Medicare Enrolled
Dr. Rajesh Dalal, MD
Internal Medicine · Lake Jackson, 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. Dalal 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. Dalal
Dr. Rajesh Dalal is an internal medicine specialist in Lake Jackson, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Dalal performed 4,142 Medicare services across 2,274 unique beneficiaries.
Between the years covered by Open Payments, Dr. Dalal received a total of $8,214 from 59 pharmaceutical and/or device companies across 407 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. 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. Dalal 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.
✓ 20 years in practice
▲ Top 8% volume in TX
$8,214 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,142
Medicare services
Top 8% in TX for internal medicine
2,274
Unique beneficiaries
$79
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~207 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. |
1,579 | $89 | $195 |
| 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. |
855 | $59 | $180 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
490 | $131 | $200 |
| 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. |
205 | $63 | $195 |
| Drug test with direct observation A drug screening test performed under direct observation to ensure the sample is provided correctly. This method is used to verify the integrity of the specimen collection process. |
153 | $12 | $50 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
131 | $11 | $50 |
| 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. |
102 | $135 | $189 |
| 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. |
77 | $88 | $205 |
| Hospital discharge day management, 30 minutes or less This service covers the final day of hospital care when the patient is being discharged. It includes coordination of care and instructions for the patient within a time frame of 30 minutes or less. |
50 | $65 | $225 |
| 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. |
48 | $11 | $100 |
| 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. |
48 | $124 | $200 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
44 | $1 | $50 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
28 | $168 | $250 |
| Urinalysis for bacteria A urine test to check for the presence of bacteria. This procedure analyzes a urine sample to detect bacterial growth. |
27 | $29 | $100 |
| Hospital discharge management, 30+ min This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge. |
26 | $92 | $200 |
| Pelvic and clinical breast exam for cancer screening A physical examination of the pelvis and breasts to screen for cervical or vaginal cancer. This procedure involves a clinical assessment performed by a healthcare provider. |
25 | $40 | $122 |
| Quadrivalent influenza vaccine, cell culture-derived A flu shot that protects against four strains of the influenza virus. It is produced using cell culture technology rather than traditional egg-based methods. |
23 | $31 | $100 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
23 | $31 | $100 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
22 | $31 | $150 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
22 | $42 | $150 |
| New patient office visit, complex (60-74 min) | 21 | $135 | $250 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
21 | $0 | $50 |
| Ultrasound of arm and leg arteries This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries. |
20 | $66 | $200 |
| Autonomic nervous system testing with heart rate response to deep breathing This test evaluates the function of the autonomic nervous system by measuring how the heart rate changes in response to deep breathing. |
20 | $61 | $200 |
| Autonomic nervous system function test This test evaluates how well the sympathetic nervous system is functioning. It assesses the automatic control of bodily processes such as heart rate and blood pressure. |
20 | $86 | $200 |
| Assessment of and care planning for patient with impaired thought processing, typically 60 minutes | 20 | $189 | $350 |
| 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. |
16 | $164 | $300 |
| Home health agency supervision, complex multidisciplinary care Supervision by a physician or allowed practitioner for a patient receiving Medicare-covered services from a participating home health agency. This involves complex and multidisciplinary care modalities, with the patient not present during the supervision. |
15 | $79 | $150 |
| Routine 12-lead ECG screening A standard 12-lead electrocardiogram performed as part of an initial preventive physical examination. The service includes both the performance of the test and the physician's interpretation and report. |
11 | $1 | $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 ↗$8,214
Total received (2018-2024)
Avg $1,173/year across 7 years
Top 10% in TX for internal medicine
59
Companies
407
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
$7,604 (92.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$611 (7.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$968
2023
$928
2022
$1,013
2021
$1,696
2020
$233
2019
$1,449
2018
$1,927
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$2,224
Astellas Pharma US Inc
$611
Janssen Pharmaceuticals, Inc
$491
Lilly USA, LLC
$460
Novo Nordisk Inc
$367
Amgen Inc.
$341
GlaxoSmithKline, LLC.
$260
Amarin Pharma Inc.
$229
Novartis Pharmaceuticals Corporation
$218
AIMMUNE THERAPEUTICS, INC.
$188
West-Ward Pharmaceuticals
$173
Nevro Corp.
$164
Mylan Specialty L.P.
$161
PFIZER INC.
$146
NESTLE HEALTHCARE NUTRITION INC.
