Medicare Enrolled
Dr. Rajesh Agarwal, M.D.
Optician · Mayfield Heights, OH
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Agarwal 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. Agarwal
Dr. Rajesh Agarwal is an optician specialist in Mayfield Heights, OH, with 20 years of NPI registration. Based on federal Medicare data, Dr. Agarwal performed 6,602 Medicare services across 4,195 unique beneficiaries.
Between the years covered by Open Payments, Dr. Agarwal received a total of $7,487 from 45 pharmaceutical and/or device companies across 584 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Agarwal 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 4% volume in OH
$7,487 industry payments
Medicare Practice Summary
Medicare Utilization ↗6,602
Medicare services
Top 4% in OH for optician
4,195
Unique beneficiaries
$71
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~330 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 |
|---|---|---|---|
| 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. |
1,124 | $62 | $105 |
| Nursing facility visit, low complexity A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care. |
1,049 | $57 | $75 |
| Initial nursing facility care, high complexity An initial visit by a healthcare provider to a patient in a nursing facility involving a high level of medical decision making, lasting at least 45 minutes. |
547 | $141 | $200 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
415 | $36 | $75 |
| 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. |
373 | $136 | $225 |
| 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. |
333 | $61 | $115 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
284 | $125 | $152 |
| 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. |
243 | $39 | $65 |
| 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. |
237 | $102 | $175 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
217 | $45 | $93 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
210 | $38 | $60 |
| Nursing facility visit, established patient, straightforward A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves straightforward medical decision making and lasts at least 10 minutes. |
166 | $29 | $50 |
| Hospital discharge management, 30+ min This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge. |
164 | $89 | $155 |
| 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. |
162 | $83 | $155 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
146 | $63 | $95 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
106 | $29 | $35 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
105 | $9 | $25 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
91 | $10 | $30 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
71 | $1 | $5 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
60 | $75 | $87 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
57 | $35 | $55 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
53 | $154 | $300 |
| Home visit, established patient, low complexity A physician visits an existing patient at their residence to provide care involving a low level of medical decision making. The visit lasts at least 30 minutes. |
49 | $57 | $80 |
| Influenza vaccine, quadrivalent, 0.5 ml dosage | 48 | $20 | $25 |
| Blood glucose level test A test that measures the amount of sugar in your blood. |
44 | $4 | $10 |
| Additional 30 minutes of principal care management This service covers each additional 30 minutes of clinical staff time directed by a healthcare professional for managing a single high-risk disease, billed per calendar month. |
37 | $37 | $55 |
| Hospice care plan supervision, complex multidisciplinary Physician oversight of a patient enrolled in a Medicare-approved hospice program without the patient being present. This involves developing or revising care plans and reviewing reports for complex, multidisciplinary care needs. |
34 | $80 | $150 |
| Hospital discharge day management, 30 minutes or less This service covers the final day of hospital care when the patient is being discharged. It includes coordination of care and instructions for the patient within a time frame of 30 minutes or less. |
23 | $63 | $105 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
21 | $28 | $33 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
20 | $281 | $350 |
| Initial hospital admission, low complexity Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter. |
20 | $66 | $150 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
20 | $204 | $300 |
| Principal care management for high-risk disease, first 30 minutes This service covers the initial 30 minutes of clinical staff time per calendar month to manage a single high-risk disease. It is directed by a healthcare professional. |
19 | $48 | $75 |
| 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. |
17 | $94 | $150 |
| 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 | $81 | $124 |
| Stool test for blood to screen for colon tumors A test that analyzes a stool sample to detect hidden blood, which is used to screen for colon tumors. |
11 | $4 | $5 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
11 | $161 | $170 |
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 ↗$7,487
Total received (2018-2024)
Avg $1,070/year across 7 years
Top 16% in OH for optician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
45
Companies
584
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.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$7,396 (98.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$91 (1.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$860
2023
$1,088
2022
$540
2021
$58
2020
$315
2019
$2,220
2018
$2,405
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Amgen Inc.
$300
AstraZeneca Pharmaceuticals LP
$251
Novo Nordisk Inc
$230
PFIZER INC.
$36
Dexcom, Inc.
$15
Boehringer Ingelheim Pharmaceuticals, Inc.
