Medicare Enrolled

Dr. Kushal Patel, M.D.

Sports Medicine (Orthopaedic Surgery) Physician · Rockwall, TX
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
1301 SUMMER LEE DR, Rockwall, TX 75032
9727718111
In practice since 2009 (16 years)
NPI: 1669609277 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. Kushal Patel is a sports medicine physician in Rockwall, TX, with 16 years of NPI registration. Based on federal Medicare data, Dr. Patel performed 11,865 Medicare services across 2,979 unique beneficiaries.

Between the years covered by Open Payments, Dr. Patel received a total of $4,839 from 15 pharmaceutical and/or device companies across 72 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in sports medicine (orthopaedic surgery) 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.

✓ 16 years in practice ▲ Top 3% volume in TX $4,839 industry payments

Medicare Practice Summary

Medicare Utilization ↗
11,865
Medicare services
Top 3% in TX for sports medicine (orthopaedic surgery) physician
2,979
Unique beneficiaries
$26
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~742 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
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
1,952 $1 $3
Physical therapy exercise, per 15 min
A therapy session using exercises to improve strength, endurance, range of motion, and flexibility. Each 15-minute unit is billed separately.
1,751 $17 $72
Hyaluronan joint injection, 1 mg
An injection of hyaluronan or a derivative into a joint space to supplement joint fluid.
1,586 $23 $49
Joint lubricant injection (Durolane)
An injection of hyaluronan or its derivative, specifically Durolane, administered directly into a joint space.
1,460 $5 $17
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.
723 $61 $219
Manual therapy (hands-on treatment), per 15 min 701 $15 $67
Ultrasound-guided large joint aspiration or injection
This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint.
530 $84 $278
Group therapy session
A therapeutic session conducted with multiple patients simultaneously. This code covers the provision of therapy services in a group setting.
484 $10 $44
Viscosupplementation injection for joint
An injection of hyaluronic acid or a derivative into a joint to provide lubrication and cushioning.
373 $57 $185
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.
364 $87 $311
Neuromuscular re-education therapy, per 15 min
A therapy procedure designed to re-educate the functional connection between the brain, nerves, and muscles. It is billed in 15-minute increments.
362 $23 $83
Functional activity therapy
A therapy procedure that utilizes functional activities as part of the treatment process.
325 $26 $91
Knee X-ray, 4 or more views
An imaging test using X-rays to create multiple pictures of the knee joint from different angles.
258 $33 $113
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
224 $53 $182
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.
142 $108 $404
Shoulder X-ray, 2+ views
An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures.
139 $25 $84
Evaluation for physical therapy, typically 20 minutes 127 $71 $247
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
81 $67 $286
Hip X-ray, 2-3 views
An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures.
46 $32 $114
Ankle X-ray, minimum 3 views
An X-ray imaging test of the ankle that captures at least three different angles to evaluate the bones and joints.
38 $26 $90
Knee X-ray, 3 views
An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures.
37 $28 $98
Wrist X-ray, minimum 3 views
An imaging test using X-rays to capture at least three different angles of the wrist bones and joints.
33 $28 $99
X-ray of thigh bone, minimum 2 views
An X-ray imaging test of the thigh bone using at least two different angles to visualize the bone structure.
31 $22 $86
X-ray of both hips, 3-4 views
An X-ray imaging test that captures 3 to 4 views of both hip joints to visualize the bones and surrounding structures.
21 $37 $130
Evaluation for occupational therapy, typically 30 minutes 21 $78 $247
Elbow X-ray, minimum 3 views
An X-ray imaging test of the elbow joint that captures at least three different angles to visualize the bones and surrounding structures.
19 $22 $79
X-ray of hand, minimum of 3 views
An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints.
19 $24 $90
Foot X-ray, 3+ views
An X-ray imaging test of the foot that captures at least three different views to evaluate the bones and joints.
18 $21 $83
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 ↗
$4,839
Total received (2018-2024)
Avg $691/year across 7 years
Bottom 37% in TX for sports medicine (orthopaedic surgery) physician
15
Companies
72
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
$2,729 (56.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$2,110 (43.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$515
2023
$271
2022
$558
2021
$325
2020
$303
2019
$1,159
2018
$1,708

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Pylant Medical
$2,196
DePuy Synthes Sales Inc.
$1,064
Stryker Corporation
$823
ACUMED LLC
$144
Horizon Therapeutics plc
$124
Bioventus LLC
$109
Integra LifeSciences Corporation
$76
Abbott Laboratories
$68
Medacta USA, Inc.
$59
Orthofix Medical, Inc.
$55
Vericel Corporation
$40
Smith+Nephew, Inc.
$24
BioTissue Holdings, Inc.
$23
ERMI Inc.
$18
Pacira Pharmaceuticals Incorporated
$16
Top 3 companies account for 84.4% of total payments
Associated products mentioned in payments ›
ACCLARENT AERA · ADAPT · AIR · AMIStem · CHAMPION · CITREFIX · DUROLANE · DYNACORD · Durolane · EXOGEN ULTRASOUND BONE HEALING SYSTEM · EXPERT NAIL · Exparel · HEALICOIL REGENESORB · Hand Fracture System · Integra · KRYSTEXXA · MACI · MAKO · NA · NEOX · OMEGA · ORTHOVISC · Octrode SCS Leads · PROPHECY · Physio-Stim · RAYOS · RIA · SECUR-FIT · TFN ADVANCED · TRIATHLON
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 (56%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $41 per 100 Medicare services performed
Looking for a sports medicine physician in Rockwall?
Compare sports medicine physicians in the Rockwall area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Sports medicine physicians within 10 mi
24
Per 100K population
20.5
County median income
$124,917
Nearest hospital
TEXAS HEALTH PRESBYTERIAN HOSPITAL ROCKWALL
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 mixed practice specialist, with above-average Medicare volume (top 3% in TX), with low-engagement industry engagement, with 16 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 steroid injection (triamcinolone)?
Based on Medicare claims data, Dr. Patel performed 1,952 steroid injection (triamcinolone) 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 $4,839 from 15 companies across 72 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 sports medicine physicians in Rockwall?
Dr. Patel's average Medicare payment per service is $26. 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 →