Medicare Enrolled
Dr. Abhishek Gulati, M.D.
Gastroenterology · Fresno, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Gulati 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. Gulati
Dr. Abhishek Gulati is a gastroenterology specialist in Fresno, CA, with 15 years of NPI registration. Based on federal Medicare data, Dr. Gulati performed 1,307 Medicare services across 1,220 unique beneficiaries.
Between the years covered by Open Payments, Dr. Gulati received a total of $20,469 from 44 pharmaceutical and/or device companies across 373 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. 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. Gulati 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.
✓ 15 years in practice
▲ Top 23% volume in CA
$20,469 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,307
Medicare services
Top 23% in CA for gastroenterology
1,220
Unique beneficiaries
$95
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~87 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. |
223 | $59 | $285 |
| 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. |
163 | $106 | $414 |
| 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. |
153 | $92 | $405 |
| Colonoscopy with biopsy A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease. |
90 | $69 | $1,440 |
| Colon polyp removal with endoscopic snare This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination. |
74 | $195 | $1,484 |
| Esophageal motility study A test that evaluates the movement and function of the esophagus. |
73 | $53 | $718 |
| Upper GI endoscopy with biopsy A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities. |
56 | $66 | $1,259 |
| Endoscopic ultrasound of esophagus, stomach, or upper small bowel An ultrasound exam of the esophagus, stomach, and/or upper small bowel performed using a flexible endoscope. |
53 | $171 | $695 |
| 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. |
46 | $135 | $521 |
| Balloon dilation of esophagus, stomach, or upper small bowel, less than 3.0 cm A procedure using a flexible endoscope to widen a narrowed section of the esophagus, stomach, or upper small bowel with a balloon that is less than 3.0 cm in length. |
45 | $92 | $3,815 |
| Liver stiffness measurement A non-invasive test that uses ultrasound or similar technology to measure the stiffness of liver tissue. This measurement helps assess the degree of liver fibrosis or scarring. |
43 | $9 | $103 |
| Endoscopic ultrasound-guided needle biopsy A procedure using an ultrasound-equipped endoscope to guide a needle for tissue sampling of the esophagus, stomach, or upper small bowel. |
34 | $199 | $918 |
| Radiologist review of bile duct tube placement imaging A radiologist reviews images taken during the placement of a tube into the bile duct using an endoscope. |
33 | $19 | $381 |
| Endoscopic removal of bile or pancreatic duct stone A flexible endoscope is used to remove stones or debris from the bile or pancreatic ducts. |
32 | $130 | $1,119 |
| Upper endoscopy (EGD) A diagnostic exam of the esophagus, stomach, and upper small bowel using a flexible endoscope. |
30 | $97 | $975 |
| Endoscopic control of upper GI bleeding A flexible endoscope is used to locate and stop bleeding in the esophagus, stomach, or upper small intestine. |
30 | $154 | $2,204 |
| Colonoscopy A diagnostic exam of the large bowel using a flexible endoscope to visualize the interior of the colon. |
27 | $108 | $1,107 |
| Endoscopic removal of esophagus, stomach, or small bowel polyps This procedure uses an endoscope and a mechanical snare to remove polyps or growths from the esophagus, stomach, or upper small bowel. |
20 | $139 | $1,655 |
| Endoscopic injection of esophagus, stomach, or upper small bowel A procedure where a flexible endoscope is used to deliver an injection into the esophagus, stomach, or upper small intestine. |
18 | $12 | $1,324 |
| Endoscopic incision of pancreatic outlet A procedure where a flexible endoscope is used to make an incision in the pancreatic outlet. |
14 | $65 | $1,098 |
| 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. |
14 | $80 | $350 |
| 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. |
13 | $65 | $219 |
| Esophageal function monitoring via capsule This procedure involves monitoring and recording the function of the esophagus using a small capsule attached to the esophageal wall. |
12 | $63 | $1,639 |
| Removal of large bowel tissue using flexible endoscope A procedure to remove tissue from the large intestine using a flexible tube with a camera. The endoscope allows the provider to access and excise the tissue directly. |
11 | $262 | $1,683 |
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 ↗$20,469
Total received (2018-2024)
Avg $2,924/year across 7 years
Top 11% in CA for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
44
Companies
373
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
$12,274 (60.0%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$8,161 (39.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$34 (0.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$10,497
2023
$1,442
2022
$554
2021
$470
2020
$443
2019
$2,209
2018
$4,854
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
STERIS CORPORATION
$4,973
US ENDOSCOPY
$4,000
Boston Scientific Corporation
$620
ABBVIE INC.
$244
Olympus America Inc.
$178
Ethicon US, LLC
$171
Janssen Biotech, Inc.
