Medicare Enrolled
Dr. Hitesh Patel, M.D.
Ophthalmology · Edison, NJ
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Patel 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. Patel
Dr. Hitesh Patel is an ophthalmology specialist in Edison, NJ, with 20 years of NPI registration. Based on federal Medicare data, Dr. Patel performed 3,275 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Patel received a total of $7,974 from 36 pharmaceutical and/or device companies across 219 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. Patel 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 37% volume in NJ
$7,974 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗3,275
Medicare services
Top 37% in NJ for ophthalmology
Not available
Unique patients (not deduplicated)
$136
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 |
|---|---|---|---|
| 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. |
570 | $73 | $175 |
| Visual field test, extended A test that maps your complete field of vision to detect blind spots or peripheral vision loss. Extended testing provides a more detailed assessment than a standard visual field exam. |
380 | $51 | $160 |
| Retinal photography (fundus photo) This procedure involves taking photographs of the retina, the light-sensitive tissue at the back of the eye. It is used to document the condition of the eye's interior structures. |
341 | $30 | $200 |
| Comprehensive eye exam, established patient A comprehensive examination of the visual system performed for a patient who has previously been seen by the provider. |
337 | $96 | $200 |
| Aflibercept eye injection (Eylea) | 282 | $690 | $1,495 |
| Retinal imaging (OCT scan) This procedure involves imaging the retina to visualize its structure. It is used to examine the back of the eye. |
263 | $33 | $150 |
| Eye drainage system examination An examination of the internal drainage system of the eye to assess how fluid flows and drains from the eye. |
198 | $24 | $63 |
| Eye injection for retinal disease A procedure involving the administration of medication directly into the eye. |
160 | $95 | $800 |
| Optic nerve imaging (OCT scan) Imaging of the optic nerve. |
143 | $30 | $150 |
| 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. |
100 | $90 | $285 |
| Ultrasound of eye tissue and structures A diagnostic imaging test that uses sound waves to create pictures of the eye's internal tissues and structures. |
88 | $40 | $223 |
| Cataract surgery with lens implant Surgical removal of the clouded natural lens of the eye and replacement with an artificial prosthetic lens to restore vision. |
85 | $440 | $1,493 |
| Laser removal of recurring cataract A laser procedure to remove a recurring cataract within the lens capsule. |
72 | $287 | $600 |
| Comprehensive eye exam, new patient A comprehensive examination of the visual system performed for a new patient. |
69 | $104 | $339 |
| Laser repair to improve eye fluid flow A laser procedure used to enhance the drainage of fluid within the eye. |
48 | $215 | $1,000 |
| Conjunctiva injection A procedure involving the injection of medication into the conjunctiva, the clear tissue covering the white part of the eye. |
41 | $15 | $75 |
| Corneal topography and eye depth measurement This procedure measures the curvature and depth of the cornea, the clear front surface of the eye. |
34 | $41 | $150 |
| 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. |
28 | $111 | $303 |
| Incision to improve eye fluid flow A surgical procedure involving an incision to enhance the drainage of fluid within the eye. |
18 | $737 | $1,863 |
| Complex cataract removal with lens implant A surgical procedure to remove a cataract from the eye and insert an artificial lens to restore vision. |
18 | $533 | $2,500 |
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.
2.6% high complexity
29.8% medium
67.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$7,974
Total received (2018-2024)
Avg $1,139/year across 7 years
Top 11% in NJ for ophthalmology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
36
Companies
219
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
$582
2023
$562
2022
$2,409
2021
$840
2020
$1,075
2019
$716
2018
$1,791
Payments by company (2024)
Johnson & Johnson Surgical Vision, Inc.
$211
Mallinckrodt Hospital Products Inc.
$73
ABBVIE INC.
$65
Alcon Vision LLC
$52
Bausch & Lomb Americas Inc.
$47
Harrow Eye, LLC
$28
Oyster Point Pharma, Inc.
$19
Amgen Inc.
