Medicare Enrolled
Dr. Prachi Patel, D.O.
Student in an Organized Health Care Education/Training Program · La Grange, IL
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 →
Are you Dr. Patel?
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What this data tells you about Dr. Patel
Dr. Prachi Patel is a student in an organized health care education/training program specialist in La Grange, IL, with 16 years of NPI registration. Based on federal Medicare data, Dr. Patel performed 1,065 Medicare services across 808 unique beneficiaries.
Between the years covered by Open Payments, Dr. Patel received a total of $11,247 from 58 pharmaceutical and/or device companies across 631 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in student in an organized health care education/training program. 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.
✓ 16 years in practice
▲ Top 18% volume in IL
$11,247 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,065
Medicare services
Top 18% in IL for student in an organized health care education/training program
808
Unique beneficiaries
$85
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~67 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 (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. |
353 | $90 | $185 |
| 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. |
300 | $64 | $130 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
149 | $134 | $240 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
61 | $32 | $35 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
59 | $69 | $70 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
33 | $29 | $30 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
32 | $281 | $453 |
| 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. |
26 | $11 | $74 |
| Home health agency supervision, complex multidisciplinary care Supervision by a physician or allowed practitioner for a patient receiving Medicare-covered services from a participating home health agency. This involves complex and multidisciplinary care modalities, with the patient not present during the supervision. |
21 | $86 | $131 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
18 | $10 | $40 |
| 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. |
13 | $99 | $285 |
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 ↗$11,247
Total received (2018-2024)
Avg $1,607/year across 7 years
Top 3% in IL for student in an organized health care education/training program
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
58
Companies
631
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
$11,247 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,141
2023
$1,887
2022
$2,318
2021
$2,294
2020
$1,111
2019
$793
2018
$702
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Boehringer Ingelheim Pharmaceuticals, Inc.
$318
ABBVIE INC.
$252
AstraZeneca Pharmaceuticals LP
$245
Lilly USA, LLC
$212
Novo Nordisk Inc
$137
E.R. Squibb & Sons, L.L.C.
$117
Edwards Lifesciences Corporation
$113
GlaxoSmithKline, LLC.
$90
PFIZER INC.
$86
Otsuka America Pharmaceutical, Inc.
$72
Merck Sharp & Dohme LLC
$52
Janssen Pharmaceuticals, Inc
$51
Almatica Pharma LLC
$46
Seqirus USA Inc
$42
Phathom Pharmaceuticals, Inc.
$37
Astellas Pharma US Inc
$31
Exact Sciences Corporation
$29
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$29
Inspire Medical Systems, Inc.
$28
Ardelyx, Inc.
$27
Bayer Healthcare Pharmaceuticals Inc.
$24
Corcept Therapeutics
$22
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$21
Amgen Inc.
$19
Takeda Pharmaceuticals U.S.A., Inc.
$16
Esperion Therapeutics, Inc.
$14
SANOFI PASTEUR INC.
$13
Top 3 companies account for 38.0% of 2024 payments
All-time payments by company (2018-2024) ›
Boehringer Ingelheim Pharmaceuticals, Inc.
$1,283
AstraZeneca Pharmaceuticals LP
$1,162
Novo Nordisk Inc
$1,012
ABBVIE INC.
$973
GlaxoSmithKline, LLC.
$898
Lilly USA, LLC
$680
Amgen Inc.
$634
AbbVie Inc.
$578
PFIZER INC.
$343
Merck Sharp & Dohme LLC
$277
Takeda Pharmaceuticals U.S.A., Inc.
$261
Merck Sharp & Dohme Corporation
$240
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$232
E.R. Squibb & Sons, L.L.C.
$225
Boston Scientific Corporation
$151
Kowa Pharmaceuticals America, Inc.
$146
SANOFI-AVENTIS U.S. LLC
$139
Biohaven Pharmaceutical Holding Company Ltd.
$139
Allergan, Inc.
$124
SANOFI PASTEUR INC.
$121
Teva Pharmaceuticals USA, Inc.
$114
Edwards Lifesciences Corporation
$113
Astellas Pharma US Inc
$109
Eisai Inc.
$87
Almatica Pharma LLC
$80
Biohaven Pharmaceuticals, Inc.
