Medicare Enrolled

Dr. Raj Dalsania, M.D.

Gastroenterology · Charlotte, NC
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
2015 RANDOLPH RD STE 208, Charlotte, NC 28207
7043774009
In practice since 2015 (11 years)
NPI: 1205222882 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. Dalsania 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. Dalsania

Dr. Raj Dalsania is a gastroenterology specialist in Charlotte, NC, with 11 years of NPI registration. Based on federal Medicare data, Dr. Dalsania performed 400 Medicare services across 337 unique beneficiaries.

Between the years covered by Open Payments, Dr. Dalsania received a total of $981 from 16 pharmaceutical and/or device companies across 24 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. 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. Dalsania 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.

✓ 11 years in practice ▲ 400 Medicare services $981 industry payments

Medicare Practice Summary

Medicare Utilization ↗
400
Medicare services
Bottom 39% in NC for gastroenterology
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
337
Unique beneficiaries
$112
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~36 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, high complexity
Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter.
70 $90 $350
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.
47 $60 $230
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.
42 $110 $463
Upper GI endoscopy with biopsy
A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities.
38 $40 $601
Colon polyp removal with endoscopic snare
This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination.
37 $166 $1,262
Endoscopic removal of bile or pancreatic duct stone
A flexible endoscope is used to remove stones or debris from the bile or pancreatic ducts.
24 $131 $2,112
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.
23 $87 $337
Endoscopic ultrasound of esophagus, stomach, or upper small bowel
An ultrasound exam of the esophagus, stomach, and/or upper small bowel performed using a flexible endoscope.
22 $139 $1,248
Endoscopic ultrasound-guided needle biopsy
A procedure using an ultrasound-equipped endoscope to guide a needle for tissue sampling of the esophagus, stomach, or upper small bowel.
20 $157 $1,740
Colonoscopy with biopsy
A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease.
18 $114 $1,034
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.
17 $132 $545
Pancreatic or bile duct stent insertion
A flexible endoscope is used to place a stent into the pancreatic or bile duct to keep it open.
16 $333 $1,812
Endoscopic incision of pancreatic outlet
A procedure where a flexible endoscope is used to make an incision in the pancreatic outlet.
14 $43 $1,445
Colonoscopy for colorectal cancer screening, high risk
A colonoscopy performed to screen for colorectal cancer in individuals identified as being at high risk for the disease.
12 $151 $886
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.
4.0% high complexity
27.5% medium
68.5% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$981
Total received (2018-2024)
Avg $245/year across 4 years
Bottom 38% in NC for gastroenterology
16
Companies
24
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
$981 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$712
2023
$89
2022
$143
2018
$36

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Enterra Medical, Inc.
$145
Abbott Laboratories
$143
PFIZER INC.
$114
PENTAX of America, Inc.
$93
ABBVIE INC.
$65
AIMMUNE THERAPEUTICS, INC.
$45
Olympus America Inc.
$37
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$21
Phathom Pharmaceuticals, Inc.
$18
Ipsen Biopharmaceuticals, Inc
$17
Alnylam Pharmaceuticals Inc.
$14
Top 3 companies account for 56.5% of 2024 payments
All-time payments by company (2018-2024) ›
Abbott Laboratories
$155
Enterra Medical, Inc.
$145
OMEGA MEDICAL IMAGING, LLC
$143
PFIZER INC.
$114
PENTAX of America, Inc.
$93
Olympus America Inc.
$73
ABBVIE INC.
$65
AIMMUNE THERAPEUTICS, INC.
$45
Boston Scientific Corporation
$30
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$21
NESTLE HEALTHCARE NUTRITION INC.
$18
Phathom Pharmaceuticals, Inc.
$18
Ipsen Biopharmaceuticals, Inc
$17
Amgen Inc.
$15
Alnylam Pharmaceuticals Inc.
$14
Janssen Biotech, Inc.
$13
Top 3 companies account for 45.3% of all-time payments
Associated products mentioned in payments ›
AMJEVITA · Bylvay · CREON · EVIS EXERA · EndoClot PHS · GIVLAARI · INSPIRA · LINZESS · MERLIN@HOME · RINVOQ · Resolution 360 ULTRA Clip · STELARA · THORATEC HEARTMATE 3 LVAS IMPLANT KIT · VELSIPITY · VOQUEZNA · VOWST · XIFAXAN · ZENPEP
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for a gastroenterology specialist in Charlotte?
Compare gastroenterologists in the Charlotte area by procedure volume, costs, and industry payment transparency.
Browse gastroenterologists nearby

Geographic Context

Gastroenterologists within 10 mi
83
Per 100K population
7.3
County median income
$83,765
Nearest hospital
CAROLINAS MEDICAL CENTER/BEHAV HEALTH
2.1 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. Dalsania is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Dalsania experienced with hospital follow-up visit, high complexity?
Based on Medicare claims data, Dr. Dalsania performed 70 hospital follow-up visit, high 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. Dalsania receive payments from pharmaceutical companies?
Yes. Dr. Dalsania received a total of $981 from 16 companies across 24 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. Dalsania's costs compare to other gastroenterologists in Charlotte?
Dr. Dalsania's average Medicare payment per service is $112. 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. Dalsania) 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.

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. 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 →