$19
Tarsus Pharmaceuticals, Inc.
$19
Apellis Pharmaceuticals, Inc.
$17
Dompe US, Inc.
$16
Novo Nordisk Inc
$14
Top 3 companies account for 60.0% of 2024 payments
All-time payments by company (2018-2024) ›
Johnson & Johnson Surgical Vision, Inc.
$2,121
Regeneron Pharmaceuticals, Inc.
$1,750
Regeneron Healthcare Solutions, Inc.
$740
Allergan, Inc.
$373
Sun Pharmaceutical Industries Inc.
$310
Mallinckrodt Hospital Products Inc.
$286
Alimera Sciences, Inc.
$255
Allergan Inc.
$181
Bausch & Lomb, a division of Bausch Health US, LLC
$168
Novartis Pharmaceuticals Corporation
$166
CooperVision Inc.
$158
Bausch & Lomb Americas Inc.
$154
Novo Nordisk Inc
$153
Eyevance Pharmaceuticals LLC
$147
ABBVIE INC.
$129
Oyster Point Pharma, Inc.
$124
BioTissue Holdings, Inc.
$123
Alcon Vision LLC
$109
NEW WORLD MEDICAL,INC.
$100
Kala Pharmaceuticals, Inc.
$57
Carl Zeiss Meditec, Inc.
$51
Alcon Laboratories Inc
$42
Mallinckrodt LLC
$41
Dompe US, Inc.
$31
Harrow Eye, LLC
$28
Mallinckrodt Enterprises LLC
$26
Amgen Inc.
$19
Tarsus Pharmaceuticals, Inc.
$19
Apellis Pharmaceuticals, Inc.
$17
Genentech USA, Inc.
$14
Aerie Pharmaceuticals, Inc.
$14
SUN PHARMACEUTICAL INDUSTRIES INC.
$14
Shire North American Group Inc
$14
Lilly USA, LLC
$14
Omeros Corporation
$13
Visioneering Technologies, Inc.
$10
Top 3 companies account for 57.8% of all-time payments
Associated products mentioned in payments ›
ACTHAR · Ahmed Glaucoma Valve · BESIVANCE · BROMSITE · Biofinity Contact Lens · BromSite (bromfenac ophthalmic solution) 0.075% · CATALYS SYSTEM · CEQUA · Catalys Laser System · Centurion · Cequa · Clariti Contact Lens · DUREZOL · DURYSTA · EMGALITY · EYLEA · EYLEA AFLIBERCEPT INJECTION · EYLEA HD · EYSUVIS · Flarex · ILUVIEN · INVELTYS · IOLMaster 500 · Iluvien · LOTEMAX · LOTEMAX SM · LUMIGAN · MIEBO · MyDay Contact Lens · OXERVATE · Omidria · Ozempic · PROKERA · PROLENSA · RESTASIS · RESTASIS MULTIDOSE · Rhopressa · Rocklatan · Rybelsus · SIMBRINZA · Simbrinza · Syfovre · TECNIS IOL · TEPEZZA · TRAVATAN Z · TYRVAYA · Tecnis 1-piece IOL · Tecnis IOL · Tecnis Multifocal Family of 1-piece IOLS · VABYSMO · VEVYE · VYZULTA · VisuMax · XDEMVY · XELPROS · XIIDRA · ZYLET · Zerviate
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
Ophthalmologists in nearby ZIP areas
469
County median income
$109,028
Nearest hospital to ZIP centroid (approximate)
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL
3.4 mi
3.4 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. Patel is a clinical cardiology specialist, with moderate Medicare volume, 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. Patel experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Patel performed 570 office visit, established patient (20-29 min) 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. Patel receive payments from pharmaceutical companies?
Yes. Dr. Patel received a total of $7,974 from 36 companies across 219 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. Patel's costs compare to other ophthalmologists in Edison?
Dr. Patel's average Medicare payment per service is $136. 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. Patel) 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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