Medicare Enrolled
Dr. Upamaka Rao, MD
Family Medicine · Sylvania, 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. 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?
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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 in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Rao received a total of $7,176 from 52 pharmaceutical and/or device companies across 459 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. 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 of NPI registration
▲ Top 12% volume in OH
$7,176 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗1,494
Medicare services
Top 12% in OH for family medicine
Not available
Unique patients (not deduplicated)
$72
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. |
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. These counts do not measure clinical quality or years of experience.
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
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
$1,606
2023
$1,761
2022
$1,327
2021
$1,136
2020
$597
2019
$356
2018
$394
Payments by company (2024)
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? 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
Family medicine physicians in nearby ZIP areas
412
County median income
$60,095
Nearest hospital to ZIP centroid (approximate)
ASSURANCE HEALTH TOLEDO LLC
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. Rao is a clinical cardiology specialist, with above-average Medicare volume (top 12% in OH), 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. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Rao receive payments from pharmaceutical companies?
Yes. Dr. Rao received a total of $7,176 from 52 companies across 459 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. 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 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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