Medicare Enrolled

Dr. Avantika Mishra, MD

Gastroenterology · Lakewood Ranch, FL
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
6600 UNIVERSITY PKWY STE 301, Lakewood Ranch, FL 34240
9413611100
In practice since 2013 (13 years)
NPI: 1225371644 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. 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 →
Are you Dr. Mishra? Request a correction or review of any data shown here. Provider portal →

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 across 961 unique beneficiaries.

Between the years covered by Open Payments, Dr. Mishra received a total of $3,827 from 35 pharmaceutical and/or device companies across 159 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. Mishra 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.

✓ 13 years in practice ▲ Top 28% volume in FL $3,827 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,139
Medicare services
Top 28% in FL for gastroenterology
961
Unique beneficiaries
$96
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~88 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 (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. A higher procedure volume generally indicates more experience with that procedure.

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
35
Companies
159
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
$3,783 (98.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$44 (1.1%)

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)

Consulting
Speaking
Meals & Travel
Research
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 total 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? 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 (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $336 per 100 Medicare services performed
Looking for a gastroenterology specialist in Lakewood Ranch?
Compare gastroenterologists in the Lakewood Ranch area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Gastroenterologists within 10 mi
65
Per 100K population
14.5
County median income
$80,633
Nearest hospital
LAKEWOOD RANCH MEDICAL CENTER
4.7 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. Mishra is a clinical cardiology specialist, with above-average Medicare volume (top 28% in FL), with 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. 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. 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. Mishra receive payments from pharmaceutical companies?
Yes. Dr. Mishra received a total of $3,827 from 35 companies across 159 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. 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 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 →