Medicare Enrolled
Dr. Kalpesh Patel, MD
Pulmonary Disease · Kyle, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-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. Patel 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. Patel
Dr. Kalpesh Patel is a pulmonary disease specialist in Kyle, TX, with 18 years of NPI registration. Based on federal Medicare data, Dr. Patel performed 4,441 Medicare services across 1,960 unique beneficiaries.
Between the years covered by Open Payments, Dr. Patel received a total of $4,366 from 33 pharmaceutical and/or device companies across 132 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pulmonary disease. 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. Patel is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 18 years in practice
▲ Top 6% volume in TX
$4,366 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,441
Medicare services
Top 6% in TX for pulmonary disease
1,960
Unique beneficiaries
$92
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~247 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. |
1,207 | $90 | $200 |
| 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. |
934 | $92 | $261 |
| 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. |
739 | $61 | $150 |
| Critical care, first 30-74 min Emergency medical care for a critically ill or injured patient lasting between 30 and 74 minutes. This service involves direct patient care and medical decision making to stabilize the patient. |
316 | $162 | $1,022 |
| 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. |
221 | $129 | $250 |
| Sleep study with heart rate and breathing monitoring A sleep study that monitors heart rate, breathing patterns, and sleep duration. This test records physiological data while you sleep to assess your sleep quality and breathing function. |
128 | $108 | $249 |
| 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. |
126 | $128 | $521 |
| New patient office visit, complex (60-74 min) | 112 | $153 | $300 |
| Sleep study with continuous airway pressure, age 6+ A sleep study conducted in a sleep lab that monitors breathing and other body functions while administering continuous airway pressure. This test is performed on patients aged 6 years or older. |
79 | $92 | $225 |
| Smoking cessation counseling, more than 10 minutes Intensive counseling session focused on helping patients quit smoking and tobacco use, lasting more than 10 minutes. |
78 | $27 | $50 |
| 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. |
53 | $56 | $150 |
| 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. |
52 | $124 | $275 |
| Exercise-induced lung stress test A test performed to evaluate how the lungs function during physical exertion. It helps identify breathing difficulties or lung conditions that occur specifically when exercising. |
49 | $25 | $98 |
| Sleep study in sleep lab (age 6+) An overnight test conducted in a sleep laboratory to monitor sleep patterns and bodily functions in patients aged 6 years or older. |
48 | $86 | $202 |
| Spirometry test before and after medication A test that measures the amount of air you can exhale and the speed of your breathing before and after taking a medication. |
45 | $25 | $96 |
| Pulmonary gas exchange test A test to examine how well the lungs exchange gases. |
42 | $40 | $98 |
| Lung volume test using gas dilution or washout A test that measures the amount of air in your lungs by using a gas dilution or washout method. |
41 | $30 | $98 |
| Bronchial irrigation and suction for cell collection This procedure uses an endoscope to flush and suction the lung airways in order to collect cells for testing. |
25 | $18 | $427 |
| Endoscopic destruction of lung airway growth or narrowing A procedure using an endoscope to destroy abnormal growths or relieve narrowing within the lung airways. |
24 | $195 | $632 |
| Same-day hospital admission and discharge, low complexity Initial hospital care for a patient admitted and discharged on the same day, involving straightforward or low-level medical decision making. The visit requires at least 45 minutes of time if time is used to determine the level of service. |
23 | $77 | $250 |
| Bronchoscopy with ultrasound and lymph node sampling A procedure using a scope and ultrasound to examine the airways and collect tissue samples from three or more lymph nodes. |
20 | $103 | $350 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
20 | $14 | $40 |
| Emergent tracheostomy An emergency procedure to create an opening in the windpipe to insert a breathing tube, guided by an endoscope. |
19 | $109 | $488 |
| Lung biopsy via endoscope, 1 lobe A procedure to remove a small sample of lung tissue from one lobe using an endoscope for examination. |
17 | $35 | $200 |
| Endoscopic needle biopsy of windpipe, airway, or lung A procedure where a needle is inserted through an endoscope to collect tissue samples from the windpipe, airway, or lung. |
12 | $44 | $200 |
| Computer-assisted navigation of lung airways This procedure uses computer technology to guide an endoscope through the airways of the lungs for precise navigation. |
11 | $74 | $200 |
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 ↗$4,366
Total received (2018-2024)
Avg $624/year across 7 years
Top 37% in TX for pulmonary disease
33
Companies
132
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
$4,333 (99.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$34 (0.8%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$197
2023
$200
2022
$287
2021
$193
2020
$1,409
2019
$465
2018
$1,616
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Ethicon Inc.
