Medicare Enrolled

Dr. Hersh Patel, M.D.

Family Medicine · Brentwood, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
2400 BALFOUR RD STE 120, Brentwood, CA 94513
9253088112
In practice since 2008 (17 years)
NPI: 1992969703 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. Patel 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. Patel? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Patel

Dr. Hersh Patel is a family medicine specialist in Brentwood, CA, with 17 years of NPI registration. Based on federal Medicare data, Dr. Patel performed 1,176 Medicare services across 815 unique beneficiaries.

Between the years covered by Open Payments, Dr. Patel received a total of $3,025 from 28 pharmaceutical and/or device companies across 164 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. Patel 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.

✓ 17 years in practice ▲ Top 19% volume in CA $3,025 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,176
Medicare services
Top 19% in CA for family medicine
815
Unique beneficiaries
$75
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~69 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 (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.
509 $81 $305
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.
300 $60 $210
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
64 $95 $312
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
51 $133 $461
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
47 $36 $70
Flu vaccine, quadrivalent
A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection.
45 $76 $127
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.
31 $13 $106
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.
26 $45 $133
Urinalysis, manual
A manual laboratory examination of a urine sample to check for various substances and cells.
24 $3 $19
Pneumococcal conjugate vaccine (PCV20)
An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria.
20 $282 $381
Pneumonia vaccine administration
This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider.
20 $36 $70
COVID-19 vaccine administration
Administration of a single dose of the coronavirus vaccine.
14 $48 $120
COVID-19 vaccine (Pfizer bivalent)
Administration of a 30 mcg dose of the SARS-CoV-2 vaccine via intramuscular injection.
14 $128 $394
Respiratory virus detection test
A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus and influenza viruses.
11 $39 $188
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 ↗
$3,025
Total received (2018-2024)
Avg $504/year across 6 years
Top 12% in CA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
28
Companies
164
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
$2,958 (97.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$68 (2.2%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,333
2023
$746
2022
$117
2020
$68
2019
$383
2018
$377

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Lilly USA, LLC
$308
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$179
Novo Nordisk Inc
$120
Amgen Inc.
$116
GlaxoSmithKline, LLC.
$92
Exact Sciences Corporation
$75
AstraZeneca Pharmaceuticals LP
$60
Astellas Pharma US Inc
$54
Boehringer Ingelheim Pharmaceuticals, Inc.
$53
Merck Sharp & Dohme LLC
$51
Bayer Healthcare Pharmaceuticals Inc.
$39
PFIZER INC.
$37
Edwards Lifesciences Corporation
$30
Kiniksa Pharmaceuticals International, plc
$29
Novartis Pharmaceuticals Corporation
$25
Sumitomo Pharma America, Inc.
$22
Dynavax Technologies Corporation
$22
Dexcom, Inc.
$21
Top 3 companies account for 45.5% of 2024 payments
All-time payments by company (2018-2024) ›
Lilly USA, LLC
$552
Boehringer Ingelheim Pharmaceuticals, Inc.
$294
Novo Nordisk Inc
$246
Amgen Inc.
$244
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$239
GlaxoSmithKline, LLC.
$212
Exact Sciences Corporation
$197
PFIZER INC.
$146
AstraZeneca Pharmaceuticals LP
$131
SANOFI-AVENTIS U.S. LLC
$99
Bayer Healthcare Pharmaceuticals Inc.
$92
Janssen Pharmaceuticals, Inc
$73
Merck Sharp & Dohme LLC
$67
Merck Sharp & Dohme Corporation
$59
Allergan Inc.
$59
Astellas Pharma US Inc
$54
Vertos Medical, Inc.
$42
Edwards Lifesciences Corporation
$30
Kiniksa Pharmaceuticals International, plc
$29
Novartis Pharmaceuticals Corporation
$25
Sumitomo Pharma America, Inc.
$22
Dynavax Technologies Corporation
$22
Dexcom, Inc.
$21
Currax Pharmaceuticals LLC
$16
Mylan Specialty L.P.
$15
Sunovion Pharmaceuticals Inc.
$14
Bayer HealthCare Pharmaceuticals Inc.
$13
Tactile Systems Technology Inc
$13
Top 3 companies account for 36.1% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AREXVY · Arcalyst · BEVESPI AEROSPHERE · BREZTRI · CONTRAVE · Cologuard Collection Kit · Dexcom G6 Transmitter · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · EMGALITY · EUCRISA · EVENITY · FARXIGA · FLEXITOUCH · GARDASIL · GARDASIL 9 · GEMTESA · Heplisav-B · INVOKANA · JANUVIA · JARDIANCE · Kerendia · LEQVIO · LINZESS · LONHALA MAGNAIR · MOUNJARO · Mirena · NURTEC ODT · Otezla · Ozempic · PREVNAR - 13 · PREVNAR 20 · Prolia · ROTATEQ · SHINGRIX · SOLIQUA · SPIRIVA RESPIMAT · STIOLTO · STIOLTO RESPIMAT · SYMBICORT · TOUJEO · TRELEGY ELLIPTA · VRAYLAR · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · Yupelri · mild Device Kit
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 (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

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

Family medicine physicians within 10 mi
517
Per 100K population
44.5
County median income
$125,727
Nearest hospital
KAISER FOUNDATION HOSPITAL - ANTIOCH
5.4 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. Patel is a clinical cardiology specialist, with above-average Medicare volume (top 19% in CA), with low-engagement industry engagement in the top 12% of CA peers, with 17 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. Patel experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Patel performed 509 office visit, established patient (30-39 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. Patel receive payments from pharmaceutical companies?
Yes. Dr. Patel received a total of $3,025 from 28 companies across 164 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. Patel's costs compare to other family medicine physicians in Brentwood?
Dr. Patel's average Medicare payment per service is $75. 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. Patel) 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 →