Medicare Enrolled

Dr. Rupesh Raina, MD

Pediatric Gastroenterology · Akron, OH
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
224 W EXCHANGE ST, Akron, OH 44302
3304363150
Registered in NPPES since 2007
NPI: 1295939734 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. Raina 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. Raina? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Raina

Dr. Rupesh Raina is a pediatric gastroenterology specialist in Akron, OH, with 19 years of NPI registration. Based on federal Medicare data, Dr. Raina performed 940 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Raina received a total of $235,559 from 21 pharmaceutical and/or device companies across 267 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. Raina 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 of NPI registration ▲ Top 50% volume in OH $235,559 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
940
Medicare services
Top 50% in OH for pediatric gastroenterology
Not available
Unique patients (not deduplicated)
$88
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
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.
600 $59 $143
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.
104 $95 $273
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.
89 $55 $145
Dialysis services for patients 20 or older
Dialysis treatment provided to patients aged 20 years or older, involving four or more physician visits per month.
64 $266 $564
Dialysis services for adults, 2-3 visits per month
This code covers dialysis services for patients aged 20 or older who have 2 to 3 physician visits per month.
58 $228 $473
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.
14 $81 $211
Hemodialysis, single evaluation
A dialysis procedure to filter waste from the blood, performed with a physician's evaluation.
11 $55 $146
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 ↗
$235,559
Total received (2018-2024)
Avg $33,651/year across 7 years
Top 6% in OH for pediatric gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
21
Companies
267
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
$3,575
2023
$1,943
2022
$7,724
2021
$46,994
2020
$33,924
2019
$68,310
2018
$73,088

Payments by company (2024)

Novartis Pharmaceuticals Corporation
$3,309
Travere Therapeutics, Inc.
$184
Otsuka America Pharmaceutical, Inc.
$41
Mallinckrodt Hospital Products Inc.
$23
Fresenius USA Marketing, Inc.
$18
Top 3 companies account for 98.8% of 2024 payments
All-time payments by company (2018-2024) ›
Otsuka America Pharmaceutical, Inc.
$118,085
Mallinckrodt Hospital Products Inc.
$43,645
Mallinckrodt Enterprises LLC
$29,111
Aurinia Pharma U.S., Inc.
$13,242
Mallinckrodt LLC
$10,977
Horizon Therapeutics plc
$6,688
Otsuka Pharmaceutical Development & Commercialization, Inc.
$5,348
Novartis Pharmaceuticals Corporation
$3,309
Kaneka Pharma America LLC
$2,000
Kaneka Medical America LLC
$1,500
AstraZeneca Pharmaceuticals LP
$593
GlaxoSmithKline, LLC.
$224
Fresenius USA Marketing, Inc.
$193
Travere Therapeutics, Inc.
$191
Relypsa, Inc.
$169
Horizon Pharma plc
$121
Amgen Inc.
$92
Bayer HealthCare Pharmaceuticals Inc.
$20
CALLIDITAS THERAPEUTICS US INC.
$18
CHF Solutions, Inc
$17
Retrophin, Inc.
$17
Top 3 companies account for 81.0% of all-time payments
Associated products mentioned in payments ›
(815) Thiola · ACTHAR · Aquadex · BENLYSTA · BRILINTA · Dialyzers · FARXIGA · Fabhalta · JYNARQUE · KRYSTEXXA · Kerendia · LOKELMA · LUPKYNIS · PROCYSBI · Parsabiv · SAMSCA · TARPEYO · TERLIVAZ · TOLVAPTAN · Velphoro · Veltassa
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 a pediatric gastroenterology specialist in Akron?
Compare pediatric gastroenterologists in the Akron area by procedure volume, costs, and industry payment transparency.
Browse pediatric gastroenterologists nearby

Geographic Context

Pediatric gastroenterologists in nearby ZIP areas
6
County median income
$71,016
Nearest hospital to ZIP centroid (approximate)
AKRON CHILDREN'S HOSPITAL
1.2 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. Raina is a mixed practice specialist, with moderate Medicare volume, 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. Raina experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Raina performed 600 hospital follow-up visit, moderate complexity 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. Raina receive payments from pharmaceutical companies?
Yes. Dr. Raina received a total of $235,559 from 21 companies across 267 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. Raina's costs compare to other pediatric gastroenterologists in Akron?
Dr. Raina's average Medicare payment per service is $88. 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. Raina) 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.

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. 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 →