Medicare Enrolled
Dr. Rajesh Patel, D.O.
Family Medicine · Plainfield, NJ
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Speaking/Promotional
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 →
Are you Dr. Patel?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Patel
Dr. Rajesh Patel is a family medicine specialist in Plainfield, NJ, with 18 years of NPI registration. Based on federal Medicare data, Dr. Patel performed 3,025 Medicare services across 1,521 unique beneficiaries.
Between the years covered by Open Payments, Dr. Patel received a total of $10,770 from 33 pharmaceutical and/or device companies across 264 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. 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.
✓ 18 years in practice
▲ Top 5% volume in NJ
$10,770 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,025
Medicare services
Top 5% in NJ for family medicine
1,521
Unique beneficiaries
$70
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~168 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 |
|---|---|---|---|
| Nursing facility visit, moderate complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes. |
537 | $91 | $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. |
446 | $103 | $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. |
389 | $71 | $130 |
| Nursing facility visit, low complexity A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care. |
234 | $64 | $115 |
| Annual intensive behavioral therapy for cardiovascular disease, 15 minutes A yearly, in-person session focused on intensive behavioral therapy to help manage cardiovascular disease. The session lasts for 15 minutes and is conducted with the patient individually. |
193 | $28 | $50 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
173 | $42 | $100 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
169 | $142 | $190 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
160 | $12 | $75 |
| Annual depression screening | 135 | $21 | $35 |
| 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. |
130 | $44 | $150 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
106 | $34 | $35 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
96 | $76 | $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. |
57 | $32 | $100 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
52 | $142 | $240 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
40 | $8 | $25 |
| Venipuncture for blood draw Insertion of a needle into a vein to collect blood samples. This procedure is performed on patients aged 3 years or older. |
33 | $13 | $20 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
19 | $180 | $270 |
| Health risk assessment administration and interpretation This procedure involves administering a health risk assessment to a patient and interpreting the results. |
17 | $2 | $11 |
| Initial nursing facility care, high complexity An initial visit by a healthcare provider to a patient in a nursing facility involving a high level of medical decision making, lasting at least 45 minutes. |
17 | $156 | $270 |
| Ultrasound of arm and leg arteries This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries. |
11 | $76 | $200 |
| Remote physiologic monitoring setup and education Initial setup of remote monitoring equipment and patient education on its use. |
11 | $18 | $50 |
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 ↗$10,770
Total received (2018-2024)
Avg $1,539/year across 7 years
Top 4% in NJ for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
33
Companies
264
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.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$6,468 (60.1%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$4,302 (39.9%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,317
2023
$7,053
2022
$492
2021
$406
2020
$655
2019
$385
2018
$462
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$276
Lilly USA, LLC
$261
Abbott Laboratories
$202
Bayer Healthcare Pharmaceuticals Inc.
$88
Dexcom, Inc.
$83
Boston Scientific Corporation
$74
Boehringer Ingelheim Pharmaceuticals, Inc.
$65
ABBVIE INC.
$65
Novo Nordisk Inc
$54
Exact Sciences Corporation
$53
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$18
Xeris Pharmaceuticals, Inc.
$18
Renalytix AI, Inc.
$17
PFIZER INC.
$15
Janssen Pharmaceuticals, Inc
$14
Merck Sharp & Dohme LLC
$13
Top 3 companies account for 56.1% of 2024 payments
All-time payments by company (2018-2024) ›
Dexcom, Inc.
$6,551
AstraZeneca Pharmaceuticals LP
$594
Novo Nordisk Inc
$515
Lilly USA, LLC
$503
Janssen Pharmaceuticals, Inc
$286
Abbott Laboratories
$279
Merck Sharp & Dohme Corporation
$268
Bayer Healthcare Pharmaceuticals Inc.
$264
Boehringer Ingelheim Pharmaceuticals, Inc.
$234
Boston Scientific Corporation
$224
PFIZER INC.
