Medicare Enrolled

Dr. Rajkumar Mariwalla, M.D.

Gastroenterology · West Islip, NY
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Mixed engagement
1175 MONTAUK HWY, West Islip, NY 11795
6316691171
In practice since 2006 (20 years)
NPI: 1154309037 verify on NPPES ↗
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. Mariwalla 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. Mariwalla? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Mariwalla

Dr. Rajkumar Mariwalla is a gastroenterology specialist in West Islip, NY, with 20 years of NPI registration. Based on federal Medicare data, Dr. Mariwalla performed 1,829 Medicare services across 1,601 unique beneficiaries.

Between the years covered by Open Payments, Dr. Mariwalla received a total of $29,803 from 27 pharmaceutical and/or device companies across 88 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. Payments are distributed across multiple categories and often reflect legitimate professional engagement with the medical industry. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Mariwalla 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 9% volume in NY $29,803 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,829
Medicare services
Top 9% in NY for gastroenterology
1,601
Unique beneficiaries
$114
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~91 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 (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.
732 $78 $415
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.
290 $94 $415
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.
187 $101 $459
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.
181 $121 $532
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.
130 $210 $1,307
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.
89 $244 $1,707
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.
81 $116 $611
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.
58 $161 $775
Colonoscopy for colorectal cancer screening
A colonoscopy performed to screen for colorectal cancer in individuals who are not at high risk for the disease.
53 $209 $1,314
Colonoscopy
A diagnostic exam of the large bowel using a flexible endoscope to visualize the interior of the colon.
28 $167 $699
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 ↗
$29,803
Total received (2018-2024)
Avg $4,258/year across 7 years
Top 11% in NY for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
27
Companies
88
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.

Other
Charitable contributions, space rental, and other categories
$28,257 (94.8%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,546 (5.2%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$28,573
2023
$35
2022
$21
2021
$20
2020
$75
2019
$417
2018
$661

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Olympus America Inc.
$28,257
ABBVIE INC.
$215
Ardelyx, Inc.
$23
Intercept Pharmaceuticals, Inc.
$17
Takeda Pharmaceuticals U.S.A., Inc.
$17
PFIZER INC.
$16
Phathom Pharmaceuticals, Inc.
$15
Janssen Biotech, Inc.
$14
Top 3 companies account for 99.7% of 2024 payments
All-time payments by company (2018-2024) ›
Olympus America Inc.
$28,257
AbbVie, Inc.
$381
ABBVIE INC.
$236
Takeda Pharmaceuticals U.S.A., Inc.
$148
Janssen Biotech, Inc.
$124
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$76
Intercept Pharmaceuticals, Inc.
$70
Medtronic USA, Inc.
$69
PFIZER INC.
$62
Allergan Inc.
$61
Meridian Bioscience Inc.
$39
AbbVie Inc.
$26
UCB, Inc.
$25
Ardelyx, Inc.
$23
RedHill Biopharma Inc.
$21
Concordia Pharmaceuticals Inc.
$21
Medtronic, Inc.
$20
Enterra Medical, Inc.
$18
Ferring Pharmaceuticals Inc.
$18
Merck Sharp & Dohme LLC
$17
AstraZeneca Pharmaceuticals LP
$15
Phathom Pharmaceuticals, Inc.
$15
Echosens North America, Inc.
$13
kaleo, Inc.
$13
Merck Sharp & Dohme Corporation
$12
Daiichi Sankyo Inc.
$11
Synergy Pharmaceuticals Inc
$11
Top 3 companies account for 96.9% of all-time payments
Associated products mentioned in payments ›
AUVI-Q · Aemcolo · CLENPIQ · CREON · Cimzia · DIFICID · Donnatal · EOHILIA · EVIS EXERA III COLONOVIDEOSCOPE · Entyvio · Fibroscan · GI Genius · HUMIRA · Humira · IBSRELA · INFLECTRA · INJECTAFER · Illumigene Group A Strep · Immunocard STAT HPSA · LINZESS · MOVANTIK · Mavyret · OCALIVA · RESTORE · RINVOQ · ROTATEQ · SKYRIZI · STELARA · TREMFYA · Trulance · UCERIS · VIBERZI · VOQUEZNA · XELJANZ · XIFAXAN · XIFIXAN · 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 →

Payments are distributed across multiple categories with no single dominant type.

Looking for a gastroenterology specialist in West Islip?
Compare gastroenterologists in the West Islip area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Gastroenterologists within 10 mi
276
Per 100K population
18.1
County median income
$128,329
Nearest hospital
GOOD SAMARITAN HOSPITAL MEDICAL CENTER
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. Mariwalla is a clinical cardiology specialist, with above-average Medicare volume (top 9% in NY), with mixed engagement industry engagement in the top 11% 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. Mariwalla experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Mariwalla performed 732 office visit, established patient (20-29 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. Mariwalla receive payments from pharmaceutical companies?
Yes. Dr. Mariwalla received a total of $29,803 from 27 companies across 88 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. Mariwalla's costs compare to other gastroenterologists in West Islip?
Dr. Mariwalla's average Medicare payment per service is $114. 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. Mariwalla) 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 →
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

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →