Medicare Enrolled

Dr. Prakash Sanghvi, M.D.

Family Medicine · Sylvan Lake, MI
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
2111 ORCHARD LAKE RD, Sylvan Lake, MI 48320
2484511092
In practice since 2006 (20 years)
NPI: 1730136961 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. Sanghvi 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. Sanghvi

Dr. Prakash Sanghvi is a family medicine specialist in Sylvan Lake, MI, with 20 years of NPI registration. Based on federal Medicare data, Dr. Sanghvi performed 2,522 Medicare services across 1,102 unique beneficiaries.

Between the years covered by Open Payments, Dr. Sanghvi received a total of $4,718 from 29 pharmaceutical and/or device companies across 267 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. Sanghvi 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 4% volume in MI $4,718 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,522
Medicare services
Top 4% in MI for family medicine
1,102
Unique beneficiaries
$61
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~126 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.
1,059 $63 $87
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
268 $8 $12
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.
265 $63 $110
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.
209 $103 $195
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.
199 $65 $125
Advance care planning consultation, first 30 min
A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion.
95 $50 $150
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
88 $130 $180
Telephone medical discussion, 11-20 minutes
A phone conversation with a physician lasting between 11 and 20 minutes.
86 $47 $95
Chronic care management, first 20 min/month
This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions.
47 $42 $100
Urinalysis, manual
A manual laboratory examination of a urine sample to check for various substances and cells.
38 $3 $5
Transitional care management services, moderate complexity
Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity.
37 $155 $220
Vitamin B-12 injection
An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg.
34 $1 $13
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.
28 $97 $160
Quadrivalent influenza vaccine, preservative-free
A flu shot containing four strains of the influenza virus, formulated without preservatives, administered in a 0.5 ml dose.
27 $22 $25
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
26 $31 $35
Annual depression screening 16 $18 $20
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 ↗
$4,718
Total received (2018-2024)
Avg $674/year across 7 years
Top 9% in MI for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
29
Companies
267
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
$4,624 (98.0%)
Other
Charitable contributions, space rental, and other categories
$94 (2.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$954
2023
$671
2022
$604
2021
$702
2020
$490
2019
$693
2018
$605

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$422
Novo Nordisk Inc
$194
Lilly USA, LLC
$124
Abbott Laboratories
$94
Exact Sciences Corporation
$55
HARMONY BIOSCIENCES LLC
$26
Grifols USA, LLC
$25
Janssen Pharmaceuticals, Inc
$16
Top 3 companies account for 77.5% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$1,419
Novo Nordisk Inc
$852
Lilly USA, LLC
$555
Boehringer Ingelheim Pharmaceuticals, Inc.
$329
PFIZER INC.
$262
Alkermes, Inc.
$223
Abbott Laboratories
$184
Merck Sharp & Dohme Corporation
$119
Exact Sciences Corporation
$111
Allergan, Inc.
$63
Amarin Pharma Inc.
$62
Janssen Pharmaceuticals, Inc
$61
E.R. Squibb & Sons, L.L.C.
$59
Takeda Pharmaceuticals U.S.A., Inc.
$56
SANOFI-AVENTIS U.S. LLC
$51
AbbVie Inc.
$43
Xeris Pharmaceuticals, Inc.
$35
Teva Pharmaceuticals USA, Inc.
$31
Gilead Sciences, Inc.
$26
HARMONY BIOSCIENCES LLC
$26
Grifols USA, LLC
$25
Ironwood Pharmaceuticals, Inc
$23
Eisai Inc.
$22
ABBVIE INC.
$17
GlaxoSmithKline, LLC.
$15
Kowa Pharmaceuticals America, Inc.
$13
Astellas Pharma US Inc
$13
Genentech USA, Inc.
$12
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$11
Top 3 companies account for 59.9% of all-time payments
Associated products mentioned in payments ›
ADVAIR · AIRSUPRA · ARISTADA · AUSTEDO · Amitiza · BASAGLAR · BREZTRI · BREZTRI AEROSPHERE · CHANTIX · Cologuard Collection Kit · Dayvigo · ELIQUIS · EMGALITY · EUCRISA · FARXIGA · FIASP · FREESTYLE INSULINX · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · JANUVIA · JARDIANCE · KEVEYIS · Levemir · Linzess · Livalo · MAVYRET · MOUNJARO · MOVANTIK · MYRBETRIQ · Ozempic · PREMARIN · Prolastin-C Liquid · RYBELSUS · Rybelsus · SOLIQUA 100/33 · SYMBICORT · TOUJEO · TRADJENTA · TRULICITY · UBRELVY · VYNDAMAX · Vascepa · Victoza · WAKIX · Wegovy · XARELTO · XIFAXAN · Xofluza
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 (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 9% for family medicine in MI.

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

Family medicine physicians within 10 mi
1,816
Per 100K population
142.7
County median income
$95,296
Nearest hospital
TRINITY HEALTH OAKLAND HOSPITAL
2.6 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. Sanghvi is a clinical cardiology specialist, with above-average Medicare volume (top 4% in MI), with low-engagement industry engagement in the top 9% of MI 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. Sanghvi experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Sanghvi performed 1,059 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. Sanghvi receive payments from pharmaceutical companies?
Yes. Dr. Sanghvi received a total of $4,718 from 29 companies across 267 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. Sanghvi's costs compare to other family medicine physicians in Sylvan Lake?
Dr. Sanghvi's average Medicare payment per service is $61. 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. Sanghvi) 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 →