Medicare Enrolled
Dr. Ajay Pachika, M.D.
Internal Medicine · Tyler, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Pachika 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. 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.
✓ 19 years in practice
▲ Top 6% volume in TX
$11,360 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,145
Medicare services
Top 6% in TX for internal medicine
2,627
Unique beneficiaries
$34
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~271 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 |
|---|---|---|---|
| Contrast dye for imaging (iodine-based) A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures. |
1,561 | $0 | $3 |
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
1,110 | $6 | $50 |
| 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. |
452 | $83 | $238 |
| 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. |
438 | $10 | $100 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
355 | $87 | $234 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
145 | $129 | $457 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
134 | $60 | $163 |
| 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. |
107 | $43 | $125 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while an electrocardiogram is monitored under physician supervision. |
94 | $15 | $167 |
| 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. |
57 | $101 | $365 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
56 | $8 | $20 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
56 | $2 | $35 |
| Coronary stent placement A procedure to insert a stent into a coronary artery or its branch to keep it open, using balloon dilation during the process. |
49 | $381 | $1,776 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
49 | $81 | $362 |
| 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. |
49 | $31 | $66 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
44 | $14 | $109 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
43 | $4 | $35 |
| Critical care, first 30-74 min Emergency medical care for a critically ill or injured patient lasting between 30 and 74 minutes. This service involves direct patient care and medical decision making to stabilize the patient. |
39 | $155 | $614 |
| Continuous ECG monitoring with transmission and review Continuous electrocardiogram monitoring for up to 30 days with symptom tracking. The data is transmitted and reviewed by a healthcare professional who provides a report. |
35 | $13 | $107 |
| Anticoagulant management for warfarin Management of anticoagulant therapy for a patient taking warfarin. This service involves monitoring and adjusting the medication regimen. |
29 | $8 | $35 |
| Hospital discharge management, 30+ min This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge. |
24 | $84 | $232 |
| Heart muscle strain imaging | 22 | $9 | $99 |
| Continuous ECG monitoring with symptom tracking, up to 30 days This procedure involves continuous electrocardiogram monitoring for up to 30 days. It includes symptom monitoring to correlate heart activity with patient-reported events. |
21 | $6 | $188 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
21 | $50 | $306 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
19 | $18 | $132 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
19 | $38 | $880 |
| External shock to heart to regulate heart beat A procedure that delivers an electric shock to the heart from outside the body to restore a normal heart rhythm. |
18 | $70 | $610 |
| Follow-up ultrasound of heart blood flow, valves and chambers An ultrasound exam that follows up on the heart's blood flow, valves, and chambers. It uses sound waves to create images of the heart's structure and function. |
18 | $5 | $51 |
| Cardiac catheterization | 17 | $785 | $13,830 |
| 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. |
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 stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
11 | $58 | $394 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results. |
11 | $11 | $167 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
11 | $26 | $117 |
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.
3.2% high complexity
35.6% medium
61.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$11,360
Total received (2018-2024)
Avg $1,623/year across 7 years
Top 8% in TX for internal medicine
34
Companies
498
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
$11,360 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,219
2023
$1,617
2022
$1,344
2021
$1,480
2020
$1,933
2019
$1,812
2018
$1,955
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic Vascular, Inc.
$1,933
Novartis Pharmaceuticals Corporation
$1,414
Abbott Laboratories
$1,370
Janssen Pharmaceuticals, Inc
$1,134
Amgen Inc.
$979
AstraZeneca Pharmaceuticals LP
$744
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$571
Merck Sharp & Dohme LLC
$567
E.R. Squibb & Sons, L.L.C.
$392
Boehringer Ingelheim Pharmaceuticals, Inc.
$383
PFIZER INC.
$297
Cardiovascular Systems Inc.
$240
Inari Medical, Inc.
$235
SANOFI-AVENTIS U.S. LLC
$226
Medtronic, Inc.
$212
CVRx, Inc.
$107
Merck Sharp & Dohme Corporation
$101
ABIOMED
$100
Amarin Pharma Inc.
$48
iRhythm Technologies, Inc.
$40
Bayer HealthCare Pharmaceuticals Inc.
$37
Esperion Therapeutics, Inc.
$34
Boston Scientific Corporation
$23
Alnylam Pharmaceuticals Inc.
$21
CARDIVA MEDICAL, INC.
$20
Inspire Medical Systems, Inc.
$18
ShockWave Medical, Inc
$17
Actelion Pharmaceuticals US, Inc.
$17
Gilead Sciences, Inc.
$16
NOVARTIS PHARMACEUTICALS CORPORATION
$14
ARBOR PHARMACEUTICALS, INC.
$13
Kowa Pharmaceuticals America, Inc.
$13
CMP Pharma, Inc.
$12
Otsuka America Pharmaceutical, Inc.
$11
Top 3 companies account for 41.5% of total payments
Associated products mentioned in payments ›
ABRE · Asahi Sion guide wire · BRILINTA · Barostim Neo System · CAMZYOS · CARDIOMEMS · CHANTIX · CardioMEMS HF System · Carospir · Corlanor · Diamondback Coronary · ELIQUIS · ENTRESTO · Edarbyclor · FARXIGA · FLOWTRIEVER CATHETER · General - Therapies · HAWKONE · HawkOne · INSPIRE · Impella · JARDIANCE · LEQVIO · LifeVest · Livalo · MITRACLIP · MULTAQ · Mini Trek catheters · Mitra Clip system · MitraClip System · NEXLETOL · ONPATTRO · ONYX FRONTIER · OPSUMIT · PRADAXA · PRALUENT · Peripheral Orbital Atherectomy System · Repatha · Resolute · S · SAMSCA · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · SPIDERFX · TURBOHAWK · Telescope · TurboHawk · VERQUVO · VIANCE · VYNDAQEL · Vascepa · Vascular Closure Device · Verquvo · XARELTO · Xience Sierra Coronary Stent System · ZIO XT Patch
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. Total industry engagement is in the top 8% for internal medicine in TX.
Equivalent to $221 per 100 Medicare services performed
Geographic Context
Internal medicine physicians within 10 mi
172
Per 100K population
72.3
County median income
$71,923
Nearest hospital
UT HEALTH EAST TEXAS TYLER REGIONAL 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. 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
Is Dr. Pachika experienced with contrast dye for imaging (iodine-based)?
Based on Medicare claims data, Dr. Pachika performed 1,561 contrast dye for imaging (iodine-based) 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. Pachika receive payments from pharmaceutical companies?
Yes. Dr. Pachika received a total of $11,360 from 34 companies across 498 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. Pachika's costs compare to other internal medicine physicians in Tyler?
Dr. Pachika's average Medicare payment per service is $34. 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. Pachika) 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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