Medicare Enrolled
Dr. Rajesh Rao, MD
Pulmonary Disease · Auburn, NY
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. Rao 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. Rao
Dr. Rajesh Rao is a pulmonary disease specialist in Auburn, NY, with 20 years of NPI registration. Based on federal Medicare data, Dr. Rao performed 1,212 Medicare services across 1,004 unique beneficiaries.
Between the years covered by Open Payments, Dr. Rao received a total of $18,833 from 46 pharmaceutical and/or device companies across 400 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pulmonary disease. 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. Rao 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 in practice
▲ Top 34% volume in NY
$18,833 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,212
Medicare services
Top 34% in NY for pulmonary disease
1,004
Unique beneficiaries
$66
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~61 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. |
347 | $95 | $247 |
| Spirometry test before and after medication A test that measures the amount of air you can exhale and the speed of your breathing before and after taking a medication. |
130 | $8 | $40 |
| 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. |
125 | $113 | $319 |
| Sleep study with continuous airway pressure, age 6+ A sleep study conducted in a sleep lab that monitors breathing and other body functions while administering continuous airway pressure. This test is performed on patients aged 6 years or older. |
110 | $93 | $413 |
| Pulmonary gas exchange test A test to examine how well the lungs exchange gases. |
95 | $7 | $37 |
| Lung volume test using sensors A test that measures the amount of air in the lungs using sensors. |
86 | $9 | $37 |
| Sleep study with heart rate and breathing monitoring A sleep study that monitors heart rate, breathing, airflow, and physical effort during sleep. |
80 | $33 | $348 |
| 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. |
77 | $61 | $133 |
| Sleep study in sleep lab (age 6+) An overnight test conducted in a sleep laboratory to monitor sleep patterns and bodily functions in patients aged 6 years or older. |
60 | $84 | $336 |
| 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. |
35 | $97 | $265 |
| 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. |
23 | $54 | $175 |
| Bronchial irrigation and suction for cell collection This procedure uses an endoscope to flush and suction the lung airways in order to collect cells for testing. |
16 | $5 | $508 |
| Bronchoscopy with ultrasound and lymph node sampling A procedure using an endoscope and ultrasound to examine the lung airways and collect samples from 1 to 2 lymph nodes. |
14 | $132 | $1,792 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
14 | $135 | $462 |
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 ↗$18,833
Total received (2018-2024)
Avg $2,690/year across 7 years
Top 12% in NY for pulmonary disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
46
Companies
400
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
$18,714 (99.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$118 (0.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,953
2023
$4,891
2022
$2,251
2021
$4,492
2020
$2,275
2019
$820
2018
$2,151
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Noah Medical Corporation
$467
GlaxoSmithKline, LLC.
$240
AstraZeneca Pharmaceuticals LP
$199
Ethicon Inc.
$166
Novartis Pharmaceuticals Corporation
$143
ABBVIE INC.
$140
Regeneron Healthcare Solutions, Inc.
$105
Electromed, Inc.
$90
Boehringer Ingelheim Pharmaceuticals, Inc.
$71
Amgen Inc.
$56
Mylan Specialty L.P.
$52
Fisher & Paykel Healthcare Inc
$41
Grifols USA, LLC
$37
Insmed, Inc.
$34
Itamar Medical Inc
$33
Takeda Pharmaceuticals U.S.A., Inc.
$31
Avadel CNS Pharmaceuticals, LLC
$29
Merck Sharp & Dohme LLC
$21
Top 3 companies account for 46.4% of 2024 payments
All-time payments by company (2018-2024) ›
Veran Medical Technologies, Inc.
$3,270
Medical Device Business Services, Inc.
$2,092
Pinnacle Biologics, Inc
$1,606
Inspire Medical Systems, Inc.
$1,560
GlaxoSmithKline, LLC.
$1,468
AstraZeneca Pharmaceuticals LP
$1,240
Ethicon Inc.
