Medicare Enrolled
Dr. Ketankumar Vaidya, MD
Geriatric Medicine (Internal Medicine) Physician · 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. Vaidya 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. Vaidya?
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What this data tells you about Dr. Vaidya
Dr. Ketankumar Vaidya is a geriatric medicine physician in Edison, NJ, with 20 years of NPI registration. Based on federal Medicare data, Dr. Vaidya performed 2,573 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Vaidya received a total of $8,419 from 44 pharmaceutical and/or device companies across 465 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. Vaidya 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 22% volume in NJ
$8,419 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗2,573
Medicare services
Top 22% in NJ for geriatric medicine (internal medicine) physician
Not available
Unique patients (not deduplicated)
$58
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 (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. |
1,202 | $62 | $180 |
| 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. |
319 | $55 | $125 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
257 | $80 | $175 |
| Nursing facility visit, established patient, straightforward A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves straightforward medical decision making and lasts at least 10 minutes. |
254 | $34 | $100 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
223 | $43 | $100 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
110 | $47 | $100 |
| Remote vital sign monitoring management, each additional 20 minutes This code covers the time spent by a provider managing patient data from remote vital sign monitoring devices. It applies to each additional 20-minute increment beyond the initial monthly service period. |
45 | $35 | $65 |
| 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. |
35 | $43 | $90 |
| Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 32 | $70 | $185 |
| 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. |
23 | $49 | $190 |
| Home visit, established patient, moderate complexity A home visit for an established patient involving moderate medical decision making. The visit requires at least 40 minutes of time if time is used to determine the level of service. |
17 | $88 | $185 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
16 | $38 | $65 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
16 | $150 | $272 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
13 | $114 | $400 |
| 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. |
11 | $86 | $250 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$8,419
Total received (2018-2024)
Avg $1,203/year across 7 years
Top 7% in NJ for geriatric medicine (internal medicine) physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
44
Companies
465
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
$960
2023
$558
2022
$1,380
2021
$1,533
2020
$1,260
2019
$1,795
2018
$934
Payments by company (2024)
AstraZeneca Pharmaceuticals LP
$317
Novartis Pharmaceuticals Corporation
$245
Exact Sciences Corporation
$50
GlaxoSmithKline, LLC.
$46
Merck Sharp & Dohme LLC
$44
Bayer Healthcare Pharmaceuticals Inc.
$41
ACADIA Pharmaceuticals Inc
$33
Novo Nordisk Inc
$31
Eisai Inc.
$30
ABBVIE INC.
$27
Axsome Therapeutics, Inc.
$17
CeQur Corporation
$17
Lundbeck LLC
$16
Otsuka America Pharmaceutical, Inc.
$16
Neurocrine Biosciences, Inc.
$15
Lilly USA, LLC
$14
Top 3 companies account for 63.8% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$1,947
Nevro Corp.
$906
Novartis Pharmaceuticals Corporation
$797
Janssen Pharmaceuticals, Inc
$624
AstraZeneca Pharmaceuticals LP
$611
Medtronic, Inc.
$385
Lilly USA, LLC
$380
Astellas Pharma US Inc
$362
Bayer HealthCare Pharmaceuticals Inc.
$249
Boston Scientific Corporation
$246
GlaxoSmithKline, LLC.
$201
SANOFI-AVENTIS U.S. LLC
$171
Merck Sharp & Dohme Corporation
$143
Alexion Pharmaceuticals, Inc.
$124
GENZYME CORPORATION
$124
Boehringer Ingelheim Pharmaceuticals, Inc.
$114
Merck Sharp & Dohme LLC
$109
PFIZER INC.
$91
Medtronic MiniMed, Inc.
$83
ARBOR PHARMACEUTICALS, INC.
$77
ACADIA Pharmaceuticals Inc
$74
Sunovion Pharmaceuticals Inc.
$57
Bayer Healthcare Pharmaceuticals Inc.
$55
Exact Sciences Corporation
$50
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$40
Otsuka America Pharmaceutical, Inc.
$31
Eisai Inc.
$30
Neurocrine Biosciences, Inc.
$29
Scilex Pharmaceuticals Inc.
$28
Mylan Specialty L.P.
$27
ABBVIE INC.
$27
Abbott Laboratories
$27
Daiichi Sankyo Inc.
$26
Amgen Inc.
$26
AbbVie Inc.
$26
Axsome Therapeutics, Inc.
$17
CeQur Corporation
$17
Lundbeck LLC
$16
IBSA Pharma Inc.
$13
Teva Pharmaceuticals USA, Inc.
$13
Vanda Pharmaceuticals Inc.
$13
Allergan Inc.
$12
Nestle HealthCare Nutrition Inc.
$12
EISAI INC.
$11
Top 3 companies account for 43.3% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AMYVID · APTIOM · AREXVY · AUSTEDO · BASAGLAR · BREZTRI · BYSTOLIC · Belviq · CHANTIX · COLOGUARD DNA CAPTURE REAGENTS · CeQur Simplicity · Cologuard Collection Kit · CoreValve Evolut · DUPIXENT · ELIQUIS · ENTRESTO · Edarbi · FARXIGA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · GENERAL - PAIN MANAG · GENERAL - PAIN MANAGEMENT · HETLIOZ · INGREZZA · INJECTAFER · INTELLIS · INVOKANA · JANUVIA · JARDIANCE · Kerendia · LEQVIO · LICART · LINZESS · LOKELMA · Leqembi · MOUNJARO · MYRBETRIQ · NUPLAZID · Omnia · Otezla · Ozempic · Perforomist · REXULTI · RYBELSUS · Rybelsus · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · Saxenda · Senza · Sunosi · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRULANCE · TRULICITY · Tresiba · VERQUVO · VIBERZI · VRAYLAR · Wegovy · XARELTO · XIFAXAN · Yupelri · ZENPEP · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · iPro2
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
Geriatric medicine physicians in nearby ZIP areas
122
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. Vaidya is a clinical cardiology specialist, with above-average Medicare volume (top 22% in NJ), 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. Vaidya experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Vaidya performed 1,202 office visit, established patient (30-39 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. Vaidya receive payments from pharmaceutical companies?
Yes. Dr. Vaidya received a total of $8,419 from 44 companies across 465 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. Vaidya's costs compare to other geriatric medicine physicians in Edison?
Dr. Vaidya's average Medicare payment per service is $58. 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. Vaidya) 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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