Medicare Enrolled
Dr. Dimple Raina, M.D.
Gastroenterology · Suwanee, 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. Raina 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. Raina
Dr. Dimple Raina is a gastroenterology specialist in Suwanee, GA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Raina performed 497 Medicare services across 467 unique beneficiaries.
Between the years covered by Open Payments, Dr. Raina received a total of $9,624 from 48 pharmaceutical and/or device companies across 464 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. Raina 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.
✓ 19 years in practice
▲ 497 Medicare services
$9,624 industry payments
Medicare Practice Summary
Medicare Utilization ↗497
Medicare services
Bottom 41% in GA for gastroenterology
467
Unique beneficiaries
$95
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~26 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. |
97 | $66 | $275 |
| 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. |
59 | $206 | $943 |
| 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. |
53 | $51 | $600 |
| 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. |
49 | $91 | $390 |
| 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. |
42 | $102 | $507 |
| 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. |
40 | $72 | $339 |
| 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. |
37 | $72 | $793 |
| 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. |
28 | $102 | $400 |
| Balloon dilation of esophagus, stomach, or upper small bowel, less than 3.0 cm A procedure using a flexible endoscope to widen a narrowed section of the esophagus, stomach, or upper small bowel with a balloon that is less than 3.0 cm in length. |
21 | $105 | $1,409 |
| 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. |
21 | $62 | $210 |
| Colonoscopy for colorectal cancer screening A colonoscopy performed to screen for colorectal cancer in individuals who are not at high risk for the disease. |
19 | $166 | $747 |
| 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. |
18 | $94 | $301 |
| 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. |
13 | $39 | $115 |
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 ↗$9,624
Total received (2018-2024)
Avg $1,375/year across 7 years
Top 18% in GA for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
48
Companies
464
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
$9,394 (97.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$230 (2.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,345
2023
$1,846
2022
$1,243
2021
$1,265
2020
$660
2019
$1,086
2018
$1,179
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$439
Janssen Biotech, Inc.
$377
Regeneron Healthcare Solutions, Inc.
$203
GENZYME CORPORATION
$184
AIMMUNE THERAPEUTICS, INC.
$183
Takeda Pharmaceuticals U.S.A., Inc.
$179
QOL Medical, LLC
$160
Intercept Pharmaceuticals, Inc.
$110
Lilly USA, LLC
$69
PFIZER INC.
$66
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$61
IRONWOOD PHARMACEUTICALS, INC
$57
Medtronic, Inc.
$46
Ardelyx, Inc.
$37
Madrigal Pharmaceuticals
$37
Ferring Pharmaceuticals Inc.
$33
Phathom Pharmaceuticals, Inc.
$31
Organon Llc
$24
Celltrion USA Inc.
$19
Boehringer Ingelheim Pharmaceuticals, Inc.
$16
Braintree Laboratories, Inc.
$14
Top 3 companies account for 43.5% of 2024 payments
All-time payments by company (2018-2024) ›
ABBVIE INC.
$1,242
Janssen Biotech, Inc.
$859
Takeda Pharmaceuticals U.S.A., Inc.
$807
AbbVie Inc.
$739
AbbVie, Inc.
$700
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$477
QOL Medical, LLC
$412
GENZYME CORPORATION
$352
Celgene Corporation
$294
INTERCEPT PHARMACEUTICALS, INC.
$285
Regeneron Healthcare Solutions, Inc.
$278
Synergy Pharmaceuticals Inc
$278
Gilead Sciences, Inc.
$267
Janssen Scientific Affairs, LLC
$225
Medtronic, Inc.
$212
Intercept Pharmaceuticals, Inc.
$202
PFIZER INC.
$188
AIMMUNE THERAPEUTICS, INC.
$183
Merck Sharp & Dohme Corporation
$179
PORTOLA PHARMACEUTICALS, LLC
$121
Ironwood Pharmaceuticals, Inc
$116
Mallinckrodt Hospital Products Inc.
$111
E.R. Squibb & Sons, L.L.C.
$102
UCB, Inc.
$80
IRONWOOD PHARMACEUTICALS, INC
$71
RedHill Biopharma Inc.
$70
Lilly USA, LLC
$69
Braintree Laboratories, Inc.
$69
Ferring Pharmaceuticals Inc.
$60
Endo Pharmaceuticals Inc.
$52
Merck Sharp & Dohme LLC
$51
VIVUS LLC
$40
Allergan Inc.
$40
Daiichi Sankyo Inc.
$39
Ardelyx, Inc.
$37
Madrigal Pharmaceuticals
$37
Celltrion USA Inc.
$36
Phathom Pharmaceuticals, Inc.
$31
BOSTON SCIENTIFIC CORPORATION
$29
Nestle HealthCare Nutrition Inc.
$29
Alexion Pharmaceuticals, Inc.
$29
Boston Scientific Corporation
$28
Organon Llc
$24
Shionogi Inc
$17
Ethicon US, LLC
$16
Boehringer Ingelheim Pharmaceuticals, Inc.
$16
Alfasigma USA, Inc.
$13
Evoke Pharma, Inc.
$13
Top 3 companies account for 30.2% of all-time payments
Associated products mentioned in payments ›
ANDEXXA · Aemcolo · Amitiza · CIMZIA · CLENPIQ · CREON · Cimzia · Creon · DIFICID · DUPIXENT · ENDOFLIP · ENTYVIO · Entyvio · Epclusa · GATTEX · GENERAL ENDOCHOICE · GENERAL POLYPECTOMY · GENERAL POLYPECTOMY · GI GENIUS · GIMOTI · General - Hemostasis · HUMIRA · Humira · IBSRELA · INJECTAFER · INTERSTIM · Kanuma · LINZESS · Linzess · MOTEGRITY · Motegrity · Movantik · NASCOBAL · OCALIVA · OMVOH · QSYMIA · Qsymia · REBYOTA · RENFLEXIS · RESMETIROM · RINVOQ · SKYRIZI · STELARA · SUCRAID · SUFLAVE · SUTAB · Sucraid · Symproic · TERLIVAZ · TREMFYA · Talicia · Trulance · UCERIS · UCERIS TABLETS · VELSIPITY · VIBERZI · VOQUEZNA · XELJANZ · XIFAXAN · YUFLYMA · ZENPEP · ZEPOSIA · ZYMFENTRA
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
171
Per 100K population
17.7
County median income
$84,823
Nearest hospital
EMORY JOHNS CREEK HOSPITAL
4.0 mi
4.0 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. Raina is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 18% of GA peers, with 19 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. Raina experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Raina performed 97 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. Raina receive payments from pharmaceutical companies?
Yes. Dr. Raina received a total of $9,624 from 48 companies across 464 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. Raina's costs compare to other gastroenterologists in Suwanee?
Dr. Raina's average Medicare payment per service is $95. 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. Raina) 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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