Medicare Enrolled

Dr. Sanjay Rao, M.D.

Ophthalmology · Oak Lawn, IL
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
6201 W 95TH ST, Oak Lawn, IL 60453
7086369393
Registered in NPPES since 2006
NPI: 1790738615 verify on NPPES ↗
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. Rao 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. Rao

Dr. Sanjay Rao is an ophthalmology specialist in Oak Lawn, IL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Rao performed 1,458 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Rao received a total of $65,951 from 38 pharmaceutical and/or device companies across 298 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. Rao 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 ▲ 1,458 Medicare services $65,951 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
1,458
Medicare services
Bottom 38% in IL for ophthalmology
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
Not available
Unique patients (not deduplicated)
$106
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
Comprehensive eye exam, established patient
A comprehensive examination of the visual system performed for a patient who has previously been seen by the provider.
590 $88 $231
Retinal photography (fundus photo)
This procedure involves taking photographs of the retina, the light-sensitive tissue at the back of the eye. It is used to document the condition of the eye's interior structures.
247 $27 $182
Comprehensive eye exam, new patient
A comprehensive examination of the visual system performed for a new patient.
99 $92 $279
Cataract surgery with lens implant
Surgical removal of the clouded natural lens of the eye and replacement with an artificial prosthetic lens to restore vision.
94 $406 $1,531
Corneal topography and eye depth measurement
This procedure measures the curvature and depth of the cornea, the clear front surface of the eye.
77 $29 $204
Visual field test, extended
A test that maps your complete field of vision to detect blind spots or peripheral vision loss. Extended testing provides a more detailed assessment than a standard visual field exam.
67 $44 $205
Laser removal of recurring cataract
A laser procedure to remove a recurring cataract within the lens capsule.
57 $257 $882
Insertion of drug delivery implant into tear duct
A small implant containing medication is placed into the tear duct of the eye to deliver drugs directly to the eye over time.
43 $14 $50
Optic nerve imaging (OCT scan)
Imaging of the optic nerve.
43 $23 $95
Retinal imaging (OCT scan)
This procedure involves imaging the retina to visualize its structure. It is used to examine the back of the eye.
36 $30 $95
Eye injection for retinal disease
A procedure involving the administration of medication directly into the eye.
30 $84 $528
Bevacizumab injection, 10 mg
Administration of a 10 mg dose of bevacizumab medication via injection.
29 $51 $130
Complex cataract removal with lens implant
A surgical procedure to remove a cataract from the eye and insert an artificial lens to restore vision.
17 $613 $1,529
Dilation of eye fluid drainage
A procedure to widen the drainage pathways in the eye to help fluid flow out more easily.
16 $414 $1,200
Retinal laser destruction of growth
A laser procedure used to destroy abnormal growths in the retina.
13 $414 $1,725
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.
6.4% high complexity
9.5% medium
84.1% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$65,951
Total received (2018-2024)
Avg $9,422/year across 7 years
Top 5% in IL for ophthalmology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
38
Companies
298
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
$1,329
2023
$772
2022
$12,482
2021
$8,013
2020
$5,176
2019
$25,868
2018
$12,310

Payments by company (2024)

Mallinckrodt Hospital Products Inc.
$354
Alcon Vision LLC
$216
Harrow Eye, LLC
$189
Sight Sciences, Inc.
$148
Bausch & Lomb Americas Inc.
$106
Glaukos Corporation
$61
Tarsus Pharmaceuticals, Inc.
$57
Genentech USA, Inc.
$35
NEW WORLD MEDICAL,INC.
$34
Johnson & Johnson Vision Care, Inc.
$31
ABBVIE INC.
$31
Rayner Intraocular Lenses Limited
$27
ANI Pharmaceuticals, Inc.
$26
RxSight Inc
$15
Top 3 companies account for 57.1% of 2024 payments
All-time payments by company (2018-2024) ›
Bausch & Lomb, a division of Bausch Health US, LLC
$27,216
EYEVANCE PHARMACEUTICALS LLC
$11,524
Shire North American Group Inc
$11,278
Eyevance Pharmaceuticals LLC
$3,931
EyePoint Pharmaceuticals US, Inc.
$2,968
Allergan, Inc.
$1,667
Kala Pharmaceuticals, Inc.
$1,341
Mallinckrodt Hospital Products Inc.
$916
Alcon Laboratories Inc
$817
Alcon Vision LLC
$734
AbbVie Inc.
$475
Sight Sciences, Inc.
$376
RxSight Inc
$371
Bausch & Lomb Americas Inc.
$286
ABBVIE INC.
$224
Novartis Pharmaceuticals Corporation
$197
Johnson & Johnson Surgical Vision, Inc.
$196
Harrow Eye, LLC
$189
Dompe US, Inc.
$189
SUN PHARMACEUTICAL INDUSTRIES INC.
$130
Vanda Pharmaceuticals Inc.
$99
ANI Pharmaceuticals, Inc.
$97
TissueTech, Inc.
$91
Johnson & Johnson Vision Care, Inc.
$72
Merz North America, Inc.
$70
Glaukos Corporation
$61
Tarsus Pharmaceuticals, Inc.
$57
Genentech USA, Inc.
$55
Sun Pharmaceutical Industries Inc.
$50
Thea Pharma Inc.
$44
Alimera Sciences, Inc.
$42
Optos, Inc.
$39
NEW WORLD MEDICAL,INC.
$34
Rayner Intraocular Lenses Limited
$27
Oyster Point Pharma, Inc.
$26
MERZ NORTH AMERICA, INC.
$24
Ocular Therapeutix, Inc.
$23
VYERA PHARMACEUTICALS, LLC
$17
Top 3 companies account for 75.8% of all-time payments
Associated products mentioned in payments ›
ACTHAR · ACTIVEFOCUS · ARGOS · AcrySof · AcrySof IQ PanOptix UV IOL · AcrySof IQ VIVITY IOL · CEQUA · Cequa · Clareon · DEXYCU · DUREZOL · DURYSTA · Daraprim · ELAHERE · EYSUVIS · Flarex · HETLIOZ · HYDRUS Microstent · ILUVIEN · INVELTYS · Kahook Dual Blade · LIGHT ADJUSTABLE LENS (LAL) AND LIGHT DELIVERY DEVICE (LDD) · LOTEMAX · LOTEMAX GEL · LOTEMAX SM · LUMIGAN · LenSx · MIEBO · NFC-700 · OMNI SURGICAL SYSTEM · OMNI(R) SURGICAL SYSTEM (US) · OXERVATE · OZURDEX · PAZEO · PROLENSA · PURIFIED CORTROPHIN GEL · Precision 1 · Prokera · RAYNER CATARACT SET 1 · RESTASIS MULTIDOSE · RXSIGHT CONTACT LENS · ReSure Sealant · Rocklatan · TRAVATAN Z · TYRVAYA · TearScience Lipiview System · Tecnis 1-piece IOL · Tecnis IOL · TobraDex ST · Tobradex ST · VEVYE · VUITY · VYZULTA · Vabysmo · XDEMVY · XEOMIN · XIIDRA · YUTIQ · Zerviate · enVista MX60 IOL · iDose · iStent Trabecular Micro-Bypass System Model iS3
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 →
Looking for an ophthalmology specialist in Oak Lawn?
Compare ophthalmologists in the Oak Lawn area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Ophthalmologists in nearby ZIP areas
586
County median income
$81,797
Nearest hospital to ZIP centroid (approximate)
ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER
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. Rao is a mixed practice specialist, with moderate Medicare volume, 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. Rao experienced with comprehensive eye exam, established patient?
Based on Medicare claims data, Dr. Rao performed 590 comprehensive eye exam, established patient 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. Rao receive payments from pharmaceutical companies?
Yes. Dr. Rao received a total of $65,951 from 38 companies across 298 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. Rao's costs compare to other ophthalmologists in Oak Lawn?
Dr. Rao's average Medicare payment per service is $106. 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. Rao) 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 →
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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →