Medicare Enrolled
Dr. Rami Akel, M.D.
Cardiovascular Disease · Hudson, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Speaking/Promotional
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. Akel 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. Akel
Dr. Rami Akel is a cardiovascular disease specialist in Hudson, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Akel performed 7,766 Medicare services across 2,776 unique beneficiaries.
Between the years covered by Open Payments, Dr. Akel received a total of $95,447 from 39 pharmaceutical and/or device companies across 617 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. 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. Akel 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.
✓ 19 years in practice
▲ Top 11% volume in FL
$95,447 industry payments
Medicare Practice Summary
Medicare Utilization ↗7,766
Medicare services
Top 11% in FL for cardiovascular disease
2,776
Unique beneficiaries
$56
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~409 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 |
|---|---|---|---|
| Adenosine injection, 1 mg Administration of a 1 mg dose of adenosine medication. This code is specifically for adenosine and excludes adenosine phosphate compounds. |
3,435 | $0 | $5 |
| 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. |
1,054 | $90 | $207 |
| 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. |
492 | $62 | $142 |
| 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. |
471 | $11 | $40 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
426 | $141 | $459 |
| 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. |
277 | $136 | $398 |
| 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. |
266 | $94 | $203 |
| Technetium Tc-99m sestamibi diagnostic injection A diagnostic injection of technetium Tc-99m sestamibi used for imaging studies. |
217 | $88 | $236 |
| 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. |
123 | $116 | $323 |
| Ultrasound guidance for blood vessel access Use of ultrasound imaging to help locate and access a blood vessel. This guidance assists healthcare providers in performing procedures such as inserting IV lines or drawing blood. |
109 | $12 | $32 |
| 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. |
109 | $47 | $183 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
107 | $332 | $940 |
| 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. |
97 | $134 | $278 |
| 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. |
70 | $135 | $372 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
61 | $36 | $105 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
56 | $141 | $362 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
50 | $60 | $125 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
39 | $178 | $360 |
| 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. |
36 | $64 | $140 |
| Cardiac catheterization | 32 | $211 | $693 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
29 | $83 | $222 |
| Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist | 29 | $274 | $867 |
| New patient office visit, complex (60-74 min) | 23 | $166 | $421 |
| Transcatheter aortic valve replacement via femoral artery A minimally invasive procedure to replace a diseased aortic heart valve using a catheter inserted through the skin and femoral artery. |
22 | $611 | $2,582 |
| 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. |
22 | $90 | $236 |
| Radiologist review of abdominal aorta image A radiologist reviews images of the abdominal aorta to evaluate the blood vessel. |
17 | $54 | $138 |
| Ultrasound of heart blood vessel or graft An ultrasound exam to evaluate blood flow in a heart blood vessel or graft, including a radiologist's review of the initial vessel. |
17 | $76 | $196 |
| Arterial catheter insertion, initial third order branch Insertion of a tube into an abdominal, pelvic, or leg artery, specifically targeting the initial third order branch. |
15 | $201 | $732 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results. |
15 | $11 | $31 |
| Radiofrequency vein destruction, first vein A procedure to treat the first incompetent vein in the arm or leg using radiofrequency energy and imaging guidance. |
14 | $813 | $3,687 |
| Radiologist review of arm or leg artery images A radiologist reviews images of the arteries in one or both arms or legs to assess blood flow and vessel health. |
14 | $74 | $165 |
| Coronary stent placement A procedure to insert a stent into a coronary artery or its branch to keep it open, using balloon dilation during the process. |
11 | $436 | $1,292 |
| Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts A complete ultrasound exam of the aorta, vena cava, groin vessels, or bypass grafts. This imaging test uses sound waves to visualize these blood vessels. |
11 | $133 | $369 |
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.
7.3% high complexity
55.2% medium
37.5% routine
Industry Payment Transparency
Open Payments through 2024 ↗$95,447
Total received (2018-2024)
Avg $13,635/year across 7 years
Top 5% in FL for cardiovascular disease
39
Companies
617
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
$53,433 (56.0%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$26,043 (27.3%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$15,971 (16.7%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,848
2023
$7,968
2022
$6,458
2021
$20,242
2020
$27,912
2019
$18,326
2018
$11,693
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic Vascular, Inc.
$20,307
Cardiovascular Systems Inc.
$19,960
Inari Medical, Inc.
$16,863
Medtronic, Inc.
$13,688
Edwards Lifesciences Corporation
$6,936
Boston Scientific Corporation
$3,196
Shimadzu Precision Instruments, Inc.
$3,156
Penumbra, Inc.
$2,587
Abbott Laboratories
$1,678
ABIOMED
$1,111
AngioDynamics, Inc.
$904
ShockWave Medical, Inc
$885
BOSTON SCIENTIFIC CORPORATION
$440
W. L. Gore & Associates, Inc.
$437
AstraZeneca Pharmaceuticals LP
$376
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$319
Novartis Pharmaceuticals Corporation
$290
Philips Electronics North America Corporation
$276
Cook Medical LLC
$263
Janssen Scientific Affairs, LLC
$210
EKOS Corporation
$193
Corindus Inc.
