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 →
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What this data tells you about Dr. Mishra

Dr. Avantika Mishra is a gastroenterology in Lakewood Ranch, FL, with 13 years in practice. 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.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (30-39 min)327$93$256
Office visit, established patient (20-29 min)205$60$182
Upper GI endoscopy with biopsy143$69$282
Removal of polyps or growths of large bowel using an endoscope with mechanical snare87$194$523
Colonoscopy with biopsy85$106$410
New patient office visit (30-44 min)65$79$227
New patient office visit (45-59 min)57$114$338
Hospital follow-up visit, moderate complexity24$61$144
Colorectal cancer screening; colonoscopy on individual at high risk24$163$379
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope21$93$251
Diagnostic exam of large bowel using a flexible endoscope19$142$379
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk19$187$380
Insertion of guide wire with dilation of esophagus using a flexible endoscope18$107$339
Telephone medical discussion with physician, 11-20 minutes16$38$181
Monitoring and recording of esophageal function through a capsule attached to the esophagus wall15$63$945
Office visit, established patient, complex (40-54 min)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 in Lakewood Ranch?
Compare gastroenterologys in the Lakewood Ranch area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Gastroenterologys 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 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. Mishra is a clinical cardiology specialist, with above-average Medicare volume (top 28% 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. 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 gastroenterologys 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 →