$143
Nestle HealthCare Nutrition Inc.
$133
CIPLA USA INC.
$121
Celgene Corporation
$101
BOSTON SCIENTIFIC CORPORATION
$93
SANOFI-AVENTIS U.S. LLC
$91
Kowa Pharmaceuticals America, Inc.
$91
AbbVie Inc.
$87
Eisai Inc.
$79
Merck Sharp & Dohme Corporation
$77
Bayer Healthcare Pharmaceuticals Inc.
$74
Medtronic MiniMed, Inc.
$73
Philips Electronics North America Corporation
$67
Hikma Pharmaceuticals USA
$58
Boehringer Ingelheim Pharmaceuticals, Inc.
$57
Allergan Inc.
$57
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$57
Boston Scientific Corporation
$56
Lundbeck LLC
$45
Sunovion Pharmaceuticals Inc.
$37
Kerecis Limited
$37
Medtronic, Inc.
$36
Merck Sharp & Dohme LLC
$32
Exact Sciences Corporation
$29
HeartFlow, Inc.
$27
ARBOR PHARMACEUTICALS, INC.
$27
CashFlow Solutions, LLC
$27
Allergan, Inc.
$26
ABBVIE INC.
$26
GENZYME CORPORATION
$25
Takeda Pharmaceuticals U.S.A., Inc.
$24
Paratek Pharmaceuticals, Inc.
$24
US WorldMeds, LLC
$23
Otsuka America Pharmaceutical, Inc.
$22
AbbVie, Inc.
$22
Smith+Nephew, Inc.
$22
Biohaven Pharmaceuticals, Inc.
$22
Bausch Health US, LLC
$21
Eyevance Pharmaceuticals LLC
$19
Smith & Nephew, Inc.
$17
E.R. Squibb & Sons, L.L.C.
$17
Evofem Biosciences, Inc.
$16
Sumitomo Pharma America, Inc.
$16
Musculoskeletal Transplant Foundation Inc.
$15
Dexcom, Inc.
$13
Top 3 companies account for 40.5% of total payments
Associated products mentioned in payments ›
(8685) OEM Other · ADVAIR · AIRSUPRA · ANORO · APLENZIN · AREXVY · Aimovig · BREO · BREZTRI · BREZTRI AEROSPHERE · CHANTIX · COREVALVE EVOLUT R · Cologuard Collection Kit · DUPIXENT · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · Edarbi · FARXIGA · FFRct · FIASP · GEMTESA · GENERAL EP · INVOKAMET · INVOKANA · JANUVIA · JARDIANCE · KRYSTEXXA · Kerecis Omega3 SurgiClose · Kerendia · LINZESS · LUX-Dx Insertable Cardiac Monitor · Livalo · Lucemyra/Lofexidine · Lympha Press Optimal Plus(US) BT · MOUNJARO · MYRBETRIQ · Minimed 630G · Mitigare · NURTEC ODT · NUZYRA · Otezla · Ozempic · PREVNAR 13 · REXULTI · RHYTHMIA · RYBELSUS · Rybelsus · SOLIQUA · SOLIQUA 100/33 · STEGLATRO · SYMBICORT · Santyl · Senza Spinal Cord Stimulation System · Stravix · TOUJEO · TRELEGY ELLIPTA · TRULICITY · Tresiba · UBRELVY · VERQUVO · VRAYLAR · VYVANSE · Vascepa · WATCHMAN · Wegovy · XARELTO · XIFAXAN · YUPELRI · Yupelri · ZEMDRI (PLAZOMICIN) · ZENPEP · ZORYVE · Zerviate
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 (93%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 10% for internal medicine in TX.
Equivalent to $198 per 100 Medicare services performed
Geographic Context
Internal medicine physicians within 10 mi
12
Per 100K population
3.1
County median income
$95,155
Nearest hospital
CHI ST LUKE'S HEALTH BRAZOSPORT
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. Dalal is a clinical cardiology specialist, with above-average Medicare volume (top 8% in TX), with low-engagement industry engagement in the top 10% of TX peers, with 20 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. Dalal experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Dalal performed 1,579 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. Dalal receive payments from pharmaceutical companies?
Yes. Dr. Dalal received a total of $8,214 from 59 companies across 407 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. Dalal's costs compare to other internal medicine physicians in Lake Jackson?
Dr. Dalal's average Medicare payment per service is $79. 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. Dalal) 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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