Medicare Enrolled
Dr. Ram Lalchandani, M.D.
Hematology & Oncology · Carmichael, CA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
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. Lalchandani 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. Lalchandani
Dr. Ram Lalchandani is a hematology & oncology specialist in Carmichael, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Lalchandani performed 102,953 Medicare services across 2,849 unique beneficiaries.
Between the years covered by Open Payments, Dr. Lalchandani received a total of $5,830 from 41 pharmaceutical and/or device companies across 182 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in hematology & oncology. 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. Lalchandani 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.
✓ 20 years in practice
▲ Top 7% volume in CA
$5,830 industry payments
Medicare Practice Summary
Medicare Utilization ↗102,953
Medicare services
Top 7% in CA for hematology & oncology
2,849
Unique beneficiaries
$7
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~5,148 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 |
|---|---|---|---|
| Iron infusion (Feraheme) An injection of ferumoxytol used to treat iron deficiency anemia in patients not on dialysis. |
40,800 | $0 | $3 |
| Anti-nausea injection (fosaprepitant) An injection of fosaprepitant, a medication used to prevent nausea and vomiting. |
15,000 | $0 | $3 |
| Injection, heparin sodium, (heparin lock flush), per 10 units | 13,650 | $0 | $0 |
| Pembrolizumab injection (Keytruda) | 8,400 | $43 | $127 |
| Paclitaxel chemotherapy injection | 6,592 | $0 | $0 |
| Anti-nausea injection (ondansetron/Zofran) | 4,808 | $0 | $0 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
2,672 | $0 | $1 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
1,495 | $8 | $22 |
| Epoetin alfa injection (Procrit) for anemia An injection of epoetin alfa containing 1000 units for use in patients not on end-stage renal disease (ESRD) dialysis. |
1,120 | $6 | $24 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
1,088 | $7 | $8 |
| 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. |
1,038 | $103 | $287 |
| 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. |
725 | $70 | $198 |
| Fluorouracil injection, 500 mg Administration of a 500 mg dose of fluorouracil medication via injection. |
540 | $2 | $4 |
| Intravenous chemotherapy infusion, 1 hour or less Administration of chemotherapy medication directly into a vein. The procedure takes one hour or less to complete. |
514 | $113 | $369 |
| Intravenous injection of additional new drug or substance Administration of an additional new medication or substance directly into a vein. |
498 | $13 | $44 |
| Additional sequential IV infusion, 1 hour or less This code represents an additional intravenous infusion administered sequentially to a primary infusion. It covers the administration time of one hour or less. |
476 | $25 | $83 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
371 | $10 | $30 |
| Carboplatin chemotherapy injection, 50 mg Administration of a 50 mg dose of carboplatin, a chemotherapy medication, via injection. |
359 | $2 | $7 |
| Zoledronic acid injection, 1 mg An injection of zoledronic acid administered at a dose of 1 mg. |
267 | $6 | $28 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
266 | $19 | $63 |
| 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. |
251 | $11 | $38 |
| 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 | $52 | $179 |
| Concurrent intravenous infusion Administration of medication or fluid into a vein for therapy, prevention, or diagnosis while another infusion is being given. |
196 | $17 | $56 |
| Intravenous infusion of new drug or substance, 1 hour or less This procedure involves administering a new medication or substance directly into a vein through an existing access site. The infusion is completed within one hour or less. |
188 | $56 | $179 |
| Additional hour of intravenous chemotherapy This code represents the administration of chemotherapy medication into a vein for each additional hour beyond the initial period. |
169 | $24 | $81 |
| Diphenhydramine injection, up to 50 mg An injection of diphenhydramine hydrochloride, an antihistamine medication, administered in a dose of up to 50 milligrams. |
150 | $1 | $3 |
| Additional hour of intravenous hydration This code represents each additional hour of intravenous fluid administration beyond the initial hour. It is used to bill for extended hydration therapy. |
148 | $11 | $39 |
| Normal saline infusion, 250 cc Administration of 250 cubic centimeters of normal saline solution into a vein. This procedure involves the intravenous delivery of a sterile saltwater fluid. |
117 | $0 | $6 |
| Normal saline infusion, 1000 cc Administration of 1000 cc of normal saline solution into a vein. This procedure involves the intravenous delivery of a sterile saltwater solution. |
109 | $2 | $6 |
| IV chemotherapy initiation with community continuation Initiation of an intravenous chemotherapy infusion in a clinic using clinic supplies, with continuation of the infusion in a community setting such as home or assisted living. |
108 | $145 | $377 |
| Subcutaneous or intramuscular chemotherapy injection This procedure involves administering anti-cancer hormonal medication through an injection into the tissue under the skin or into a muscle. |
88 | $29 | $83 |
| 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. |
72 | $66 | $189 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
64 | $40 | $102 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
63 | $1 | $4 |
| 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. |
59 | $135 | $426 |
| 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. |
51 | $88 | $281 |
| Unclassified drug A medication that does not fit into standard HCPCS or CPT classification categories. |
49 | $1 | $1 |
| Venipuncture for blood collection A procedure to draw blood from a vein for medical testing or analysis. |
46 | $77 | $269 |
| Normal saline infusion, 500 ml Administration of sterile normal saline solution through an intravenous line. This procedure involves the infusion of a 500 ml unit of the solution. |
34 | $1 | $3 |
| Intravenous hydration infusion, 31-60 minutes Administration of fluids into a vein to maintain hydration. This procedure involves an infusion lasting between 31 and 60 minutes. |
33 | $29 | $92 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
19 | $144 | $527 |
| Enhanced Oncology Model monthly payment This code represents the monthly enhanced oncology services payment under the Enhancing Oncology Model. It covers the administrative payment for enhanced services provided to eligible patients. |
11 | $85 | $70 |
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.
