukh Ghadiya, MD

Family Medicine · Bakersfield, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
2201 MOUNT VERNON AVE, Bakersfield, CA 93306
6612154948
In practice since 2006 (19 years)
NPI: 1972537736 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. Ghadiya 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 →
Are you Dr. Ghadiya? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Ghadiya

Dr. Mansukh Ghadiya is a family medicine specialist in Bakersfield, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Ghadiya performed 3,091 Medicare services across 651 unique beneficiaries.

Between the years covered by Open Payments, Dr. Ghadiya received a total of $6,686 from 22 pharmaceutical and/or device companies across 173 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. 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. Ghadiya 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 6% volume in CA $6,686 industry payments

Medicare Practice Summary

Medicare Utilization ↗
3,091
Medicare services
Top 6% in CA for family medicine
651
Unique beneficiaries
$45
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~163 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
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.
1,997 $55 $151
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
216 $29 $123
Ketorolac injection, per 15 mg
An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg.
189 $0 $15
Ceftriaxone antibiotic injection
This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered.
141 $0 $15
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.
129 $11 $50
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.
90 $10 $50
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.
60 $101 $189
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
45 $133 $250
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
45 $1 $15
Office visit for established patient
An office visit for an existing patient that may not require the healthcare professional to be present.
40 $8 $100
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
28 $32 $80
Destruction of precancerous skin growth, 1
Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer.
24 $32 $125
Destruction of skin growths (warts/lesions), 1-14
This procedure involves the removal or destruction of one to fourteen skin growths. It is a minor surgical intervention performed on the skin surface.
23 $96 $250
Skin tag removal, 1-15 tags
This procedure involves the removal of one to fifteen skin tags. It is a minor surgical intervention to excise these benign growths from the skin.
20 $45 $144
Flu vaccine, high-dose
High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe.
18 $72 $81
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.
13 $84 $197
Annual wellness visit, initial visit
A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment.
13 $169 $300
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 2024 ↗
$6,686
Total received (2018-2024)
Avg $955/year across 7 years
Top 6% in CA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
22
Companies
173
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
$6,686 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,843
2023
$1,116
2022
$445
2021
$281
2020
$173
2019
$1,824
2018
$1,004

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$369
Xeris Pharmaceuticals, Inc.
$293
Corcept Therapeutics
$274
GlaxoSmithKline, LLC.
$238
Otsuka America Pharmaceutical, Inc.
$176
Amgen Inc.
$157
Boehringer Ingelheim Pharmaceuticals, Inc.
$132
Bayer Healthcare Pharmaceuticals Inc.
$111
PFIZER INC.
$51
Novo Nordisk Inc
$41
Top 3 companies account for 50.8% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$1,992
Amgen Inc.
$790
Corcept Therapeutics
$625
Boehringer Ingelheim Pharmaceuticals, Inc.
$563
Otsuka America Pharmaceutical, Inc.
$483
Lilly USA, LLC
$300
Xeris Pharmaceuticals, Inc.
$293
GlaxoSmithKline, LLC.
$238
Novartis Pharmaceuticals Corporation
$215
Allergan Inc.
$210
PFIZER INC.
$208
Bayer HealthCare Pharmaceuticals Inc.
$132
SANOFI-AVENTIS U.S. LLC
$123
Bayer Healthcare Pharmaceuticals Inc.
$111
Sanofi Pasteur Inc.
$108
Merck Sharp & Dohme Corporation
$65
SANOFI PASTEUR INC.
$58
Novo Nordisk Inc
$55
Scilex Pharmaceuticals Inc.
$40
AngioDynamics, Inc.
$39
Phadia US Inc.
$21
Amneal Pharmaceuticals LLC
$16
Top 3 companies account for 51.0% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AREXVY · Aimovig · Auryon Laser System 100-120 Vac · BREZTRI · BYDUREON · CHANTIX · ELIQUIS · ENTRESTO · FARXIGA · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FLUZONE HIGH-DOSE · FLUZONE QUADRIVALENT · GARDASIL 9 · ImmunoCAP · JANUVIA · JARDIANCE · Kerendia · Korlym · LEQVIO · LYRICA · LYVISPAH · MENACTRA · NO PRODUCT DISCUSSED · Otezla · Ozempic · PAXLOVID · PREVNAR - 13 · PREVNAR 20 · RECORLEV · REXULTI · Repatha · Rybelsus · SHINGRIX · STIOLTO RESPIMAT · TOUJEO · TRELEGY ELLIPTA · TRULICITY · VRAYLAR · Victoza · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH
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. Total industry engagement is in the top 6% for family medicine in CA.

Looking for a family medicine specialist in Bakersfield?
Compare family medicine physicians in the Bakersfield area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family medicine physicians within 10 mi
159
Per 100K population
17.5
County median income
$67,660
Nearest hospital
KERN 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 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. Ghadiya is a clinical cardiology specialist, with above-average Medicare volume (top 6% in CA), with low-engagement industry engagement in the top 6% of CA peers, 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. Ghadiya experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Ghadiya performed 1,997 office visit, established patient (20-29 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. Ghadiya receive payments from pharmaceutical companies?
Yes. Dr. Ghadiya received a total of $6,686 from 22 companies across 173 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. Ghadiya's costs compare to other family medicine physicians in Bakersfield?
Dr. Ghadiya's average Medicare payment per service is $45. 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. Ghadiya) 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 →