Medicare Enrolled

Dr. Manikanda Raja, M.D.

Internal Medicine · Hemet, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
1701 E FLORIDA AVE, Hemet, CA 92544
9516584486
In practice since 2006 (19 years)
NPI: 1730290321 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. Raja 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. Raja? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Raja

Dr. Manikanda Raja is an internal medicine specialist in Hemet, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Raja performed 2,990 Medicare services across 1,720 unique beneficiaries.

Between the years covered by Open Payments, Dr. Raja received a total of $16,597 from 75 pharmaceutical and/or device companies across 1023 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal 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. Raja 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 10% volume in CA $16,597 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,990
Medicare services
Top 10% in CA for internal medicine
1,720
Unique beneficiaries
$80
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~157 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
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.
745 $65 $134
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.
448 $91 $160
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.
377 $67 $114
Hospital discharge day management, 30 minutes or less
This service covers the final day of hospital care when the patient is being discharged. It includes coordination of care and instructions for the patient within a time frame of 30 minutes or less.
174 $67 $138
Hospital follow-up visit, high complexity
Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter.
163 $99 $139
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.
123 $174 $220
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.
115 $100 $282
Office visit for established patient
An office visit for an existing patient that may not require the healthcare professional to be present.
113 $18 $60
Influenza vaccine, quadrivalent, 0.5 ml dosage 84 $20 $30
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
84 $33 $35
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
63 $136 $150
Home visit, established patient, low complexity
A physician visits an existing patient at their residence to provide care involving a low level of medical decision making. The visit lasts at least 30 minutes.
54 $60 $160
Annual alcohol misuse screening, 5 to 15 minutes 54 $20 $20
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.
53 $144 $285
Nursing facility visit, low complexity
A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care.
53 $61 $120
Initial nursing facility care, moderate complexity
Initial care provided to a patient in a nursing facility with moderate medical decision making, taking at least 35 minutes.
47 $109 $145
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.
42 $11 $100
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.
40 $282 $458
Pneumonia vaccine administration
This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider.
40 $33 $45
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.
37 $234 $426
Telephone medical discussion, 21-30 minutes
A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone.
19 $89 $145
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.
17 $57 $144
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.
17 $136 $207
Home visit, established patient, moderate complexity
A home visit for an established patient involving moderate medical decision making. The visit requires at least 40 minutes of time if time is used to determine the level of service.
16 $103 $200
Transitional care management services, moderate complexity
Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity.
12 $156 $225
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 ↗
$16,597
Total received (2018-2024)
Avg $2,371/year across 7 years
Top 7% in CA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
75
Companies
1,023
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
$16,573 (99.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$24 (0.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,110
2023
$1,729
2022
$2,578
2021
$3,312
2020
$2,807
2019
$2,368
2018
$2,693

