Medicare Enrolled
Dr. Anna Litvak, M.D.
Neurology · Peabody, MA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Litvak 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. Litvak
Dr. Anna Litvak is a neurology specialist in Peabody, MA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Litvak performed 14,892 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Litvak received a total of $19,775 from 74 pharmaceutical and/or device companies across 937 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. Litvak 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
▲ Top 4% volume in MA
$19,775 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗14,892
Medicare services
Top 4% in MA for neurology
Not available
Unique patients (not deduplicated)
$12
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 |
|---|---|---|---|
| Botox injection, per unit An injection of onabotulinumtoxinA, a medication used to temporarily relax muscles or reduce gland activity. The dose is measured in units, with this code representing a single unit administered. |
13,500 | $5 | $8 |
| 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. |
298 | $92 | $430 |
| 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. |
225 | $62 | $330 |
| New patient office visit, complex (60-74 min) | 165 | $158 | $630 |
| ECG, 1-3 leads with physician review A simple electrocardiogram recording using one to three leads. A physician reviews the results. |
125 | $5 | $50 |
| Punch biopsy of additional skin growth A small circular tool is used to remove a sample of an extra skin growth for laboratory examination. |
104 | $49 | $300 |
| 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. |
91 | $123 | $510 |
| 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. |
76 | $135 | $550 |
| Awake and drowsy EEG A test that records electrical activity in the brain while the patient is awake and drowsy. |
74 | $45 | $189 |
| Electromyography of arm or leg muscles A test that measures the electrical activity in the muscles of the arm or leg using a needle electrode. It helps evaluate the health of muscles and the nerve cells that control them. |
54 | $80 | $630 |
| Punch biopsy of first skin growth A small, circular piece of skin is removed from a skin growth using a circular blade. The sample is then sent to a laboratory for examination. |
52 | $102 | $390 |
| Bilateral facial and neck nerve muscle paralysis injection Injection of a chemical agent to paralyze muscles in the face and neck on both sides. |
43 | $109 | $760 |
| EEG, extended monitoring A test that records electrical activity in the brain while the patient is both awake and asleep. |
40 | $43 | $236 |
| Nerve conduction study, 9-10 studies A diagnostic test that measures how well nerves send electrical signals. It involves performing 9 to 10 separate nerve conduction studies to evaluate nerve function. |
18 | $160 | $659 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
15 | $31 | $230 |
| EEG monitoring for coma or sleep This procedure measures brain wave activity to monitor patients who are in a coma or asleep. |
12 | $43 | $210 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$19,775
Total received (2018-2024)
Avg $2,825/year across 7 years
Top 18% in MA for neurology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
74
Companies
937
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
$5,506
2023
$4,120
2022
$3,424
2021
$1,352
2020
$378
2019
$2,195
2018
$2,800
Payments by company (2024)
ABBVIE INC.
$968
PFIZER INC.
$648
Biogen, Inc.
$493
UCB, Inc.
$400
MDD US Operations, LLC
$371
Lundbeck LLC
$235
Otsuka America Pharmaceutical, Inc.
$216
Lilly USA, LLC
$209
Eisai Inc.
$159
Amneal Pharmaceuticals LLC
$158
Vanda Pharmaceuticals Inc.
$142
Celgene Corporation
$107
Kyowa Kirin, Inc.
$100
Alexion Pharmaceuticals, Inc.
$96
ACADIA Pharmaceuticals Inc
$94
Neurocrine Biosciences, Inc.
$81
Genentech USA, Inc.
$77
Teva Pharmaceuticals USA, Inc.
$77
EMD Serono, Inc.
$77
Boston Scientific Corporation
$73
ARGENX US, INC.
$73
Takeda Pharmaceuticals U.S.A., Inc.
$71
TG Therapeutics, Inc.
$69
AstraZeneca Pharmaceuticals LP
$68
Novartis Pharmaceuticals Corporation
$56
Alnylam Pharmaceuticals Inc.
$53
Amgen Inc.
$48
InSightec,Inc
$38
SK Life Science, Inc.
$34
Ipsen Biopharmaceuticals, Inc
$33
Merz Pharmaceuticals, LLC
$32
Life Molecular Imaging Ltd
$32
LivaNova USA, Inc.
$28
CATALYST PHARMACEUTICALS, INC.
$26
GENZYME CORPORATION
$26
MITSUBISHI TANABE PHARMA AMERICA, INC.
$23
JAZZ PHARMACEUTICALS INC.
$16
Top 3 companies account for 38.3% of 2024 payments
All-time payments by company (2018-2024) ›
Biogen, Inc.
$2,486
ABBVIE INC.
$2,251
Novartis Pharmaceuticals Corporation
$1,726
Teva Pharmaceuticals USA, Inc.
$1,196
PFIZER INC.
$972
UCB, Inc.
$858
Celgene Corporation
$838
Lilly USA, LLC
$625
MDD US Operations, LLC
$509
Lundbeck LLC
$463
Amgen Inc.
$377
GENZYME CORPORATION
$352
Kyowa Kirin, Inc.
$343
Alexion Pharmaceuticals, Inc.
$327
SK Life Science, Inc.
$322
ACADIA Pharmaceuticals Inc
$322
Amneal Pharmaceuticals LLC
$317
Daiichi Sankyo Inc.
$314
EMD Serono, Inc.
$307
Otsuka America Pharmaceutical, Inc.
$302
Eisai Inc.
$272
Genentech USA, Inc.
$261
Allergan Inc.
