Medicare Enrolled

Dr. Amit Raina, MD

Gastroenterology · Whittier, CA
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Speaking/Promotional
14350 WHITTIER BLVD STE 225, Whittier, CA 90605
6269603016
In practice since 2007 (18 years)
NPI: 1316138142 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. Raina 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. Raina? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Raina

Dr. Amit Raina is a gastroenterology specialist in Whittier, CA, with 18 years of NPI registration. Based on federal Medicare data, Dr. Raina performed 2,610 Medicare services across 995 unique beneficiaries.

Between the years covered by Open Payments, Dr. Raina received a total of $17,392 from 45 pharmaceutical and/or device companies across 198 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. 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. Raina 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.

✓ 18 years in practice ▲ Top 6% volume in CA $17,392 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,610
Medicare services
Top 6% in CA for gastroenterology
995
Unique beneficiaries
$72
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~145 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.
1,153 $67 $84
Hospital follow-up visit, low complexity
Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service.
724 $42 $64
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.
234 $111 $185
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.
216 $69 $110
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.
66 $89 $750
Endoscopic insertion of stomach tube
A flexible endoscope is used to guide the placement of a tube into the stomach.
45 $167 $1,200
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.
36 $109 $1,125
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.
26 $189 $1,300
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.
26 $88 $150
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.
22 $149 $225
Initial hospital admission, low complexity
Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter.
20 $71 $150
Upper endoscopy (EGD)
A diagnostic exam of the esophagus, stomach, and upper small bowel using a flexible endoscope.
18 $99 $650
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.
13 $198 $1,050
Pancreatic or bile duct stent insertion
A flexible endoscope is used to place a stent into the pancreatic or bile duct to keep it open.
11 $391 $1,950
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.
0.4% high complexity
5.1% medium
94.5% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$17,392
Total received (2018-2024)
Avg $2,485/year across 7 years
Top 13% in CA for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
45
Companies
198
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
$12,327 (70.9%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,065 (29.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$720
2023
$211
2022
$721
2021
$561
2020
$292
2019
$951
2018
$13,937

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
STERIS CORPORATION
$169
Enterra Medical, Inc.
$166
Janssen Biotech, Inc.
$146
Takeda Pharmaceuticals U.S.A., Inc.
$122
ABBVIE INC.
$80
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$38
Top 3 companies account for 66.7% of 2024 payments
All-time payments by company (2018-2024) ›
AbbVie, Inc.
$8,965
Covidien LP
$3,684
Olympus Corporation of the Americas
$909
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$650
AbbVie Inc.
$348
Takeda Pharmaceuticals U.S.A., Inc.
$251
ABBVIE INC.
$185
STERIS CORPORATION
$169
Enterra Medical, Inc.
$166
Janssen Biotech, Inc.
$146
Lumendi LLC
$145
Medtronic, Inc.
$144
Shionogi Inc
$142
Cook Medical LLC
$133
UCB, Inc.
$122
BOSTON SCIENTIFIC CORPORATION
$122
Nestle HealthCare Nutrition Inc.
$105
Intercept Pharmaceuticals, Inc.
$103
Exelixis Inc.
$97
Dynavax Technologies Corporation
$65
Romark Laboratories, LC
$62
Dova Pharmaceuticals
$58
Digestive Care, Inc.
$54
AIMMUNE THERAPEUTICS, INC.
$52
QOL Medical, LLC
$49
Synergy Pharmaceuticals Inc
$48
Ferring Pharmaceuticals Inc.
$44
VIVUS, Inc.
$41
EISAI INC.
$38
INTERCEPT PHARMACEUTICALS, INC.
$38
Shire North American Group Inc
$29
Daiichi Sankyo Inc.
$25
Olympus America Inc.
$22
RedHill Biopharma Inc.
$20
E.R. Squibb & Sons, L.L.C.
$18
Bayer HealthCare Pharmaceuticals Inc.
$17
Merck Sharp & Dohme Corporation
$17
Braintree Laboratories, Inc.
$16
Cumberland Pharmaceuticals, Inc.
$16
Gilead Sciences, Inc.
$15
GENZYME CORPORATION
$14
Ironwood Pharmaceuticals, Inc
$13
EVOKE PHARMA, INC.
$12
Endo Pharmaceuticals Inc.
$12
Ambu Inc.
$12
Top 3 companies account for 78.0% of all-time payments
Associated products mentioned in payments ›
ALINIA · Aemcolo · Alinia · Barrx · Beacon · CIMZIA · CLENPIQ · COOK MEDICAL BILIARY · CREON · Cabometyx · Caldolor · Cimzia · Creon · DIFICID · DiLumen · Doptelet · ENDOFLIP · ENTYVIO · GATTEX · GAUCHER-DISEASE · GENERAL THERAPIES · GIMOTI · HUMIRA · Heplisav-B · Humira · INJECTAFER · LINZESS · LIVTENCITY · Lenvima · MAVYRET · MOTEGRITY · Mavyret · Mulpleta · NASCOBAL · OCALIVA · Olympus EMR & ESD Devices · PANCREAZE · Pertzye · PillCam · RELISTOR · SUCRAID · SUTAB · Single Use Electrosurgical Knife KD-655 · Stivarga · Sucraid · Symproic · TREMFYA · TRULANCE · Trulance · UCERIS · VIBERZI · VOWST · XIFAXAN · ZENPEP · ZEPOSIA · truFreeze
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 (71%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in gastroenterology and does not inherently indicate bias, but patients may wish to be aware.

Looking for a gastroenterology specialist in Whittier?
Compare gastroenterologists in the Whittier area by procedure volume, costs, and industry payment transparency.
Browse gastroenterologists nearby

Geographic Context

Gastroenterologists within 10 mi
500
Per 100K population
5.1
County median income
$87,760
Nearest hospital
WHITTIER HOSPITAL MEDICAL CENTER
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. Raina is a mixed practice specialist, with above-average Medicare volume (top 6% in CA), with speaking/promotional industry engagement in the top 13% of CA peers, with 18 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. Raina experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Raina performed 1,153 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. Raina receive payments from pharmaceutical companies?
Yes. Dr. Raina received a total of $17,392 from 45 companies across 198 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. Raina's costs compare to other gastroenterologists in Whittier?
Dr. Raina's average Medicare payment per service is $72. 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. Raina) 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 →