Medicare Enrolled
Dr. Rajiv Nair, M.D.
Cardiovascular Disease · Bloomfield Hills, MI
Practice pattern: Remote & Electrophysiology
— Practice combining remote and electrophysiology services
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. Nair 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. Nair
Dr. Rajiv Nair is a cardiovascular disease specialist in Bloomfield Hills, MI, with 20 years of NPI registration. Based on federal Medicare data, Dr. Nair performed 4,121 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Nair received a total of $22,267 from 26 pharmaceutical and/or device companies across 178 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. Nair 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 13% volume in MI
$22,267 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗4,121
Medicare services
Top 13% in MI for cardiovascular disease
Not available
Unique patients (not deduplicated)
$40
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 |
|---|---|---|---|
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
578 | $16 | $65 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
540 | $11 | $32 |
| 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. |
412 | $88 | $166 |
| Remote pacemaker monitoring, 90 days Remote assessment of a pacemaker system, including single, dual, multiple lead, or leadless devices, performed up to 90 days apart. |
390 | $21 | $60 |
| Remote monitoring of implantable heart rhythm device Evaluation of data transmitted remotely from an implantable cardiovascular monitor, such as a loop recorder or subcutaneous cardiac rhythm monitor, over a period up to 30 days. |
311 | $54 | $190 |
| Remote cardiac rhythm monitor evaluation, up to 30 days Review and analysis of data from a remote cardiac rhythm monitoring system over a period of up to 30 days. |
310 | $19 | $60 |
| 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. |
242 | $66 | $145 |
| Remote evaluation of implantable defibrillator system Remote assessment of a single, dual, or multiple lead implantable defibrillator system within 90 days of the previous evaluation. |
190 | $26 | $115 |
| External EKG monitoring, 8-15 days Continuous external electrocardiogram recording and review over a period of 8 to 15 days to monitor heart rhythm. |
189 | $20 | $50 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
130 | $27 | $115 |
| Continuous EKG monitoring review, 48-7 days Review and interpretation of continuous external EKG recordings lasting more than 48 hours up to 7 days. |
126 | $19 | $46 |
| Telephone or electronic consultation, at least 5 minutes A remote assessment and management service provided by a consulting physician via telephone, internet, or electronic health record. The service requires at least 5 minutes of time and includes a written report. |
71 | $26 | $58 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
66 | $103 | $200 |
| 2-day continuous ECG with professional review A two-day continuous electrocardiogram recording that includes a review by a healthcare professional. |
63 | $14 | $45 |
| 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. |
55 | $121 | $239 |
| 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. |
49 | $141 | $300 |
| 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. |
45 | $64 | $105 |
| Continuous external EKG monitoring, 48 hours to 7 days This procedure involves recording the heart's electrical activity continuously using an external device for a period exceeding 48 hours but not more than 7 days. |
34 | $9 | $29 |
| Programming of multiple lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with multiple leads to ensure proper function. |
31 | $48 | $145 |
| Programming of single lead implantable defibrillator system Adjustment and testing of the settings for a single-lead implantable cardioverter-defibrillator (ICD) to ensure proper function. |
27 | $31 | $105 |
| Pacemaker system programming Adjustment and testing of a multi-lead pacemaker to ensure proper function and settings. |
26 | $32 | $120 |
| Continuous external EKG monitoring, 8-15 days This procedure involves recording heart rhythm continuously using an external EKG device over a period of 8 to 15 days. |
25 | $9 | $29 |
| 2-day continuous ECG monitoring A continuous electrocardiogram recording that captures heart activity over a 48-hour period. This test helps detect irregular heart rhythms or other cardiac issues that may not appear during a standard, short-term ECG. |
23 | $13 | $50 |
| 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. |
22 | $84 | $157 |
| Pacemaker insertion with heart chamber electrodes A surgical procedure to implant a pacemaker device and place electrodes into the upper and lower chambers of the heart to regulate heart rhythm. |
21 | $430 | $1,000 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
21 | $84 | $250 |
| 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. |
21 | $132 | $212 |
| External shock to heart to regulate heart beat A procedure that delivers an electric shock to the heart from outside the body to restore a normal heart rhythm. |
20 | $88 | $265 |
| Tilt table test for heart function A test that monitors heart function while the patient is moved from a lying to an upright position on a special table. |
20 | $72 | $180 |
| Programming of dual lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with two leads to ensure proper function. |
19 | $44 | $130 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
18 | $41 | $57 |
| Pacemaker programming, single lead Adjustment and testing of a single-lead pacemaker to ensure it functions correctly. |
14 | $25 | $95 |
| Continuous ECG monitoring with transmission and review Continuous electrocardiogram monitoring for up to 30 days with symptom tracking. The data is transmitted and reviewed by a healthcare professional who provides a report. |
12 | $18 | $45 |
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.
34.6% high complexity
0.5% medium
64.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$22,267
Total received (2018-2024)
Avg $3,181/year across 7 years
Top 13% in MI for cardiovascular disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
26
Companies
178
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
$10,545
2023
$597
2022
$3,292
2021
$504
2020
$617
2019
$1,125
2018
$5,586
Payments by company (2024)
Medtronic, Inc.
$5,074
Medical Device Business Services, Inc.
$2,766
BIOTRONIK INC.
$2,089
Endologix LLC
$214
Biosense Webster, Inc.
$212
Kestra Medical Technology Services, Inc.
$28
PFIZER INC.
$25
Terumo Medical Corporation
$24
Boston Scientific Corporation
$21
CVRx, Inc.
$20
E.R. Squibb & Sons, L.L.C.
$19
Davol Inc.
$18
Abbott Laboratories
$18
Daiichi Sankyo Inc.
$16
Top 3 companies account for 94.2% of 2024 payments
All-time payments by company (2018-2024) ›
BIOTRONIK INC.
$8,431
Medtronic, Inc.
$5,535
Medical Device Business Services, Inc.
$3,040
Abbott Laboratories
$1,268
Medtronic Vascular, Inc.
$1,093
Endologix, Inc.
$710
Endologix LLC
$636
Biosense Webster, Inc.
$537
BOSTON SCIENTIFIC CORPORATION
$199
Boston Scientific Corporation
$140
Endologix, LLC
$118
Janssen Pharmaceuticals, Inc
$81
Medtronic USA, Inc.
$78
Baxter Healthcare
$73
SANOFI-AVENTIS U.S. LLC
$67
Ancora Heart, Inc.
$58
Kestra Medical Technology Services, Inc.
$28
PFIZER INC.
$25
Terumo Medical Corporation
$24
Aziyo Biologics, Inc.
$21
CVRx, Inc.
$20
E.R. Squibb & Sons, L.L.C.
$19
Davol Inc.
$18
AtriCure, Inc.
$18
Daiichi Sankyo Inc.
$16
Lundbeck LLC
$13
Top 3 companies account for 76.4% of all-time payments
Associated products mentioned in payments ›
AMPLATZER Occluders · ARISTA AH FlexiTip · ASSURITY · AccuCinch · Acticor 7 VR-T DX · Advisa · Alto Abdominal Stent Graft System · Arctic Front · Assure WCD · Azure · Barostim Neo System · BioMonitor · CAMZYOS · CARDIOMEMS · CARTO 3 · COBALT DR MRI SURESCAN · Cardiac Mapping System · Carto 3 System · Carto Smarttouch · CartoSound · Cobalt · CoreValve Evolut · ECM Patch · EP-WorkMate Claris System · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · Edora 8 DR-T · Ensite Cardiac Mapping System · FIRMap Catheters · General - EP · HeartMate 3 Left Ventricular Assist Device · INJECTAFER · MICRA · MULTAQ · Micra · NORTHERA · Ovation · PRALUENT · PULSESELECT · Pouch · ROTABLATOR · Rivacor · Rivacor 7 DR-T · SelectSecure · Solia · Solitaire · SureScan · THORATEC HEARTMATE 3 LVAS IMPLANT KIT · TR BAND · Unify Assura CRT Defibrillator · VYNDAQEL · WATCHMAN · XARELTO · i-STAT 1
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
Cardiologists in nearby ZIP areas
310
County median income
$95,296
Nearest hospital to ZIP centroid (approximate)
TRINITY HEALTH OAKLAND HOSPITAL
3.9 mi
3.9 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. Nair is a remote & electrophysiology specialist, with above-average Medicare volume (top 13% in MI), 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. Nair experienced with remote pacemaker/defibrillator monitoring, 90 days?
Based on Medicare claims data, Dr. Nair performed 578 remote pacemaker/defibrillator monitoring, 90 days 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. Nair receive payments from pharmaceutical companies?
Yes. Dr. Nair received a total of $22,267 from 26 companies across 178 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. Nair's costs compare to other cardiologists in Bloomfield Hills?
Dr. Nair's average Medicare payment per service is $40. 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. Nair) 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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