$1,329
Veran Medical Technologies, Inc.
$1,042
Boehringer Ingelheim Pharmaceuticals, Inc.
$360
GlaxoSmithKline, LLC.
$312
AstraZeneca Pharmaceuticals LP
$296
Boston Scientific Corporation
$111
Sunovion Pharmaceuticals Inc.
$104
Covidien LP
$96
Philips Electronics North America Corporation
$88
Regeneron Healthcare Solutions, Inc.
$72
Penumbra, Inc.
$56
CONMED Corporation
$54
Mallinckrodt Hospital Products Inc.
$39
Itamar Medical Inc
$37
Amgen Inc.
$34
Mylan Specialty L.P.
$31
Inspire Medical Systems, Inc.
$30
GENZYME CORPORATION
$27
Takeda Pharmaceuticals U.S.A., Inc.
$24
PFIZER INC.
$23
Baxter Healthcare
$20
Resmed Corp
$19
Fisher & Paykel Healthcare Inc
$19
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$18
Pulmonx Corporation
$18
Apollo Endosurgery US Inc
$18
Acorda Therapeutics, Inc
$14
Novartis Pharmaceuticals Corporation
$14
Amneal Pharmaceuticals LLC
$13
Jazz Pharmaceuticals Inc.
$13
Genentech USA, Inc.
$12
Electromed, Inc.
$11
Gilead Sciences, Inc.
$11
Top 3 companies account for 62.6% of total payments
Associated products mentioned in payments ›
ACTHAR · ANORO · AirCurve · Axios · BEXSERO · BREO · BREZTRI · CHANTIX · CONMED GENERATORS · CONMED HEMOSTASIS · DUPIXENT · Esbriet · FASENRA · GLASSIA · Hillrom - Life 2000 Ventilation System · INBRIJA · INSPIRE · Indigo System · LONHALA MAGNAIR · Monarch · Monarch Platform · NUCALA · OFEV · Obstructive Sleep Apnea Device or Hospital Respiratory Equipment · OverStitch Endoscopic Suturing System · Pulmonx Endobronchial Valve EBV · RYTARY · Respiratoriy Care Undiv · SMARTVEST · STIOLTO RESPIMAT · SYMBICORT · Spin · TEZSPIRE · TRELEGY ELLIPTA · Trilogy 100 · Utibron · WatchPAT · WatchPATONE · Wellcentive Undiv · XIFAXAN · XOLAIR · Xyrem · Yupelri · iDrive · inCourage
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 (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $98 per 100 Medicare services performed
Geographic Context
Pulmonary diseases within 10 mi
23
Per 100K population
9.0
County median income
$85,827
Nearest hospital
ASCENSION SETON HAYS
0.0 mi
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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Patel is a clinical cardiology specialist, with above-average Medicare volume (top 6% in TX), with low-engagement industry engagement, with 18 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Patel experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Patel performed 1,207 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. Patel receive payments from pharmaceutical companies?
Yes. Dr. Patel received a total of $4,366 from 33 companies across 132 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. Patel's costs compare to other pulmonary diseases in Kyle?
Dr. Patel'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. Patel) 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. The Transparency Score measures 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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