$1,052
Novartis Pharmaceuticals Corporation
$510
Philips Electronics North America Corporation
$485
Actelion Pharmaceuticals US, Inc.
$475
Noah Medical Corporation
$467
Boehringer Ingelheim Pharmaceuticals, Inc.
$459
Regeneron Healthcare Solutions, Inc.
$447
Takeda Pharmaceuticals U.S.A., Inc.
$307
Olympus Corporation of the Americas
$290
GENZYME CORPORATION
$287
Janssen Pharmaceuticals, Inc
$231
Mylan Specialty L.P.
$227
Amgen Inc.
$194
Insmed, Inc.
$184
Resmed Corp
$184
ABBVIE INC.
$179
Alexion Pharmaceuticals, Inc.
$165
Olympus America Inc.
$131
Electromed, Inc.
$128
Grifols USA, LLC
$125
JAZZ PHARMACEUTICALS INC.
$118
Baxter Healthcare
$96
Mauna Kea Technologies, Inc.
$96
Pulmonx Corporation
$92
Covidien LP
$72
Harmony Biosciences LLC
$70
Sunovion Pharmaceuticals Inc.
$66
Itamar Medical Inc
$66
Merck Sharp & Dohme LLC
$56
PFIZER INC.
$49
Inogen, Inc.
$47
Genentech USA, Inc.
$43
Fisher & Paykel Healthcare Inc
$41
United Therapeutics Corporation
$31
Gilead Sciences, Inc.
$29
Avadel CNS Pharmaceuticals, LLC
$29
Monaghan Medical Corporation
$22
Tactile Systems Technology Inc
$18
Apria Healthcare LLC
$17
SANOFI-AVENTIS U.S. LLC
$13
Top 3 companies account for 37.0% of all-time payments
Associated products mentioned in payments ›
(8874) inCourage · AIRSUPRA · ANORO · ANORO ELLIPTA · AVYCAZ · AeroChamber · Aerobika · AirCurve · AirSense · Arikayce · Astral · BEVESPI AEROSPHERE · BREO · BREZTRI · Beacon · CAPVAXIVE · CHARTIS CATHETER · DUPIXENT · EVIS EXERA II ULTRASONIC BRONCHOFIBERVIDEOSCOPE · FARXIGA · FASENRA · FISHER & PAYKEL HEALTHCARE · Flexitouch Plus · GALAXY · GLASSIA · Hillrom - Life 2000 Ventilation System · Hillrom - Vest System Model 105 Home Care · INOGEN ONE G5 OXYGEN CONCENTRATOR - BLUETOOTH · Inspire Upper Airway Stimulation System · LONHALA MAGNAIR · LUMRYZ · Medela · Monarch Platform · NA · NUCALA · OFEV · OPSUMIT · ORENITRAM · Olympus Bronchoscopes · Olympus EBUS Bronchoscopes · PREVNAR 13 · PREVNAR 20 · Photofrin · Prolastin-C Liquid · Pulmonx Endobronchial Valve EBV · SINGLE USE SUCTION VALVE (Sterile) · SMARTVEST · SOLIRIS · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · Spin · SuperDimension · TEFLARO · TEZSPIRE · TRELEGY ELLIPTA · TYVASO · Trilogy 100 · ULTOMIRIS · UPTRAVI · VERQUVO · Wakix · WatchPATONE · XARELTO · XOLAIR · Xolair · YUPELRI · Yupelri
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 (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Pulmonary diseases within 10 mi
26
Per 100K population
34.5
County median income
$66,583
Nearest hospital
AUBURN COMMUNITY HOSPITAL
0.0 mi
0.0 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. Rao is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 12% of NY peers, 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. Rao experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Rao performed 347 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. Rao receive payments from pharmaceutical companies?
Yes. Dr. Rao received a total of $18,833 from 46 companies across 400 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. Rao's costs compare to other pulmonary diseases in Auburn?
Dr. Rao's average Medicare payment per service is $66. 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. Rao) 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 →
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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.
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