$159
Janssen Pharmaceuticals, Inc
$144
E.R. Squibb & Sons, L.L.C.
$143
Osprey Medical Inc
$120
CARDIVA MEDICAL, INC.
$118
Boehringer Ingelheim Pharmaceuticals, Inc.
$105
ATRICURE, INC.
$89
Cardinal Health 200, LLC
$86
PFIZER INC.
$68
Shockwave Medical, Inc
$66
CORDIS US CORP.
$47
Kestra Medical Technology Services, Inc.
$46
Bard Peripheral Vascular, Inc.
$43
iRhythm Technologies, Inc.
$38
Siemens Medical Solutions USA, Inc.
$30
Endologix LLC
$29
Lantheus Medical Imaging, Inc.
$27
Amgen Inc.
$13
Top 3 companies account for 59.9% of total payments
Associated products mentioned in payments ›
(6576) Laser serv and other · 3F · ALPHAVAC · AMPLATZER AMULET · ANGIOJET · ANGIOVAC · ASSURITY · AURYON LASER SYSTEM 100-120 VAC · AVVIGO Guidance System · AZURE XT DR MRI SURESCAN · Achieve · Advisa · AlphaVac · Alto Abdominal Stent Graft System · AngioVac · Assure WCD · Azure · BRILINTA · C3 Delivery System · CAMZYOS · CARDIVA VASCADE MVP VVCS 6-12F · COBALT DR MRI SURESCAN · COREVALVE EVOLUT R · COROFLOW · COYOTE · CROSSBOSS · CT THROMBECTOMY SYSTEM KIT · Claria MRI · ClosureFast · Cobalt · Cook Medical AAA · Cook Medical Introducers · Cook Medical Wire Guides · Cook Medical Zilver PTX · CorPath GRX · CoreValve Evolut · Corlanor · Coronary Orbital Atherectomy System · DEFINITY · DIAMONDBACK CORONARY · DIAMONDBACK PERIPHERAL · Diamondback Coronary · Diamondback Peripheral · DyeVert · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · EKOSONIC · ELIQUIS · EMBLEM SICD ELECTRODE DELIVERY SYSTEM · ENDURANT IIS · ENTRESTO · Edwards SAPIEN 3 Transcatheter Heart Valve · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · Endurant · FARXIGA · FEMOSTOP · FLOWTRIEVER CATHETER · FlowTriever · GENERAL BRADY · GENERAL STENTS · GENERAL ATHERECTOMY · GENERAL BRADY · GENERAL STRUCTURAL HEART · GENERAL THERAPIES · GENERAL - STRUCTURAL HEART · GENERAL - THERAPIES · GENERAL - VASCULAR INTERVENTION · GENERAL STENTS · GENERAL TACHY · HELI-FX ENDOANCHOR SYSTEM · HORNET · IGT_D Peripheral · INNOVA · INVOKANA · IVUS Systems · Impella · Indigo System · JARDIANCE · JETI PERIPHERAL CATHETER · JETSTREAM · JUDO · LATITUDE · LATITUDE Communicator Power Supply · LEQVIO · LINQ II · LifeVest · MICRA · MITRACLIP · MYCARELINK · Micra · Mitra Clip system · MitraClip System · NAVITOR · ONYX FRONTIER · PERCLOSE PROGLIDE · PERCLOSE PROSTYLE · PRADAXA · Penumbra System · Perclose ProGlide suture mediated closure system · Peripheral Orbital Atherectomy System · Product in Development · RADIAL 360 · RESOLUTE ONYX · REVEAL LINQ · ROTABLATOR · ROTALINK · Resolute · Reveal LINQ · S · SAPIEN 3 Ultra RESILIA · SELECTSECURE · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · SUPERA · SYNERGY · SYNERGY ABLATION SYSTEM · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · TYRX · VALIANT CAPTIVIA · VYNDAQEL · Valiant Captivia · Valiant Navion · Vascular Lithotripsy · WATCHMAN · WATCHMAN FLX · XARELTO · XIENCE SIERRA · ZIO XT Patch
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 (56%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in cardiovascular disease and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 5% for cardiovascular disease in FL.
Equivalent to $1,229 per 100 Medicare services performed
Geographic Context
Cardiologists within 10 mi
63
Per 100K population
10.7
County median income
$67,384
Nearest hospital
HCA FLORIDA BAYONET POINT HOSPITAL
0.0 mi
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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Akel is a clinical cardiology specialist, with above-average Medicare volume (top 11% in FL), with speaking/promotional industry engagement in the top 5% of FL peers, with 19 years of NPI registration.
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. Akel experienced with adenosine injection, 1 mg?
Based on Medicare claims data, Dr. Akel performed 3,435 adenosine injection, 1 mg 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. Akel receive payments from pharmaceutical companies?
Yes. Dr. Akel received a total of $95,447 from 39 companies across 617 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. Akel's costs compare to other cardiologists in Hudson?
Dr. Akel's average Medicare payment per service is $56. 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. Akel) 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 →
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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.
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