Medicare Enrolled

Dr. Sima Mithani, M.D.

Allergy & Immunology · West Nyack, NY
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
1 CROSFIELD AVE STE 201, West Nyack, NY 10994
8457271370
Registered in NPPES since 2009
NPI: 1285875724 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. Mithani 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. Mithani

Dr. Sima Mithani is an allergy & immunology specialist in West Nyack, NY, with 17 years of NPI registration. Based on federal Medicare data, Dr. Mithani performed 9,790 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Mithani received a total of $2,040 from 19 pharmaceutical and/or device companies across 96 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. Mithani 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.

✓ 17 years of NPI registration ▲ Top 6% volume in NY $2,040 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
9,790
Medicare services
Top 6% in NY for allergy & immunology
Not available
Unique patients (not deduplicated)
$6
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
Allergy skin test
A diagnostic test performed to identify specific allergies by applying or introducing allergenic extracts to the body. The procedure measures the patient's immune response to various potential allergens.
9,160 $4 $15
Skin allergy test
A test where small amounts of potential allergens are injected into the skin to check for allergic reactions.
405 $8 $18
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.
105 $101 $200
Allergy injection therapy, multiple injections
A professional service involving the administration of multiple allergen injections.
66 $10 $60
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.
37 $65 $217
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.
17 $103 $225
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 ↗
$2,040
Total received (2018-2024)
Avg $340/year across 6 years
Top 45% in NY for allergy & immunology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
19
Companies
96
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
$778
2023
$315
2022
$120
2020
$180
2019
$269
2018
$378

Payments by company (2024)

GlaxoSmithKline, LLC.
$146
GENZYME CORPORATION
$138
Novartis Pharmaceuticals Corporation
$134
Regeneron Healthcare Solutions, Inc.
$132
kaleo, Inc.
$68
AstraZeneca Pharmaceuticals LP
$44
Medtronic, Inc.
$36
Inspire Medical Systems, Inc.
$22
Genentech USA, Inc.
$21
Grifols USA, LLC
$21
Hologic Sales and Service, LLC
$16
Top 3 companies account for 53.7% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$554
GlaxoSmithKline, LLC.
$322
GENZYME CORPORATION
$190
Regeneron Healthcare Solutions, Inc.
$179
kaleo, Inc.
$176
Novartis Pharmaceuticals Corporation
$150
Stryker Corporation
$115
Inspire Medical Systems, Inc.
$72
Genentech USA, Inc.
$55
Grifols USA, LLC
$36
Medtronic, Inc.
$36
OptiNose US, Inc.
$29
Blueprint Medicines Corporation
$24
Teva Pharmaceuticals USA, Inc.
$24
Takeda Pharmaceuticals U.S.A., Inc.
$22
Hologic Sales and Service, LLC
$16
ALK-Abello, Inc
$14
Mylan Specialty L.P.
$14
Glenmark Therapeutics Inc.
$12
Top 3 companies account for 52.2% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AUVI-Q · AYVAKIT · BREO · CUVITRU · CoolSeal Generator · DUPIXENT · Dymista · ENTELLUS - ENTELLUS MEDICAL SHAVER SYSTEM · FASENRA · GAMMA · INSPIRE · NUCALA · Odactra · PROPEL · QVAR · SPIROX - LATERA · SYMBICORT · XOLAIR · Xembify · Xhance · Xolair
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 →
Looking for an allergy & immunology specialist in West Nyack?
Compare allergy & immunologists in the West Nyack area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Allergy & immunologists in nearby ZIP areas
131
County median income
$110,631
Nearest hospital to ZIP centroid (approximate)
NYACK HOSPITAL
2.5 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. Mithani is a mixed practice specialist, with above-average Medicare volume (top 6% in NY), with 17 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. Mithani experienced with allergy skin test?
Based on Medicare claims data, Dr. Mithani performed 9,160 allergy skin test 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. Mithani receive payments from pharmaceutical companies?
Yes. Dr. Mithani received a total of $2,040 from 19 companies across 96 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. Mithani's costs compare to other allergy & immunologists in West Nyack?
Dr. Mithani's average Medicare payment per service is $6. 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. Mithani) 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 →
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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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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →