Medicare Enrolled
Dr. Amit Gajera, M.D.
Gastroenterology · Cincinnati, OH
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Consulting-driven
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. Gajera 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. Gajera
Dr. Amit Gajera is a gastroenterology specialist in Cincinnati, OH, with 19 years of NPI registration. Based on federal Medicare data, Dr. Gajera performed 544 Medicare services across 511 unique beneficiaries.
Between the years covered by Open Payments, Dr. Gajera received a total of $16,246 from 42 pharmaceutical and/or device companies across 538 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Gajera 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 42% volume in OH
$16,246 industry payments
Medicare Practice Summary
Medicare Utilization ↗544
Medicare services
Top 42% in OH for gastroenterology
511
Unique beneficiaries
$101
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~29 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 |
|---|---|---|---|
| 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. |
80 | $59 | $1,158 |
| 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. |
72 | $194 | $1,342 |
| 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. |
69 | $61 | $220 |
| 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. |
58 | $100 | $414 |
| 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. |
38 | $61 | $225 |
| 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. |
36 | $90 | $325 |
| 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. |
26 | $176 | $1,102 |
| Colonoscopy A diagnostic exam of the large bowel using a flexible endoscope to visualize the interior of the colon. |
22 | $129 | $1,463 |
| 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. |
22 | $105 | $1,500 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
22 | $38 | $131 |
| 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. |
19 | $134 | $670 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
19 | $92 | $344 |
| Upper endoscopy (EGD) A diagnostic exam of the esophagus, stomach, and upper small bowel using a flexible endoscope. |
16 | $76 | $918 |
| Balloon dilation of esophagus, stomach, or upper small bowel, less than 3.0 cm A procedure using a flexible endoscope to widen a narrowed section of the esophagus, stomach, or upper small bowel with a balloon that is less than 3.0 cm in length. |
15 | $93 | $3,249 |
| 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. |
15 | $79 | $323 |
| 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. |
15 | $127 | $507 |
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 ↗$16,246
Total received (2018-2024)
Avg $2,321/year across 7 years
Top 13% in OH for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
42
Companies
538
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.
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$9,438 (58.1%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$6,807 (41.9%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,198
2023
$1,259
2022
$1,352
2021
$5,124
2020
$467
2019
$4,317
2018
$2,529
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$382
Janssen Biotech, Inc.
$201
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$149
Celgene Corporation
$87
GENZYME CORPORATION
$82
Takeda Pharmaceuticals U.S.A., Inc.
$54
Madrigal Pharmaceuticals
$52
PFIZER INC.
$51
QOL Medical, LLC
$42
Lilly USA, LLC
$31
Gilead Sciences, Inc.
$20
Regeneron Healthcare Solutions, Inc.
$18
Ipsen Biopharmaceuticals, Inc
$17
AIMMUNE THERAPEUTICS, INC.
$14
Top 3 companies account for 61.1% of 2024 payments
All-time payments by company (2018-2024) ›
US Endoscopy
$5,473
US ENDOSCOPY
$3,965
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$1,224
ABBVIE INC.
$1,035
AbbVie, Inc.
$581
Takeda Pharmaceuticals U.S.A., Inc.
$553
Janssen Biotech, Inc.
$394
AbbVie Inc.
$391
Celgene Corporation
$356
PFIZER INC.
$234
QOL Medical, LLC
$211
Nestle HealthCare Nutrition Inc.
$177
Boston Scientific Corporation
$148
Gilead Sciences, Inc.
$135
STERIS CORPORATION
$119
GENZYME CORPORATION
$117
Regeneron Healthcare Solutions, Inc.
$109
Ironwood Pharmaceuticals, Inc
$105
BOSTON SCIENTIFIC CORPORATION
$104
Amgen Inc.
$103
Braintree Laboratories, Inc.
$78
Merck Sharp & Dohme Corporation
$66
UCB, Inc.
$64
Madrigal Pharmaceuticals
$52
Shire North American Group Inc
$50
Ardelyx, Inc.
$49
NESTLE HEALTHCARE NUTRITION INC.
$44
Lilly USA, LLC
$31
Daiichi Sankyo Inc.
$30
Phathom Pharmaceuticals, Inc.
$27
EVOKE PHARMA, INC.
$27
Synergy Pharmaceuticals Inc
$27
Prometheus Laboratories Inc.
$26
Organon LLC
$26
Ferring Pharmaceuticals Inc.
$25
Ipsen Biopharmaceuticals, Inc
$17
Apollo Endosurgery US Inc
$16
IRONWOOD PHARMACEUTICALS, INC
$16
AIMMUNE THERAPEUTICS, INC.
$14
Alnylam Pharmaceuticals Inc.
$12
Allergan, Inc.
$12
Romark Laboratories, LC
$1
Top 3 companies account for 65.6% of all-time payments
Associated products mentioned in payments ›
AMJEVITA · APRISO · AVSOLA · Alinia Tablets 500mg 30 count bottle · Amitiza · Bylvay · CIMZIA · CLENPIQ · CREON · Cimzia · Creon · DIFICID · DUPIXENT · ENTYVIO · EOHILIA · EXALT · EXALT Model D · Entyvio · GATTEX · GIMOTI · GIVLAARI · HUMIRA · Humira · IBSRELA · INFLECTRA · INJECTAFER · LINZESS · Linzess · MAVYRET · MOTEGRITY · MOTOFEN · OMVOH · OverStitch Endoscopic Suturing System · Padlock Clip · REMICADE · RENFLEXIS · RESMETIROM · RINVOQ · SKYRIZI · STELARA · SUCRAID · SUFLAVE · SUTAB · Sucraid · TREMFYA · TRULANCE · Trulance · UCERIS · VIBERZI · VOQUEZNA · XELJANZ · XIFAXAN · ZENPEP · ZEPOSIA
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 →
The majority of payments (58%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers.
Geographic Context
Gastroenterologists within 10 mi
119
Per 100K population
14.4
County median income
$70,816
Nearest hospital
UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC
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. Gajera is a clinical cardiology specialist, with moderate Medicare volume, with consulting-driven industry engagement in the top 13% of OH 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. Gajera experienced with upper gi endoscopy with biopsy?
Based on Medicare claims data, Dr. Gajera performed 80 upper gi endoscopy with biopsy 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. Gajera receive payments from pharmaceutical companies?
Yes. Dr. Gajera received a total of $16,246 from 42 companies across 538 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. Gajera's costs compare to other gastroenterologists in Cincinnati?
Dr. Gajera's average Medicare payment per service is $101. 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. Gajera) 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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