Medicare Enrolled
Dr. Sumeet Mainigi, MD
Cardiovascular Disease · Philadelphia, PA
Practice pattern: Remote & Electrophysiology
— Practice combining remote and electrophysiology services
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. Mainigi 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. Mainigi
Dr. Sumeet Mainigi is a cardiovascular disease specialist in Philadelphia, PA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Mainigi performed 4,871 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Mainigi received a total of $99,700 from 18 pharmaceutical and/or device companies across 207 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. Mainigi 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.
✓ 19 years of NPI registration
▲ Top 11% volume in PA
$99,700 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗4,871
Medicare services
Top 11% in PA for cardiovascular disease
Not available
Unique patients (not deduplicated)
$30
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 |
|---|---|---|---|
| Remote monitoring of implantable heart device, up to 30 days Remote evaluation of an implanted heart or blood vessel monitoring system over a period of up to 30 days. |
1,306 | $19 | $68 |
| Remote monitoring of implantable heart rhythm device Evaluation of data transmitted remotely from an implantable cardiovascular monitor, such as a loop recorder or subcutaneous cardiac rhythm monitor, over a period up to 30 days. |
927 | $29 | $203 |
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
872 | $18 | $96 |
| Remote evaluation of implantable defibrillator system Remote assessment of a single, dual, or multiple lead implantable defibrillator system within 90 days of the previous evaluation. |
460 | $27 | $173 |
| Remote pacemaker monitoring, 90 days Remote assessment of a pacemaker system, including single, dual, multiple lead, or leadless devices, performed up to 90 days apart. |
422 | $23 | $96 |
| Remote cardiac rhythm monitor evaluation, up to 30 days Review and analysis of data from a remote cardiac rhythm monitoring system over a period of up to 30 days. |
182 | $20 | $74 |
| 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. |
156 | $11 | $69 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
103 | $61 | $172 |
| 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. |
63 | $93 | $230 |
| 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. |
56 | $65 | $162 |
| Programming of single lead implantable defibrillator system Adjustment and testing of the settings for a single-lead implantable cardioverter-defibrillator (ICD) to ensure proper function. |
55 | $63 | $189 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
43 | $140 | $349 |
| Programming of multiple lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with multiple leads to ensure proper function. |
32 | $80 | $268 |
| Pacemaker programming, single lead Adjustment and testing of a single-lead pacemaker to ensure it functions correctly. |
30 | $52 | $152 |
| Programming of dual lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with two leads to ensure proper function. |
29 | $73 | $231 |
| 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. |
24 | $66 | $133 |
| 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. |
22 | $94 | $188 |
| External shock to heart to regulate heart beat A procedure that delivers an electric shock to the heart from outside the body to restore a normal heart rhythm. |
20 | $90 | $618 |
| Heart rhythm stimulator programming after drug infusion Adjustment of a heart rhythm stimulation device following a drug infusion. This procedure involves reprogramming the device settings to ensure proper function after the medication has been administered. |
19 | $70 | $1,259 |
| Cardiac rhythm monitor evaluation Review and analysis of data recorded by a cardiac rhythm monitoring device to assess heart activity. |
18 | $42 | $109 |
| 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. |
17 | $144 | $400 |
| Atrial fibrillation ablation with pulmonary vein isolation A procedure to treat atrial fibrillation by mapping the heart's electrical activity and destroying tissue causing irregular contractions. This is done by isolating the pulmonary veins using catheter-based destruction. |
15 | $787 | $3,005 |
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.
41.8% high complexity
0.0% medium
58.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$99,700
Total received (2018-2024)
Avg $14,243/year across 7 years
Top 6% in PA for cardiovascular disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
18
Companies
207
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
$8,795
2023
$6,197
2022
$7,823
2021
$4,264
2020
$4,406
2019
$40,308
2018
$27,909
Payments by company (2024)
BIOTRONIK INC.
$3,849
Impulse Dynamics (USA) Inc.
$3,835
AltaThera Pharmaceuticals LLC
$600
Abbott Laboratories
$283
Biosense Webster, Inc.
$229
Top 3 companies account for 94.2% of 2024 payments
All-time payments by company (2018-2024) ›
BIOTRONIK INC.
$42,340
Abbott Laboratories
$38,752
Biosense Webster, Inc.
$9,265
Impulse Dynamics (USA) Inc.
$3,887
Merit Medical Systems Inc
$2,141
Boston Scientific Corporation
$812
Medical Device Business Services, Inc.
$801
Medtronic Vascular, Inc.
$653
AltaThera Pharmaceuticals LLC
$624
BOSTON SCIENTIFIC CORPORATION
$180
Medtronic, Inc.
$118
ABIOMED
$32
Janssen Pharmaceuticals, Inc
$24
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$16
Merck Sharp & Dohme Corporation
$15
Edwards Lifesciences Corporation
$15
E.R. Squibb & Sons, L.L.C.
$13
Terumo Medical Corporation
$11
Top 3 companies account for 90.6% of all-time payments
Associated products mentioned in payments ›
AMVIA EDGE · Ablation Therapy Hardware · Acticor · Acticor 7 VR-T DX · Advisa · Allure Quadra RF CRT Pacemaker · Ampere RF Ablation Generator · Assurity Pacemaker · BIOMONITOR · CAMZYOS · CARTO 3 · CRT-Ds · Cardiac Mapping System · CardioMEMS HF System · Carto 3 System · Carto Smarttouch · Confirm Rx · ENSITE · ENSITE PRECISION · Edora 8 DR-T · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · Ellipse ICD · EnSite Velocity System Mapping D · Endurity Pacemaker · Ensite Cardiac Mapping System · Fortify Assura · GENERAL THERAPIES · GENERAL TACHY · Glidesheath · Impella · Irrigated Ablation Catheters · LINQ II · LifeVest · Merlin Connectivity and Remote · Micra · OCTARAY MAPPING CATHETER · Optimizer · Optimizer Smart System · PAMIRA · Quadra Assura CRT Defibrillator · RHYTHMIA · Rad Board · Selectra · Smartablate · Solia · Sotalol Hydrochloride · VERQUVO · VersaCross Steerable Access Solution · WATCHMAN Access System · XARELTO
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
Cardiologists in nearby ZIP areas
754
County median income
$60,698
Nearest hospital to ZIP centroid (approximate)
JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL
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. Mainigi is a remote & electrophysiology specialist, with above-average Medicare volume (top 11% in PA), with 19 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. Mainigi experienced with remote monitoring of implantable heart device, up to 30 days?
Based on Medicare claims data, Dr. Mainigi performed 1,306 remote monitoring of implantable heart device, up to 30 days 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. Mainigi receive payments from pharmaceutical companies?
Yes. Dr. Mainigi received a total of $99,700 from 18 companies across 207 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. Mainigi's costs compare to other cardiologists in Philadelphia?
Dr. Mainigi's average Medicare payment per service is $30. 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. Mainigi) 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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