Dr. Ajay Pachika, M.D.
What this data tells you about Dr. Pachika
Dr. Ajay Pachika is an internal medicine specialist in Tyler, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Pachika performed 5,145 Medicare services across 2,627 unique beneficiaries.
Between the years covered by Open Payments, Dr. Pachika received a total of $11,360 from 34 pharmaceutical and/or device companies across 498 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. Pachika 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 |
|---|---|---|---|
| Contrast dye for imaging (iodine-based) | 1,561 | $0 | $3 |
| EKG interpretation and report | 1,110 | $6 | $50 |
| Office visit, established patient (30-39 min) | 452 | $83 | $238 |
| Electrocardiogram (EKG), 12-lead | 438 | $10 | $100 |
| Hospital follow-up visit, high complexity | 355 | $87 | $234 |
| Initial hospital admission, high complexity | 145 | $129 | $457 |
| Hospital follow-up visit, moderate complexity | 134 | $60 | $163 |
| Chronic care management, first 20 min/month | 107 | $43 | $125 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician | 94 | $15 | $167 |
| New patient office visit (45-59 min) | 57 | $101 | $365 |
| Blood draw (venipuncture) | 56 | $8 | $20 |
| Ultrasound of heart with color-depicted blood flow, rate and valve function | 56 | $2 | $35 |
| Coronary stent placement | 49 | $381 | $1,776 |
| Ultrasound of heart with probe in esophagus, with report | 49 | $81 | $362 |
| Chronic care management, additional 20 min/month | 49 | $31 | $66 |
| Ultrasound of heart blood flow, valves and chambers | 44 | $14 | $109 |
| Prothrombin time test (blood clotting) | 43 | $4 | $35 |
| Critical care, first 30-74 min | 39 | $155 | $614 |
| Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional | 35 | $13 | $107 |
| Anticoagulant management of patient taking warfarin | 29 | $8 | $35 |
| Hospital discharge management, 30+ min | 24 | $84 | $232 |
| Heart muscle strain imaging | 22 | $9 | $99 |
| Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring | 21 | $6 | $188 |
| Echocardiogram, transthoracic | 21 | $50 | $306 |
| Ultrasound of heart, follow-up | 19 | $18 | $132 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 19 | $38 | $880 |
| External shock to heart to regulate heart beat | 18 | $70 | $610 |
| Ultrasound of heart blood flow, valves and chambers, follow-up | 18 | $5 | $51 |
| Cardiac catheterization | 17 | $785 | $13,830 |
| Office visit, established patient, complex (40-54 min) | 16 | $122 | $322 |
| Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist | 15 | $194 | $1,053 |
| Nuclear medicine studies of heart muscle at rest and with stress and spect | 11 | $58 | $394 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician | 11 | $11 | $167 |
| Ultrasound of leg arteries or artery grafts | 11 | $26 | $117 |
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 ›
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 8% 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. Pachika is a mixed practice specialist, with above-average Medicare volume (top 6% in TX), with low-engagement industry engagement in the top 8% 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
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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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