Medicare Enrolled
Dr. Ketan Patel, M.D.
Optician · Tyler, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Speaking/Promotional
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 →
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What this data tells you about Dr. Patel
Dr. Ketan Patel is an optician specialist in Tyler, TX, with 18 years of NPI registration. Based on federal Medicare data, Dr. Patel performed 2,120 Medicare services across 1,370 unique beneficiaries.
Between the years covered by Open Payments, Dr. Patel received a total of $212,408 from 52 pharmaceutical and/or device companies across 764 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optician. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. 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.
✓ 18 years in practice
▲ Top 31% volume in TX
$212,408 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,120
Medicare services
Top 31% in TX for optician
1,370
Unique beneficiaries
$100
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~118 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 |
|---|---|---|---|
| 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. |
557 | $164 | $619 |
| 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. |
364 | $92 | $244 |
| 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. |
143 | $90 | $239 |
| Lung volume test using sensors A test that measures the amount of air in the lungs using sensors. |
126 | $9 | $42 |
| 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. |
97 | $60 | $172 |
| 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. |
86 | $134 | $468 |
| 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. |
83 | $39 | $95 |
| Bronchial secretion aspiration via endoscope Removal of initial lung airway secretions using an endoscope. This procedure involves inserting a scope into the airways to clear fluid or mucus. |
61 | $73 | $877 |
| Bronchial irrigation and suction for cell collection This procedure uses an endoscope to flush and suction the lung airways in order to collect cells for testing. |
56 | $4 | $414 |
| Additional 30 minutes of critical care This code represents an additional 30 minutes of critical care services provided beyond the initial critical care time period. |
55 | $82 | $322 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
50 | $7 | $32 |
| Insertion of non-tunneled central venous catheter A procedure to place a central venous catheter for infusion in patients aged 5 years or older. The catheter is inserted directly into a large vein without being tunneled under the skin. |
40 | $65 | $998 |
| Sleep study with heart rate and breathing monitoring A sleep study that monitors heart rate, breathing, airflow, and physical effort during sleep. |
39 | $60 | $330 |
| Chest fluid aspiration with imaging guidance This procedure involves removing fluid from the chest cavity using imaging technology to guide the needle placement. |
36 | $81 | $354 |
| 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. |
36 | $27 | $61 |
| 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. |
34 | $100 | $366 |
| Pulmonary gas exchange test A test to examine how well the lungs exchange gases. |
28 | $7 | $44 |
| Sleep study in sleep lab (age 6+) An overnight test conducted in a sleep laboratory to monitor sleep patterns and bodily functions in patients aged 6 years or older. |
28 | $415 | $1,623 |
| Sleep study with continuous airway pressure, age 6+ A sleep study conducted in a sleep lab that monitors breathing and other body functions while administering continuous airway pressure. This test is performed on patients aged 6 years or older. |
26 | $444 | $1,734 |
| Expiratory airflow and volume test A test that measures the amount of air you can exhale and the speed at which you can breathe it out. It evaluates lung function by assessing expiratory airflow and volume. |
25 | $7 | $57 |
| Lung volume test using gas dilution or washout A test that measures the amount of air in your lungs by using a gas dilution or washout method. |
24 | $18 | $98 |
| Spirometry test before and after medication A test that measures the amount of air you can exhale and the speed of your breathing before and after taking a medication. |
23 | $8 | $123 |
| Bronchoscopy A procedure to examine the airways inside the lungs using a thin, flexible tube with a camera. |
21 | $0 | $477 |
| Lung biopsy via endoscope, 1 lobe A procedure to remove a small sample of lung tissue from one lobe using an endoscope for examination. |
17 | $92 | $978 |
| 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. |
15 | $9 | $87 |
| Computer-assisted navigation of lung airways This procedure uses computer technology to guide an endoscope through the airways of the lungs for precise navigation. |
14 | $74 | $301 |
| Endoscopic needle biopsy of windpipe, airway, or lung A procedure where a needle is inserted through an endoscope to collect tissue samples from the windpipe, airway, or lung. |
13 | $113 | $1,166 |
| Emergent tracheostomy An emergency procedure to create an opening in the windpipe to insert a breathing tube, guided by an endoscope. |
12 | $110 | $331 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
11 | $12 | $49 |
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.
1.9% high complexity
3.1% medium
95.0% routine
Industry Payment Transparency
Open Payments through 2024 ↗$212,408
Total received (2018-2024)
Avg $30,344/year across 7 years
Top 2% in TX for optician
52
Companies
764
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.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$202,099 (95.1%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$10,309 (4.9%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$39,087
2023
$64,310
2022
$22,714
2021
$41,128
2020
$15,085
2019
$16,014
2018
$14,070
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
GlaxoSmithKline, LLC.
