Medicare Enrolled
Dr. Ashok Makadia, M.D.
Pulmonary Disease · Lorain, OH
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Makadia 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. Makadia
Dr. Ashok Makadia is a pulmonary disease specialist in Lorain, OH, with 21 years of NPI registration. Based on federal Medicare data, Dr. Makadia performed 2,531 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Makadia received a total of $7,250 from 44 pharmaceutical and/or device companies across 449 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. Makadia 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.
✓ 21 years of NPI registration
▲ Top 5% volume in OH
$7,250 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗2,531
Medicare services
Top 5% in OH for pulmonary disease
Not available
Unique patients (not deduplicated)
$74
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 |
|---|---|---|---|
| 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. |
1,006 | $88 | $191 |
| 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. |
581 | $60 | $104 |
| 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. |
148 | $87 | $149 |
| 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. |
115 | $126 | $291 |
| Telephone medical discussion, 21-30 minutes A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone. |
111 | $80 | $192 |
| Lung volume test using sensors A test that measures the amount of air in the lungs using sensors. |
94 | $9 | $20 |
| Pulmonary gas exchange test A test to examine how well the lungs exchange gases. |
94 | $7 | $15 |
| 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. |
92 | $61 | $134 |
| Spirometry test before and after medication A test that measures the amount of air you can exhale and the speed of your breathing before and after taking a medication. |
87 | $8 | $21 |
| 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. |
59 | $108 | $247 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
46 | $134 | $267 |
| Sleep study with heart rate and breathing monitoring A sleep study that monitors heart rate, breathing, airflow, and physical effort during sleep. |
27 | $30 | $99 |
| 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. |
22 | $93 | $198 |
| Sleep study in sleep lab (age 6+) An overnight test conducted in a sleep laboratory to monitor sleep patterns and bodily functions in patients aged 6 years or older. |
19 | $81 | $196 |
| Sleep study with continuous airway pressure, age 6+ A sleep study conducted in a sleep lab that monitors breathing and other body functions while administering continuous airway pressure. This test is performed on patients aged 6 years or older. |
17 | $85 | $203 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
13 | $63 | $135 |
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 ↗$7,250
Total received (2018-2024)
Avg $1,036/year across 7 years
Top 21% in OH for pulmonary disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
44
Companies
449
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
$162
2023
$921
2022
$953
2021
$642
2020
$976
2019
$1,845
2018
$1,750
Payments by company (2024)
Inspire Medical Systems, Inc.
$142
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$20
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
GlaxoSmithKline, LLC.
$1,778
Boehringer Ingelheim Pharmaceuticals, Inc.
$976
AstraZeneca Pharmaceuticals LP
$945
Actelion Pharmaceuticals US, Inc.
$456
Astellas Pharma US Inc
$262
Circassia Pharmaceuticals Inc
$217
Sunovion Pharmaceuticals Inc.
$212
Inspire Medical Systems, Inc.
$205
Genentech USA, Inc.
$204
GENZYME CORPORATION
$190
Grifols USA, LLC
$167
Mylan Specialty L.P.
$143
Baxter Healthcare
$135
Teva Pharmaceuticals USA, Inc.
$118
Electromed, Inc.
$108
Regeneron Healthcare Solutions, Inc.
$93
Philips Electronics North America Corporation
$92
Harmony Biosciences LLC
$72
Mallinckrodt LLC
$68
Shire North American Group Inc
$61
Novartis Pharmaceuticals Corporation
$60
E.R. Squibb & Sons, L.L.C.
$58
Advanced Respiratory, Inc
$56
Bayer HealthCare Pharmaceuticals Inc.
$49
Bayer Healthcare Pharmaceuticals Inc.
$48
Amgen Inc.
$43
ADVANCED RESPIRATORY, INC
$42
Janssen Pharmaceuticals, Inc
$38
Jazz Pharmaceuticals Inc.
$36
Allergan Inc.
$34
JAZZ PHARMACEUTICALS INC.
$33
Inari Medical, Inc.
$31
Coloplast Corp
$30
Axsome Therapeutics, Inc.
$23
Sirtex Medical Inc
$22
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$20
Cook Medical LLC
$19
SANOFI-AVENTIS U.S. LLC
$18
Nabriva Therapeutics, plc
$15
Mallinckrodt Hospital Products Inc.
$15
Resmed Corp
$14
Gilead Sciences, Inc.
$14
Insmed, Inc.
$14
Vapotherm Inc
$11
Top 3 companies account for 51.0% of all-time payments
Associated products mentioned in payments ›
(8874) inCourage · ACTHAR · ANORO · ANORO ELLIPTA · AVYCAZ · Adempas · AirDuo Digihaler · Arikayce · Astral · BREO · BREZTRI · BREZTRI AEROSPHERE · BROVANA · CRESEMBA · Cresemba · DUAKLIR PRESSAIR · DUPIXENT · ELIQUIS · ENTRESTO · Esbriet · FASENRA · FlowTriever · GLASSIA · Hillrom - Vest System Model 105 Home Care · INSPIRE · LEXISCAN · LONHALA MAGNAIR · LUMIZYME · LifeVest · MYCAMINE · NUCALA · OFEV · OPSUMIT · OPSUMIT MACITENTAN · Perforomist · Precision Flow · ProAir Digihaler · Prolastin-C · Prolastin-C Liquid · RESTORELLE · S&RC Und · S&RC Undivided · SIR-Spheres Microspheres · SMARTVEST · SPIRIVA RESPIMAT · STIOLTO · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · Sunosi · TEZSPIRE · TRELEGY ELLIPTA · TUDORZA PRESSAIR · The MetaNeb System · The Vest System Model 105 Home Care · UPTRAVI · Utibron · WAKIX · Wakix · XARELTO · Xenleta · Xolair · Xyrem · YUPELRI · Yupelri · Zenith
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 →
Geographic Context
Pulmonary diseases in nearby ZIP areas
15
County median income
$70,693
Nearest hospital to ZIP centroid (approximate)
MERCY REGIONAL MEDICAL CENTER
0.0 mi
0.0 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. Makadia is a clinical cardiology specialist, with above-average Medicare volume (top 5% in OH), with 21 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. Makadia experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Makadia performed 1,006 office visit, established patient (30-39 min) 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. Makadia receive payments from pharmaceutical companies?
Yes. Dr. Makadia received a total of $7,250 from 44 companies across 449 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. Makadia's costs compare to other pulmonary diseases in Lorain?
Dr. Makadia's average Medicare payment per service is $74. 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. Makadia) 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 →
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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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