Medicare Enrolled

Dr. Rumali Medagoda, M.D.

Pediatrics · Worcester, MA
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
CENTRAL MASS ALLERGY, Worcester, MA 01605
5087571589
Registered in NPPES since 2007
NPI: 1396882536 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. Medagoda 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. Medagoda

Dr. Rumali Medagoda is a pediatrics specialist in Worcester, MA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Medagoda performed 1,331 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Medagoda received a total of $8,485 from 27 pharmaceutical and/or device companies across 365 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. Medagoda 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.

✓ 19 years of NPI registration ▲ Top 15% volume in MA $8,485 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
1,331
Medicare services
Top 15% in MA for pediatrics
Not available
Unique patients (not deduplicated)
$11
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
Allergy skin test
A diagnostic test performed to identify specific allergies by applying or introducing allergenic extracts to the body. The procedure measures the patient's immune response to various potential allergens.
892 $3 $15
Skin allergy test
A test where small amounts of potential allergens are injected into the skin to check for allergic reactions.
228 $7 $27
Allergy test using drug or biological combination
A diagnostic procedure to identify allergic reactions by testing a combination of methods using a specific drug or biological agent.
85 $16 $74
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.
45 $68 $233
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
26 $87 $305
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.
22 $104 $380
Airflow rate measurement test
A test that measures the rate of airflow. This procedure assesses how quickly air moves.
18 $32 $125
Allergy injection therapy, multiple injections
A professional service involving the administration of multiple allergen injections.
15 $9 $34
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 ↗
$8,485
Total received (2018-2024)
Avg $1,212/year across 7 years
Top 4% in MA for pediatrics
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
27
Companies
365
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
$2,558
2023
$1,937
2022
$1,310
2021
$124
2020
$124
2019
$1,254
2018
$1,176

Payments by company (2024)

AstraZeneca Pharmaceuticals LP
$910
Regeneron Healthcare Solutions, Inc.
$336
Pharming Healthcare, Inc.
$291
CSL Behring
$265
GlaxoSmithKline, LLC.
$161
PFIZER INC.
$105
kaleo, Inc.
$98
ABBVIE INC.
$94
Takeda Pharmaceuticals U.S.A., Inc.
$79
Novartis Pharmaceuticals Corporation
$55
Grifols USA, LLC
$50
Amgen Inc.
$30
Boehringer Ingelheim Pharmaceuticals, Inc.
$30
GENZYME CORPORATION
$29
Optinose US, Inc.
$25
Top 3 companies account for 60.1% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$2,553
GlaxoSmithKline, LLC.
$967
Regeneron Healthcare Solutions, Inc.
$867
CSL Behring
$628
Pharming Healthcare, Inc.
$457
PFIZER INC.
$441
Shire North American Group Inc
$428
Genentech USA, Inc.
$252
kaleo, Inc.
$246
ABBVIE INC.
$243
Takeda Pharmaceuticals U.S.A., Inc.
$228
Novartis Pharmaceuticals Corporation
$205
Grifols USA, LLC
$196
Optinose US, Inc.
$169
ALK-Abello, Inc
$108
GENZYME CORPORATION
$88
Aimmune Therapeutics, Inc.
$78
Greer Laboratories, Inc.
$59
Amgen Inc.
$57
Kaleo, Inc.
$48
Teva Pharmaceuticals USA, Inc.
$38
Boehringer Ingelheim Pharmaceuticals, Inc.
$30
OptiNose US, Inc.
$28
BioCryst US Sales Co., LLC
$19
Blueprint Medicines Corporation
$18
Biohaven Pharmaceutical Holding Company Ltd.
$17
AIMMUNE THERAPEUTICS, INC.
$16
Top 3 companies account for 51.7% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AUVI-Q · AYVAKIT · Auvi-Q · BREO · BREZTRI · CINRYZE · CUVITRU · DUPIXENT · DUPIXENT DUPILUMAB INJECTION · EUCRISA · FASENRA · FIRAZYR · Grastek · HYQVIA · Haegarda · Hizentra · Kcentra · NUCALA · NURTEC ODT · OCTAGAM IMMUNE GLOBULIN (HUMAN) · ORALAIR · ORLADEYO · Odactra · PALFORZIA · PANZYGA · PAZEO · QVAR · RINVOQ · RUCONEST · SPIRIVA RESPIMAT · SYMBICORT · TAKHZYRO · TEZSPIRE · TRELEGY ELLIPTA · XOLAIR · Xembify · Xhance · Xolair
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 a pediatrics specialist in Worcester?
Compare pediatricians in the Worcester area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Pediatricians in nearby ZIP areas
320
County median income
$93,561
Nearest hospital to ZIP centroid (approximate)
ADCARE HOSPITAL OF WORCESTER INC
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. Medagoda is a mixed practice specialist, with above-average Medicare volume (top 15% in MA), with 19 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. Medagoda experienced with allergy skin test?
Based on Medicare claims data, Dr. Medagoda performed 892 allergy skin test 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. Medagoda receive payments from pharmaceutical companies?
Yes. Dr. Medagoda received a total of $8,485 from 27 companies across 365 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. Medagoda's costs compare to other pediatricians in Worcester?
Dr. Medagoda's average Medicare payment per service is $11. 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. Medagoda) 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 →