Medicare Enrolled
Dr. Neva Monigatti Lake, MD
Family Medicine · Grass Valley, 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. Monigatti Lake 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. Monigatti Lake
Dr. Neva Monigatti Lake is a family medicine specialist in Grass Valley, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Monigatti Lake performed 5,239 Medicare services across 3,947 unique beneficiaries.
Between the years covered by Open Payments, Dr. Monigatti Lake received a total of $845 from 23 pharmaceutical and/or device companies across 55 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. Monigatti Lake 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 3% volume in CA
$845 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,239
Medicare services
Top 3% in CA for family medicine
3,947
Unique beneficiaries
$60
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~276 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. |
1,290 | $79 | $255 |
| 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. |
631 | $55 | $180 |
| Annual depression screening | 494 | $19 | $40 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
493 | $128 | $226 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
476 | $49 | $106 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
373 | $32 | $45 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
329 | $72 | $85 |
| Pelvic and clinical breast exam for cancer screening A physical examination of the pelvis and breasts to screen for cervical or vaginal cancer. This procedure involves a clinical assessment performed by a healthcare provider. |
242 | $39 | $61 |
| 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. |
206 | $10 | $45 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
185 | $1 | $35 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
123 | $3 | $18 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
60 | $37 | $86 |
| Complex chronic care management, first 60 minutes This service involves clinical staff time directed by a healthcare professional to manage two or more chronic conditions over a calendar month. It covers the first 60 minutes of this coordinated care effort. |
47 | $105 | $253 |
| Quadrivalent influenza vaccine, cell-culture derived A flu shot containing four strains of influenza virus, produced using cell culture technology rather than eggs. This formulation is free from preservatives and antibiotics. |
42 | $32 | $45 |
| 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. |
38 | $267 | $345 |
| Additional chronic care management time, 60 minutes This service covers an additional 60 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions, billed per calendar month. |
37 | $55 | $139 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
35 | $32 | $72 |
| Destruction of precancerous skin growths, 2-14 This procedure involves the removal or destruction of two to fourteen precancerous skin lesions. It is performed to eliminate abnormal skin cells that have the potential to develop into cancer. |
30 | $5 | $11 |
| 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. |
23 | $48 | $105 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
23 | $164 | $262 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
20 | $207 | $437 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
17 | $35 | $122 |
| Chronic care management services Comprehensive assessment and care planning for patients requiring ongoing chronic care management. |
13 | $29 | $96 |
| 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. |
12 | $163 | $282 |
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 ↗$845
Total received (2018-2024)
Avg $169/year across 5 years
Top 29% in CA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
23
Companies
55
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
$791 (93.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$55 (6.5%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$32
2023
$14
2020
$50
2019
$325
2018
$425
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
PFIZER INC.
$17
Exact Sciences Corporation
$14
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Allergan Inc.
$184
Merck Sharp & Dohme Corporation
$75
PFIZER INC.
$67
Takeda Pharmaceuticals U.S.A., Inc.
$63
Amgen Inc.
$52
GlaxoSmithKline, LLC.
$43
AstraZeneca Pharmaceuticals LP
$42
Sunovion Pharmaceuticals Inc.
$37
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$33
Amarin Pharma Inc.
$23
Otsuka America Pharmaceutical, Inc.
$22
Janssen Pharmaceuticals, Inc
$21
Boehringer Ingelheim Pharmaceuticals, Inc.
$21
AbbVie Inc.
$20
Hologic, LLC
$18
Synergy Pharmaceuticals Inc
$17
Medtronic Vascular, Inc.
$17
Pernix Therapeutics Holdings, Inc.
$17
Orexigen Therapeutics, Inc.
$16
Nalpropion Pharmaceuticals LLC
$15
Exact Sciences Corporation
$14
Merck Sharp & Dohme LLC
$14
Novo Nordisk Inc
$13
Top 3 companies account for 38.6% of all-time payments
Associated products mentioned in payments ›
Aptima Combo 2 · BEXSERO · BROVANA · CONTRAVE · CREON · Cologuard Collection Kit · DIFICID · EVENITY · FARXIGA · JANUVIA · JARDIANCE · LATUDA · LYRICA · MYFEMBREE · PNEUMOVAX 23 · PREMARIN · PREVNAR - 13 · Prolia · REXULTI · SHINGRIX · SYMBICORT · Trintellix · Trulance · VIBERZI · VRAYLAR · Vascepa · VenaSeal · XARELTO · XIFAXAN · ZOHYDRO ER
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 (94%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Family medicine physicians within 10 mi
100
Per 100K population
97.6
County median income
$84,905
Nearest hospital
SIERRA NEVADA MEMORIAL HOSPITAL
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. Monigatti Lake is a clinical cardiology specialist, with above-average Medicare volume (top 3% 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. Monigatti Lake experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Monigatti Lake performed 1,290 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. Monigatti Lake receive payments from pharmaceutical companies?
Yes. Dr. Monigatti Lake received a total of $845 from 23 companies across 55 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. Monigatti Lake's costs compare to other family medicine physicians in Grass Valley?
Dr. Monigatti Lake's average Medicare payment per service is $60. 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. Monigatti Lake) 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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