Medicare Enrolled
Dr. Mark Sapienza, M.D.
Gastroenterology · Englewood, 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. Sapienza 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. Sapienza
Dr. Mark Sapienza is a gastroenterology specialist in Englewood, NJ, with 20 years of NPI registration. Based on federal Medicare data, Dr. Sapienza performed 1,201 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Sapienza received a total of $7,038 from 35 pharmaceutical and/or device companies across 425 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. Sapienza 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 28% volume in NJ
$7,038 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗1,201
Medicare services
Top 28% in NJ for gastroenterology
Not available
Unique patients (not deduplicated)
$107
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. |
291 | $104 | $349 |
| 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. |
188 | $63 | $235 |
| 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. |
150 | $69 | $230 |
| 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. |
123 | $97 | $1,595 |
| 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. |
84 | $233 | $1,898 |
| 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. |
64 | $129 | $1,815 |
| 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. |
56 | $112 | $438 |
| 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. |
49 | $134 | $440 |
| 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. |
46 | $79 | $352 |
| Colonoscopy for colorectal cancer screening A colonoscopy performed to screen for colorectal cancer in individuals who are not at high risk for the disease. |
36 | $196 | $1,694 |
| 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. |
29 | $191 | $1,694 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
16 | $72 | $100 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
16 | $33 | $100 |
| Colonoscopy A diagnostic exam of the large bowel using a flexible endoscope to visualize the interior of the colon. |
15 | $161 | $1,694 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
15 | $41 | $143 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
12 | $146 | $431 |
| Endoscopic incision of pancreatic outlet A procedure where a flexible endoscope is used to make an incision in the pancreatic outlet. |
11 | $81 | $3,190 |
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 ↗$7,038
Total received (2018-2024)
Avg $1,005/year across 7 years
Top 19% in NJ for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
35
Companies
425
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
$920
2023
$1,393
2022
$1,721
2021
$729
2020
$150
2019
$1,268
2018
$857
Payments by company (2024)
Madrigal Pharmaceuticals
$185
ABBVIE INC.
$183
PFIZER INC.
$173
Janssen Biotech, Inc.
$85
Lilly USA, LLC
$68
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$56
Intercept Pharmaceuticals, Inc.
$35
Celgene Corporation
$34
Celltrion USA Inc.
$31
Takeda Pharmaceuticals U.S.A., Inc.
$19
Braintree Laboratories, Inc.
$17
Ardelyx, Inc.
$17
Mallinckrodt Hospital Products Inc.
$16
Top 3 companies account for 58.9% of 2024 payments
All-time payments by company (2018-2024) ›
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$1,066
Celgene Corporation
$864
Janssen Biotech, Inc.
$794
ABBVIE INC.
$748
PFIZER INC.
$541
AbbVie Inc.
$494
AbbVie, Inc.
$315
E.R. Squibb & Sons, L.L.C.
$238
Allergan Inc.
$207
Ironwood Pharmaceuticals, Inc
$201
Ferring Pharmaceuticals Inc.
$198
Olympus America Inc.
$185
Madrigal Pharmaceuticals
$185
Daiichi Sankyo Inc.
$110
Braintree Laboratories, Inc.
$101
Takeda Pharmaceuticals U.S.A., Inc.
$95
Lilly USA, LLC
$94
Organon LLC
$76
Merck Sharp & Dohme Corporation
$68
Gilead Sciences, Inc.
$64
Intercept Pharmaceuticals, Inc.
$50
Celltrion USA Inc.
$48
Nestle HealthCare Nutrition Inc.
$42
INTERCEPT PHARMACEUTICALS, INC.
$42
Ardelyx, Inc.
$32
Synergy Pharmaceuticals Inc
$30
Regeneron Healthcare Solutions, Inc.
$27
RedHill Biopharma Inc.
$25
Otsuka America Pharmaceutical, Inc.
$24
Mallinckrodt Hospital Products Inc.
$16
IRONWOOD PHARMACEUTICALS, INC
$14
Fresenius Kabi USA, LLC
$13
Endo Pharmaceuticals Inc.
$13
UCB, Inc.
$13
Micro-tech Endoscopy USA, Inc.
$8
Top 3 companies account for 38.7% of all-time payments
Associated products mentioned in payments ›
APRISO · Amitiza · BREATHTEK · CLENPIQ · CREON · Cimzia · Creon · DIFICID · DUPIXENT · Dexilant · Dilation (Need marketed name of device(s) · ENTYVIO · EUS Needle · Entyvio · HADLIMA · HUMIRA · Humira · IBSRELA · INFLECTRA · INJECTAFER · LINZESS · Linzess · MAVYRET · MOVIPREP · Mavyret · NASCOBAL · OCALIVA · OMVOH · Olympus EMR & ESD Devices · Olympus EndoTherapy Accessories · Ozanimod · PLENVU · PREVNAR - 13 · REBYOTA · REMICADE · RENFLEXIS · RESMETIROM · REZDIFFRA · RINVOQ · SKYRIZI · STELARA · SUFLAVE · SUPREP · SUPREP BOWEL PREP · SUTAB · Single Use Repositionable Clip · TERLIVAZ · TREMFYA · TRULANCE · Talicia · Trulance · UCERIS · VELSIPITY · VIBERZI · XELJANZ · XIFAXAN · XIFIXAN · YUFLYMA · ZENPEP · ZEPOSIA · ZYMFENTRA
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
Gastroenterologists in nearby ZIP areas
1,218
County median income
$123,715
Nearest hospital to ZIP centroid (approximate)
ENGLEWOOD HOSPITAL AND MEDICAL CENTER
0.0 mi
0.0 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. Sapienza is a clinical cardiology specialist, with above-average Medicare volume (top 28% 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. Sapienza experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Sapienza performed 291 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. Sapienza receive payments from pharmaceutical companies?
Yes. Dr. Sapienza received a total of $7,038 from 35 companies across 425 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. Sapienza's costs compare to other gastroenterologists in Englewood?
Dr. Sapienza's average Medicare payment per service is $107. 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. Sapienza) 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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