Medicare Enrolled
Dr. Sejal Otero, PA
Medical Physician Assistant · Jefferson Valley, 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. Otero 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. Otero?
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What this data tells you about Dr. Otero
Dr. Sejal Otero is a medical physician assistant in Jefferson Valley, NY, with 19 years of NPI registration. Based on federal Medicare data, Dr. Otero performed 2,459 Medicare services across 1,712 unique beneficiaries.
Between the years covered by Open Payments, Dr. Otero received a total of $20,745 from 52 pharmaceutical and/or device companies across 988 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in medical physician assistant. 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. Otero 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.
✓ 19 years in practice
▲ Top 2% volume in NY
$20,745 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,459
Medicare services
Top 2% in NY for medical physician assistant
1,712
Unique beneficiaries
$45
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~129 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. |
746 | $89 | $296 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
453 | $8 | $20 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
129 | $3 | $25 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
126 | $128 | $315 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
113 | $11 | $40 |
| 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. |
107 | $11 | $150 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
94 | $71 | $195 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
92 | $8 | $25 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
89 | $10 | $35 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
86 | $13 | $45 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
86 | $16 | $52 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
67 | $10 | $35 |
| 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. |
65 | $61 | $205 |
| 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. |
44 | $26 | $50 |
| Annual depression screening | 43 | $18 | $50 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
33 | $1 | $15 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
32 | $15 | $49 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
15 | $35 | $200 |
| 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. |
14 | $114 | $448 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
13 | $158 | $610 |
| Vaccine administration The process of giving a vaccine to a patient. This code covers the administration service only and does not include the cost of the vaccine itself. |
12 | $16 | $49 |
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 ↗$20,745
Total received (2021-2024)
Avg $5,186/year across 4 years
Top 1% in NY for medical physician assistant
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
52
Companies
988
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
$20,745 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$5,776
2023
$5,570
2022
$4,811
2021
$4,589
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$1,261
AstraZeneca Pharmaceuticals LP
$1,018
Novo Nordisk Inc
$439
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$393
PFIZER INC.
$340
Lilly USA, LLC
$310
Bayer Healthcare Pharmaceuticals Inc.
$299
GlaxoSmithKline, LLC.
$190
Lundbeck LLC
$156
Exact Sciences Corporation
$145
Boehringer Ingelheim Pharmaceuticals, Inc.
$141
Abbott Laboratories
$138
Madrigal Pharmaceuticals
$125
Takeda Pharmaceuticals U.S.A., Inc.
$104
Novartis Pharmaceuticals Corporation
$104
Janssen Pharmaceuticals, Inc
$93
Astellas Pharma US Inc
$90
Galderma Laboratories, L.P.
$87
IDORSIA PHARMACEUTICALS US INC
$62
Phathom Pharmaceuticals, Inc.
$61
Ardelyx, Inc.
$47
Amgen Inc.
$47
Axsome Therapeutics, Inc.
$47
Corcept Therapeutics
$40
Antares Pharma, Inc.
$22
Janssen Biotech, Inc.
$18
Top 3 companies account for 47.0% of 2024 payments
All-time payments by company (2021-2024) ›
ABBVIE INC.
$4,211
AstraZeneca Pharmaceuticals LP
$1,941
AbbVie Inc.
$1,896
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$1,834
Novo Nordisk Inc
$1,398
GlaxoSmithKline, LLC.
$1,179
Lilly USA, LLC
$1,027
Boehringer Ingelheim Pharmaceuticals, Inc.
$770
PFIZER INC.
$770
Bayer HealthCare Pharmaceuticals Inc.
$577
Almirall LLC
$363
Bayer Healthcare Pharmaceuticals Inc.
$362
Janssen Scientific Affairs, LLC
$329
Abbott Laboratories
$292
Janssen Pharmaceuticals, Inc
$282
Horizon Therapeutics plc
$255
Exact Sciences Corporation
$192
Amarin Pharma Inc.
$192
IDORSIA PHARMACEUTICALS US INC
$187
ARBOR PHARMACEUTICALS, INC.
