Medicare Enrolled

Dr. Karthik Mohan, D.O.

Gastroenterology · Hialeah, FL
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Low-engagement
7100 W 20TH AVE, Hialeah, FL 33016
3055563737
In practice since 2013 (12 years)
NPI: 1447695564 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. Mohan 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. Mohan? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Mohan

Dr. Karthik Mohan is a gastroenterology in Hialeah, FL, with 12 years in practice. Based on federal Medicare data, Dr. Mohan performed 3,644 Medicare services across 1,625 unique beneficiaries.

Between the years covered by Open Payments, Dr. Mohan received a total of $3,240 from 28 pharmaceutical and/or device companies across 151 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. 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. Mohan is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 12 years in practice▲ Top 6% volume in FL$ $3,240 industry payments

Medicare Practice Summary

Medicare Utilization ↗
3,644
Medicare services
Top 6% in FL for gastroenterology
1,625
Unique beneficiaries
$86
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~304 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.

ProcedureVolumeAvg. paidAvg. submitted
Hospital follow-up visit, moderate complexity2,271$69$115
Initial hospital admission, moderate complexity409$114$226
Hospital follow-up visit, low complexity251$44$63
Initial hospital admission, high complexity229$151$250
Hospital follow-up visit, high complexity103$104$250
Critical care, first 30-74 min93$190$449
Insertion of stomach tube using a flexible endoscope64$183$454
Upper GI endoscopy with biopsy63$118$598
Office visit, established patient (20-29 min)48$70$119
Diagnostic exam of large bowel using a flexible endoscope23$124$693
Office visit, established patient (30-39 min)18$98$174
Colonoscopy with biopsy17$144$822
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope16$109$520
Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope14$178$503
New patient office visit (45-59 min)13$124$275
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito12$5$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 ↗
$3,240
Total received (2018-2024)
Avg $463/year across 7 years
Top 48% in FL for gastroenterology
28
Companies
151
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
$3,229 (99.7%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$11 (0.3%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$573
2023
$421
2022
$347
2021
$546
2020
$202
2019
$317
2018
$832

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$789
ABBVIE INC.
$431
AbbVie, Inc.
$271
RedHill Biopharma Inc.
$220
AbbVie Inc.
$204
Ferring Pharmaceuticals Inc.
$152
Takeda Pharmaceuticals U.S.A., Inc.
$144
Braintree Laboratories, Inc.
$130
Gilead Sciences, Inc.
$116
Allergan Inc.
$100
Cook Medical LLC
$91
Ardelyx, Inc.
$84
Phathom Pharmaceuticals, Inc.
$83
Madrigal Pharmaceuticals
$65
Intercept Pharmaceuticals, Inc.
$52
Merck Sharp & Dohme Corporation
$35
Celgene Corporation
$35
Regeneron Healthcare Solutions, Inc.
$30
Merck Sharp & Dohme LLC
$30
Boston Scientific Corporation
$26
INTERCEPT PHARMACEUTICALS, INC.
$26
AIMMUNE THERAPEUTICS, INC.
$24
Janssen Biotech, Inc.
$20
Ambu Inc.
$20
Synergy Pharmaceuticals Inc
$18
Aries Pharmaceuticals, Inc.
$18
Olympus America Inc.
$16
GI Supply, Inc.
$12
Top 3 companies account for 46.0% of total payments
Associated products mentioned in payments ›
APRISO · COOK MEDICAL INSTINCT · DIFICID · DUPIXENT · ELEVIEW · ENDOSCOPE REPROCESSOR · ENTYVIO · Entyvio · HUMIRA · Humira · IBSRELA · LINZESS · MAVYRET · MOVIPREP · Mavyret · OCALIVA · Orca · RELISTOR · REMICADE · RESMETIROM · RINVOQ · SKYRIZI · SUFLAVE · SUPREP · SUTAB · TRULANCE · Talicia · Trulance · VIBERZI · VOQUEZNA · XIFAXAN · XIFAXANIBSD · ZENPEP · ZEPOSIA
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.

Equivalent to $89 per 100 Medicare services performed
Looking for a gastroenterology in Hialeah?
Compare gastroenterologys in the Hialeah area by procedure volume, costs, and industry payment transparency.
Browse gastroenterologys nearby

Geographic Context

Gastroenterologys within 10 mi
225
Per 100K population
8.4
County median income
$68,694
Nearest hospital
PALMETTO GENERAL HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Mohan is a mixed practice specialist, with above-average Medicare volume (top 6% in FL), and low-engagement industry engagement.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Mohan experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Mohan performed 2,271 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. Mohan receive payments from pharmaceutical companies?
Yes. Dr. Mohan received a total of $3,240 from 28 companies across 151 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. Mohan's costs compare to other gastroenterologys in Hialeah?
Dr. Mohan's average Medicare payment per service is $86. 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. Mohan) 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. The Transparency Score measures 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 →