Medicare Enrolled

Dr. Rex Manayan, M.D.

Surgery · Ontario, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
3333 CONCOURS STE 100, Ontario, CA 91764
9094813242
In practice since 2005 (20 years)
NPI: 1649278599 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. Manayan 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. Manayan

Dr. Rex Manayan is a surgery specialist in Ontario, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Manayan performed 2,522 Medicare services across 937 unique beneficiaries.

Between the years covered by Open Payments, Dr. Manayan received a total of $1,636 from 8 pharmaceutical and/or device companies across 56 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in surgery. 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. Manayan 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 3% volume in CA $1,636 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,522
Medicare services
Top 3% in CA for surgery
937
Unique beneficiaries
$364
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~126 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.
580 $69 $179
Ultrasound of arm or leg veins
An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages.
562 $93 $237
Chemical destruction of first incompetent vein with imaging guidance
This procedure uses imaging guidance to chemically destroy the first incompetent vein in the arm or leg.
439 $1,302 $3,419
Ultrasound of arm or leg veins
An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers.
230 $140 $374
Ultrasound-guided injection into a single leg vein
A chemical agent is injected into one incompetent vein in the leg while using ultrasound to guide the needle placement.
170 $1,023 $2,684
Chemical injection for multiple incompetent leg veins
A procedure involving the injection of a chemical agent into several non-functioning veins in the leg.
164 $154 $397
Ultrasound guidance for needle placement
Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure.
163 $46 $115
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.
93 $118 $330
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.
80 $38 $111
New patient office visit, 15-29 minutes
An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold.
28 $36 $144
Ultrasound of arm and leg arteries
This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries.
13 $47 $162
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 ↗
$1,636
Total received (2018-2024)
Avg $234/year across 7 years
Bottom 49% in CA for surgery
8
Companies
56
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
$1,636 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$111
2023
$328
2022
$145
2021
$230
2020
$246
2019
$541
2018
$36

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$36
Tactile Systems Technology Inc
$31
Smith+Nephew, Inc.
$28
Advanced Oxygen Therapy Inc.
$16
Top 3 companies account for 85.3% of 2024 payments
All-time payments by company (2018-2024) ›
Tactile Systems Technology Inc
$852
Medtronic, Inc.
$290
Medtronic Vascular, Inc.
$253
E.R. Squibb & Sons, L.L.C.
$151
Biocompatibles, Inc.
$29
Smith+Nephew, Inc.
$28
Janssen Pharmaceuticals, Inc
$16
Advanced Oxygen Therapy Inc.
$16
Top 3 companies account for 85.3% of all-time payments
Associated products mentioned in payments ›
CLOSUREFAST · ClosureFast · ELIQUIS · FLEXITOUCH · Flexitouch Plus · PICO · Topical Oxygen Chamber for extremities · VARITHENA · VENASEAL · VenaSeal · XARELTO
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.

Looking for a surgery specialist in Ontario?
Compare surgerists in the Ontario area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Surgerists within 10 mi
317
Per 100K population
14.5
County median income
$82,184
Nearest hospital
SAN ANTONIO REGIONAL HOSPITAL
3.9 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. Manayan is a clinical cardiology specialist, with above-average Medicare volume (top 3% 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. Manayan experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Manayan performed 580 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. Manayan receive payments from pharmaceutical companies?
Yes. Dr. Manayan received a total of $1,636 from 8 companies across 56 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. Manayan's costs compare to other surgerists in Ontario?
Dr. Manayan's average Medicare payment per service is $364. 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. Manayan) 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 →