Medicare Enrolled
Dr. Avantika Mishra, MD
Gastroenterology · Lakewood Ranch, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Mishra 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. Mishra
Dr. Avantika Mishra is a gastroenterology specialist in Lakewood Ranch, FL, with 13 years of NPI registration. Based on federal Medicare data, Dr. Mishra performed 1,139 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Mishra received a total of $3,827 from 35 pharmaceutical and/or device companies across 159 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Mishra 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.
✓ 13 years of NPI registration
▲ Top 28% volume in FL
$3,827 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗1,139
Medicare services
Top 28% in FL for gastroenterology
Not available
Unique patients (not deduplicated)
$96
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 (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. |
327 | $93 | $256 |
| 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. |
205 | $60 | $182 |
| 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. |
143 | $69 | $282 |
| 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. |
87 | $194 | $523 |
| 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. |
85 | $106 | $410 |
| 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. |
65 | $79 | $227 |
| 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. |
57 | $114 | $338 |
| 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. |
24 | $61 | $144 |
| Colonoscopy for colorectal cancer screening, high risk A colonoscopy performed to screen for colorectal cancer in individuals identified as being at high risk for the disease. |
24 | $163 | $379 |
| Upper endoscopy (EGD) A diagnostic exam of the esophagus, stomach, and upper small bowel using a flexible endoscope. |
21 | $93 | $251 |
| Colonoscopy A diagnostic exam of the large bowel using a flexible endoscope to visualize the interior of the colon. |
19 | $142 | $379 |
| Colonoscopy for colorectal cancer screening A colonoscopy performed to screen for colorectal cancer in individuals who are not at high risk for the disease. |
19 | $187 | $380 |
| Esophageal dilation with guide wire and endoscope A flexible endoscope is used to insert a guide wire into the esophagus, followed by dilation to widen the esophageal passage. |
18 | $107 | $339 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
16 | $38 | $181 |
| Esophageal function monitoring via capsule This procedure involves monitoring and recording the function of the esophagus using a small capsule attached to the esophageal wall. |
15 | $63 | $945 |
| 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. |
14 | $142 | $363 |
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. These counts do not measure clinical quality or years of experience.
Industry Payment Transparency
Open Payments through 2024 ↗$3,827
Total received (2018-2024)
Avg $547/year across 7 years
Top 43% in FL for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
35
Companies
159
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,359
2023
$1,150
2022
$427
2021
$439
2020
$365
2019
$18
2018
$69
Payments by company (2024)
ABBVIE INC.
$368
Axonics, Inc.
$174
Madrigal Pharmaceuticals
$138
QOL Medical, LLC
$96
Lilly USA, LLC
$79
Janssen Biotech, Inc.
$77
Takeda Pharmaceuticals U.S.A., Inc.
$72
Ardelyx, Inc.
$63
Lucid Diagnostics Inc.
$56
Phathom Pharmaceuticals, Inc.
$35
Celltrion USA Inc.
$27
Merck Sharp & Dohme LLC
$24
Braintree Laboratories, Inc.
$23
VIVUS LLC
$21
Endogastric Solutions, Inc
$19
Teleflex LLC
$19
Ipsen Biopharmaceuticals, Inc
$19
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$17
GENZYME CORPORATION
$17
Organon Llc
$16
Top 3 companies account for 50.0% of 2024 payments
All-time payments by company (2018-2024) ›
ABBVIE INC.
$943
Axonics, Inc.
$509
QOL Medical, LLC
$276
AbbVie Inc.
$194
PFIZER INC.
$146
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$143
Madrigal Pharmaceuticals
$138
Janssen Biotech, Inc.
$137
Lucid Diagnostics Inc.
$135
Medtronic USA, Inc.
$134
Olympus America Inc.
$125
Takeda Pharmaceuticals U.S.A., Inc.
$114
E.R. Squibb & Sons, L.L.C.
$112
Lilly USA, LLC
$103
Celgene Corporation
$73
BOSTON SCIENTIFIC CORPORATION
$69
Ardelyx, Inc.
$63
Boston Scientific Corporation
$45
Phathom Pharmaceuticals, Inc.
$35
Medtronic, Inc.
$34
Celltrion USA Inc.
$27
Amgen Inc.
$24
Merck Sharp & Dohme LLC
$24
Regeneron Healthcare Solutions, Inc.
$24
Pharmacosmos Therapeutics Inc.
$23
Braintree Laboratories, Inc.
$23
VIVUS LLC
$21
Endogastric Solutions, Inc
$19
Teleflex LLC
$19
Ipsen Biopharmaceuticals, Inc
$19
Nestle HealthCare Nutrition Inc.
$17
GENZYME CORPORATION
$17
Organon Llc
$16
Ironwood Pharmaceuticals, Inc
$13
RedHill Biopharma Inc.
$12
Top 3 companies account for 45.2% of all-time payments
Associated products mentioned in payments ›
AXIOS · Aimovig · Axonics · CRE PRO · CREON · DIFICID · DISPOSABLE TRIPLE LUMEN SPHINCTEROTOME · DUPIXENT · ENTYVIO · ESOPHYX · GATTEX · GENERAL POLYPECTOMY · HUMIRA · IBSRELA · INTERSTIM · IQIRVO · LINZESS · Linzess · MAVYRET · MONOFERRIC · OMVOH · PANCREAZE · REMICADE · RENFLEXIS · REZDIFFRA · RINVOQ · SKYRIZI · SOLESTA · STELARA · SUCRAID · SUTAB · Sucraid · TREMFYA · TRULANCE · Talicia · VIBERZI · VOQUEZNA · WATCHMAN · XELJANZ · XIFAXAN · ZENPEP · ZEPOSIA · ZYMFENTRA
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Gastroenterologists in nearby ZIP areas
65
County median income
$80,633
Nearest hospital to ZIP centroid (approximate)
LAKEWOOD RANCH MEDICAL CENTER
4.7 mi
4.7 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | 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. Mishra is a clinical cardiology specialist, with above-average Medicare volume (top 28% in FL).
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Mishra experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Mishra performed 327 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Mishra receive payments from pharmaceutical companies?
Yes. Dr. Mishra received a total of $3,827 from 35 companies across 159 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Mishra's costs compare to other gastroenterologists in Lakewood Ranch?
Dr. Mishra's average Medicare payment per service is $96. 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. Mishra) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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By company
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Axonics, Inc. Payments to Doctors
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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.
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