Medicare Enrolled

Dr. Megha Agarwal, M.D.

Internal Medicine · Simi Valley, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Speaking/Promotional
2655 1ST ST STE 360, Simi Valley, CA 93065
8055837640
In practice since 2008 (17 years)
NPI: 1508011958 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. Agarwal 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. Agarwal

Dr. Megha Agarwal is an internal medicine specialist in Simi Valley, CA, with 17 years of NPI registration. Based on federal Medicare data, Dr. Agarwal performed 3,686 Medicare services across 2,507 unique beneficiaries.

Between the years covered by Open Payments, Dr. Agarwal received a total of $6,707 from 15 pharmaceutical and/or device companies across 45 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Agarwal 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.

✓ 17 years in practice ▲ Top 8% volume in CA $6,707 industry payments

Medicare Practice Summary

Medicare Utilization ↗
3,686
Medicare services
Top 8% in CA for internal medicine
2,507
Unique beneficiaries
$101
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~217 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, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
1,084 $147 $960
Echocardiogram, transthoracic
An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function.
462 $178 $1,381
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.
434 $12 $111
Regadenoson injection (Lexiscan) for heart stress test
An injection of regadenoson, a medication used to stress the heart during diagnostic testing.
228 $39 $469
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.
222 $97 $858
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.
185 $101 $680
Online digital E/M service, established patient, 11-20 min
An online digital evaluation and management service for an established patient. The service involves a total time of 11 to 20 minutes over a period of up to 7 days.
145 $25 $139
External EKG monitoring, 8-15 days
Continuous external electrocardiogram recording and review over a period of 8 to 15 days to monitor heart rhythm.
113 $21 $125
Stress echocardiogram with ECG monitoring
An ultrasound of the heart performed while monitoring heart rhythm during rest, exercise, or medication-induced stress, followed by a review and report of the findings.
112 $210 $1,329
Continuous external EKG monitoring, 8-15 days
This procedure involves recording heart rhythm continuously using an external EKG device over a period of 8 to 15 days.
111 $11 $73
New patient office visit, complex (60-74 min) 106 $186 $1,360
Exercise or drug-induced heart stress test with ECG
A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review.
77 $55 $524
Routine 12-lead electrocardiogram (ECG)
A test that records the electrical activity of the heart using at least 12 leads to produce a tracing.
55 $6 $68
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
45 $8 $25
Perflutren lipid microspheres injection
Injection of perflutren lipid microspheres, measured per milliliter.
45 $36 $287
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.
35 $147 $1,320
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.
34 $133 $1,085
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.
31 $66 $508
Transesophageal echocardiogram
An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function.
24 $86 $524
Continuous EKG monitoring review, 48-7 days
Review and interpretation of continuous external EKG recordings lasting more than 48 hours up to 7 days.
22 $20 $112
Continuous external EKG monitoring, 48 hours to 7 days
This procedure involves recording the heart's electrical activity continuously using an external device for a period exceeding 48 hours but not more than 7 days.
21 $11 $119
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.
18 $110 $890
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.
18 $67 $470
Pacemaker programming, dual lead system
Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings.
16 $73 $354
Telephone medical discussion, 11-20 minutes
A phone conversation with a physician lasting between 11 and 20 minutes.
16 $53 $407
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.
14 $79 $544
Heart muscle strain imaging 13 $34 $202
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.
13.0% high complexity
13.5% medium
73.5% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$6,707
Total received (2018-2024)
Avg $1,118/year across 6 years
Top 13% in CA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
15
Companies
45
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$3,829 (57.1%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$2,846 (42.4%)
Other
Charitable contributions, space rental, and other categories
$33 (0.5%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$4,014
2023
$353
2022
$145
2021
$242
2019
$485
2018
$1,469

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Kiniksa Pharmaceuticals International, plc
$3,802
Abbott Laboratories
$98
Impulse Dynamics (USA) Inc.
$81
Baxter Healthcare
$33
Top 3 companies account for 99.2% of 2024 payments
All-time payments by company (2018-2024) ›
Kiniksa Pharmaceuticals International, plc
$3,802
Boston Scientific Corporation
$1,182
Abbott Laboratories
$350
AstraZeneca Pharmaceuticals LP
$276
BIOTRONIK INC.
$218
ABIOMED
$138
Boehringer Ingelheim Pharmaceuticals, Inc.
$123
Novo Nordisk Inc
$118
Medtronic Vascular, Inc.
$116
AtriCure, Inc.
$111
Actelion Pharmaceuticals US, Inc.
$83
Impulse Dynamics (USA) Inc.
$81
Janssen Pharmaceuticals, Inc
$57
Baxter Healthcare
$33
Medtronic, Inc.
$17
Top 3 companies account for 79.5% of all-time payments
Associated products mentioned in payments ›
ATRICURE ATRICLIP LAA EXCLUSION · Arcalyst · CardioMEMS HF System · Confirm Rx · CoreValve Evolut · FARXIGA · HeartMate 3 Left Ventricular Dev · Impella · JARDIANCE · Optimizer · PRESSUREWIRE · Reveal LINQ · Saxenda · WATCHMAN · 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 →

The majority of payments (57%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in internal medicine and does not inherently indicate bias, but patients may wish to be aware.

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

Internal medicine physicians within 10 mi
1,964
Per 100K population
234.3
County median income
$107,327
Nearest hospital
ADVENTIST HEALTH SIMI VALLEY
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. Agarwal is a clinical cardiology specialist, with above-average Medicare volume (top 8% in CA), with speaking/promotional industry engagement in the top 13% of CA peers, with 17 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. Agarwal experienced with office visit, established patient, complex (40-54 min)?
Based on Medicare claims data, Dr. Agarwal performed 1,084 office visit, established patient, complex (40-54 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. Agarwal receive payments from pharmaceutical companies?
Yes. Dr. Agarwal received a total of $6,707 from 15 companies across 45 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. Agarwal's costs compare to other internal medicine physicians in Simi Valley?
Dr. Agarwal's average Medicare payment per service is $101. 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. Agarwal) 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 →