Dr. Hemal Nayak, MD
What this data tells you about Dr. Nayak
Dr. Hemal Nayak is an internal medicine in San Antonio, TX, with 19 years in practice. Based on federal Medicare data, Dr. Nayak performed 601 Medicare services across 553 unique beneficiaries.
Between the years covered by Open Payments, Dr. Nayak received a total of $339,840 from 36 pharmaceutical and/or device companies across 880 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Nayak 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.
Medicare Practice Summary
Medicare Utilization ↗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 |
|---|---|---|---|
| Electrocardiogram (EKG), 12-lead | 178 | $11 | $42 |
| Programming of dual lead pacemaker system | 86 | $61 | $233 |
| Office visit, established patient (30-39 min) | 60 | $99 | $309 |
| Office visit, established patient (20-29 min) | 35 | $70 | $220 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 29 | $10 | $36 |
| New patient office visit (30-44 min) | 28 | $78 | $273 |
| New patient office visit (45-59 min) | 28 | $121 | $406 |
| Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 25 | $65 | $223 |
| Insertion of pacemaker and upper and lower heart chamber electrode | 21 | $394 | $1,491 |
| Initial hospital admission, moderate complexity | 21 | $102 | $321 |
| Review by radiologist of 1 arm or leg vein of 1 arm or leg image | 18 | $39 | $147 |
| Programming of multiple lead implantable defibrillator system | 16 | $84 | $313 |
| Initial hospital admission, high complexity | 16 | $136 | $462 |
| Evaluation of cardiac rhythm monitor system | 14 | $39 | $145 |
| Programming of dual lead implantable defibrillator system | 13 | $78 | $290 |
| Remote pacemaker monitoring, 90 days | 13 | $20 | $87 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
The majority of payments (80%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in internal medicine and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 0% for internal medicine in TX.
Geographic Context
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. Nayak is a electrophysiology & device specialist, with moderate Medicare volume, and high industry engagement (speaking/promotional, top 0%), with 19 years of practice experience.
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. Nayak experienced with electrocardiogram (ekg), 12-lead?
Does Dr. Nayak receive payments from pharmaceutical companies?
How do Dr. Nayak's costs compare to other internal medicines in San Antonio?
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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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