Medicare Enrolled

Dr. Upamaka Rao, MD

Family Medicine · Sylvania, OH
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
7640 SYLVANIA AVE, Sylvania, OH 43560
5674555906
In practice since 2006 (20 years)
NPI: 1245218312 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. Rao 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. Rao? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Rao

Dr. Upamaka Rao is a family medicine specialist in Sylvania, OH, with 20 years of NPI registration. Based on federal Medicare data, Dr. Rao performed 1,494 Medicare services across 883 unique beneficiaries.

Between the years covered by Open Payments, Dr. Rao received a total of $7,176 from 52 pharmaceutical and/or device companies across 459 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family 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. Rao 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 12% volume in OH $7,176 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,494
Medicare services
Top 12% in OH for family medicine
883
Unique beneficiaries
$72
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~75 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.
390 $82 $208
Chronic care management, first 20 min/month
This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions.
308 $45 $124
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
235 $123 $247
Chronic care management, additional 20 min/month
This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month.
180 $35 $73
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
102 $29 $35
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.
101 $59 $141
Flu vaccine, quadrivalent
A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection.
98 $76 $122
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.
39 $147 $317
Pneumonia vaccine administration
This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider.
27 $29 $47
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.
14 $283 $529
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 ↗
$7,176
Total received (2018-2024)
Avg $1,025/year across 7 years
Top 9% in OH for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
52
Companies
459
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
$6,989 (97.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$187 (2.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,606
2023
$1,761
2022
$1,327
2021
$1,136
2020
$597
2019
$356
2018
$394

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$265
Novo Nordisk Inc
$200
Lilly USA, LLC
$192
PFIZER INC.
$102
Teva Pharmaceuticals USA, Inc.
$99
GlaxoSmithKline, LLC.
$77
AstraZeneca Pharmaceuticals LP
$69
IDORSIA PHARMACEUTICALS US INC
$57
Astellas Pharma US Inc
$57
Novartis Pharmaceuticals Corporation
$39
Supernus Pharmaceuticals, Inc.
$38
Otsuka America Pharmaceutical, Inc.
$37
Alkermes, Inc.
$37
E.R. Squibb & Sons, L.L.C.
$37
Abbott Laboratories
$35
Takeda Pharmaceuticals U.S.A., Inc.
$34
Vanda Pharmaceuticals Inc.
$33
Noven Therapeutics, LLC
$33
Lundbeck LLC
$23
Axsome Therapeutics, Inc.
$21
Amgen Inc.
$21
ACADIA Pharmaceuticals Inc
$19
Bayer Healthcare Pharmaceuticals Inc.
$19
Corium, LLC
$18
Dexcom, Inc.
$17
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$14
Sumitomo Pharma America, Inc.
$14
Top 3 companies account for 40.9% of 2024 payments
All-time payments by company (2018-2024) ›
ABBVIE INC.
$835
Novo Nordisk Inc
$816
Teva Pharmaceuticals USA, Inc.
$423
Lilly USA, LLC
$412
Amgen Inc.
$377
Takeda Pharmaceuticals U.S.A., Inc.
$347
Astellas Pharma US Inc
$325
AbbVie Inc.
$267
PFIZER INC.
$262
Janssen Pharmaceuticals, Inc
$209
Novartis Pharmaceuticals Corporation
$205
AstraZeneca Pharmaceuticals LP
$152
Kowa Pharmaceuticals America, Inc.
$141
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$141
Otsuka America Pharmaceutical, Inc.
$138
GlaxoSmithKline, LLC.
$127
Boehringer Ingelheim Pharmaceuticals, Inc.
$115
Alkermes, Inc.
$102
Amarin Pharma Inc.
$98
Merck Sharp & Dohme Corporation
$97
Bayer Healthcare Pharmaceuticals Inc.
$95
Abbott Laboratories
$87
IDORSIA PHARMACEUTICALS US INC
$86
Axsome Therapeutics, Inc.
$80
Corium, LLC
$80
Exact Sciences Corporation
$80
Sumitomo Pharma America, Inc.
$78
Lundbeck LLC
$75
Merck Sharp & Dohme LLC
$73
Sunovion Pharmaceuticals Inc.
$73
Bausch Health US, LLC
$71
Noven Therapeutics, LLC
$66
Biohaven Pharmaceuticals, Inc.
$64
Allergan Inc.
$59
Vanda Pharmaceuticals Inc.
$51
E.R. Squibb & Sons, L.L.C.
$48
Allergan, Inc.
$41
Bayer HealthCare Pharmaceuticals Inc.
$40
Supernus Pharmaceuticals, Inc.
$38
Avanir Pharmaceuticals, Inc.
$37
Corcept Therapeutics
$35
ACADIA Pharmaceuticals Inc
$33
Eisai Inc.
$32
Biohaven Pharmaceutical Holding Company Ltd.
$31
Brainsway USA INC
$23
Actelion Pharmaceuticals US, Inc.
$20
Indivior Inc.
$18
Shire North American Group Inc
$17
Dexcom, Inc.
$17
Almatica Pharma LLC
$16
Ironwood Pharmaceuticals, Inc
$13
JAZZ PHARMACEUTICALS INC.
$13
Top 3 companies account for 28.9% of all-time payments
Associated products mentioned in payments ›
ABILIFY MAINTENA · AIMOVIG · AIRSUPRA · AJOVY · APLENZIN · ARISTADA · AUSTEDO · AZSTARYS · Aimovig · Amitiza · Austedo XR · Auvelity · Azstarys · BASAGLAR · BELSOMRA · BREZTRI · CHANTIX · COMIRNATY · Cologuard Collection Kit · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · FANAPT · FARXIGA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · GEMTESA · GRALISE · HETLIOZ · INVOKANA · JANUVIA · JARDIANCE · Kerendia · Korlym · LATUDA · LEQVIO · LINZESS · LYBALVI · Livalo · MOUNJARO · MYDAYIS · MYRBETRIQ · Myrbetriq · NUEDEXTA · NUPLAZID · NURTEC ODT · OPSUMIT · Otezla · Ozempic · PERSERIS · PREMARIN · PREVNAR 20 · QULIPTA · QUVIVIQ · Qelbree · REXULTI · RYBELSUS · Repatha · Rybelsus · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · Saxenda · Sunosi · TRELEGY ELLIPTA · TRINTELLIX · TRULANCE · TRULICITY · Trintellix · UBRELVY · UZEDY · VIBERZI · VRAYLAR · Vascepa · Veozah · Victoza · Vivitrol · Wegovy · XARELTO · XIFAXAN · Xelstrym · ZEPBOUND
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 (97%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 9% for family medicine in OH.

Looking for a family medicine specialist in Sylvania?
Compare family medicine physicians in the Sylvania area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family medicine physicians within 10 mi
412
Per 100K population
96.1
County median income
$60,095
Nearest hospital
ASSURANCE HEALTH TOLEDO LLC
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. Rao is a clinical cardiology specialist, with above-average Medicare volume (top 12% in OH), with low-engagement industry engagement in the top 9% 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. Rao experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Rao performed 390 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. Rao receive payments from pharmaceutical companies?
Yes. Dr. Rao received a total of $7,176 from 52 companies across 459 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. Rao's costs compare to other family medicine physicians in Sylvania?
Dr. Rao's average Medicare payment per service is $72. 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. Rao) 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 →
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

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. Payments from industry are legal and do not indicate wrongdoing. 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 →