$54
QOL Medical, LLC
$48
Lilly USA, LLC
$48
Phathom Pharmaceuticals, Inc.
$34
Madrigal Pharmaceuticals
$33
Medtronic, Inc.
$27
Celgene Corporation
$26
Ardelyx, Inc.
$23
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$18
Top 3 companies account for 91.4% of 2024 payments
All-time payments by company (2018-2024) ›
STERIS CORPORATION
$4,973
Gilead Sciences, Inc.
$4,358
US ENDOSCOPY
$4,000
Boston Scientific Corporation
$1,594
Apollo Endosurgery US Inc
$1,011
ABBVIE INC.
$734
AbbVie, Inc.
$533
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$444
AbbVie Inc.
$404
Takeda Pharmaceuticals U.S.A., Inc.
$310
Janssen Biotech, Inc.
$288
BOSTON SCIENTIFIC CORPORATION
$197
Olympus America Inc.
$178
Ethicon US, LLC
$171
QOL Medical, LLC
$117
Celgene Corporation
$111
Ambu Inc.
$108
Merck Sharp & Dohme Corporation
$93
PFIZER INC.
$93
Endogastric Solutions, Inc
$82
Intercept Pharmaceuticals, Inc.
$78
Synergy Pharmaceuticals Inc
$60
Lilly USA, LLC
$48
Nestle HealthCare Nutrition Inc.
$35
Celltrion USA Inc.
$34
Phathom Pharmaceuticals, Inc.
$34
Madrigal Pharmaceuticals
$33
Cook Medical LLC
$32
Allergan, Inc.
$29
Braintree Laboratories, Inc.
$28
Medtronic, Inc.
$27
INTERCEPT PHARMACEUTICALS, INC.
$27
VIVUS LLC
$24
Ardelyx, Inc.
$23
NESTLE HEALTHCARE NUTRITION INC.
$21
Shire North American Group Inc
$21
Shionogi Inc
$20
Alfasigma USA, Inc.
$16
Prometheus Laboratories Inc.
$14
Ironwood Pharmaceuticals, Inc
$14
IRONWOOD PHARMACEUTICALS, INC
$13
GENZYME CORPORATION
$13
Endo Pharmaceuticals Inc.
$12
Micro-tech Endoscopy USA, Inc.
$11
Top 3 companies account for 65.1% of all-time payments
Associated products mentioned in payments ›
APOLLO ESG System · Acquire · Agile Esophageal · Agile Esophageal · Amitiza · AutoCap RX · Axios · CREON · Compliance EndoKit · Cook Medical Endoscopic Ultrasound · Creon · DIFICID · DUPIXENT · Dexilant · ENTYVIO · ESOPHYX · EXALT · EXALT MODEL D CONTROLLER · EXALT Model D · EndoClot PHS · Enseal · Entyvio · GATTEX · GENERAL HEMOSTASIS · GENERAL - BILIARY DEVICES · GENERAL - GI DILATATION · General - Biliary Devices · HUMIRA · Humira · IBSRELA · INFLECTRA · LINZESS · Linzess · Lockado · MAVYRET · MOTEGRITY · MOTOFEN · MOVIPREP · Mavyret · Motegrity · Mulpleta · NASCOBAL · OCALIVA · OMVOH · ORISE · Overstitch · PANCREAZE · REMICADE · RESMETIROM · RINVOQ · Resolution 360 Clip · Resolution 360 ULTRA Clip · Resolution Clip · SIMPONI · SKYRIZI · SPYGLASS · STELARA · SUCRAID · SUPREP · SYNCHROMEDII · Single Use Aspiration Needle NA-U200H · Spyglass · Sucraid · TREMFYA · TRULANCE · Trulance · VIBERZI · VOQUEZNA · VOWST · X-Tack Endoscopic HeliX Tacking System · XELJANZ · XIFAXAN · ZENPEP · ZEPATIER · ZEPOSIA · ZINPLAVA · ZYMFENTRA
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 (60%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Gastroenterologists within 10 mi
37
Per 100K population
3.7
County median income
$71,434
Nearest hospital
COMMUNITY REGIONAL MEDICAL CENTER
1.2 mi
1.2 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. Gulati is a clinical cardiology specialist, with above-average Medicare volume (top 23% in CA), with low-engagement industry engagement in the top 11% of CA peers, with 15 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. Gulati experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Gulati performed 223 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. Gulati receive payments from pharmaceutical companies?
Yes. Dr. Gulati received a total of $20,469 from 44 companies across 373 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. Gulati's costs compare to other gastroenterologists in Fresno?
Dr. Gulati's average Medicare payment per service is $95. 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. Gulati) 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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