Medicare Enrolled
Dr. Pankaj Patel, M.D.
Gastroenterology · Sebring, FL
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Patel 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. Patel?
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What this data tells you about Dr. Patel
Dr. Pankaj Patel is a gastroenterology specialist in Sebring, FL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Patel performed 3,100 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Patel received a total of $4,827 from 33 pharmaceutical and/or device companies across 235 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. Patel 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.
✓ 20 years of NPI registration
▲ Top 7% volume in FL
$4,827 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗3,100
Medicare services
Top 7% in FL for gastroenterology
Not available
Unique patients (not deduplicated)
$105
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 |
|---|---|---|---|
| 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. |
715 | $105 | $850 |
| 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. |
647 | $51 | $500 |
| 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. |
600 | $94 | $225 |
| 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. |
268 | $135 | $325 |
| 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. |
256 | $199 | $1,200 |
| 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. |
219 | $111 | $450 |
| 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. |
111 | $64 | $151 |
| Endoscopic ultrasound of esophagus, stomach, or upper small bowel An ultrasound exam of the esophagus, stomach, and/or upper small bowel performed using a flexible endoscope. |
49 | $174 | $850 |
| 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. |
45 | $70 | $190 |
| 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. |
43 | $108 | $250 |
| Endoscopic control of upper GI bleeding A flexible endoscope is used to locate and stop bleeding in the esophagus, stomach, or upper small intestine. |
33 | $151 | $850 |
| 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. |
25 | $84 | $192 |
| Endoscopy of digestive tract Imaging of the digestive tract performed from the inside using an endoscope. |
24 | $562 | $1,750 |
| Colonoscopy with biopsy A procedure using a flexible tube to examine the lower large bowel and take tissue samples for testing. |
22 | $40 | $275 |
| 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. |
16 | $63 | $165 |
| Endoscopic insertion of stomach tube A flexible endoscope is used to guide the placement of a tube into the stomach. |
14 | $150 | $925 |
| Hemorrhoid injection A procedure involving the injection of a substance into a hemorrhoid. The specific purpose or agent is not defined in the provided description. |
13 | $93 | $500 |
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 ↗$4,827
Total received (2018-2024)
Avg $690/year across 7 years
Top 35% in FL for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
33
Companies
235
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
$818
2023
$510
2022
$582
2021
$770
2020
$417
2019
$840
2018
$889
Payments by company (2024)
ABBVIE INC.
$178
Boston Scientific Corporation
$136
Madrigal Pharmaceuticals
$136
Phathom Pharmaceuticals, Inc.
$133
FUJIFILM Healthcare Americas Corporation
$53
Mallinckrodt Hospital Products Inc.
$32
AIMMUNE THERAPEUTICS, INC.
$28
Mauna Kea Technologies, Inc.
$25
Takeda Pharmaceuticals U.S.A., Inc.
$24
Regeneron Healthcare Solutions, Inc.
$22
Janssen Biotech, Inc.
$21
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$15
Lilly USA, LLC
$14
Top 3 companies account for 55.0% of 2024 payments
All-time payments by company (2018-2024) ›
ABBVIE INC.
$858
AbbVie Inc.
$751
AbbVie, Inc.
$636
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$279
Janssen Biotech, Inc.
$209
Gilead Sciences, Inc.
$201
Echosens North America, Inc.
$191
Boston Scientific Corporation
$174
PFIZER INC.
$158
Allergan Inc.
$143
Celgene Corporation
$143
Madrigal Pharmaceuticals
$136
Phathom Pharmaceuticals, Inc.
$133
Janssen Scientific Affairs, LLC
$118
Shionogi Inc
$111
Regeneron Healthcare Solutions, Inc.
$102
Takeda Pharmaceuticals U.S.A., Inc.
$91
FUJIFILM Healthcare Americas Corporation
$53
VIVUS LLC
$53
Mallinckrodt Hospital Products Inc.
$32
AIMMUNE THERAPEUTICS, INC.
$28
Braintree Laboratories, Inc.
$28
Intercept Pharmaceuticals, Inc.
$26
Mauna Kea Technologies, Inc.
$25
EVOKE PHARMA, INC.
$22
Digestive Care, Inc.
$22
Axonics, Inc.
$18
Nestle HealthCare Nutrition Inc.
$18
Merck Sharp & Dohme LLC
$18
Lilly USA, LLC
$14
Shire North American Group Inc
$14
Medtronic, Inc.
$13
Ethicon US, LLC
$12
Top 3 companies account for 46.5% of all-time payments
Associated products mentioned in payments ›
Acquire · AutoCap RX · Axonics r-SNM System · CREON · Creon · DIFICID · DUPIXENT · ENTYVIO · EXALT Model D · EndoArmor · Entyvio · Epclusa · FUJIFILM · Fibroscan · GATTEX · GI Genius · GIMOTI · HUMIRA · Humira · INFLECTRA · LINX Reflux Management System · LINZESS · MAVYRET · MOUNJARO · Mavyret · Mulpleta · OCALIVA · PANCREAZE · Pancreaze · Pertzye · REZDIFFRA · RINVOQ · SKYRIZI · STELARA · SUPREP BOWEL PREP · TERLIVAZ · TREMFYA · VIBERZI · VOQUEZNA · XELJANZ · XIFAXAN · XIFIXAN · ZENPEP · ZEPOSIA
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
11
County median income
$55,581
Nearest hospital to ZIP centroid (approximate)
HCA FLORIDA HIGHLANDS HOSPITAL
0.0 mi
0.0 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. Patel is a mixed practice specialist, with above-average Medicare volume (top 7% in FL), with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Patel experienced with colonoscopy with biopsy?
Based on Medicare claims data, Dr. Patel performed 715 colonoscopy with biopsy 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. Patel receive payments from pharmaceutical companies?
Yes. Dr. Patel received a total of $4,827 from 33 companies across 235 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. Patel's costs compare to other gastroenterologists in Sebring?
Dr. Patel's average Medicare payment per service is $105. 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. Patel) 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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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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