$152
Bayer HealthCare Pharmaceuticals Inc.
$135
Exact Sciences Corporation
$126
Novartis Pharmaceuticals Corporation
$110
ABBVIE INC.
$92
Amarin Pharma Inc.
$53
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$42
Merck Sharp & Dohme LLC
$42
Astellas Pharma US Inc
$39
Otsuka America Pharmaceutical, Inc.
$26
Daiichi Sankyo Inc.
$26
Vanda Pharmaceuticals Inc.
$26
Emmaus Medical, Inc.
$23
CeQur Corporation
$22
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$18
Xeris Pharmaceuticals, Inc.
$18
Renalytix AI, Inc.
$17
Medtronic MiniMed, Inc.
$15
SANOFI-AVENTIS U.S. LLC
$15
Sunovion Pharmaceuticals Inc.
$15
Avanir Pharmaceuticals, Inc.
$14
DEXCOM, INC.
$13
Shield Therapeutics Inc
$13
Top 3 companies account for 71.1% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · BREATHTEK · BREZTRI · CAPLYTA · CHANTIX · COLOGUARD DNA CAPTURE REAGENTS · CeQur Simplicity · Cologuard Collection Kit · DEXCOM G6 TRANSMITTER · DEXCOM G7 GSS (161) · Dexcom G6 Transmitter · ELIQUIS · EMBOLD Fibered · ENTRESTO · Endari · FARXIGA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · GVOKE HYPOPEN · HETLIOZ · INJECTAFER · INVOKANA · JANUVIA · JARDIANCE · KIDNEYINTELX BLOOD COLLECTION CONVENIENCE KIT · Kerendia · LOKELMA · Lonhala Magnair · MAVYRET · MOUNJARO · Minimed 670G System · NUEDEXTA · OFEV · Ozempic · PAXLOVID · PIFELTRO · REXULTI · Rybelsus · SEGLUROMET · SOLIQUA · Saxenda · TRADJENTA · TRULANCE · TRULICITY · Tresiba · VERQUVO · VESICARE · VRAYLAR · Vascepa · Victoza · WATCHMAN FLX · Wegovy · XARELTO · XIFAXAN · Xultophy 100/3.6 · ZEPBOUND
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 →
The majority of payments (60%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in family medicine and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 4% for family medicine in NJ.
Geographic Context
Family medicine physicians within 10 mi
1,790
Per 100K population
312.6
County median income
$100,117
Nearest hospital
MOUNTAINVIEW BEHAVIORAL HOSPITAL
4.1 mi
4.1 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. Patel is a clinical cardiology specialist, with above-average Medicare volume (top 5% in NJ), with speaking/promotional industry engagement in the top 4% of NJ peers, with 18 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 nursing facility visit, moderate complexity?
Based on Medicare claims data, Dr. Patel performed 537 nursing facility visit, moderate 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. Patel receive payments from pharmaceutical companies?
Yes. Dr. Patel received a total of $10,770 from 33 companies across 264 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. Patel's costs compare to other family medicine physicians in Plainfield?
Dr. Patel's average Medicare payment per service is $70. 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 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
Specialty guide
Understanding Family Medicine
Common procedures, typical costs, and what industry payments mean in family medicine.
Same specialty & city
Family Medicine Physicians in Plainfield
Browse family medicine physicians in Plainfield ranked by procedure volume and transparency data.
Highest volume
Top Family Medicine Physicians in NJ
Family medicine physicians ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Family Medicine Physicians in NJ
Which NJ family medicine physicians receive the most from drug and device companies.
By company
Dexcom, Inc. Payments to Doctors
See all physicians who received payments from Dexcom, Inc.
By company
AstraZeneca Pharmaceuticals LP Payments to Doctors
See all physicians who received payments from AstraZeneca Pharmaceuticals LP.
By company
Novo Nordisk Inc Payments to Doctors
See all physicians who received payments from Novo Nordisk Inc.
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