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
PFIZER INC.
$201
ABBVIE INC.
$144
GlaxoSmithKline, LLC.
$113
Ardelyx, Inc.
$94
Amgen Inc.
$89
Novartis Pharmaceuticals Corporation
$66
Esperion Therapeutics, Inc.
$53
Sumitomo Pharma America, Inc.
$44
AstraZeneca Pharmaceuticals LP
$36
Janssen Pharmaceuticals, Inc
$36
Otsuka America Pharmaceutical, Inc.
$33
Mylan Specialty L.P.
$28
SCPHARMACEUTICALS INC.
$27
Eisai Inc.
$25
Hologic Sales and Service, LLC
$22
Lundbeck LLC
$20
Edwards Lifesciences Corporation
$19
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$19
Shionogi Inc
$14
Lilly USA, LLC
$13
Novo Nordisk Inc
$13
Top 3 companies account for 41.3% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$1,730
Janssen Pharmaceuticals, Inc
$1,169
Boehringer Ingelheim Pharmaceuticals, Inc.
$1,113
Amgen Inc.
$932
GlaxoSmithKline, LLC.
$890
PFIZER INC.
$873
Novo Nordisk Inc
$682
Bayer HealthCare Pharmaceuticals Inc.
$670
AbbVie Inc.
$567
SANOFI-AVENTIS U.S. LLC
$561
ABBVIE INC.
$551
Novartis Pharmaceuticals Corporation
$481
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$452
Astellas Pharma US Inc
$407
E.R. Squibb & Sons, L.L.C.
$384
Merck Sharp & Dohme Corporation
$346
Corcept Therapeutics
$345
Allergan Inc.
$314
Lilly USA, LLC
$297
Biohaven Pharmaceuticals, Inc.
$255
Allergan, Inc.
$221
Sunovion Pharmaceuticals Inc.
$219
Esperion Therapeutics, Inc.
$211
Eisai Inc.
$162
Merck Sharp & Dohme LLC
$156
Gilead Sciences, Inc.
$123
Ardelyx, Inc.
$117
Relypsa, Inc.
$114
Bayer Healthcare Pharmaceuticals Inc.
$111
Teva Pharmaceuticals USA, Inc.
$101
Orexo US, Inc.
$100
Biohaven Pharmaceutical Holding Company Ltd.
$98
Lundbeck LLC
$98
Amarin Pharma Inc.
$95
Scilex Pharmaceuticals Inc.
$92
AbbVie, Inc.
$87
Vifor Pharma, Inc.
$87
MannKind Corporation
$86
GE HEALTHCARE
$84
Vanda Pharmaceuticals Inc.
$66
Takeda Pharmaceuticals U.S.A., Inc.
$60
Dexcom, Inc.
$54
RECORDATI_RARE_DISEASES_INC.
$53
Abbott Laboratories
$52
Indivior Inc.
$48
Mylan Specialty L.P.
$45
Xeris Pharmaceuticals, Inc.
$45
Sumitomo Pharma America, Inc.
$44
IRONWOOD PHARMACEUTICALS, INC
$43
Biogen, Inc.
$43
Circassia Pharmaceuticals Inc
$41
ARBOR PHARMACEUTICALS, INC.
$40
Arbor Pharmaceuticals, Inc.
$38
Alkermes, Inc.
$36
EUSA Pharma (US) LLC
$34
Otsuka America Pharmaceutical, Inc.
$33
Shionogi Inc
$32
Smith+Nephew, Inc.
$32
Philips Electronics North America Corporation
$30
Lucid Diagnostics Inc.
$29
Kowa Pharmaceuticals America, Inc.
$29
SCPHARMACEUTICALS INC.
$27
DEXCOM, INC.
$26
SI-BONE, INC.
$24
Boston Scientific Corporation
$24
Hologic Sales and Service, LLC
$22
Corium, LLC
$22
Hologic, LLC
$21
Insulet Corporation
$21
EISAI INC.
$20
SUN PHARMACEUTICAL INDUSTRIES INC.
$19
Edwards Lifesciences Corporation
$19
Novum Pharma, LLC
$16
Metacel Pharmaceuticals LLC
$13
SCILEX PHARMACEUTICALS INC.
$13
Top 3 companies account for 24.2% of all-time payments
Associated products mentioned in payments ›
(8874) inCourage · (8876) Vest Therapy Und · ADUHELM · AFREZZA · ANORO · ANORO ELLIPTA · APTIMA · AREXVY · AUSTEDO · AVYCAZ · Adlarity · Aimovig · AirDuo Digihaler · Alcortin A · Amitiza · BASAGLAR · BELSOMRA · BREO · BREZTRI · BREZTRI AEROSPHERE · BRILINTA · BRINTELLIX · BYSTOLIC · CHANTIX · COLOGUARD DNA CAPTURE REAGENTS · COMIRNATY · CREON · Creon · DALVANCE · DEXCOM G6 TRANSMITTER · DIFICID · Dayvigo · Dexcom CGM · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · Edarbi · Edarbyclor · FARXIGA · FREESTYLE LIBRE 2 · FUROSCIX · Fetroja · GEMTESA · GRAFIX PL · GVOKE PFS · HETLIOZ · Horizant · IBSRELA · INVOKANA · ISTURISA · JANUVIA · JARDIANCE · KAPSPARGO · Kerendia · Korlym · LATUDA · LEQVIO · LINZESS · LOKELMA · LONHALA MAGNAIR · LUCEMYRA · LYRICA · Leqembi · Linzess · Livalo · MOUNJARO · MOVANTIK · MYRBETRIQ · Mitra Clip system · Myrbetriq · NEXLETOL · NURTEC ODT · OFEV · Omnipod · Otezla · Ozempic · Ozobax · PIFELTRO · PRADAXA · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Proclaim IPG · Prolia · QULIPTA · RELISTOR · REXULTI · RYBELSUS · Repatha · Rybelsus · SAPIEN 3 Ultra RESILIA · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STEGLATRO · STIOLTO RESPIMAT · SUBLOCADE · SYMBICORT · SYNJARDY · Sylvant · Symproic · TEFLARO · THINPREP 2000 PROCESSOR · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRULANCE · TRULICITY · TUDORZA PRESSAIR · Tresiba · Trintellix · UBRELVY · UTIBRON · VESICARE · VIBERZI · VIVITROL · VRAYLAR · Vascepa · Veltassa · Victoza · WATCHMAN · Wegovy · XARELTO · XIFAXAN · YUPELRI · Yupelri · ZTLido · 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 7% for internal medicine in CA.

Looking for an internal medicine specialist in Hemet?
Compare internal medicine physicians in the Hemet area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal medicine physicians within 10 mi
283
Per 100K population
11.6
County median income
$89,672
Nearest hospital
HEMET GLOBAL MEDICAL CENTER
6.7 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. Raja is a clinical cardiology specialist, with above-average Medicare volume (top 10% in CA), with low-engagement industry engagement in the top 7% 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. Raja experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Raja performed 745 hospital follow-up visit, moderate complexity 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. Raja receive payments from pharmaceutical companies?
Yes. Dr. Raja received a total of $16,597 from 75 companies across 1,023 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. Raja's costs compare to other internal medicine physicians in Hemet?
Dr. Raja's average Medicare payment per service is $80. 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. Raja) 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 →