$117,836
AstraZeneca Pharmaceuticals LP
$74,125
Sunovion Pharmaceuticals Inc.
$10,437
Intuitive Surgical, Inc.
$3,358
Ethicon Inc.
$1,028
Mylan Specialty L.P.
$934
Pulmonx Corporation
$578
Actelion Pharmaceuticals US, Inc.
$518
Auris Health, Inc.
$469
Boehringer Ingelheim Pharmaceuticals, Inc.
$462
Genentech USA, Inc.
$340
Harmony Biosciences LLC
$282
Gilead Sciences, Inc.
$184
PFIZER INC.
$172
Inspire Medical Systems, Inc.
$141
Mallinckrodt Hospital Products Inc.
$119
HARMONY BIOSCIENCES LLC
$107
Advanced Respiratory, Inc
$101
SANOFI-AVENTIS U.S. LLC
$90
GENZYME CORPORATION
$90
United Therapeutics Corporation
$79
Merck Sharp & Dohme Corporation
$74
Regeneron Healthcare Solutions, Inc.
$64
Grifols USA, LLC
$63
ADVANCED RESPIRATORY, INC
$62
Baxter Healthcare
$55
Veran Medical Technologies, Inc.
$53
Mallinckrodt LLC
$49
CSL Behring
$48
Jazz Pharmaceuticals Inc.
$44
Shire North American Group Inc
$43
Takeda Pharmaceuticals U.S.A., Inc.
$42
JAZZ PHARMACEUTICALS INC.
$34
Exeltis, USA Inc.
$25
Merck Sharp & Dohme LLC
$24
ANI Pharmaceuticals, Inc.
$23
Ethicon US, LLC
$21
Insmed, Inc.
$21
Inogen, Inc.
$19
Electromed, Inc.
$18
HOSPIRA, INC.
$17
Resmed Corp
$16
INOGEN, INC.
$16
Nabriva Therapeutics, plc
$16
Theravance Biopharma, Inc.
$16
Fisher & Paykel Healthcare Inc
$15
ABBVIE INC.
$14
La Jolla Pharmaceutical Company
$14
BOSTON SCIENTIFIC CORPORATION
$14
Allergan Inc.
$12
Janssen Biotech, Inc.
$12
Philips Electronics North America Corporation
$11
Top 3 companies account for 95.3% of total payments
Associated products mentioned in payments ›
ACTHAR · AIRSENSE · AIRSUPRA · ANORO · AREXVY · AVYCAZ · Actemra · Arikayce · BELSOMRA · BEVESPI AEROSPHERE · BREO · BREZTRI · BREZTRI AEROSPHERE · BROVANA · CERTUS 140 MICROWAVE ABLATION SYSTEM · CUVITRU · DALIRESP · DARZALEX · DUPIXENT · Da Vinci Surgical System · Dymista · Esbriet · FARXIGA · FASENRA · FISHER & PAYKEL HEALTHCARE · GATTEX · GIAPREZA · GLASSIA · Hillrom - Vest System Model 105 Home Care · Hizentra · INOGEN ONE G5 OXYGEN CONCENTRATOR - BLUETOOTH · INSPIRE · LONHALA MAGNAIR · MONARCH · Monarch · NUCALA · OCTAGAM IMMUNE GLOBULIN (HUMAN) · OFEV · OPSUMIT · ORENITRAM · PREVNAR 20 · PURIFIED CORTROPHIN GEL · Prolastin-C Liquid · Pulmonx Endobronchial Valve EBV · SMARTVEST · SPECTRA WAVEWRITER · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · Sleep Other · Spin · TEFLARO · TEZSPIRE · TRELEGY ELLIPTA · TYVASO · The MetaNeb System · The Vest System Model 105 Home Care · UPTRAVI · UTIBRON · Utibron · VERQUVO · VIBATIV · WAKIX · Wakix · XYREM · Xenleta · Xolair · Xyrem · YUPELRI · Yupelri · ZERBAXA
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 →
The majority of payments (95%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in optician and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 2% for optician in TX.
Equivalent to $10,019 per 100 Medicare services performed
Geographic Context
Opticians within 10 mi
20
Per 100K population
8.4
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. Patel is a mixed practice specialist, with moderate Medicare volume, with speaking/promotional industry engagement in the top 2% of TX peers, with 18 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. Patel experienced with critical care, first 30-74 min?
Based on Medicare claims data, Dr. Patel performed 557 critical care, first 30-74 min 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 $212,408 from 52 companies across 764 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 opticians in Tyler?
Dr. Patel's average Medicare payment per service is $100. 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 →
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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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