Medicare Enrolled
Dr. Himanshu Patel, M.D.
Cardiovascular Disease · Rome, GA
Practice pattern: Cardiac & Cardiac
— Practice combining cardiac and cardiac services
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. Himanshu Patel is a cardiovascular disease specialist in Rome, GA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Patel performed 5,206 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Patel received a total of $12,613 from 29 pharmaceutical and/or device companies across 175 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. 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 of NPI registration
▲ Top 10% volume in GA
$12,613 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗5,206
Medicare services
Top 10% in GA for cardiovascular disease
Not available
Unique patients (not deduplicated)
$58
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. |
882 | $78 | $233 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
775 | $78 | $348 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
492 | $47 | $120 |
| 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. |
291 | $9 | $62 |
| Technetium Tc-99m tetrofosmin diagnostic injection A diagnostic injection of Technetium Tc-99m tetrofosmin used for imaging studies. |
250 | $90 | $225 |
| 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. |
214 | $59 | $169 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
197 | $211 | $980 |
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
192 | $6 | $25 |
| 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. |
144 | $131 | $406 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review. |
129 | $45 | $299 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
123 | $4 | $29 |
| Remote monitoring of pulmonary artery pressure sensor This procedure involves the remote tracking of pressure readings from a sensor in the pulmonary artery over a period of up to 30 days. |
115 | $27 | $85 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results. |
106 | $10 | $81 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
106 | $8 | $247 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
101 | $25 | $165 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
98 | $22 | $202 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
97 | $8 | $15 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
96 | $8 | $50 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while an electrocardiogram is monitored under physician supervision. |
78 | $15 | $71 |
| Perflutren lipid microspheres injection Injection of perflutren lipid microspheres, measured per milliliter. |
76 | $35 | $110 |
| Natriuretic peptide level test A blood test that measures the level of natriuretic peptide, a protein produced by the heart and blood vessels. |
63 | $38 | $90 |
| 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. |
62 | $98 | $298 |
| Follow-up ultrasound of heart blood flow, valves and chambers An ultrasound exam that follows up on the heart's blood flow, valves, and chambers. It uses sound waves to create images of the heart's structure and function. |
46 | $6 | $23 |
| Ultrasound of heart with contrast injection An ultrasound of the heart is performed while injecting an X-ray contrast agent to improve the clarity of the images. |
42 | $23 | $91 |
| Stress echocardiogram with ECG monitoring An ultrasound of the heart performed while monitoring heart rhythm during rest, exercise, or medication-induced stress, followed by a review and report of the findings. |
41 | $138 | $730 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
34 | $24 | $110 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
33 | $80 | $393 |
| Stress echocardiogram An ultrasound of the heart performed while at rest and during exercise or drug-induced stress to evaluate heart function under different conditions. |
33 | $44 | $262 |
| 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. |
33 | $119 | $343 |
| Complete blood count (CBC), automated An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood. |
32 | $6 | $40 |
| 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. |
29 | $8 | $40 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
27 | $14 | $80 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
27 | $13 | $70 |
| Injection, dobutamine hydrochloride, per 250 mg | 24 | $5 | $70 |
| 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. |
22 | $49 | $120 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
19 | $16 | $70 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
19 | $33 | $125 |
| 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. |
16 | $36 | $96 |
| External shock to heart to regulate heart beat A procedure that delivers an electric shock to the heart from outside the body to restore a normal heart rhythm. |
15 | $78 | $542 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
15 | $10 | $40 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
12 | $10 | $60 |
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.
17.7% high complexity
32.8% medium
49.5% routine
Industry Payment Transparency
Open Payments through 2024 ↗$12,613
Total received (2018-2024)
Avg $1,802/year across 7 years
Top 18% in GA for cardiovascular disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
29
Companies
175
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
$929
2023
$459
2022
$925
2021
$438
2020
$725
2019
$8,016
2018
$1,121
Payments by company (2024)
Boston Scientific Corporation
$217
Abbott Laboratories
$199
Edwards Lifesciences Corporation
$152
PFIZER INC.
