Medicare Enrolled

Dr. R Sangal, M.D.

Sleep Medicine (Psychiatry & Neurology) Physician · Bloomfield Hills, MI
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
7 W SQUARE LAKE RD, Bloomfield Hills, MI 48302
2489303981
In practice since 2006 (19 years)
NPI: 1174618375 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. Sangal 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. Sangal

Dr. R Sangal is a sleep medicine physician in Bloomfield Hills, MI, with 19 years of NPI registration. Based on federal Medicare data, Dr. Sangal performed 2,258 Medicare services across 1,374 unique beneficiaries.

Between the years covered by Open Payments, Dr. Sangal received a total of $2,172 from 4 pharmaceutical and/or device companies across 5 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in sleep medicine (psychiatry & neurology) physician. 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. Sangal 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 in practice ▲ Top 9% volume in MI $2,172 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,258
Medicare services
Top 9% in MI for sleep medicine (psychiatry & neurology) physician
1,374
Unique beneficiaries
$85
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~119 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
Assessment of emotional or behavioral problems
An evaluation to identify and understand emotional or behavioral issues. This process involves reviewing symptoms and behaviors to determine the nature of the concerns.
775 $4 $15
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.
417 $68 $150
Remote physiological data monitoring, 30 days
Collection and interpretation of physical parameters transmitted by the patient or caregiver over a 30-day period, requiring at least 30 minutes of professional time.
369 $40 $100
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.
301 $96 $200
Sleep study with continuous airway pressure, age 6+
A sleep study conducted in a sleep lab that monitors breathing and other body functions while administering continuous airway pressure. This test is performed on patients aged 6 years or older.
128 $488 $1,250
Sleep study in sleep lab (age 6+)
An overnight test conducted in a sleep laboratory to monitor sleep patterns and bodily functions in patients aged 6 years or older.
70 $460 $1,123
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.
67 $125 $300
COVID-19 viral test, non-CDC
A laboratory test to detect the SARS-CoV-2 virus (COVID-19) using any technique and targeting multiple types or subtypes. This specific code is for tests performed by laboratories that are not the CDC.
35 $50 $100
Office visit for established patient
An office visit for an existing patient that may not require the healthcare professional to be present.
31 $23 $50
EEG, extended monitoring
A test that records electrical activity in the brain while the patient is both awake and asleep.
19 $334 $900
Digital analysis of brain wave activity (EEG)
This procedure involves the digital analysis of brain wave activity recorded via an electroencephalogram (EEG). It focuses on the technical interpretation of the digital data rather than the initial recording or supervision.
19 $208 $525
Auditory brainstem response test
A test that measures how the brain responds to sound to help diagnose nervous system disorders. The results are interpreted and reported by a medical professional.
15 $63 $175
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.
12 $90 $225
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 2023 ↗
$2,172
Total received (2018-2023)
Avg $543/year across 4 years
Top 42% in MI for sleep medicine (psychiatry & neurology) physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
4
Companies
5
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
$1,746 (80.4%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$425 (19.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2023
$74
2022
$88
2019
$59
2018
$1,951

Payments by company (2023)

Consulting
Speaking
Meals & Travel
Research
JAZZ PHARMACEUTICALS INC.
$74
Top 3 companies account for 100.0% of 2023 payments
All-time payments by company (2018-2023) ›
Jazz Pharmaceuticals Inc.
$1,526
Merck Sharp & Dohme Corporation
$425
JAZZ PHARMACEUTICALS INC.
$133
AstraZeneca Pharmaceuticals LP
$88
Top 3 companies account for 96.0% of all-time payments
Associated products mentioned in payments ›
FARXIGA · XYREM
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 (80%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for a sleep medicine physician in Bloomfield Hills?
Compare sleep medicine physicians in the Bloomfield Hills area by procedure volume, costs, and industry payment transparency.
Browse sleep medicine physicians nearby

Geographic Context

Sleep medicine physicians within 10 mi
2
Per 100K population
0.2
County median income
$95,296
Nearest hospital
TRINITY HEALTH OAKLAND HOSPITAL
3.2 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 2023
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. Sangal is a clinical cardiology specialist, with above-average Medicare volume (top 9% in MI), with low-engagement industry engagement, 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. Sangal experienced with assessment of emotional or behavioral problems?
Based on Medicare claims data, Dr. Sangal performed 775 assessment of emotional or behavioral problems 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. Sangal receive payments from pharmaceutical companies?
Yes. Dr. Sangal received a total of $2,172 from 4 companies across 5 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. Sangal's costs compare to other sleep medicine physicians in Bloomfield Hills?
Dr. Sangal's average Medicare payment per service is $85. 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. Sangal) 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.

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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 →