Medicare Enrolled
Dr. Kalpesh Patel, M.D.
Internal Medicine · Plainfield, 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. Kalpesh Patel is an internal medicine specialist in Plainfield, IL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Patel performed 2,645 Medicare services across 1,065 unique beneficiaries.
Between the years covered by Open Payments, Dr. Patel received a total of $5,831 from 44 pharmaceutical and/or device companies across 238 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. 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.
✓ 20 years in practice
▲ Top 11% volume in IL
$5,831 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,645
Medicare services
Top 11% in IL for internal medicine
1,065
Unique beneficiaries
$87
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~132 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 |
|---|---|---|---|
| Nursing facility visit, moderate complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes. |
1,092 | $84 | $120 |
| Nursing facility visit, low complexity A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care. |
350 | $58 | $110 |
| Home visit, established patient, moderate complexity A home visit for an established patient involving moderate medical decision making. The visit requires at least 40 minutes of time if time is used to determine the level of service. |
300 | $99 | $174 |
| 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. |
161 | $96 | $148 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
139 | $221 | $291 |
| 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. |
118 | $42 | $90 |
| 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. |
84 | $93 | $120 |
| 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. |
66 | $34 | $80 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
50 | $133 | $150 |
| Annual depression screening | 45 | $19 | $25 |
| Home visit, established patient, low complexity A physician visits an existing patient at their residence to provide care involving a low level of medical decision making. The visit lasts at least 30 minutes. |
43 | $62 | $151 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
43 | $66 | $120 |
| 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. |
32 | $11 | $30 |
| 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. |
27 | $132 | $250 |
| Hospital discharge day management, 30 minutes or less This service covers the final day of hospital care when the patient is being discharged. It includes coordination of care and instructions for the patient within a time frame of 30 minutes or less. |
23 | $65 | $125 |
| 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 | $65 | $120 |
| Nursing facility visit, high complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves a high level of medical decision making and takes at least 45 minutes. |
20 | $114 | $149 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
17 | $148 | $220 |
| Initial nursing facility care, high complexity An initial visit by a healthcare provider to a patient in a nursing facility involving a high level of medical decision making, lasting at least 45 minutes. |
13 | $136 | $200 |
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 ↗$5,831
Total received (2018-2024)
Avg $833/year across 7 years
Top 11% in IL for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
44
Companies
238
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
$5,686 (97.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$145 (2.5%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,136
2023
$1,197
2022
$1,064
2021
$293
2020
$339
2019
$1,257
2018
$545
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Janssen Pharmaceuticals, Inc
$470
Otsuka America Pharmaceutical, Inc.
$165
Lilly USA, LLC
$142
Novo Nordisk Inc
$93
Teva Pharmaceuticals USA, Inc.
$67
ABBVIE INC.
$49
Exact Sciences Corporation
$48
Electromed, Inc.
$26
Neurocrine Biosciences, Inc.
$25
Inspire Medical Systems, Inc.
$24
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$13
Currax Pharmaceuticals LLC
$13
Top 3 companies account for 68.4% of 2024 payments
All-time payments by company (2018-2024) ›
Janssen Pharmaceuticals, Inc
$1,599
Lilly USA, LLC
$422
Otsuka America Pharmaceutical, Inc.
$399
Novo Nordisk Inc
$369
Avanir Pharmaceuticals, Inc.
$325
Electromed, Inc.
$251
Medtronic USA, Inc.
$221
Neurocrine Biosciences, Inc.
$204
Teva Pharmaceuticals USA, Inc.
$177
Astellas Pharma US Inc
$176
Boehringer Ingelheim Pharmaceuticals, Inc.
$164
Novartis Pharmaceuticals Corporation
$162
IBSA Pharma Inc.
$109
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$109
Exact Sciences Corporation
$98
ABBVIE INC.
$94
UROVANT SCIENCES INC
$86
Sumitomo Pharma America, Inc.
$69
Upsher-Smith Laboratories LLC
$64
Covidien LP
$62
Sunovion Pharmaceuticals Inc.
$56
Amgen Inc.
$51
Sun Pharmaceutical Industries Inc.
$46
Bayer HealthCare Pharmaceuticals Inc.
$44
Xeris Pharmaceuticals, Inc.
$41
Supernus Pharmaceuticals, Inc.
$41
SANOFI-AVENTIS U.S. LLC
$38
Phadia US Inc.
$37
Collegium Pharmaceutical, Inc.
$32
Lundbeck LLC
$31
Philips Electronics North America Corporation
$29
Inspire Medical Systems, Inc.
$24
Allergan Inc.
$24
Rhythm Pharmaceuticals, Inc.
$22
Bausch Health US, LLC
$19
ACADIA Pharmaceuticals Inc
$17
Amneal Pharmaceuticals LLC
$17
CMP Pharma, Inc.
$17
Bayer Healthcare Pharmaceuticals Inc.
$16
INTRA-SANA LABORATORIES
$15
Medtronic MiniMed, Inc.
$14
Horizon Therapeutics plc
$14
Currax Pharmaceuticals LLC
$13
Acella Pharmaceuticals, LLC
$13
Top 3 companies account for 41.5% of all-time payments
Associated products mentioned in payments ›
AUSTEDO · Aimovig · Austedo XR · BASAGLAR · CaroSpir · Cologuard Collection Kit · ENTRESTO · EVENITY · GEMTESA · GVOKE PFS · INGREZZA · INSPIRE · INVOKANA · Imcivree · ImmunoCAP · JARDIANCE · KAPSPARGO · KYPHON Balloon Kyphoplasty · Kerendia · LICART · LINZESS · MIGRANAL · MOUNJARO · MYRBETRIQ · NP Thyroid · NUEDEXTA · NUPLAZID · Nucynta · ONZETRA XSAIL · OSTEOCOOL RF ABLATION · OXTELLAR XR · Ozempic · Personal Care Undiv · QUDEXY XR TOPIRAMATE EXTENDED RELEASE CAPSULES · QULIPTA · RAYOS · RELTONE 200 MG · REXULTI · Riomet (Metformin HCl Oral Solution) · Rybelsus · SMARTVEST · SOLIQUA · SPRAVATO · Saxenda · TOUJEO · TRADJENTA · TRULICITY · Tirosint · Tresiba · UBRELVY · UNITHROID · VRAYLAR · Victoza · Wegovy · XARELTO · XIFAXAN · Zembrace SymTouch Sumatriptan Injection · iPro2 · inCourage
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
Internal medicine physicians within 10 mi
1,632
Per 100K population
233.7
County median income
$107,799
Nearest hospital
COPLEY MEMORIAL HOSPITAL
6.2 mi
6.2 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 11% in IL), with low-engagement industry engagement in the top 11% of IL peers, 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 nursing facility visit, moderate complexity?
Based on Medicare claims data, Dr. Patel performed 1,092 nursing facility visit, moderate complexity 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 $5,831 from 44 companies across 238 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 internal medicine physicians in Plainfield?
Dr. Patel's average Medicare payment per service is $87. 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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