Medicare Enrolled

Dr. Prabhakar Mithal

Student in an Organized Health Care Education/Training Program · Fayetteville, GA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
1336 HIGHWAY 54 W BLDG 200, Fayetteville, GA 30214
7704609777
In practice since 2014 (12 years)
NPI: 1497172951 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. Mithal 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. Mithal

Dr. Prabhakar Mithal is a student in an organized health care education/training program specialist in Fayetteville, GA, with 12 years of NPI registration. Based on federal Medicare data, Dr. Mithal performed 974 Medicare services across 787 unique beneficiaries.

Between the years covered by Open Payments, Dr. Mithal received a total of $4,414 from 38 pharmaceutical and/or device companies across 170 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in student in an organized health care education/training program. 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. Mithal 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.

✓ 12 years in practice ▲ Top 20% volume in GA $4,414 industry payments

Medicare Practice Summary

Medicare Utilization ↗
974
Medicare services
Top 20% in GA for student in an organized health care education/training program
787
Unique beneficiaries
$66
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~81 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
Automated urinalysis
An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine.
274 $2 $21
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.
180 $92 $233
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.
125 $65 $165
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.
116 $114 $350
PSA test (prostate cancer screening) 58 $18 $109
Cystourethroscopy
A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract.
28 $57 $696
Bladder irrigation and/or instillation
This procedure involves flushing the bladder with fluid to clear it or introducing medication directly into the bladder.
21 $60 $244
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.
21 $83 $241
Complex urodynamic pressure flow study
A test that measures the pressure of urine flow in the bladder during voiding to evaluate how well the bladder and urethra are functioning.
20 $210 $377
Electronic assessment of bladder emptying
A test that uses electronic monitoring to evaluate how well the bladder empties urine.
20 $3 $78
Bladder ultrasound after voiding
An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder.
19 $7 $78
Non-needle muscle activity measurement of bladder and bowel openings
This procedure measures and records the electrical activity of muscles at the bladder and bowel openings without using needles.
18 $13 $208
Abdominal device insertion with pressure and urine flow study
A procedure involving the placement of a device into the abdomen, accompanied by a study to measure pressure and urine flow rate.
18 $83 $183
Imaging of urinary tract with contrast
An imaging test of the urinary tract performed after a contrast agent is injected to enhance visibility of the structures.
15 $19 $278
Urinalysis, manual
A manual laboratory examination of a urine sample to check for various substances and cells.
15 $3 $21
Complex kidney stone removal with imaging guidance
A surgical procedure to remove kidney stones using imaging technology to guide the process.
14 $876 $3,516
Urinary tract dilation and new kidney access with imaging
This procedure involves widening an existing opening in the urinary tract and creating a new access point into the kidney's urine collecting system. Imaging guidance is used to perform these actions.
12 $97 $617
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 ↗
$4,414
Total received (2021-2024)
Avg $1,104/year across 4 years
Top 9% in GA for student in an organized health care education/training program
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
38
Companies
170
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
$4,305 (97.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$110 (2.5%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,541
2023
$1,580
2022
$993
2021
$301

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Boston Scientific Corporation
$303
Axonics, Inc.
$182
Sumitomo Pharma America, Inc.
$180
Medtronic, Inc.
$121
Janssen Biotech, Inc.
$121
PFIZER INC.
$102
Teleflex LLC
$76
COLOPLAST CORP
$64
Bayer Healthcare Pharmaceuticals Inc.
$50
Astellas Pharma US Inc
$45
ABBVIE INC.
$45
Becton, Dickinson and Company
$44
Ferring Pharmaceuticals Inc.
$41
AstraZeneca Pharmaceuticals LP
$38
Tempus AI, Inc
$31
Endo USA, Inc.
$26
Tolmar, Inc.
$22
PROGENICS PHARMACEUTICALS, INC.
$17
Olympus America Inc.
$16
Azurity Pharmaceuticals, Inc.
$15
Top 3 companies account for 43.2% of 2024 payments
All-time payments by company (2021-2024) ›
Boston Scientific Corporation
$678
Janssen Biotech, Inc.
$436
PFIZER INC.
$346
Sumitomo Pharma America, Inc.
$300
Medtronic, Inc.
$277
AstraZeneca Pharmaceuticals LP
$249
Axonics, Inc.
$219
Astellas Pharma US Inc
$198
Coloplast Corp
$161
Endo Pharmaceuticals Inc.
$158
UROVANT SCIENCES INC
$154
Bayer Healthcare Pharmaceuticals Inc.
$139
Myovant Sciences Inc.
$106
Kowa Pharmaceuticals America, Inc.
$102
Teleflex LLC
$97
BOSTON SCIENTIFIC CORPORATION
$85
Dendreon Pharmaceuticals LLC
$78
COLOPLAST CORP
$64
Becton, Dickinson and Company
$62
Blue Earth Diagnostics Limited
$47
AngioDynamics, Inc.
$45
ABBVIE INC.
$45
Ferring Pharmaceuticals Inc.
$41
Stryker Corporation
$38
Tempus AI, Inc
$31
Sun Pharmaceutical Industries Inc.
$31
Bayer HealthCare Pharmaceuticals Inc.
$27
Endo USA, Inc.
$26
Tolmar, Inc.
$22
Merck Sharp & Dohme LLC
$21
ConvaTec Inc.
$19
Progenics Pharmaceuticals, Inc.
$18
Antares Pharma, Inc.
$17
PROGENICS PHARMACEUTICALS, INC.
$17
Olympus America Inc.
$16
Clarus Therapeutics Inc.
$15
Azurity Pharmaceuticals, Inc.
$15
Photocure Inc
$14
Top 3 companies account for 33.1% of all-time payments
Associated products mentioned in payments ›
1588 · ADSTILADRIN · AVEED · Axonics · Axumin · BOTOX · Bard TigerTail Flexible Tip Ureteral Catheters · Bard Urinary Drainage Bag · Bulkamid · CYSVIEW · ELIGARD · ERLEADA · GEMTESA · GENERAL - ERECTILE DYSFUNCTION · GENERAL - THERAPIES · GENTLECATH GLIDE · General - Therapies · INTERSTIM · JATENZO · KEYTRUDA · LITHOCLAST · LYNPARZA · LithoVue · Lumenis Pulse 120H · Lynx System · Myrbetriq · NANOKNIFE · NOCDURNA · Nubeqa · ORGOVYX · PROVENGE · PYLARIFY · Porges Coloplast · SEGLENTIS · Seglentis · SpaceOAR System · SpaceOAR VUE System - 10mL · SpeediCath · Titan · UROLIFT · Upsylon · XIAFLEX · XTANDI · 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. Total industry engagement is in the top 9% for student in an organized health care education/training program in GA.

Looking for a student in an organized health care education/training program specialist in Fayetteville?
Compare student in an organized health care education/training programs in the Fayetteville area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Student in an organized health care education/training programs within 10 mi
3,993
Per 100K population
3308.5
County median income
$108,986
Nearest hospital
PIEDMONT FAYETTE HOSPITAL
0.0 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 reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Mithal is a clinical cardiology specialist, with above-average Medicare volume (top 20% in GA), with low-engagement industry engagement in the top 9% of GA peers.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Mithal experienced with automated urinalysis?
Based on Medicare claims data, Dr. Mithal performed 274 automated urinalysis 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. Mithal receive payments from pharmaceutical companies?
Yes. Dr. Mithal received a total of $4,414 from 38 companies across 170 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. Mithal's costs compare to other student in an organized health care education/training programs in Fayetteville?
Dr. Mithal's average Medicare payment per service is $66. 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. Mithal) 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. 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.

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 →