Medicare Enrolled
Dr. Saira Hirani
Internal Medicine · Sugar Land, 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. Hirani 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. Hirani
Dr. Saira Hirani is an internal medicine specialist in Sugar Land, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Hirani performed 3,334 Medicare services across 1,156 unique beneficiaries.
Between the years covered by Open Payments, Dr. Hirani received a total of $4,379 from 41 pharmaceutical and/or device companies across 254 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. Hirani 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.
✓ 19 years in practice
▲ Top 10% volume in TX
$4,379 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,334
Medicare services
Top 10% in TX for internal medicine
1,156
Unique beneficiaries
$53
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~175 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 |
|---|---|---|---|
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
657 | $35 | $60 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
595 | $34 | $70 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
544 | $45 | $70 |
| 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. |
396 | $89 | $149 |
| 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. |
272 | $64 | $100 |
| Ultrasound of arm and leg arteries A non-invasive imaging test that uses sound waves to examine the blood vessels in the arms and legs. It evaluates blood flow and checks for blockages or other vascular issues. |
104 | $93 | $242 |
| Remote vital sign monitoring management, each additional 20 minutes This code covers the time spent by a provider managing patient data from remote vital sign monitoring devices. It applies to each additional 20-minute increment beyond the initial monthly service period. |
89 | $29 | $50 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
87 | $124 | $156 |
| 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. |
64 | $129 | $201 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
64 | $63 | $150 |
| Balance testing with recording A procedure to evaluate balance function by recording the results during testing. |
55 | $84 | $142 |
| Vestibular function test using rotating chair This test evaluates eye movement and balance function by having the patient sit in a rotating chair. It helps assess how the inner ear and brain coordinate to maintain stability. |
55 | $96 | $150 |
| Use of electrodes during balance testing Application of electrodes to monitor physiological responses during a balance assessment. |
55 | $8 | $15 |
| 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. |
55 | $23 | $75 |
| 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. |
40 | $10 | $28 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
28 | $16 | $25 |
| 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. |
25 | $9 | $33 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
23 | $36 | $50 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
19 | $30 | $35 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
17 | $71 | $75 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
15 | $35 | $102 |
| 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. |
14 | $55 | $231 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
13 | $16 | $30 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
12 | $10 | $50 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
12 | $13 | $40 |
| Automated retinal imaging for disease detection Imaging of the retina to detect disease, featuring automated review and a report generated at the point of care. |
12 | $34 | $70 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
12 | $158 | $235 |
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 ↗$4,379
Total received (2018-2024)
Avg $626/year across 7 years
Top 18% in TX for internal medicine
41
Companies
254
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
$4,379 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$635
2023
$474
2022
$909
2021
$680
2020
$551
2019
$555
2018
$575
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$884
PFIZER INC.
$473
SANOFI-AVENTIS U.S. LLC
$270
Lilly USA, LLC
$260
AstraZeneca Pharmaceuticals LP
$255
Kowa Pharmaceuticals America, Inc.
$175
Novartis Pharmaceuticals Corporation
$168
Amgen Inc.
$167
Takeda Pharmaceuticals U.S.A., Inc.
$162
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$129
ABBVIE INC.
$113
GlaxoSmithKline, LLC.
$99
Merck Sharp & Dohme Corporation
$96
Bayer HealthCare Pharmaceuticals Inc.
$83
Bayer Healthcare Pharmaceuticals Inc.
$82
Biohaven Pharmaceutical Holding Company Ltd.
$79
Amarin Pharma Inc.
$76
Optinose US, Inc.
$74
Janssen Pharmaceuticals, Inc
$66
Astellas Pharma US Inc
$64
West-Ward Pharmaceuticals
$63
Biohaven Pharmaceuticals, Inc.
$59
AbbVie Inc.
$56
Sumitomo Pharma America, Inc.
$54
Allergan, Inc.
$42
Genentech USA, Inc.
$41
Allergan Inc.
$31
Dexcom, Inc.
$24
Celgene Corporation
$22
Phathom Pharmaceuticals, Inc.
$20
Boehringer Ingelheim Pharmaceuticals, Inc.
$20
IBSA Pharma Inc.
$20
AbbVie, Inc.
$19
Sunovion Pharmaceuticals Inc.
$19
Synergy Pharmaceuticals Inc
$18
Ironwood Pharmaceuticals, Inc
$18
IRONWOOD PHARMACEUTICALS, INC
$17
ALK-Abello, Inc
$16
Shield Therapeutics Inc
$16
Esperion Therapeutics, Inc.
$15
DEXCOM, INC.
$14
Top 3 companies account for 37.2% of total payments
Associated products mentioned in payments ›
ACCRUFER · AIRSUPRA · AREXVY · BREZTRI · BYSTOLIC · CHANTIX · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · COMIRNATY · DEXCOM G6 TRANSMITTER · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · FARXIGA · FLECTOR · GEMTESA · JANUVIA · JARDIANCE · Kerendia · LEQVIO · LINZESS · Linzess · Livalo · MOUNJARO · MYRBETRIQ · Mitigare · Motegrity · NEXLETOL · NURTEC ODT · Odactra · Otezla · Ozempic · PAXLOVID · QULIPTA · RYBELSUS · Revlimid · Rybelsus · SEGLENTIS · SOLIQUA · SOLIQUA 100/33 · STEGLUJAN · SYMBICORT · SYNTHROID · Synthroid · TOUJEO · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Tirosint · Tresiba · Trintellix · Trulance · UBRELVY · VOQUEZNA · Vascepa · Victoza · XARELTO · XIFAXAN · Xhance · Xofluza
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 $131 per 100 Medicare services performed
Geographic Context
Internal medicine physicians within 10 mi
2,335
Per 100K population
271.6
County median income
$113,409
Nearest hospital
ST LUKE'S SUGAR LAND HOSPITAL
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. Hirani is a clinical cardiology specialist, with above-average Medicare volume (top 10% in TX), with low-engagement industry engagement in the top 18% of TX peers, with 19 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. Hirani experienced with remote patient monitoring management, 20 min/month?
Based on Medicare claims data, Dr. Hirani performed 657 remote patient monitoring management, 20 min/month 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. Hirani receive payments from pharmaceutical companies?
Yes. Dr. Hirani received a total of $4,379 from 41 companies across 254 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. Hirani's costs compare to other internal medicine physicians in Sugar Land?
Dr. Hirani's average Medicare payment per service is $53. 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. Hirani) 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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