Medicare Enrolled
Dr. Shahriar Sedghi, M.D.
Gastroenterology · 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. Sedghi 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. Sedghi
Dr. Shahriar Sedghi is a gastroenterology specialist in Macon, GA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Sedghi performed 5,286 Medicare services across 3,146 unique beneficiaries.
Between the years covered by Open Payments, Dr. Sedghi received a total of $6,436 from 42 pharmaceutical and/or device companies across 317 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. 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. Sedghi 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 1% volume in GA
$6,436 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,286
Medicare services
Top 1% in GA for gastroenterology
3,146
Unique beneficiaries
$68
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~264 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 |
|---|---|---|---|
| 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. |
661 | $62 | $216 |
| 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. |
542 | $35 | $147 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
512 | $36 | $146 |
| 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. |
487 | $29 | $123 |
| 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. |
467 | $84 | $314 |
| 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. |
378 | $55 | $1,055 |
| 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. |
281 | $46 | $195 |
| 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. |
272 | $35 | $154 |
| 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. |
221 | $192 | $1,281 |
| 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. |
151 | $70 | $311 |
| Additional chronic care management time, 60 minutes This service covers an additional 60 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions, billed per calendar month. |
131 | $52 | $126 |
| 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. |
120 | $113 | $478 |
| Complex chronic care management, first 60 minutes This service involves clinical staff time directed by a healthcare professional to manage two or more chronic conditions over a calendar month. It covers the first 60 minutes of this coordinated care effort. |
114 | $98 | $260 |
| Principal care management for high-risk disease, first 30 minutes This service covers the initial 30 minutes of clinical staff time per calendar month to manage a single high-risk disease. It is directed by a healthcare professional. |
111 | $46 | $286 |
| Colonoscopy A diagnostic exam of the large bowel using a flexible endoscope to visualize the interior of the colon. |
101 | $138 | $951 |
| Remote physiologic monitoring setup and education Initial setup of remote monitoring equipment and patient education on its use. |
100 | $13 | $56 |
| Complete ultrasound of abdomen A diagnostic imaging test that uses sound waves to create detailed pictures of the organs and structures within the abdomen. |
95 | $77 | $345 |
| 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. |
91 | $108 | $1,215 |
| 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. |
85 | $92 | $1,104 |
| Colonoscopy for colorectal cancer screening, high risk A colonoscopy performed to screen for colorectal cancer in individuals identified as being at high risk for the disease. |
82 | $172 | $950 |
| Additional 30 minutes of principal care management This service covers each additional 30 minutes of clinical staff time directed by a healthcare professional for managing a single high-risk disease, billed per calendar month. |
66 | $35 | $286 |
| Colonoscopy for colorectal cancer screening A colonoscopy performed to screen for colorectal cancer in individuals who are not at high risk for the disease. |
64 | $174 | $952 |
| Limited abdominal ultrasound A focused ultrasound examination of the abdomen to evaluate specific organs or areas. This procedure uses sound waves to create images of internal structures. |
40 | $61 | $255 |
| 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. |
36 | $60 | $215 |
| Endoscopy of digestive tract Imaging of the digestive tract performed from the inside using an endoscope. |
24 | $530 | $2,377 |
| 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. |
17 | $33 | $130 |
| Hemorrhoid banding via sigmoidoscopy A procedure to treat hemorrhoids by placing a small rubber band around the base of the tissue using a flexible tube inserted into the rectum. |
13 | $471 | $1,737 |
| Colonoscopy A diagnostic exam of the lower portion of the large bowel using a flexible endoscope. |
12 | $23 | $569 |
| 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. |
12 | $132 | $600 |
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 ↗$6,436
Total received (2018-2024)
Avg $919/year across 7 years
Top 32% in GA for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
42
Companies
317
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
$6,282 (97.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$154 (2.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$902
2023
$1,156
2022
$1,056
2021
$1,407
2020
$546
2019
$661
2018
$710
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$391
Medtronic, Inc.
$110
Aroa Biosurgery Incorporated
$107
Merck Sharp & Dohme LLC
$74
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$42
Gilead Sciences, Inc.
$38
Janssen Biotech, Inc.
$37
Takeda Pharmaceuticals U.S.A., Inc.
$25
GENZYME CORPORATION
$25
AIMMUNE THERAPEUTICS, INC.
$21
Lilly USA, LLC
$19
Celgene Corporation
$13
Top 3 companies account for 67.4% of 2024 payments
All-time payments by company (2018-2024) ›
AbbVie Inc.
$828
ABBVIE INC.
$789
Janssen Biotech, Inc.
$482
Gilead Sciences, Inc.
$415
Medtronic, Inc.
$415
Celgene Corporation
$380
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$377
AbbVie, Inc.
$274
PFIZER INC.
$269
Merck Sharp & Dohme LLC
$265
Intercept Pharmaceuticals, Inc.
$232
Aroa Biosurgery Incorporated
$215
Boston Scientific Corporation
$197
Takeda Pharmaceuticals U.S.A., Inc.
$194
Evoke Pharma, Inc.
$119
QOL Medical, LLC
$102
UCB, Inc.
$101
Merck Sharp & Dohme Corporation
$98
Ferring Pharmaceuticals Inc.
$56
EVOKE PHARMA, INC.
$55
Romark Laboratories, LC
$54
Ironwood Pharmaceuticals, Inc
$52
Synergy Pharmaceuticals Inc
$47
Amgen Inc.
$43
Lilly USA, LLC
$35
Allergan, Inc.
$33
Axonics, Inc.
$30
BOSTON SCIENTIFIC CORPORATION
$29
Nestle HealthCare Nutrition Inc.
$25
GENZYME CORPORATION
$25
AIMMUNE THERAPEUTICS, INC.
$21
VIVUS LLC
$21
RedHill Biopharma Inc.
$19
Daiichi Sankyo Inc.
$18
Otsuka America Pharmaceutical, Inc.
$17
INTERCEPT PHARMACEUTICALS, INC.
$17
IRONWOOD PHARMACEUTICALS, INC
$16
Mylan Institutional Inc.
$16
Braintree Laboratories, Inc.
$14
Allergan Inc.
$14
CSL Behring
$13
INTRA-SANA LABORATORIES
$11
Top 3 companies account for 32.6% of all-time payments
Associated products mentioned in payments ›
AVSOLA · Aemcolo · Alinia · Alinia Tablets 500mg 30 count bottle · Axonics r-SNM System · BREATHTEK · CERDELGA · CIMZIA · CLENPIQ · CREON · Cimzia · DIFICID · ENTYVIO · Entyvio · Epclusa · GENERAL ENDOCHOICE · GENERAL ENDOCHOICE · GENERAL HEMOSTASIS · GIMOTI · HUMIRA · Hulio · Humira · INJECTAFER · INTERSTIM · Kcentra · LINZESS · Linzess · MAVYRET · Mavyret · OCALIVA · OMVOH · Qsymia · RELISTOR · RELTONE 200 MG · REMICADE · RINVOQ · SKYRIZI · STELARA · SUTAB · Sucraid · TRULANCE · Trulance · VIBERZI · WATCHMAN · XELJANZ · XIFAXAN · ZENPEP · ZEPOSIA
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.
Geographic Context
Gastroenterologists within 10 mi
20
Per 100K population
12.8
County median income
$50,747
Nearest hospital
ATRIUM HEALTH NAVICENT THE MEDICAL CENTER
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. Sedghi is a clinical cardiology specialist, with above-average Medicare volume (top 1% in GA), 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. Sedghi experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Sedghi performed 661 office visit, established patient (20-29 min) 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. Sedghi receive payments from pharmaceutical companies?
Yes. Dr. Sedghi received a total of $6,436 from 42 companies across 317 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. Sedghi's costs compare to other gastroenterologists in Macon?
Dr. Sedghi's average Medicare payment per service is $68. 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. Sedghi) 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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