Medicare Enrolled
Dr. Rafael Amaral, M.D.
Gastroenterology · Darby, PA
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. Amaral 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. Amaral
Dr. Rafael Amaral is a gastroenterology specialist in Darby, PA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Amaral performed 694 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Amaral received a total of $27,782 from 55 pharmaceutical and/or device companies across 594 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. Amaral 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 31% volume in PA
$27,782 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗694
Medicare services
Top 31% in PA for gastroenterology
Not available
Unique patients (not deduplicated)
$92
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 |
|---|---|---|---|
| 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. |
185 | $64 | $150 |
| 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. |
178 | $96 | $275 |
| 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. |
60 | $125 | $360 |
| 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. |
60 | $107 | $285 |
| Upper GI endoscopy with biopsy A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities. |
53 | $66 | $795 |
| Colon polyp removal with endoscopic snare This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination. |
41 | $213 | $640 |
| Colonoscopy with biopsy A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease. |
39 | $87 | $920 |
| Injection beneath large bowel lining via endoscope A flexible endoscope is used to inject medication or fluid beneath the lining of the large intestine. |
32 | $13 | $925 |
| Colon polyp removal with endoscope and cautery This procedure removes polyps or growths from the large bowel using a flexible tube with a camera. Electrical cautery is used to stop bleeding during the removal. |
26 | $79 | $920 |
| 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. |
20 | $142 | $415 |
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 ↗$27,782
Total received (2018-2024)
Avg $3,969/year across 7 years
Top 11% in PA for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
55
Companies
594
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
$3,222
2023
$3,663
2022
$2,753
2021
$2,207
2020
$1,064
2019
$8,162
2018
$6,711
Payments by company (2024)
Olympus Medical Systems Corporation
$840
ABBVIE INC.
$756
Janssen Biotech, Inc.
$278
Phathom Pharmaceuticals, Inc.
$181
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$166
Takeda Pharmaceuticals U.S.A., Inc.
$152
E.R. Squibb & Sons, L.L.C.
$113
Celltrion USA Inc.
$108
Madrigal Pharmaceuticals
$99
Celgene Corporation
$84
Exact Sciences Corporation
$82
AIMMUNE THERAPEUTICS, INC.
$67
Ardelyx, Inc.
$66
QOL Medical, LLC
$54
Digestive Care, Inc.
$46
Cumberland Pharmaceuticals, Inc.
$39
Fresenius Kabi USA, LLC
$36
Siemens Medical Solutions USA, Inc.
$23
Novo Nordisk Inc
$18
Gilead Sciences, Inc.
$14
Top 3 companies account for 58.2% of 2024 payments
All-time payments by company (2018-2024) ›
Allergan Inc.
$11,784
Olympus Corporation
$3,570
ABBVIE INC.
$1,505
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$1,388
Janssen Biotech, Inc.
$1,065
AbbVie Inc.
$1,006
Takeda Pharmaceuticals U.S.A., Inc.
$979
Olympus Medical Systems Corporation
$840
Olympus Corporation of the Americas
$564
Gilead Sciences, Inc.
$549
Celgene Corporation
$487
AbbVie, Inc.
$427
Cook Medical LLC
$313
Covidien LP
$253
Exact Sciences Corporation
$235
E.R. Squibb & Sons, L.L.C.
$230
Phathom Pharmaceuticals, Inc.
$196
Braintree Laboratories, Inc.
$179
Ironwood Pharmaceuticals, Inc
$165
Ardelyx, Inc.
$151
PFIZER INC.
$147
QOL Medical, LLC
$143
BOSTON SCIENTIFIC CORPORATION
$126
Amgen Inc.
$109
Celltrion USA Inc.
$108
Nestle HealthCare Nutrition Inc.
$107
Madrigal Pharmaceuticals
$99
Merck Sharp & Dohme Corporation
$94
Laborie Medical Technologies Corp.
$92
Janssen Scientific Affairs, LLC
$86
Ferring Pharmaceuticals Inc.
$76
AIMMUNE THERAPEUTICS, INC.
$67
IRONWOOD PHARMACEUTICALS, INC
$57
RedHill Biopharma Inc.
$54
Merck Sharp & Dohme LLC
$46
Digestive Care, Inc.
$46
Janssen Pharmaceuticals, Inc
$45
Novo Nordisk Inc
$41
Cumberland Pharmaceuticals, Inc.
$39
Fresenius Kabi USA, LLC
$36
Shire North American Group Inc
$32
Boston Scientific Corporation
$29
Alfasigma USA, Inc.
$25
Siemens Medical Solutions USA, Inc.
$23
Amarin Pharma Inc.
$21
Cook Incorporated
$19
Regeneron Healthcare Solutions, Inc.
$18
Sandoz Inc.
$18
Evoke Pharma, Inc.
$16
Synergy Pharmaceuticals Inc
$16
Boehringer Ingelheim Pharmaceuticals, Inc.
$14
Hologic, LLC
$13
Lilly USA, LLC
$12
Mylan Pharmaceuticals Inc.
$11
Intercept Pharmaceuticals, Inc.
$11
Top 3 companies account for 60.7% of all-time payments
Associated products mentioned in payments ›
ACUSON Sequoia Diagnostic Ultrasound System · APRISO · Aimovig · Amitiza · Bravo · CIMZIA · CLENPIQ · COOK MEDICAL BILIARY · COOK MEDICAL HEMOSPRAY · CREON · Cologuard Collection Kit · Cook Medical Hemostasis · Creon · DIFICID · DUPIXENT · Dexilant · ENTYVIO · EOHILIA · ERLEADA · EVIS EXERA III VIDEO SYSTEM CENTER · EXALT · Entyvio · GATTEX · GENERAL - ENDOCHOICE · GIMOTI · HEMOSPRAY · HUMIRA · HYRIMOZ · Humira · IBSRELA · IDACIO · Instinct · JARDIANCE · KRISTALOSE · LINZESS · Linzess · MAVYRET · MOTEGRITY · MOTOFEN · Motegrity · Novasure · OCALIVA · Olympus EMR & ESD Devices · Orilissa · Ozempic · PLENVU · Pertzye · Prolia · REMICADE · RESMETIROM · RINVOQ · Repatha · SKYRIZI · STELARA · SUCRAID · SUPREP · SUTAB · Single Use Electrosurgical Knife KD-655 · Smart Pill · Sucraid · TREMFYA · TRULANCE · TRULICITY · Talicia · Trulance · VEGZELMA · VIBERZI · VOQUEZNA · Vascepa · XARELTO · XELJANZ · XIFAXAN · XIFAXANIBSD · Xulane · ZENPEP · ZEPOSIA · ZYMFENTRA · Zelnorm
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
Gastroenterologists in nearby ZIP areas
408
County median income
$88,576
Nearest hospital to ZIP centroid (approximate)
MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD
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. Amaral is a clinical cardiology specialist, with moderate Medicare volume, 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. Amaral experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Amaral performed 185 hospital follow-up visit, moderate complexity 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. Amaral receive payments from pharmaceutical companies?
Yes. Dr. Amaral received a total of $27,782 from 55 companies across 594 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. Amaral's costs compare to other gastroenterologists in Darby?
Dr. Amaral's average Medicare payment per service is $92. 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. Amaral) 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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