Medicare Enrolled
Dr. Pooja Pothiwala, MD
Endocrinology · Venice, 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. Pothiwala 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. Pothiwala?
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What this data tells you about Dr. Pothiwala
Dr. Pooja Pothiwala is an endocrinology specialist in Venice, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Pothiwala performed 3,685 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Pothiwala received a total of $3,433 from 33 pharmaceutical and/or device companies across 164 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. Pothiwala 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.
✓ 19 years of NPI registration
▲ Top 18% volume in FL
$3,433 industry payments
Florida License Status
FL DOH · MQA1
Active license
None
Board action on record
0
Recent admin complaints
| Profession | License # | Status | Expires | Board Action |
|---|---|---|---|---|
| Medical Doctor | 110866 | Clear | January 31, 2028 | — |
Data from Florida Department of Health Medical Quality Assurance.
License records are public under Chapter 119, Florida Statutes.
Verify directly on FL DOH →
Medicare Practice Summary — 2023
Medicare Utilization ↗3,685
Medicare services
Top 18% in FL for endocrinology
Not available
Unique patients (not deduplicated)
$46
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. |
835 | $92 | $264 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
389 | $8 | $17 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
301 | $16 | $34 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
300 | $9 | $18 |
| 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. |
274 | $62 | $197 |
| Continuous glucose monitoring with interpretation This procedure involves monitoring blood sugar levels in tissue fluid using a sensor placed under the skin, along with the interpretation and reporting of the results. |
223 | $27 | $71 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
208 | $9 | $19 |
| 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. |
169 | $63 | $187 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
163 | $8 | $17 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
142 | $103 | $349 |
| 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. |
111 | $123 | $347 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
76 | $40 | $123 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
75 | $6 | $12 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
75 | $5 | $10 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
63 | $10 | $21 |
| Free T3 thyroid hormone test A blood test that measures the level of free triiodothyronine (T3) hormone in your body. This helps assess how well your thyroid gland is functioning. |
57 | $17 | $34 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
49 | $13 | $27 |
| Ultrasound-guided fine needle aspiration biopsy, first lesion A biopsy procedure where a thin needle is used to collect tissue samples from a growth, guided by ultrasound imaging. This code applies to the first lesion or mass sampled during the session. |
44 | $104 | $285 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
44 | $29 | $59 |
| 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. |
32 | $94 | $280 |
| Total cortisol level test A blood test that measures the total amount of cortisol hormone in your body. Cortisol is a hormone produced by the adrenal glands. |
30 | $16 | $33 |
| DHEA-S hormone level test A blood test that measures the level of dehydroepiandrosterone sulfate (DHEA-S), a hormone produced by the adrenal glands. |
13 | $22 | $44 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
12 | $8 | $16 |
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 ↗$3,433
Total received (2018-2024)
Avg $572/year across 6 years
Top 49% in FL for endocrinology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
33
Companies
164
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
$827
2023
$361
2022
$429
2021
$221
2019
$866
2018
$729
Payments by company (2024)
Lilly USA, LLC
$198
Amgen Inc.
$106
Novo Nordisk Inc
$82
Xeris Pharmaceuticals, Inc.
$69
Bayer Healthcare Pharmaceuticals Inc.
$62
Insulet Corporation
$56
BETA BIONICS, INC.
$55
Dexcom, Inc.
$45
Abbott Laboratories
$41
ABBVIE INC.
$24
SANOFI-AVENTIS U.S. LLC
$24
Mannkind Corporation
$22
Tandem Diabetes Care, Inc.
$21
Corcept Therapeutics
$20
Top 3 companies account for 46.7% of 2024 payments
All-time payments by company (2018-2024) ›
Janssen Pharmaceuticals, Inc
$429
Novo Nordisk Inc
$318
SANOFI-AVENTIS U.S. LLC
$291
Lilly USA, LLC
$289
Tandem Diabetes Care, Inc.
$182
Bayer Healthcare Pharmaceuticals Inc.
$164
Medtronic MiniMed, Inc.
$146
Xeris Pharmaceuticals, Inc.
$138
MannKind Corporation
$131
Dexcom, Inc.
$123
Insulet Corporation
$118
Abbott Laboratories
$116
Amgen Inc.
$106
Bayer HealthCare Pharmaceuticals Inc.
$100
Boehringer Ingelheim Pharmaceuticals, Inc.
$91
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$87
AstraZeneca Pharmaceuticals LP
$86
Merck Sharp & Dohme Corporation
$79
AbbVie, Inc.
$67
IBSA Pharma Inc.
$58
BETA BIONICS, INC.
$55
Mannkind Corporation
$38
PFIZER INC.
$29
Companion Medical, Inc.
$24
ABBVIE INC.
$24
GENZYME CORPORATION
$24
Shire North American Group Inc
$21
Corcept Therapeutics
$20
Boston Scientific Corporation
$19
Otsuka America Pharmaceutical, Inc.
$18
Radius Health, Inc.
$14
Ascensia Diabetes Care US Inc.
$14
Nevro Corp.
$13
Top 3 companies account for 30.2% of all-time payments
Associated products mentioned in payments ›
AFREZZA · BAQSIMI · BYDUREON · CYCLOSET · DEXCOM CGM · DUPIXENT · Dexcom CGM · Dexcom G6 Transmitter · ELIQUIS · FARXIGA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre · FreeStyle Libre blood glucose Flash Monitoring System · GVOKE HYPOPEN · GVOKE PFS · INVOKANA · InPen · JANUVIA · JARDIANCE · Kerendia · Korlym · MOUNJARO · Minimed 670G System · NATPARA · Omnia · Omnipod · Ozempic · PREVNAR 20 · REXULTI · Rybelsus · SOLIQUA · SOLIQUA 100/33 · SYNTHROID · Saxenda · Superion Indirect Decompression System · Synthroid · TEPEZZA · TOUJEO · TRULICITY · TZIELD · Tirosint · Tresiba · Tymlos · Victoza · XARELTO · XIFAXAN · Xultophy 100/3.6 · iLet Bionic Pancreas · t:slim X2 Insulin Pump with Control-IQ
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
Endocrinologists in nearby ZIP areas
28
County median income
$80,633
Nearest hospital to ZIP centroid (approximate)
SARASOTA MEMORIAL HOSPITAL - VENICE
6.4 mi
6.4 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. Pothiwala is a clinical cardiology specialist, with above-average Medicare volume (top 18% in FL), with 19 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. Pothiwala experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Pothiwala performed 835 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. Pothiwala receive payments from pharmaceutical companies?
Yes. Dr. Pothiwala received a total of $3,433 from 33 companies across 164 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. Pothiwala's costs compare to other endocrinologists in Venice?
Dr. Pothiwala's average Medicare payment per service is $46. 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. Pothiwala) 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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