Medicare Enrolled
Dr. Sanjay Sheth, M.D.
Internal Medicine · Niles, 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. Sheth 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. Sheth?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Sheth
Dr. Sanjay Sheth is an internal medicine specialist in Niles, OH, with 20 years of NPI registration. Based on federal Medicare data, Dr. Sheth performed 1,379 Medicare services across 847 unique beneficiaries.
Between the years covered by Open Payments, Dr. Sheth received a total of $15,492 from 42 pharmaceutical and/or device companies across 835 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. 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. Sheth 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 17% volume in OH
$15,492 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,379
Medicare services
Top 17% in OH for internal medicine
847
Unique beneficiaries
$82
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~69 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 |
|---|---|---|---|
| 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. |
371 | $84 | $130 |
| 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. |
241 | $62 | $85 |
| 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. |
158 | $57 | $95 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
104 | $125 | $145 |
| 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. |
93 | $133 | $205 |
| 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. |
81 | $63 | $80 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
54 | $29 | $30 |
| 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. |
46 | $283 | $350 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
41 | $24 | $25 |
| Influenza vaccine, quadrivalent, 0.5 ml dosage | 38 | $20 | $40 |
| Annual depression screening | 35 | $18 | $35 |
| 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. |
34 | $93 | $121 |
| 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. |
22 | $214 | $300 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
18 | $9 | $95 |
| 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. |
17 | $40 | $110 |
| Blood glucose test using hand-held instrument A test that measures the level of sugar in the blood using a portable device. The result helps monitor blood glucose levels. |
15 | $3 | $16 |
| 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. |
11 | $158 | $250 |
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 ↗$15,492
Total received (2018-2024)
Avg $2,213/year across 7 years
Top 6% in OH for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
42
Companies
835
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
$15,492 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,779
2023
$2,603
2022
$2,605
2021
$2,306
2020
$1,224
2019
$1,988
2018
$1,987
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$506
ABBVIE INC.
$459
Amgen Inc.
$317
Lilly USA, LLC
$282
GlaxoSmithKline, LLC.
$216
Novo Nordisk Inc
$165
PFIZER INC.
$141
Merck Sharp & Dohme LLC
$131
Astellas Pharma US Inc
$125
Boehringer Ingelheim Pharmaceuticals, Inc.
$113
Bayer Healthcare Pharmaceuticals Inc.
$108
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$85
E.R. Squibb & Sons, L.L.C.
$37
Novartis Pharmaceuticals Corporation
$31
Lundbeck LLC
$23
SCILEX PHARMACEUTICALS INC.
$20
Exact Sciences Corporation
$19
Top 3 companies account for 46.1% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$1,986
AbbVie Inc.
$1,075
Novo Nordisk Inc
$1,040
Lilly USA, LLC
$1,038
PFIZER INC.
$1,026
GlaxoSmithKline, LLC.
$948
Boehringer Ingelheim Pharmaceuticals, Inc.
$935
Amarin Pharma Inc.
$768
Amgen Inc.
$750
ABBVIE INC.
$741
Janssen Pharmaceuticals, Inc
$524
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$489
Merck Sharp & Dohme LLC
$487
Biohaven Pharmaceuticals, Inc.
$449
Merck Sharp & Dohme Corporation
$381
Horizon Therapeutics plc
$326
Bayer HealthCare Pharmaceuticals Inc.
$276
SANOFI-AVENTIS U.S. LLC
$269
Biohaven Pharmaceutical Holding Company Ltd.
$250
E.R. Squibb & Sons, L.L.C.
$191
Esperion Therapeutics, Inc.
$190
Astellas Pharma US Inc
$188
Novartis Pharmaceuticals Corporation
$158
Bayer Healthcare Pharmaceuticals Inc.
$149
Abbott Laboratories
$127
Avanir Pharmaceuticals, Inc.
$105
Otsuka Pharmaceutical Development & Commercialization, Inc.
$100
Teva Pharmaceuticals USA, Inc.
$85
Actelion Pharmaceuticals US, Inc.
$69
Mylan Specialty L.P.
$63
PORTOLA PHARMACEUTICALS, INC.
$56
Exact Sciences Corporation
$36
Boston Scientific Corporation
$30
Ultragenyx Pharmaceutical Inc.
$30
IDORSIA PHARMACEUTICALS US INC
$23
Lundbeck LLC
$23
Sunovion Pharmaceuticals Inc.
$22
Amneal Pharmaceuticals LLC
$20
SCILEX PHARMACEUTICALS INC.
$20
Takeda Pharmaceuticals U.S.A., Inc.
$19
Noven Therapeutics, LLC
$14
Allergan, Inc.
$12
Top 3 companies account for 26.5% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · AREXVY · Aimovig · BELSOMRA · BEVESPI AEROSPHERE · BEVYXXA · BREO · BREZTRI · CAMZYOS · CHANTIX · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · Cologuard Collection Kit · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · FARXIGA · FASENRA · FREESTYLE LIBRE 2 · FreeStyle Libre 2 · INVOKANA · JANUVIA · JARDIANCE · KRYSTEXXA · Kerendia · LEQVIO · LINZESS · LYRICA · MOUNJARO · MYRBETRIQ · NEXLETOL · NEXLIZET · NUCALA · NUEDEXTA · NURTEC ODT · OFEV · Otezla · Ozempic · PENNSAID · QULIPTA · QUVIVIQ · REXULTI · RYBELSUS · Repatha · Rezum Generator · Rybelsus · SECUADO · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STEGLATRO · STIOLTO RESPIMAT · SYMBICORT · SYNJARDY · Saxenda · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · Tresiba · UBRELVY · UNITHROID · Utibron · VERQUVO · VESICARE · VRAYLAR · VYVANSE · Vascepa · Veozah · Victoza · WATCHMAN Access System · Wegovy · XARELTO · XIFAXAN · Yupelri · ZTLido
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 6% for internal medicine in OH.
Geographic Context
Internal medicine physicians within 10 mi
290
Per 100K population
144.0
County median income
$55,088
Nearest hospital
MH ST JOSEPH WARREN HOSPITAL
3.2 mi
3.2 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. Sheth is a clinical cardiology specialist, with above-average Medicare volume (top 17% in OH), with low-engagement industry engagement in the top 6% 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. Sheth experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Sheth performed 371 office visit, established patient (30-39 min) 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. Sheth receive payments from pharmaceutical companies?
Yes. Dr. Sheth received a total of $15,492 from 42 companies across 835 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. Sheth's costs compare to other internal medicine physicians in Niles?
Dr. Sheth's average Medicare payment per service is $82. 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. Sheth) 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 →
Explore related providers
Same specialty & city
Internal Medicine Physicians in Niles
Browse internal medicine physicians in Niles ranked by procedure volume and transparency data.
Highest volume
Top Internal Medicine Physicians in OH
Internal medicine physicians ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Internal Medicine Physicians in OH
Which OH internal medicine physicians receive the most from drug and device companies.
By company
AstraZeneca Pharmaceuticals LP Payments to Doctors
See all physicians who received payments from AstraZeneca Pharmaceuticals LP.
By company
AbbVie Inc. Payments to Doctors
See all physicians who received payments from AbbVie Inc.
By company
Novo Nordisk Inc Payments to Doctors
See all physicians who received payments from Novo Nordisk Inc.
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.
Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology