Medicare Enrolled
Dr. Ashok Biyani, M.D.
Orthopedic Surgery · Toledo, OH
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Mixed 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. Biyani 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. Biyani
Dr. Ashok Biyani is an orthopedic surgery specialist in Toledo, OH, with 20 years of NPI registration. Based on federal Medicare data, Dr. Biyani performed 1,899 Medicare services across 1,443 unique beneficiaries.
Between the years covered by Open Payments, Dr. Biyani received a total of $1,220,603 from 30 pharmaceutical and/or device companies across 131 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. The majority of payments are classified as financial or ownership interests (royalties, licensing fees, or investment interests). Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Biyani 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 25% volume in OH
$1,220,603 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,899
Medicare services
Top 25% in OH for orthopedic surgery
1,443
Unique beneficiaries
$157
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~95 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. |
420 | $93 | $165 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
411 | $28 | $83 |
| 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. |
242 | $62 | $112 |
| X-ray of upper spine, 2-3 views An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures. |
142 | $27 | $72 |
| Betamethasone steroid injection An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate. |
112 | $5 | $11 |
| 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. |
80 | $118 | $315 |
| Partial removal of spine bone with nerve release, 1 segment A surgical procedure involving the partial removal of a bone segment in the spine to relieve pressure on the spinal cord or nerves. This is performed on a single spinal segment. |
59 | $539 | $2,245 |
| Partial removal of spine bone with nerve release, each additional segment This procedure involves the partial removal of spinal bone to relieve pressure on the spinal cord or nerves. It is billed for each additional spinal segment treated beyond the initial segment. |
58 | $168 | $438 |
| 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. |
58 | $72 | $167 |
| Spinal fusion of additional segment A surgical procedure to join an additional section of the spine to the existing fusion. This is performed as a separate or subsequent step to stabilize more of the spinal column. |
57 | $312 | $941 |
| Spine fusion with cage or mesh device insertion A surgical procedure to fuse spine bones by inserting a cage or mesh device into the disc space. |
55 | $204 | $536 |
| Placement of stabilizing device to back of 1 spine bone in neck A procedure involving the placement of a stabilizing device on the back of a single vertebra in the neck. |
40 | $605 | $1,813 |
| Fusion of spine in lower back | 35 | $1,251 | $4,650 |
| Lower back spinal fusion with bone and disc removal A surgical procedure to fuse vertebrae in the lower back. It involves removing part of the spine bone and a disc to stabilize the area. |
24 | $1,444 | $3,784 |
| Partial removal of spine bone with nerve release during fusion This procedure involves removing part of the bone in a single segment of the lower spine to release the spinal cord or nerves, performed during a spinal fusion. |
24 | $206 | $524 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
21 | $39 | $153 |
| X-ray of middle spine, 2 views An X-ray imaging test that produces two views of the middle section of the spine to visualize the bones and joints. |
20 | $22 | $93 |
| Spinal fusion with disc removal and nerve release, 1 disc This surgery connects two or more vertebrae in the upper spine to stabilize the area. It involves removing a damaged disc and relieving pressure on the spinal cord or nerve. |
16 | $1,270 | $5,300 |
| Spinal stabilization device placement, 3-6 segments Surgical placement of a device to stabilize three to six vertebrae in the back. |
14 | $609 | $1,747 |
| Spinal stabilization device placement, 2-3 segments Surgical placement of a device to stabilize the front of two to three spinal segments. |
11 | $581 | $1,509 |
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.
11.1% high complexity
7.0% medium
81.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$1,220,603
Total received (2018-2024)
Avg $174,372/year across 7 years
Top 2% in OH for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
30
Companies
131
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.
Financial / Ownership
Ownership or investment interests, royalties, and licensing fees
$1,216,456 (99.7%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$2,204 (0.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$1,943 (0.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$126,905
2023
$112,686
2022
$136,097
2021
$238,069
2020
$223,429
2019
$195,131
2018
$188,286
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Stryker Corporation
$126,317
Medtronic, Inc.
$394
Globus Medical, Inc.
$99
Pacira Pharmaceuticals Incorporated
$38
Ethicon US, LLC
$24
Ferring Pharmaceuticals Inc.
$17
VERTEX PHARMACEUTICALS INCORPORATED
$16
Top 3 companies account for 99.9% of 2024 payments
All-time payments by company (2018-2024) ›
Stryker Corporation
$607,373
Globus Medical, Inc.
$571,156
K2M, Inc.
$38,026
Cerapedics, Inc.
$1,943
Medtronic, Inc.
$406
Flexion Therapeutics, Inc.
$334
Medtronic USA, Inc.
$268
Pacira Therapeutics, Inc.
$153
Synaptive Medical Inc.
$120
DePuy Synthes Sales Inc.
$92
Pacira Pharmaceuticals Incorporated
$75
Horizon Pharma plc
$73
Bioventus LLC
$71
Spineology Inc.
$55
Endo Pharmaceuticals Inc.
$54
Ferring Pharmaceuticals Inc.
$53
SANOFI-AVENTIS U.S. LLC
$52
PARADIGM SPINE, LLC
$47
Abbott Laboratories
$41
Heron Therapeutics, Inc.
$38
PFIZER INC.
$30
Ethicon US, LLC
$24
SI-BONE, Inc.
$18
Orthofix Medical, Inc.
$18
VERTEX PHARMACEUTICALS INCORPORATED
$16
Fidia Pharma USA Inc.
$15
ConvaTec Inc.
$15
ZIMVIE INC.
$14
Avanos Medical
$13
HERAEUS MEDICAL, LLC.
$8
Top 3 companies account for 99.7% of all-time payments
Associated products mentioned in payments ›
AQUACEL AG · Axium Sheath Braided DRG · Brightmatter Guide/Modus V · CASCADIA Interbody System · CATALYFT PL EXPANDABLE INTERBODY SYSTEM · CD HORIZON SPINAL SYSTEM · CREO · CREO MCS · DIVERGENCE ANTERIOR CERVICAL FUSION SYSTEM · Durolane · EUFLEXXA · EVEREST · EVEREST SPINAL SYSTEM · EVEREST Spinal System · EXPAREL · Excelsius - GPS · Exparel · GELSYN-3 · GENERAL K2M PRODUCT DISCUSSION · GENERATOR · HYMOVIS · INFINITY OCCIPITOCERVICAL UPPER THORACIC SYSTEM · KYPHON Balloon Kyphoplasty · KYPHON EXPRESS II KYPHOPAK TRAY · Mazor X Stealth Edition · NAV - SPINEMAP 3D NAVIGATION SOFTWARE AND INSTRUMENTATION · NEW PRODUCT DEVELOPMENT · OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM · PALACOS · PIVOX Oblique Lateral Spinal System · PRIMARY CARE - DISEASE STATE · Physio-Stim · PrimaGen · Proclaim Family of SCS IPGs · RELINE · SABLE · SPINEJACK · SURGICEL NU-KNIT · SWIFTSET · SYNVISC-ONE · THROMBIN · THROMBIN-JMI · UNID_PASS · VARIAX · VIPER · VIVIGEN MIS DELIVERY SYSTEM · XIAFLEX · XTEND · ZYNRELEF · Zilretta · Zynrelef · coflex · i-FACTOR Putty · iFuse Implant
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 →
Payments are distributed across multiple categories with no single dominant type. Total industry engagement is in the top 2% for orthopedic surgery in OH.
Geographic Context
Orthopedic surgeons within 10 mi
62
Per 100K population
14.5
County median income
$60,095
Nearest hospital
PROMEDICA TOLEDO HOSPITAL
3.5 mi
3.5 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. Biyani is a clinical cardiology specialist, with above-average Medicare volume (top 25% in OH), with mixed engagement industry engagement in the top 2% 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. Biyani experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Biyani performed 420 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. Biyani receive payments from pharmaceutical companies?
Yes. Dr. Biyani received a total of $1,220,603 from 30 companies across 131 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. Biyani's costs compare to other orthopedic surgeons in Toledo?
Dr. Biyani's average Medicare payment per service is $157. 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. Biyani) 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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