Medicare Enrolled

Dr. Arash Rafiei Karkvand, MD

Urology Physician · Orange City, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
2583 S VOLUSIA AVE STE 300, Orange City, FL 32763
3867362121
In practice since 2009 (16 years)
NPI: 1306074646 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. Rafiei Karkvand 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. Rafiei Karkvand? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Rafiei Karkvand

Dr. Arash Rafiei Karkvand is an urology physician in Orange City, FL, with 16 years in practice. Based on federal Medicare data, Dr. Rafiei Karkvand performed 7,447 Medicare services across 3,557 unique beneficiaries.

Between the years covered by Open Payments, Dr. Rafiei Karkvand received a total of $10,756 from 63 pharmaceutical and/or device companies across 361 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in urology physician. 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. Rafiei Karkvand 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.

✓ 16 years in practice▲ Top 16% volume in FL$ $10,756 industry payments

Medicare Practice Summary

Medicare Utilization ↗
7,447
Medicare services
Top 16% in FL for urology physician
3,557
Unique beneficiaries
$39
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~465 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
Denosumab injection (Prolia/Xgeva)2,100$19$42
Urinalysis with microscopic exam1,294$3$7
Office visit, established patient (30-39 min)1,100$94$320
Bladder ultrasound after voiding869$8$26
Blood draw (venipuncture)416$6$6
Chronic care management, first 20 min/month231$49$159
Automated urinalysis223$2$5
New patient office visit (45-59 min)218$116$422
Office visit, established patient (20-29 min)208$63$227
Diagnostic exam of bladder and urethra using an endoscope147$183$610
Leuprolide acetate (for depot suspension), 7.5 mg102$130$329
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle81$26$81
Hospital follow-up visit, moderate complexity78$64$179
Initial hospital admission, moderate complexity75$106$340
Simple insertion of temporary bladder tube62$45$155
Imaging of urinary tract following injection of a contrast agent48$20$170
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes29$68$256
Drug injection, under skin or into muscle28$11$35
Biopsy of prostate gland26$99$333
Insertion of stent in ureter using an endoscope25$113$396
Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope20$253$809
Crushing of stone of ureter with insertion of stent using an endoscope20$337$1,061
Simple bladder irrigation and/or instillation19$30$193
Limited ultrasound scan behind abdominal cavity14$45$113
Ultrasound scan of pelvic region through rectum14$106$343
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.
0.9% high complexity
42.7% medium
56.4% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$10,756
Total received (2018-2024)
Avg $1,537/year across 7 years
Top 19% in FL for urology physician
63
Companies
361
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
$10,597 (98.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$158 (1.5%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$3,076
2023
$1,923
2022
$1,466
2021
$1,233
2020
$404
2019
$1,492
2018
$1,162

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Astellas Pharma US Inc
$1,325
Endo Pharmaceuticals Inc.
$1,037
Medtronic, Inc.
$815
COLOPLAST CORP
$676
Janssen Biotech, Inc.
$653
Rigicon,Inc.
$604
PFIZER INC.
$477
Dendreon Pharmaceuticals LLC
$452
Myriad Genetic Laboratories, Inc.
$401
Ferring Pharmaceuticals Inc.
$343
PROCEPT BioRobotics Corporation
$277
Merck Sharp & Dohme LLC
$255
Cook Medical LLC
$228
Teleflex LLC
$212
TOLMAR Pharmaceuticals, Inc.
$183
Sumitomo Pharma America, Inc.
$165
Coloplast Corp
$164
Johnson & Johnson Health Care Systems Inc.
$161
Janssen Scientific Affairs, LLC
$156
Boston Scientific Corporation
$155
Novartis Pharmaceuticals Corporation
$142
Baxter Healthcare
$123
Allergan, Inc.
$113
ABBVIE INC.
$111
UroGen Pharma, Inc.
$102
Allergan Inc.
$93
SUN PHARMACEUTICAL INDUSTRIES INC.
$88
Endo USA, Inc.
$70
ACCORD HEALTHCARE, INC.
$68
NeoTract Inc.
$58
Sun Pharmaceutical Industries Inc.
$56
Amgen Inc.
$55
Myovant Sciences Inc.
$53
Axonics, Inc.
$51
Antares Pharma, Inc.
$50
Laborie Medical Technologies Corp.
$48
Blue Earth Diagnostics Limited
$48
Bayer Healthcare Pharmaceuticals Inc.
$47
AstraZeneca Pharmaceuticals LP
$40
GENZYME CORPORATION
$36
KARL STORZ Endoscopy-America
$36
DENTSPLY IH Inc.
$35
Avadel Specialty Pharmaceuticals, LLC
$34
Tolmar, Inc.
$33
BOSTON SCIENTIFIC CORPORATION
$30
Omeros Corporation
$29
180 Medical, Inc.
$29
Tempus AI, Inc
$29
Retrophin, Inc.
$28
Alnylam Pharmaceuticals Inc.
$28
Foundation Medicine, Inc.
$26
MEDIVATION FIELD SOLUTIONS LLC
$25
Mission Pharmacal Company
$25
Kerecis Limited
$25
C. R. Bard, Inc. & Subsidiaries
$23
Verity Pharmaceuticals Inc.
$20
Telix Pharmaceuticals
$19
Olympus America Inc.
$18
Smith+Nephew, Inc.
$18
Bayer HealthCare Pharmaceuticals Inc.
$17
UROGEN PHARMA, INC.
$14
Profound Medical Corp.
$14
Ambu Inc.
$10
Top 3 companies account for 29.5% of total payments
Associated products mentioned in payments ›
(815) Thiola · 27FR. ANGLED · ABIRATERONE ACETATE · ADSTILADRIN · AQUABEAM SYSTEM · AVEED · Axonics · Axumin · BOTOX · BOTOX THERAPEUTIC · CAMCEVI · CCU · COOK MEDICAL ACCESSORIES · CUTTING LOOP · Cook Medical Holmium Laser Fiber · EDEX · ELIGARD · ERLEADA · Erleada · FIBER DUST · FIRMAGON · FLOSEAL · GENTLECATH GLIDE · GRAFIX PL · ILLUCCIX · IMAGE1 S X-LINK · INTERSTIM · JELMYTO · JEVTANA · KEYTRUDA · Kerecis Omega3 SurgiClose · LITHOCLAST · LITHOVUE · LUPRON DEPOT · LUTATHERA · LYNPARZA · LoFric · MODULAR · MYRBETRIQ · Myrbetriq · NOCDURNA · Noctiva · Nubeqa · ORGOVYX · OXLUMO · Odomzo · Omidria · Optilume BPH Drug Coated Balloon Catheter · PLUVICTO · POSLUMA · PROLARIS · PROVENGE · Prolaris · Prolia · REZUM · RIGI10 MALLEABLE PENILE PROSTHESIS · Rigi10 Malleable Penile Prosthesis · STERILE · SpaceOAR VUE System - 10mL · SpeediCath · TITAN · Titan · Trelstar · Tulsa-Pro · UROLIFT · US · Uribel · UroLift · UroLift System · Urocit-K · VESICARE · XGEVA · XIAFLEX · XTANDI · XYOSTED · Xtandi · YONSA · iTIND System
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 (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $144 per 100 Medicare services performed
Looking for a urology physician in Orange City?
Compare urology physicians in the Orange City area by procedure volume, costs, and industry payment transparency.
Browse urology physicians nearby

Geographic Context

Urology Physicians within 10 mi
41
Per 100K population
7.2
County median income
$66,581
Nearest hospital
ADVENTHEALTH FISH MEMORIAL
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. Rafiei Karkvand is a clinical cardiology specialist, with above-average Medicare volume (top 16% in FL), and high industry engagement (low-engagement, top 19%), with 16 years of practice experience.

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. Rafiei Karkvand experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Dr. Rafiei Karkvand performed 2,100 denosumab injection (prolia/xgeva) 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. Rafiei Karkvand receive payments from pharmaceutical companies?
Yes. Dr. Rafiei Karkvand received a total of $10,756 from 63 companies across 361 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. Rafiei Karkvand's costs compare to other urology physicians in Orange City?
Dr. Rafiei Karkvand's average Medicare payment per service is $39. 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. Rafiei Karkvand) 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 →