Medicare Enrolled
Dr. Alpesh Jethva, M.D.
Nephrology · 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. Jethva 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. Jethva
Dr. Alpesh Jethva is a nephrology specialist in Tyler, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Jethva performed 3,415 Medicare services across 1,120 unique beneficiaries.
Between the years covered by Open Payments, Dr. Jethva received a total of $1,401 from 21 pharmaceutical and/or device companies across 58 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in nephrology. 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. Jethva 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 9% volume in TX
$1,401 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,415
Medicare services
Top 9% in TX for nephrology
1,120
Unique beneficiaries
$85
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~180 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. |
1,680 | $0 | $2 |
| 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. |
554 | $60 | $140 |
| 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. |
195 | $58 | $200 |
| Dialysis services for patients 20 or older Dialysis treatment provided to patients aged 20 years or older, involving four or more physician visits per month. |
165 | $269 | $600 |
| 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. |
101 | $88 | $205 |
| Hemodialysis, single evaluation A dialysis procedure to filter waste from the blood, performed with a physician's evaluation. |
98 | $55 | $145 |
| 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. |
92 | $127 | $400 |
| 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. |
77 | $38 | $145 |
| Hemodialysis circuit intervention with balloon dilation A procedure to insert a needle or tube into a hemodialysis circuit and dilate the dialysis segment using a balloon, with radiological review. |
65 | $897 | $3,528 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
56 | $94 | $270 |
| Dialysis services for adults, 2-3 visits per month This code covers dialysis services for patients aged 20 or older who have 2 to 3 physician visits per month. |
54 | $223 | $500 |
| Additional sedation, per 15 minutes Administration of a drug to deepen sedation during a procedure. This code covers each additional 15-minute increment of sedation beyond the initial period. |
33 | $8 | $31 |
| Needle or tube insertion into hemodialysis circuit with radiologist review A procedure involving the insertion of a needle or tube into a hemodialysis circuit, accompanied by a review of the procedure by a radiologist. |
30 | $522 | $2,059 |
| Arterial catheter insertion, first order branch Placement of a catheter into a primary branch of an artery in the chest or arm. |
29 | $407 | $3,020 |
| Radiologist review of arm or leg artery image A radiologist reviews images of the arteries in the arm or leg. This process involves analyzing the visual data to assess the blood vessels. |
29 | $80 | $438 |
| Removal of tunneled central venous tube This procedure involves the removal of a catheter that has been surgically placed under the skin and threaded into a large vein. |
25 | $103 | $481 |
| Hemodialysis circuit clot removal and vessel dilation This procedure involves removing or dissolving a blood clot within the hemodialysis circuit and using a balloon to widen the dialysis access segment, with imaging review by a radiologist. |
25 | $1,724 | $6,657 |
| Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth | 25 | $55 | $148 |
| 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. |
21 | $102 | $320 |
| Dialysis procedure with evaluation A dialysis treatment that includes one evaluation. |
19 | $65 | $170 |
| Balloon dilation of dialysis access with radiologist review A minimally invasive procedure to widen a narrowed section of a dialysis access vessel using a balloon catheter. The procedure includes review by a radiologist to ensure proper placement and effectiveness. |
17 | $450 | $1,724 |
| Fluoroscopic guidance for central vein access device Use of live X-ray imaging to guide the placement or removal of a central vein access device. |
14 | $76 | $293 |
| Insertion of tunneled central venous catheter for infusion, age 5+ A surgical procedure to place a long-term catheter into a large vein for delivering medications or fluids. The catheter is tunneled under the skin to reduce infection risk and provide stable access for patients aged 5 and older. |
11 | $590 | $2,436 |
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.
1.2% high complexity
63.0% medium
35.8% routine
Industry Payment Transparency
Open Payments through 2024 ↗$1,401
Total received (2018-2024)
Avg $200/year across 7 years
Top 50% in TX for nephrology
21
Companies
58
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
$1,271 (90.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$130 (9.3%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$432
2023
$251
2022
$40
2021
$15
2020
$190
2019
$314
2018
$158
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Otsuka America Pharmaceutical, Inc.
$186
Bard Peripheral Vascular, Inc.
$128
Ardelyx, Inc.
$126
GlaxoSmithKline, LLC.
$123
Amgen Inc.
$119
AstraZeneca Pharmaceuticals LP
$119
JAZZ PHARMACEUTICALS INC.
$93
Fresenius USA Marketing, Inc.
$85
Vifor Pharma, Inc.
$62
Bayer Healthcare Pharmaceuticals Inc.
$62
Travere Therapeutics, Inc.
$50
AKEBIA THERAPEUTICS INC
$46
Alexion Pharmaceuticals, Inc.
$41
Philips Electronics North America Corporation
$36
Keryx Biopharmaceuticals, Inc.
$27
ARGON MEDICAL DEVICES, INC.
$24
Mallinckrodt Hospital Products Inc.
$20
Cook Medical LLC
$15
LeMaitre Vascular, Inc.
$14
Calliditas Therapeutics US Inc.
$14
OPKO Pharmaceuticals, LLC
$13
Top 3 companies account for 31.4% of total payments
Associated products mentioned in payments ›
6MMX22MMX120CM · ACTHAR · AURYXIA · Auryxia · BENLYSTA · CLEANER · Cleaner · FLUENCY · IBSRELA · ICAST COVERED STENT SYSTEM · IGT D Peripheral · IGT Devices Und · JYNARQUE · KRYSTEXXA · Kerendia · LOKELMA · Parsabiv · Rayaldee · SAMSCA · SYNTEL EMBOLECTOMY CATHETER (SPRING TIP) · TARPEYO · ULTOMIRIS · Velphoro · Veltassa · XPHOZAH 30 MG · XYREM
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 (91%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $41 per 100 Medicare services performed
Geographic Context
Nephrologists within 10 mi
15
Per 100K population
6.3
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. Jethva is a mixed practice specialist, with above-average Medicare volume (top 9% in TX), with low-engagement industry engagement, 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. Jethva experienced with contrast dye for imaging (iodine-based)?
Based on Medicare claims data, Dr. Jethva performed 1,680 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. Jethva receive payments from pharmaceutical companies?
Yes. Dr. Jethva received a total of $1,401 from 21 companies across 58 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. Jethva's costs compare to other nephrologists in Tyler?
Dr. Jethva's average Medicare payment per service is $85. 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. Jethva) 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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