41.5% high complexity
53.2% medium
5.3% routine
Industry Payment Transparency
Open Payments through 2024 ↗$5,830
Total received (2018-2024)
Avg $833/year across 7 years
Top 41% in CA for hematology & oncology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
41
Companies
182
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
$4,420 (75.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$1,410 (24.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,408
2023
$400
2022
$525
2021
$1,374
2020
$248
2019
$569
2018
$306
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
US Oncology Corporate, Inc.
$1,697
Novartis Pharmaceuticals Corporation
$104
PFIZER INC.
$94
Lilly USA, LLC
$84
Janssen Biotech, Inc.
$75
E.R. Squibb & Sons, L.L.C.
$56
GlaxoSmithKline, LLC.
$42
Daiichi Sankyo Inc.
$42
SERVIER PHARMACEUTICALS LLC
$42
Celgene Corporation
$33
SpringWorks Therapeutics, Inc.
$30
AstraZeneca Pharmaceuticals LP
$28
ACCORD HEALTHCARE, INC.
$23
Genmab U.S., Inc.
$23
Genentech USA, Inc.
$20
Gilead Sciences, Inc.
$15
Top 3 companies account for 78.7% of 2024 payments
All-time payments by company (2018-2024) ›
US Oncology Corporate, Inc.
$1,697
PFIZER INC.
$704
Janssen Biotech, Inc.
$370
E.R. Squibb & Sons, L.L.C.
$309
Astellas Pharma US Inc
$294
Genentech USA, Inc.
$235
Lilly USA, LLC
$202
Kite Pharma, Inc.
$193
Amgen Inc.
$193
Seagen Inc.
$175
Pharmacyclics LLC, An AbbVie Company
$164
Novartis Pharmaceuticals Corporation
$162
Merck Sharp & Dohme Corporation
$136
Gilead Sciences, Inc.
$115
SERVIER PHARMACEUTICALS LLC
$86
Integra LifeSciences Corporation
$82
Celgene Corporation
$67
McKesson Specialty Care Distribution, LLC
$66
Acrotech Biopharma LLC
$52
GlaxoSmithKline, LLC.
$42
Daiichi Sankyo Inc.
$42
JAZZ PHARMACEUTICALS INC.
$32
SpringWorks Therapeutics, Inc.
$30
AstraZeneca Pharmaceuticals LP
$28
UIH Solutions LLC
$25
Otsuka America Pharmaceutical, Inc.
$24
Takeda Pharmaceuticals U.S.A., Inc.
$24
ACCORD HEALTHCARE, INC.
$23
Boehringer Ingelheim Pharmaceuticals, Inc.
$23
Deciphera Pharmaceuticals Inc.
$23
Genmab U.S., Inc.
$23
Myovant Sciences Inc.
$22
Ipsen Biopharmaceuticals, Inc
$21
Alexion Pharmaceuticals, Inc.
$21
ARRAY BIOPHARMA INC
$20
Janssen Pharmaceuticals, Inc
$20
SANOFI-AVENTIS U.S. LLC
$19
Jazz Pharmaceuticals Inc.
$18
APO-PHARMA USA, INC.
$17
Puma Biotechnology, Inc.
$13
Regeneron Healthcare Solutions, Inc.
$13
Top 3 companies account for 47.5% of all-time payments
Associated products mentioned in payments ›
AFINITOR · Alecensa · Avastin · BELEODAQ · BOSULIF · BRAFTOVI · CAMCEVI · DARZALEX · DEFERIPRONE · ELIQUIS · ELITEK · ENHERTU · ERLEADA · Epkinly · Erivedge · Erleada · Fabhalta · GAZYVA · GILOTRIF · IBRANCE · IMBRUVICA · INJECTAFER · INLYTA · Imbruvica · JEMPERLI · KEYTRUDA · Kadcyla · LIBTAYO · LUMAKRAS · LYNPARZA · NINLARO · Nerlynx · Nplate · OGSIVEO · OPDIVO · OPDUALAG · ORGOVYX · OXBRYTA · PADCEV · PLUVICTO · PROMACTA · Padcev · Pomalyst · Prolia · QINLOCK · REBLOZYL · SCEMBLIX · SOMATULINE DEPOT · SPRYCEL · SUTENT · TECENTRIQ · TENOGLIDE TENDON PROTECTOR SHEET · TIBSOVO · Tibsovo · Trodelvy · ULTOMIRIS · VERZENIO · VYNDAMAX · VYXEOS · XALKORI · XARELTO · XTANDI · Xospata · Yescarta · ZEPZELCA · uMR 570
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 (76%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Hematology & oncology specialists within 10 mi
82
Per 100K population
5.2
County median income
$88,724
Nearest hospital
MERCY SAN JUAN MEDICAL CENTER
0.0 mi
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. Lalchandani is a mixed practice specialist, with above-average Medicare volume (top 7% in CA), with low-engagement industry engagement, with 20 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. Lalchandani experienced with iron infusion (feraheme)?
Based on Medicare claims data, Dr. Lalchandani performed 40,800 iron infusion (feraheme) 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. Lalchandani receive payments from pharmaceutical companies?
Yes. Dr. Lalchandani received a total of $5,830 from 41 companies across 182 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. Lalchandani's costs compare to other hematology & oncology specialists in Carmichael?
Dr. Lalchandani's average Medicare payment per service is $7. 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. Lalchandani) 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 →
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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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