Medicare Enrolled
Dr. Ketan Hirapara, MD
Pain Medicine · Edison, NJ
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Hirapara 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 →
Are you Dr. Hirapara?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Hirapara
Dr. Ketan Hirapara is a pain medicine specialist in Edison, NJ, with 10 years of NPI registration. Based on federal Medicare data, Dr. Hirapara performed 2,442 Medicare services across 1,179 unique beneficiaries.
Between the years covered by Open Payments, Dr. Hirapara received a total of $4,027 from 27 pharmaceutical and/or device companies across 149 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pain 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. Hirapara 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.
✓ 10 years in practice
▲ Top 23% volume in NJ
$4,027 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,442
Medicare services
Top 23% in NJ for pain medicine
1,179
Unique beneficiaries
$95
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~244 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 |
|---|---|---|---|
| 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. |
728 | $102 | $310 |
| Behavioral health care management, 20+ minutes This service involves clinical staff time directed by a healthcare professional to manage behavioral health conditions. It requires at least 20 minutes of dedicated clinical staff time. |
344 | $36 | $200 |
| 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. |
277 | $75 | $249 |
| Psychotherapy and evaluation, 30 minutes A combined session involving psychotherapy and an evaluation and management visit lasting 30 minutes. |
214 | $55 | $300 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
113 | $193 | $525 |
| Ultrasound-guided large joint aspiration or injection This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint. |
103 | $108 | $1,219 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
92 | $240 | $805 |
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
91 | $58 | $100 |
| Hyaluronan injection (Euflexxa) for joint An injection of hyaluronan or its derivative, specifically Euflexxa, administered directly into a joint space. |
80 | $98 | $400 |
| Psychiatric diagnostic evaluation with medical services A psychiatric assessment that includes medical services to evaluate mental health conditions. |
74 | $155 | $400 |
| Injection, methylprednisolone acetate, 40 mg | 68 | $6 | $33 |
| 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. |
64 | $127 | $327 |
| 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. |
36 | $42 | $164 |
| Spinal neurostimulator electrode insertion A procedure to place an electrode array into the spine through the skin. The electrode is used to deliver electrical stimulation to the nervous system. |
29 | $272 | $30,866 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
24 | $1 | $15 |
| Knee nerve block injection with imaging guidance An injection of anesthetic and/or steroid medication into a nerve branch of the knee, performed using imaging guidance to ensure accurate placement. |
20 | $233 | $1,508 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
19 | $313 | $2,684 |
| Electronic analysis of implanted neurostimulator with complex programming This procedure involves the electronic evaluation of an implanted neurostimulator generator. It includes complex programming of spinal cord or peripheral nerve stimulators. |
15 | $35 | $350 |
| Spinal neurostimulator generator insertion Surgical placement of a spinal neurostimulator generator or receiver device. |
14 | $182 | $40,000 |
| Knee X-ray, 1-2 views An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures. |
13 | $29 | $146 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
12 | $32 | $149 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
12 | $52 | $600 |
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 ↗$4,027
Total received (2020-2024)
Avg $805/year across 5 years
Top 36% in NJ for pain medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
27
Companies
149
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
$4,027 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$998
2023
$1,221
2022
$978
2021
$169
2020
$661
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$322
Axsome Therapeutics, Inc.
$107
Janssen Pharmaceuticals, Inc
$83
Otsuka America Pharmaceutical, Inc.
$64
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$62
Boston Scientific Corporation
$50
BIOTRONIK NRO, Inc.
$47
Nalu Medical, Inc.
$43
Takeda Pharmaceuticals U.S.A., Inc.
$34
SPR Therapeutics, Inc
$32
Medtronic, Inc.
$29
Nevro Corp.
$22
Curonix LLC
$21
Averitas Pharma Inc.
$18
Collegium Pharmaceutical, Inc.
$17
Alkermes, Inc.
$16
IDORSIA PHARMACEUTICALS US INC
$16
Vanda Pharmaceuticals Inc.
$15
Top 3 companies account for 51.4% of 2024 payments
All-time payments by company (2020-2024) ›
Janssen Pharmaceuticals, Inc
$734
ABBVIE INC.
$645
Boston Scientific Corporation
$554
Relievant Medsystems, Inc.
$522
Medtronic, Inc.
$349
Collegium Pharmaceutical, Inc.
$168
Otsuka America Pharmaceutical, Inc.
$165
Medtronic USA, Inc.
$135
Axsome Therapeutics, Inc.
$107
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$78
Nalu Medical, Inc.
$77
IDORSIA PHARMACEUTICALS US INC
$62
Kowa Pharmaceuticals America, Inc.
$55
PROTEGA PHARMACEUTIALS INC
$51
BIOTRONIK NRO, Inc.
$47
Averitas Pharma Inc.
$34
Takeda Pharmaceuticals U.S.A., Inc.
$34
SPR Therapeutics, Inc
$32
Vertos Medical, Inc.
$31
Otsuka Pharmaceutical Development & Commercialization, Inc.
$22
Nevro Corp.
$22
Curonix LLC
$21
Saluda Medical Americas, Inc.
$20
Alkermes, Inc.
$16
SANOFI-AVENTIS U.S. LLC
$16
Pacira Pharmaceuticals Incorporated
$16
Vanda Pharmaceuticals Inc.
$15
Top 3 companies account for 48.0% of all-time payments
Associated products mentioned in payments ›
ARISTADA · Auvelity · Belbuca · Evoke SCS · Exparel · FANAPT · INTELLIS · INTELLIS ADAPTIVESTIM · INVEGA SUSTENNA · Intracept · KYPHON EXPRESS II KYPHOPAK TRAY · Nalu Neurostimulation System · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · Prospera · QUTENZA · QUVIVIQ · RELISTOR · RESTORE · REXULTI · ROXYBOND · SEGLENTIS · SPECTRA WAVEWRITER · SPRAVATO · SPRINT PNS System · SYNVISC-ONE · Senza · TRINTELLIX · VECTRIS · VRAYLAR · WaveWriter Alpha Prime 16 · XTAMPZA · mild Device Kit
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.
Geographic Context
Pain medicines within 10 mi
27
Per 100K population
3.1
County median income
$109,028
Nearest hospital
RARITAN BAY MEDICAL CENTER
3.7 mi
3.7 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. Hirapara is a clinical cardiology specialist, with above-average Medicare volume (top 23% in NJ), 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. Hirapara experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Hirapara performed 728 office visit, established patient (30-39 min) 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. Hirapara receive payments from pharmaceutical companies?
Yes. Dr. Hirapara received a total of $4,027 from 27 companies across 149 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. Hirapara's costs compare to other pain medicines in Edison?
Dr. Hirapara's average Medicare payment per service is $95. 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. Hirapara) 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 →
Explore related providers
Same specialty & city
Pain Medicines in Edison
Browse pain medicines in Edison ranked by procedure volume and transparency data.
Highest volume
Top Pain Medicines in NJ
Pain medicines ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Pain Medicines in NJ
Which NJ pain medicines receive the most from drug and device companies.
By company
Janssen Pharmaceuticals, Inc Payments to Doctors
See all physicians who received payments from Janssen Pharmaceuticals, Inc.
By company
ABBVIE INC. Payments to Doctors
See all physicians who received payments from ABBVIE INC.
By company
Boston Scientific Corporation Payments to Doctors
See all physicians who received payments from Boston Scientific Corporation.
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