Medicare Enrolled

Dr. Shiv Patel, MD

Pain Medicine (Physical Medicine & Rehabilitation) Physician · Longview, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
5016 GILMER RD, Longview, TX 75604
9036531823
In practice since 2016 (9 years)
NPI: 1891149985 verify on NPPES ↗
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 →
Are you Dr. Patel? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Patel

Dr. Shiv Patel is a pain medicine (physical medicine & rehabilitation) physician in Longview, TX, with 9 years in practice. Based on federal Medicare data, Dr. Patel performed 2,568 Medicare services across 1,131 unique beneficiaries.

Between the years covered by Open Payments, Dr. Patel received a total of $3,400 from 19 pharmaceutical and/or device companies across 74 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pain medicine (physical medicine & rehabilitation) physician. 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.

✓ 9 years in practice▲ Top 28% volume in TX$ $3,400 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,568
Medicare services
Top 28% in TX for pain medicine (physical medicine & rehabilitation) physician
1,131
Unique beneficiaries
$56
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~285 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.

ProcedureVolumeAvg. paidAvg. submitted
Dexamethasone injection (steroid)1,189$0$1
Office visit, established patient (30-39 min)404$89$262
Drug screening test162$60$300
New patient office visit (45-59 min)102$110$375
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms97$193$750
Injection, methylprednisolone acetate, 80 mg76$9$30
Injection of substance into lower spine canal using imaging guidance58$182$814
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance55$138$893
Office visit, established patient (20-29 min)44$64$132
Injection, methylprednisolone acetate, 40 mg43$6$15
Injection of lower or sacral spine facet joint using imaging guidance, single level35$184$1,337
Injection of lower or sacral spine facet joint using imaging guidance, second level35$96$519
Office visit, established patient (10-19 min)35$41$90
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level30$219$1,179
Fluoroscopic guidance for needle placement22$87$200
Aspiration and/or injection of fluid large joint using ultrasound guidance21$74$291
Injection of upper or middle spine facet joint using imaging guidance, single level18$189$1,383
Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint18$177$1,667
Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint17$67$988
Joint injection, major joint16$49$211
Injection of substance into middle or upper spine canal using imaging guidance16$200$720
Injection of upper or middle spine facet joint using imaging guidance, second level16$96$542
Injection of trigger points, 3 or more muscles13$46$300
Fusion of sacroiliac joint between spine and pelvis with bone graft, accessed through skin using imaging guidance12$619$2,100
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint12$200$2,100
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint11$61$865
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes11$9$150
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.
0.5% high complexity
65.4% medium
34.2% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$3,400
Total received (2021-2024)
Avg $850/year across 4 years
Top 38% in TX for pain medicine (physical medicine & rehabilitation) physician
19
Companies
74
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
$3,400 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$86
2023
$1,038
2022
$1,173
2021
$1,104

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$1,247
Nevro Corp.
$895
Saluda Medical Americas, Inc.
$360
Abbott Laboratories
$301
Teva Pharmaceuticals USA, Inc.
$155
ABBVIE INC.
$78
Stryker Corporation
$66
Bioventus LLC
$64
Biohaven Pharmaceutical Holding Company Ltd.
$36
Allergan, Inc.
$34
AbbVie Inc.
$30
Avanos Medical
$25
Boston Scientific Corporation
$21
Relievant Medsystems, Inc.
$21
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$16
IMPEL PHARMACEUTICALS INC.
$14
Lilly USA, LLC
$13
IBSA Pharma Inc.
$13
Arbor Pharmaceuticals, Inc.
$12
Top 3 companies account for 73.6% of total payments
Associated products mentioned in payments ›
AJOVY · BOTOX · COOLIEF* COOLED RADIOFREQUENCY · Durolane · EMGALITY · Evoke SCS · Horizant · INTELLIS ADAPTIVESTIM · Intracept · N/A · NURTEC ODT · Omnia · PROCLAIM · Proclaim DRG IPG · Proclaim IPG · QULIPTA · RELISTOR · SPINEJACK · Senza · Tirosint · Trudhesa · V-LOC 180 · VECTRIS · WaveWriter Alpha Prime 16
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $132 per 100 Medicare services performed
Looking for a pain medicine (physical medicine & rehabilitation) physician in Longview?
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Geographic Context

Pain Medicine (Physical Medicine & Rehabilitation) Physicians within 10 mi
1
Per 100K population
0.8
County median income
$64,809
Nearest hospital
CHRISTUS GOOD SHEPHERD MEDICAL CENTER
6.1 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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 28% in TX), and low-engagement industry engagement.

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 dexamethasone injection (steroid)?
Based on Medicare claims data, Dr. Patel performed 1,189 dexamethasone injection (steroid) 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 $3,400 from 19 companies across 74 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 pain medicine (physical medicine & rehabilitation) physicians in Longview?
Dr. Patel's average Medicare payment per service is $56. 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 →
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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →