Medicare Enrolled

Dr. Pragnesh Patel, MD

Gastroenterology · Sugar Land, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
15555 CREEK BEND DR STE 200, Sugar Land, TX 77478
8327075011
In practice since 2012 (13 years)
NPI: 1265787360 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. Pragnesh Patel is a gastroenterology in Sugar Land, TX, with 13 years in practice. Based on federal Medicare data, Dr. Patel performed 1,578 Medicare services across 916 unique beneficiaries.

Between the years covered by Open Payments, Dr. Patel received a total of $7,055 from 46 pharmaceutical and/or device companies across 394 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. 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.

✓ 13 years in practice▲ Top 11% volume in TX$ $7,055 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,578
Medicare services
Top 11% in TX for gastroenterology
916
Unique beneficiaries
$65
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~121 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
Tissue pathology examination, moderate complexity478$26$87
Office visit, established patient (30-39 min)231$88$369
Special stained specimen slides to identify organisms including interpretation and report144$65$222
Special stained specimen slides to examine tissue including interpretation and report138$53$179
Colonoscopy with biopsy118$45$696
Removal of polyps or growths of large bowel using an endoscope with mechanical snare94$158$884
Office visit, established patient (20-29 min)86$60$254
New patient office visit (45-59 min)82$116$510
New patient office visit (30-44 min)81$65$334
Upper GI endoscopy with biopsy69$60$474
Removal of large bowel tissue using a flexible endoscope26$265$961
Injection beneath lining of large bowel using a flexible endoscope16$12$637
Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare15$111$681
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 ↗
$7,055
Total received (2018-2024)
Avg $1,008/year across 7 years
Top 29% in TX for gastroenterology
46
Companies
394
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
$6,955 (98.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$100 (1.4%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,954
2023
$1,599
2022
$1,409
2021
$815
2020
$431
2019
$466
2018
$381

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$1,562
ABBVIE INC.
$963
Gilead Sciences, Inc.
$376
AbbVie, Inc.
$366
Celgene Corporation
$344
Regeneron Healthcare Solutions, Inc.
$333
Takeda Pharmaceuticals U.S.A., Inc.
$288
Braintree Laboratories, Inc.
$259
AbbVie Inc.
$240
Janssen Biotech, Inc.
$168
Axonics, Inc.
$163
Ironwood Pharmaceuticals, Inc
$144
Ardelyx, Inc.
$140
AnX Robotica Corp
$127
E.R. Squibb & Sons, L.L.C.
$124
Grifols USA, LLC
$120
RedHill Biopharma Inc.
$107
Lilly USA, LLC
$103
IRONWOOD PHARMACEUTICALS, INC
$102
Ferring Pharmaceuticals Inc.
$87
Phathom Pharmaceuticals, Inc.
$86
Lundbeck LLC
$74
QOL Medical, LLC
$67
Intercept Pharmaceuticals, Inc.
$60
PFIZER INC.
$53
Genentech USA, Inc.
$48
GENZYME CORPORATION
$48
Supernus Pharmaceuticals, Inc.
$45
Covidien LP
$40
Neurocrine Biosciences, Inc.
$35
CSL Behring
$35
Shire North American Group Inc
$31
Avanir Pharmaceuticals, Inc.
$31
Romark Laboratories, LC
$31
Teva Pharmaceuticals USA, Inc.
$29
Amgen Inc.
$28
Evoke Pharma, Inc.
$28
Meridian Bioscience Inc.
$24
Alexion Pharmaceuticals, Inc.
$24
Olympus America Inc.
$23
AIMMUNE THERAPEUTICS, INC.
$18
AstraZeneca Pharmaceuticals LP
$18
CapsoVision, Inc.
$16
Celltrion USA Inc.
$16
PENTAX of America, Inc.
$15
Advanced Accelerator Applications
$14
Top 3 companies account for 41.1% of total payments
Associated products mentioned in payments ›
AJOVY · ALINIA · APRISO · Aimovig · Alinia · Axonics · CIMZIA · CLENPIQ · CREON · CapsoCam · CapsoCam Plus · Creon · DUOPA · DUPIXENT · EMGALITY · ENTYVIO · EOHILIA · Entyvio · Epclusa · Evrysdi · GATTEX · GIMOTI · Gamunex-C · HUMIRA · HYQVIA · Hizentra · Humira · IBSRELA · INGREZZA · LINZESS · Linzess · Lutathera · MAVYRET · NUEDEXTA · OCALIVA · OMVOH · Olympus EMR & ESD Devices · PLENVU · PillCam · QULIPTA · REBYOTA · REMICADE · REXULTI · RINVOQ · SKYRIZI · STELARA · SUCRAID · SUFLAVE · SUPREP BOWEL PREP · SUTAB · Sucraid · TROKENDI XR · TRULANCE · Talicia · ULTOMIRIS · VEGZELMA · VELSIPITY · VIBERZI · VOQUEZNA · VYEPTI · XELJANZ · XIFAXAN · Xembify · ZENPEP · ZEPOSIA
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 $447 per 100 Medicare services performed
Looking for a gastroenterology in Sugar Land?
Compare gastroenterologys in the Sugar Land area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Gastroenterologys within 10 mi
223
Per 100K population
25.9
County median income
$113,409
Nearest hospital
ST LUKE'S SUGAR LAND HOSPITAL
0.0 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 11% 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 tissue pathology examination, moderate complexity?
Based on Medicare claims data, Dr. Patel performed 478 tissue pathology examination, moderate complexity 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 $7,055 from 46 companies across 394 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 gastroenterologys in Sugar Land?
Dr. Patel's average Medicare payment per service is $65. 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 →