Medicare Enrolled

Dr. Sunita Godiwala, M.D., FAAFP.

Family Medicine · Holden, MA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
11 MAYO DR, Holden, MA 01520
5088295599
In practice since 2005 (20 years)
NPI: 1407838188 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. Godiwala 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. Godiwala

Dr. Sunita Godiwala is a family medicine specialist in Holden, MA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Godiwala performed 1,752 Medicare services across 850 unique beneficiaries.

Between the years covered by Open Payments, Dr. Godiwala received a total of $15,951 from 46 pharmaceutical and/or device companies across 993 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family 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. Godiwala 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 12% volume in MA $15,951 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,752
Medicare services
Top 12% in MA for family medicine
850
Unique beneficiaries
$84
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~88 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
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.
723 $60 $200
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.
604 $126 $500
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
109 $132 $550
Virtual check-in for established patient
A brief communication service provided by a qualified healthcare professional to an established patient via technology, such as a virtual check-in.
97 $10 $325
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.
54 $58 $250
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.
52 $79 $450
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
52 $34 $150
Influenza vaccine, quadrivalent, 0.5 ml dosage 50 $20 $150
Annual wellness visit, initial visit
A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment.
11 $168 $545
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 ↗
$15,951
Total received (2018-2024)
Avg $2,279/year across 7 years
Top 2% in MA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
46
Companies
993
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
$14,608 (91.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$863 (5.4%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$480 (3.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,542
2023
$1,433
2022
$2,259
2021
$2,178
2020
$2,338
2019
$2,376
2018
$3,825

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$255
PFIZER INC.
$253
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$168
AstraZeneca Pharmaceuticals LP
$141
Novartis Pharmaceuticals Corporation
$134
GlaxoSmithKline, LLC.
$133
Merck Sharp & Dohme LLC
$90
Baxter Healthcare
$59
Mylan Specialty L.P.
$49
Sumitomo Pharma America, Inc.
$43
Novo Nordisk Inc
$43
Exact Sciences Corporation
$35
Alexion Pharmaceuticals, Inc.
$27
Amgen Inc.
$26
Boehringer Ingelheim Pharmaceuticals, Inc.
$24
Phathom Pharmaceuticals, Inc.
$22
Alnylam Pharmaceuticals Inc.
$21
Astellas Pharma US Inc
$20
Top 3 companies account for 43.8% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$3,336
Novartis Pharmaceuticals Corporation
$1,338
Teva Pharmaceuticals USA, Inc.
$1,022
PFIZER INC.
$828
GlaxoSmithKline, LLC.
$768
Amgen Inc.
$764
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$652
Janssen Pharmaceuticals, Inc
$581
Lilly USA, LLC
$567
Boehringer Ingelheim Pharmaceuticals, Inc.
$551
ABBVIE INC.
$495
Novo Nordisk Inc
$495
Allergan, Inc.
$482
Avanir Pharmaceuticals, Inc.
$394
Gilead Sciences, Inc.
$360
SANOFI-AVENTIS U.S. LLC
$310
E.R. Squibb & Sons, L.L.C.
$303
Biohaven Pharmaceutical Holding Company Ltd.
$252
Amarin Pharma Inc.
$234
Merck Sharp & Dohme Corporation
$200
Allergan Inc.
$199
Bayer HealthCare Pharmaceuticals Inc.
$189
Astellas Pharma US Inc
$185
Nestle HealthCare Nutrition Inc.
$137
AbbVie, Inc.
$136
Takeda Pharmaceuticals U.S.A., Inc.
$128
AbbVie Inc.
$114
GENZYME CORPORATION
$110
Otsuka America Pharmaceutical, Inc.
$96
Bayer Healthcare Pharmaceuticals Inc.
$93
Kaleo, Inc.
$90
Merck Sharp & Dohme LLC
$90
Baxter Healthcare
$59
Alfasigma USA, Inc.
$51
Mylan Specialty L.P.
$49
Sumitomo Pharma America, Inc.
$43
Eisai Inc.
$38
Esperion Therapeutics, Inc.
$36
Exact Sciences Corporation
$35
Alexion Pharmaceuticals, Inc.
$27
Phathom Pharmaceuticals, Inc.
$22
ACADIA Pharmaceuticals Inc
$21
Alnylam Pharmaceuticals Inc.
$21
Regeneron Healthcare Solutions, Inc.
$20
AMAG Pharmaceuticals, Inc.
$18
Sunovion Pharmaceuticals Inc.
$16
Top 3 companies account for 35.7% of all-time payments
Associated products mentioned in payments ›
ABILIFY MAINTENA · ADVAIR · AJOVY · ANORO · APTIOM · AREXVY · AUVI-Q · Aimovig · AirDuo Digihaler · AirDuo RespiClick · Auvi-Q · BASAGLAR · BREO · BREZTRI · BREZTRI AEROSPHERE · BRILINTA · BYSTOLIC · CHANTIX · COLOGUARD · COMIRNATY · Cologuard Collection Kit · Dayvigo · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EVENITY · FARXIGA · FASENRA · GARDASIL · GEMTESA · GIVLAARI · Hillrom - Carnation Ambulatory Monitor · INTRAROSA · JANUVIA · JARDIANCE · KOSELUGO · Kerendia · LEQVIO · LINZESS · LOKELMA · LYRICA · MOUNJARO · MYRBETRIQ · Myrbetriq · NEXLETOL · NUEDEXTA · NUPLAZID · NURTEC ODT · Nuedexta · Otezla · Ozempic · PNEUMOVAX 23 · PRALUENT · Prolia · QULIPTA · QVAR · ROTATEQ · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SIVEXTRO · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SYMBICORT · SYNTHROID · Saxenda · Synthroid · TOUJEO · TOVIAZ · TRELEGY ELLIPTA · TRULICITY · Tresiba · Trintellix · UBRELVY · Uloric · VIBERZI · VOQUEZNA · VRAYLAR · Vascepa · Veozah · XARELTO · XIFAXAN · YUPELRI · ZENPEP
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 (92%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 2% for family medicine in MA.

Looking for a family medicine specialist in Holden?
Compare family medicine physicians in the Holden area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family medicine physicians within 10 mi
404
Per 100K population
46.9
County median income
$93,561
Nearest hospital
HOSPITAL FOR BEHAVIORAL MEDICINE
3.4 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. Godiwala is a clinical cardiology specialist, with above-average Medicare volume (top 12% in MA), with low-engagement industry engagement in the top 2% of MA 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. Godiwala experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Godiwala performed 723 hospital follow-up 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. Godiwala receive payments from pharmaceutical companies?
Yes. Dr. Godiwala received a total of $15,951 from 46 companies across 993 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. Godiwala's costs compare to other family medicine physicians in Holden?
Dr. Godiwala's average Medicare payment per service is $84. 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. Godiwala) 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 →
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.

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. Payments from industry are legal and do not indicate wrongdoing. 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 →