$89
Lexicon Pharmaceuticals, Inc.
$51
Novartis Pharmaceuticals Corporation
$39
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$33
LANTHEUS MEDICAL IMAGING, INC.
$32
SCPHARMACEUTICALS INC.
$32
Merck Sharp & Dohme LLC
$20
iRhythm Technologies, Inc.
$19
Boehringer Ingelheim Pharmaceuticals, Inc.
$17
E.R. Squibb & Sons, L.L.C.
$15
Esperion Therapeutics, Inc.
$15
Top 3 companies account for 61.2% of 2024 payments
All-time payments by company (2018-2024) ›
Novartis Pharmaceuticals Corporation
$5,202
Abbott Laboratories
$4,577
Janssen Pharmaceuticals, Inc
$391
Boston Scientific Corporation
$327
PFIZER INC.
$319
Medtronic, Inc.
$301
Biogen, Inc.
$241
Edwards Lifesciences Corporation
$235
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$195
Impulse Dynamics (USA) Inc.
$134
Actelion Pharmaceuticals US, Inc.
$83
W. L. Gore & Associates, Inc.
$68
Lexicon Pharmaceuticals, Inc.
$66
Esperion Therapeutics, Inc.
$53
Nuwellis, Inc.
$51
E.R. Squibb & Sons, L.L.C.
$43
Merck Sharp & Dohme LLC
$34
LANTHEUS MEDICAL IMAGING, INC.
$32
SCPHARMACEUTICALS INC.
$32
ABIOMED
$31
AstraZeneca Pharmaceuticals LP
$28
Bardy Diagnostics, Inc.
$28
Alnylam Pharmaceuticals Inc.
$26
Amgen Inc.
$26
Kestra Medical Technology Services, Inc.
$23
Kowa Pharmaceuticals America, Inc.
$22
iRhythm Technologies, Inc.
$19
Boehringer Ingelheim Pharmaceuticals, Inc.
$17
CHF Solutions, Inc
$10
Top 3 companies account for 80.6% of all-time payments
Associated products mentioned in payments ›
AQUADEX SMARTFLOW CONSOLE · AVEIR · AVVIGO Guidance System · Aquadex · Aquadex Smartflow Console · Assure WCD · Avalus · BRILINTA · CAMZYOS · CARDIOFORM Septal Occluder · CARDIOMEMS · CHANTIX · CRT-Ds · CardioMEMS HF System · Carnation Ambulatory Monitor · Confirm Rx · DEFINITY · EDWARDS INTUITY Elite valve system · ELIQUIS · ENDURANT IIS · ENTRESTO · Ellipse ICD · FARXIGA · FUROSCIX · Fortify Assura · GORE CARDIOFORM Septal Occluder · General - Therapies · Impella · Inpefa · JARDIANCE · LEQVIO · LifeVest · Livalo · NEXLETOL · ONPATTRO · OPSUMIT · Optimizer · Repatha · SAPIEN 3 Ultra RESILIA · SPINRAZA · SYNERGY · TYSABRI · UPTRAVI · Unify Assura CRT Defibrillator · VERQUVO · VUMERITY · VYNDAQEL · WATCHMAN Access System · WATCHMAN FLX · XARELTO · ZIO XT Patch
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
Cardiologists in nearby ZIP areas
15
County median income
$62,540
Nearest hospital to ZIP centroid (approximate)
ADVENTHEALTH REDMOND
0.0 mi
0.0 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. Patel is a cardiac & cardiac specialist, with above-average Medicare volume (top 10% in GA), 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 office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Patel performed 882 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. Patel receive payments from pharmaceutical companies?
Yes. Dr. Patel received a total of $12,613 from 29 companies across 175 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. Patel's costs compare to other cardiologists in Rome?
Dr. Patel's average Medicare payment per service is $58. 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 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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