$14
Merck Sharp & Dohme LLC
$14
Top 3 companies account for 90.8% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$1,168
PFIZER INC.
$692
GlaxoSmithKline, LLC.
$692
Novo Nordisk Inc
$645
Amgen Inc.
$537
E.R. Squibb & Sons, L.L.C.
$475
SANOFI-AVENTIS U.S. LLC
$369
Janssen Pharmaceuticals, Inc
$324
Takeda Pharmaceuticals U.S.A., Inc.
$306
Lilly USA, LLC
$294
Boehringer Ingelheim Pharmaceuticals, Inc.
$278
Allergan Inc.
$240
Novartis Pharmaceuticals Corporation
$162
Hikma Pharmaceuticals USA
$146
Astellas Pharma US Inc
$103
Paratek Pharmaceuticals, Inc.
$97
AbbVie, Inc.
$79
Ironwood Pharmaceuticals, Inc
$75
AbbVie Inc.
$73
Horizon Therapeutics plc
$54
Merck Sharp & Dohme LLC
$52
Teva Pharmaceuticals USA, Inc.
$51
Grifols USA, LLC
$44
Kowa Pharmaceuticals America, Inc.
$43
Horizon Pharma plc
$43
UCB, Inc.
$41
Purdue Pharma L.P.
$39
Mylan Specialty L.P.
$33
Circassia Pharmaceuticals Inc
$33
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$32
Shire North American Group Inc
$26
IRONWOOD PHARMACEUTICALS, INC
$24
Abbott Laboratories
$23
Eyevance Pharmaceuticals LLC
$23
Otsuka America Pharmaceutical, Inc.
$21
ARBOR PHARMACEUTICALS, INC.
$18
Mannkind Corporation
$18
ABBVIE INC.
$18
Dexcom, Inc.
$15
Allergan, Inc.
$14
Collegium Pharmaceutical, Inc.
$14
Gilead Sciences, Inc.
$14
IBSA Pharma Inc.
$13
Radius Health, Inc.
$12
Alfasigma USA, Inc.
$12
Top 3 companies account for 34.1% of all-time payments
Associated products mentioned in payments ›
AFREZZA · AIMOVIG · AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · AREXVY · Aimovig · Amitiza · Austedo XR · BASAGLAR · BEVESPI AEROSPHERE · BREO · BREZTRI · BYSTOLIC · CAMZYOS · CHANTIX · COLOGUARD · CREON · Creon · DUZALLO · Dexcom G6 Transmitter · Dymista · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EVENITY · Edarbyclor · FARXIGA · FreeStyle Libre blood glucose Flash Monitoring System · GATTEX · HUMALOG · HUMIRA · Humira · INVOKANA · JARDIANCE · KRYSTEXXA · Kloxxado · LANTUS · LINZESS · LOKELMA · LYRICA · Linzess · Livalo · MYRBETRIQ · Mitigare · Motegrity · NAMZARIC · NURTEC ODT · NUZYRA · Ozempic · PENNSAID · Prolastin-C Liquid · Prolia · QULIPTA · QVAR · Repatha · Rybelsus · SAMSCA · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SYMBICORT · SYMPROIC · Saxenda · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · TUDORZA PRESSAIR · Tirosint · Tobradex ST · Tresiba · Trintellix · Tymlos · UBRELVY · VERQUVO · VESICARE · VIAGRA · VRAYLAR · Veklury · Victoza · Vimpat · XARELTO · XIFAXAN · XTAMPZA · Yupelri
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 →
Most payments (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Opticians within 10 mi
274
Per 100K population
21.9
County median income
$62,823
Nearest hospital
HILLCREST HOSPITAL
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. Agarwal is a clinical cardiology specialist, with above-average Medicare volume (top 4% in OH), with low-engagement industry engagement in the top 16% of OH 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. Agarwal experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Agarwal performed 1,124 hospital follow-up visit, moderate complexity 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. Agarwal receive payments from pharmaceutical companies?
Yes. Dr. Agarwal received a total of $7,487 from 45 companies across 584 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. Agarwal's costs compare to other opticians in Mayfield Heights?
Dr. Agarwal's average Medicare payment per service is $71. 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. Agarwal) 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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