$259
Sunovion Pharmaceuticals Inc.
$225
Neurocrine Biosciences, Inc.
$209
Avanir Pharmaceuticals, Inc.
$188
Acorda Therapeutics, Inc
$186
Takeda Pharmaceuticals U.S.A., Inc.
$182
ARGENX US, INC.
$159
Allergan, Inc.
$158
Vanda Pharmaceuticals Inc.
$142
Biohaven Pharmaceuticals, Inc.
$121
Ipsen Biopharmaceuticals, Inc
$120
AbbVie Inc.
$111
Supernus Pharmaceuticals, Inc.
$103
Janssen Pharmaceuticals, Inc
$102
Biohaven Pharmaceutical Holding Company Ltd.
$100
Cala Health, Inc.
$97
US WorldMeds, LLC
$96
AstraZeneca Pharmaceuticals LP
$91
Grifols USA, LLC
$88
Arbor Pharmaceuticals, Inc.
$81
LivaNova USA, Inc.
$78
Boston Scientific Corporation
$73
TG Therapeutics, Inc.
$69
IMPEL PHARMACEUTICALS INC.
$67
TG THERAPEUTICS, INC.
$60
Alnylam Pharmaceuticals Inc.
$53
Strongbridge US INC.
$52
EISAI INC.
$50
GE HEALTHCARE
$49
CATALYST PHARMACEUTICALS, INC.
$44
Greenwich Biosciences, Inc.
$42
Banner Life Sciences, LLC
$40
Avion Pharmaceuticals
$39
E.R. Squibb & Sons, L.L.C.
$38
InSightec,Inc
$38
Mitsubishi Tanabe Pharma America, Inc.
$37
Vertical Pharmaceuticals, LLC
$35
Horizon Therapeutics plc
$34
Azurity Pharmaceuticals, Inc.
$34
Merz Pharmaceuticals, LLC
$32
Life Molecular Imaging Ltd
$32
ARBOR PHARMACEUTICALS, INC.
$26
AbbVie, Inc.
$24
Adamas Pharmaceuticals, Inc.
$23
MITSUBISHI TANABE PHARMA AMERICA, INC.
$23
Amylyx Pharmaceuticals, Inc.
$21
NeuroPace, Inc.
$21
Merz North America, Inc.
$21
Mallinckrodt LLC
$18
JAZZ PHARMACEUTICALS INC.
$16
Mylan Pharmaceuticals Inc.
$15
Shire North American Group Inc
$12
Top 3 companies account for 32.7% of all-time payments
Associated products mentioned in payments ›
ACTHAR · ADUHELM · AIMOVIG · AJOVY · AMPYRA · AMYVID · APOKYN · APTIOM · AUBAGIO · AUSTEDO · AVONEX · Aimovig · Apokyn · Austedo XR · BAFIERTAM · BOTOX · BOTOX THERAPEUTIC · BRIUMVI · Briviact · CALA KIQ · CALA TRIO · COMIRNATY · COPAXONE · DYSPORT · Dhivy · Duopa · Dysport · EMGALITY · EPIDIOLEX · EVUSHELD · Enhertu · Epidiolex · Exablate · FIRDAPSE · Fycompa · GAMMAGARD · GILENYA · GOCOVRI · Gamunex-C · Glatiramer Acetate · Gocovri · HYQVIA · Horizant · INBRIJA · INGREZZA · KESIMPTA · KEVEYIS · KISQALI · KISUNLA · LEMTRADA · LEQEMBI · LYRICA · Leqembi · MAVENCLAD · MAYZENT · MYOBLOC · Mavenclad · NAMZARIC · NEURACEQ · NORTHERA · NOURIANZ · NUEDEXTA · NUPLAZID · NURTEC ODT · Nayzilam · Neupro · Nourianz · Nuedexta · OCREVUS · OCTAGAM IMMUNE GLOBULIN (HUMAN) · ONGENTYS · ONPATTRO · OSMOLEX ER · OXTELLAR XR · Ocrevus · Ongentys · PAXLOVID · PONVORY · Ponvory · QULIPTA · RADICAVA · RELYVRIO · REXULTI · RNS System · RYTARY · Radicava · Rebif · Rystiggo · SKYCLARYS · SOLIRIS · TECFIDERA · TROKENDI XR · TYSABRI · Trudhesa · UBRELVY · ULTOMIRIS · UPLIZNA · VNS THERAPY SENTIVA MODEL 1000 GENERATOR · VNS Therapy · VNS Therapy SenTiva Model 1000 Generator · VPRIV · VRAYLAR · VUMERITY · VYEPTI · VYVGART · VYVGART HYTRULO · Vimpat · WAINUA · XCOPRI · XEOMIN · Xadago · Xeomin · ZAVZPRET · ZEPOSIA · Zilbrysq
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 →
Geographic Context
Neurologists in nearby ZIP areas
645
County median income
$99,431
Nearest hospital to ZIP centroid (approximate)
NORTH SHORE MEDICAL CENTER -
5.2 mi
5.2 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. Litvak is a mixed practice specialist, with above-average Medicare volume (top 4% in MA), 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. Litvak experienced with botox injection, per unit?
Based on Medicare claims data, Dr. Litvak performed 13,500 botox injection, per unit 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. Litvak receive payments from pharmaceutical companies?
Yes. Dr. Litvak received a total of $19,775 from 74 companies across 937 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. Litvak's costs compare to other neurologists in Peabody?
Dr. Litvak's average Medicare payment per service is $12. 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. Litvak) 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 →
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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.
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