$76
Esperion Therapeutics, Inc.
$74
Otsuka America Pharmaceutical, Inc.
$72
Allergan Inc.
$67
Arbor Pharmaceuticals, Inc.
$63
Radius Health, Inc.
$60
Janssen Pharmaceuticals, Inc
$51
Amneal Pharmaceuticals LLC
$46
Exact Sciences Corporation
$45
RedHill Biopharma Inc.
$42
Seqirus USA Inc
$42
Phathom Pharmaceuticals, Inc.
$37
Roche Diagnostics Corporation
$34
ARBOR PHARMACEUTICALS, INC.
$33
Indivior Inc.
$31
ITI, Inc.
$28
Inspire Medical Systems, Inc.
$28
Ardelyx, Inc.
$27
Axsome Therapeutics, Inc.
$25
Alexion Pharmaceuticals, Inc.
$24
Bayer Healthcare Pharmaceuticals Inc.
$24
IDORSIA PHARMACEUTICALS US INC
$23
Corcept Therapeutics
$22
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$21
Medtronic, Inc.
$19
IBSA Pharma Inc.
$18
Pear Therapeutics (US), Inc.
$17
Medtronic MiniMed, Inc.
$15
Ironwood Pharmaceuticals, Inc
$14
Bausch Health US, LLC
$13
Azurity Pharmaceuticals, Inc.
$13
Avion Pharmaceuticals
$12
BOSTON SCIENTIFIC CORPORATION
$11
Top 3 companies account for 30.7% of all-time payments
Associated products mentioned in payments ›
ADACEL · AIRSUPRA · AJOVY · ANORO ELLIPTA · APLENZIN · AREXVY · Aimovig · AirDuo Digihaler · Auvelity · BELSOMRA · BEXSERO · BOTOX · BREO · BREZTRI · BREZTRI AEROSPHERE · BYDUREON · BYSTOLIC · Balcoltra · Belviq · CAPLYTA · CHANTIX · COMIRNATY · Cologuard Collection Kit · DALVANCE · Dayvigo · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · ELIQUIS · EMGALITY · EVENITY · Edarbi · Edarbyclor · FARXIGA · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FLUMIST QUADRIVALENT · FLUZONE HIGH-DOSE · FLUZONE QUADRIVALENT NORTHERN HEMISPHERE · Fluad · Flucelvax · GARDASIL · GARDASIL 9 · GENERAL PAIN MANAGEMENT · Guardian Connect · Horizant · IBSRELA · INSPIRE · InPen · JANUVIA · JARDIANCE · Kerendia · Korlym · LINZESS · LOKELMA · LOREEV XR · Linzess · Livalo · M-M-R II · MENQUADFI · MOUNJARO · MYRBETRIQ · Motegrity · Movantik · Myrbetriq · NEXLETOL · NEXLIZET · NURTEC ODT · Otezla · Ozempic · PRADAXA · PREVNAR - 13 · PROQUAD · Prolia · QULIPTA · QUVIVIQ · REBLOZYL · REXULTI · REYVOW · ROTATEQ · RS Harmony Test Related Products · Rybelsus · SEGLENTIS · SHINGRIX · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STEGLATRO · STIOLTO RESPIMAT · STRENSIQ · SUBLOCADE · SYMBICORT · Saxenda · Superion Indirect Decompression System · TEFLARO · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · TRUMENBA · Tirosint · Tresiba · Trintellix · Tymlos · UBRELVY · UNITHROID · VOQUEZNA · VRAYLAR · VYVANSE · Veozah · Wegovy · XARELTO · XIFAXAN · ZOSTAVAX · reSET-O
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. Total industry engagement is in the top 3% for student in an organized health care education/training program in IL.
Geographic Context
Student in an organized health care education/training programs within 10 mi
7,875
Per 100K population
151.9
County median income
$81,797
Nearest hospital
UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE
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 18% in IL), with low-engagement industry engagement in the top 3% of IL peers, with 16 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 353 office visit, established patient (30-39 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. Patel receive payments from pharmaceutical companies?
Yes. Dr. Patel received a total of $11,247 from 58 companies across 631 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 student in an organized health care education/training programs in La Grange?
Dr. Patel's average Medicare payment per service is $85. 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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