Medicare Enrolled
Dr. Dipenkumar Patel, M.D.
Family Medicine · Macon, GA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Dipenkumar Patel is a family medicine specialist in Macon, GA, with 11 years of NPI registration. Based on federal Medicare data, Dr. Patel performed 2,136 Medicare services across 1,272 unique beneficiaries.
Between the years covered by Open Payments, Dr. Patel received a total of $2,827 from 31 pharmaceutical and/or device companies across 134 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. 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.
✓ 11 years in practice
▲ Top 17% volume in GA
$2,827 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,136
Medicare services
Top 17% in GA for family medicine
1,272
Unique beneficiaries
$48
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~194 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 |
|---|---|---|---|
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
459 | $43 | $68 |
| 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. |
351 | $82 | $171 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
161 | $10 | $40 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
152 | $30 | $40 |
| 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. |
144 | $60 | $116 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
100 | $120 | $185 |
| Annual alcohol misuse screening, 5 to 15 minutes | 81 | $17 | $42 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
79 | $3 | $10 |
| Annual depression screening | 78 | $17 | $42 |
| Nursing facility visit, low complexity A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care. |
72 | $54 | $119 |
| Nursing facility visit, moderate complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes. |
60 | $79 | $148 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
56 | $1 | $30 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
40 | $5 | $20 |
| 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. |
39 | $6 | $20 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
37 | $35 | $190 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
36 | $16 | $40 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
33 | $55 | $150 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
31 | $10 | $81 |
| 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. |
27 | $103 | $263 |
| Nursing facility visit, high complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves a high level of medical decision making and takes at least 45 minutes. |
27 | $116 | $220 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
18 | $62 | $133 |
| Initial nursing facility care, moderate complexity Initial care provided to a patient in a nursing facility with moderate medical decision making, taking at least 35 minutes. |
16 | $78 | $211 |
| Nursing facility discharge management, 30 minutes or less This service covers the management of a patient's discharge from a nursing facility. It applies when the total time spent on discharge activities is 30 minutes or less. |
15 | $62 | $120 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
13 | $42 | $69 |
| Assessment of and care planning for patient with impaired thought processing, typically 60 minutes | 11 | $201 | $605 |
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 ↗$2,827
Total received (2018-2024)
Avg $404/year across 7 years
Top 23% in GA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
31
Companies
134
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
$2,827 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$606
2023
$348
2022
$550
2021
$683
2020
$304
2019
$290
2018
$46
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$204
Lilly USA, LLC
$90
Sumitomo Pharma America, Inc.
$80
PFIZER INC.
$52
Amgen Inc.
$34
Exact Sciences Corporation
$30
ABBVIE INC.
$29
Xeris Pharmaceuticals, Inc.
$23
AstraZeneca Pharmaceuticals LP
$19
Phathom Pharmaceuticals, Inc.
$17
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$14
Astellas Pharma US Inc
$14
Top 3 companies account for 61.6% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$556
Novo Nordisk Inc
$482
PFIZER INC.
$236
Lilly USA, LLC
$217
GlaxoSmithKline, LLC.
$197
ABBVIE INC.
$169
Amgen Inc.
$125
Biohaven Pharmaceutical Holding Company Ltd.
$117
Esperion Therapeutics, Inc.
$114
Sumitomo Pharma America, Inc.
$102
Biohaven Pharmaceuticals, Inc.
$84
Astellas Pharma US Inc
$53
Nestle HealthCare Nutrition Inc.
$34
Teva Pharmaceuticals USA, Inc.
$31
Exact Sciences Corporation
$30
Janssen Pharmaceuticals, Inc
$24
Edwards Lifesciences Corporation
$23
Xeris Pharmaceuticals, Inc.
$23
Dexcom, Inc.
$22
Sunovion Pharmaceuticals Inc.
$21
Phathom Pharmaceuticals, Inc.
$17
PORTOLA PHARMACEUTICALS, INC.
$17
Genentech USA, Inc.
$16
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$16
Novartis Pharmaceuticals Corporation
$16
SANOFI PASTEUR INC.
$15
AbbVie Inc.
$15
Grifols USA, LLC
$15
SANOFI-AVENTIS U.S. LLC
$14
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$14
Abbott Laboratories
$12
Top 3 companies account for 45.1% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AUSTEDO · Aimovig · BEVYXXA · BEXSERO · BREZTRI · BREZTRI AEROSPHERE · BRILINTA · CAPLYTA · CHANTIX · COMIRNATY · Cologuard Collection Kit · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · FARXIGA · FLUZONE QUADRIVALENT NORTHERN HEMISPHERE · FREESTYLE LIBRE · GEMTESA · JARDIANCE · KEVEYIS · MOUNJARO · MYRBETRIQ · NEXLIZET · NURTEC ODT · Otezla · Ozempic · PAXLOVID · Prolastin-C Liquid · QULIPTA · Rybelsus · SHINGRIX · SOLIQUA 100/33 · SPRAVATO · TRELEGY ELLIPTA · TRULICITY · Tresiba · UBRELVY · VOQUEZNA · VRAYLAR · Veozah · XIFAXAN · Xofluza · ZENPEP · ZEPBOUND
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Family medicine physicians within 10 mi
184
Per 100K population
117.5
County median income
$50,747
Nearest hospital
PIEDMONT MACON NORTH HOSPITAL
0.0 mi
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 above-average Medicare volume (top 17% in GA), with low-engagement industry engagement.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Patel experienced with chronic care management, first 20 min/month?
Based on Medicare claims data, Dr. Patel performed 459 chronic care management, first 20 min/month 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 $2,827 from 31 companies across 134 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 family medicine physicians in Macon?
Dr. Patel's average Medicare payment per service is $48. 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 →
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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.
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