$180
Lundbeck LLC
$180
Novartis Pharmaceuticals Corporation
$171
Kowa Pharmaceuticals America, Inc.
$167
Takeda Pharmaceuticals U.S.A., Inc.
$163
Avanir Pharmaceuticals, Inc.
$141
Astellas Pharma US Inc
$139
Grifols USA, LLC
$138
Currax Pharmaceuticals LLC
$127
Madrigal Pharmaceuticals
$125
Nestle HealthCare Nutrition Inc.
$125
Endo Pharmaceuticals Inc.
$97
Galderma Laboratories, L.P.
$87
Merck Sharp & Dohme Corporation
$87
Biohaven Pharmaceutical Holding Company Ltd.
$86
Amgen Inc.
$70
Axsome Therapeutics, Inc.
$67
Azurity Pharmaceuticals, Inc.
$62
Corium, LLC
$61
Phathom Pharmaceuticals, Inc.
$61
Ardelyx, Inc.
$47
Amneal Pharmaceuticals LLC
$41
Corcept Therapeutics
$40
Regeneron Healthcare Solutions, Inc.
$40
Teva Pharmaceuticals USA, Inc.
$30
ITI, Inc.
$22
Arbor Pharmaceuticals, Inc.
$22
Antares Pharma, Inc.
$22
E.R. Squibb & Sons, L.L.C.
$21
IBSA Pharma Inc.
$19
Boston Scientific Corporation
$19
Janssen Biotech, Inc.
$18
Merck Sharp & Dohme LLC
$15
Top 3 companies account for 38.8% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · ANORO ELLIPTA · AREXVY · AZSTARYS · AirDuo Digihaler · Auvelity · Azstarys · BEVESPI AEROSPHERE · BREZTRI · CAPLYTA · COLOGUARD DNA CAPTURE REAGENTS · COMIRNATY · CONTRAVE · CREON · Cologuard Collection Kit · DUPIXENT · ELIQUIS · EMGALITY · ENTRESTO · ENTYVIO · Edarbi · Edarbyclor · FARXIGA · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · General - Pain Management · Horizant · IBSRELA · JANUVIA · JARDIANCE · Kerendia · Klisyri · Korlym · LEQVIO · LINZESS · LIVALO · Livalo · MOTEGRITY · MOUNJARO · NASCOBAL · NEXLETOL · NURTEC ODT · Nuedexta · ONZETRA XSAIL · Otezla · Ozempic · PAXLOVID · PENNSAID · PREMARIN · PREVNAR 20 · Prolastin-C Liquid · QULIPTA · QUVIVIQ · RAYOS · REXULTI · REZDIFFRA · RINVOQ · RYTARY · Repatha · Rybelsus · SHINGRIX · SKYRIZI · STEGLATRO · STEGLUJAN · Saxenda · Seysara · TEZSPIRE · TRADJENTA · TRELEGY ELLIPTA · TREMFYA · TRINTELLIX · TRULANCE · TRULICITY · Tirosint · UBRELVY · UNITHROID · VIBERZI · VOQUEZNA · VRAYLAR · Vascepa · Veozah · Wegovy · XARELTO · XIFAXAN · XYOSTED · ZENPEP
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. Total industry engagement is in the top 1% for medical physician assistant in NY.
Geographic Context
Medical physician assistants within 10 mi
233
Per 100K population
23.4
County median income
$118,411
Nearest hospital
HUDSON VALLEY HOSPITAL CENTER
6.2 mi
6.2 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. Otero is a clinical cardiology specialist, with above-average Medicare volume (top 2% in NY), with low-engagement industry engagement in the top 1% of NY peers, with 19 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. Otero experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Otero performed 746 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. Otero receive payments from pharmaceutical companies?
Yes. Dr. Otero received a total of $20,745 from 52 companies across 988 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. Otero's costs compare to other medical physician assistants in Jefferson Valley?
Dr. Otero's average Medicare payment per service is $45. 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. Otero) 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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