Medicare Enrolled

Dr. Piyush Patel, M.D.

Optician · Lawrenceville, GA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
605 OLD NORCROSS RD, Lawrenceville, GA 30046
7709621231
In practice since 2006 (20 years)
NPI: 1356392039 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. 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 →
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What this data tells you about Dr. Patel

Dr. Piyush Patel is an optician specialist in Lawrenceville, GA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Patel performed 1,265 Medicare services across 529 unique beneficiaries.

Between the years covered by Open Payments, Dr. Patel received a total of $2,755 from 30 pharmaceutical and/or device companies across 148 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optician. 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. 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 in practice ▲ Top 36% volume in GA $2,755 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,265
Medicare services
Top 36% in GA for optician
529
Unique beneficiaries
$80
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~63 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
Remote vital sign monitoring management, each additional 20 minutes
This code covers the time spent by a provider managing patient data from remote vital sign monitoring devices. It applies to each additional 20-minute increment beyond the initial monthly service period.
292 $31 $80
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
199 $123 $263
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.
181 $96 $275
Remote patient monitoring management, 20 min/month
Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month.
164 $37 $100
Remote patient monitoring device, 30 days
Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period.
157 $37 $100
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.
105 $79 $190
Dialysis services for patients 20 or older
Dialysis treatment provided to patients aged 20 years or older, involving four or more physician visits per month.
73 $281 $543
New patient office visit, complex (60-74 min) 37 $152 $475
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.
29 $140 $475
Urinalysis, manual
A manual laboratory examination of a urine sample to check for various substances and cells.
28 $3 $18
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 ↗
$2,755
Total received (2018-2024)
Avg $394/year across 7 years
Top 33% in GA for optician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
30
Companies
148
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
$2,416 (87.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$340 (12.3%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$703
2023
$508
2022
$740
2021
$391
2020
$117
2019
$119
2018
$176

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
GlaxoSmithKline, LLC.
$111
Silk Road Medical, Inc.
$107
Travere Therapeutics, Inc.
$84
OPKO Pharmaceuticals, LLC
$63
AstraZeneca Pharmaceuticals LP
$61
Bayer Healthcare Pharmaceuticals Inc.
$61
Amgen Inc.
$52
Novartis Pharmaceuticals Corporation
$40
CALLIDITAS THERAPEUTICS US INC.
$36
Ardelyx, Inc.
$29
Otsuka America Pharmaceutical, Inc.
$28
Vifor Pharma, Inc.
$19
Baxter Healthcare
$13
Top 3 companies account for 42.9% of 2024 payments
All-time payments by company (2018-2024) ›
Horizon Therapeutics plc
$423
OPKO Pharmaceuticals, LLC
$336
Aurinia Pharma U.S., Inc.
$190
AstraZeneca Pharmaceuticals LP
$188
Vifor Pharma, Inc.
$144
ABBVIE INC.
$137
Travere Therapeutics, Inc.
$134
Daiichi Sankyo Inc.
$125
GlaxoSmithKline, LLC.
$125
Amgen Inc.
$121
Otsuka America Pharmaceutical, Inc.
$114
Silk Road Medical, Inc.
$107
Merck Sharp & Dohme Corporation
$78
Bayer Healthcare Pharmaceuticals Inc.
$74
Novartis Pharmaceuticals Corporation
$60
AKEBIA THERAPEUTICS INC
$44
Relypsa, Inc.
$42
CALLIDITAS THERAPEUTICS US INC.
$36
Calliditas Therapeutics US Inc.
$36
Alexion Pharmaceuticals, Inc.
$36
Bayer HealthCare Pharmaceuticals Inc.
$29
Ardelyx, Inc.
$29
Xeris Pharmaceuticals, Inc.
$24
Mallinckrodt Enterprises LLC
$23
Boehringer Ingelheim Pharmaceuticals, Inc.
$21
Allergan, Inc.
$19
Fresenius USA Marketing, Inc.
$18
ARBOR PHARMACEUTICALS, INC.
$17
Shire North American Group Inc
$15
Baxter Healthcare
$13
Top 3 companies account for 34.5% of all-time payments
Associated products mentioned in payments ›
ACTHAR · Auryxia · BENLYSTA · ENROUTE Transcarotid Neuroprotection System · ENTRESTO · Edarbi · FARXIGA · Fabhalta · GVOKE PFS · IBSRELA · INJECTAFER · JARDIANCE · JYNARQUE · KRYSTEXXA · Kerendia · LOKELMA · LUPKYNIS · NATPARA · Parsabiv · RAYALDEE · Renal - Acute · STEGLATRO · TARPEYO · TAVNEOS · Tavneos · UBRELVY · ULTOMIRIS · Ultomiris · VRAYLAR · Velphoro · Veltassa
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 (88%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an optician specialist in Lawrenceville?
Compare opticians in the Lawrenceville area by procedure volume, costs, and industry payment transparency.
Browse opticians nearby

Geographic Context

Opticians within 10 mi
435
Per 100K population
45.0
County median income
$84,823
Nearest hospital
SUMMITRIDGE CENTER- PSYCHIATRY & ADDICTIVE MED
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. Patel is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, 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 remote vital sign monitoring management, each additional 20 minutes?
Based on Medicare claims data, Dr. Patel performed 292 remote vital sign monitoring management, each additional 20 minutes 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. Patel receive payments from pharmaceutical companies?
Yes. Dr. Patel received a total of $2,755 from 30 companies across 148 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. Patel's costs compare to other opticians in Lawrenceville?
Dr. Patel's average Medicare payment per service is $80. 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 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 →