Total Payments
$642,605
2024 Payments
$20,049
Companies
39
Transactions
1,148
Medicare Patients
2,757
Medicare Billing
$253,384
Payment Breakdown by Category
Other$311,539 (48.5%)
Research$150,000 (23.3%)
Consulting$77,216 (12.0%)
Travel$64,407 (10.0%)
Food & Beverage$39,243 (6.1%)
Education$200.00 (0.0%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $267,314 | 105 | 41.6% |
| Unspecified | $150,000 | 1 | 23.3% |
| Consulting Fee | $77,216 | 38 | 12.0% |
| Travel and Lodging | $64,407 | 280 | 10.0% |
| Food and Beverage | $39,243 | 702 | 6.1% |
| Compensation for serving as faculty or as a speaker for a non-accredited and noncertified continuing education program | $22,700 | 9 | 3.5% |
| Honoraria | $13,525 | 8 | 2.1% |
| Compensation for serving as faculty or as a speaker for a medical education program | $8,000 | 4 | 1.2% |
| Education | $200.00 | 1 | 0.0% |
Payments by Type
General
$492,605
1,147 transactions
Research
$150,000
1 transactions
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Philips Electronics North America Corporation | $178,164 | 40 | $0 (2022) |
| PFIZER INC. | $130,699 | 238 | $0 (2023) |
| E.R. Squibb & Sons, L.L.C. | $82,320 | 99 | $0 (2022) |
| Boston Scientific Corporation | $65,517 | 201 | $0 (2024) |
| Medtronic Vascular, Inc. | $41,745 | 160 | $0 (2020) |
| BIOTRONIK INC. | $36,599 | 134 | $0 (2024) |
| Biosense Webster, Inc. | $17,630 | 37 | $0 (2024) |
| SANOFI-AVENTIS U.S. LLC | $16,318 | 9 | $0 (2023) |
| ZOLL Respicardia, Inc. | $14,322 | 10 | $0 (2024) |
| Medtronic, Inc. | $12,688 | 51 | $0 (2024) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $20,049 | 80 | Boston Scientific Corporation ($17,204) |
| 2023 | $19,617 | 48 | SANOFI-AVENTIS U.S. LLC ($6,011) |
| 2022 | $29,361 | 92 | ZOLL Respicardia, Inc. ($11,216) |
| 2021 | $40,014 | 108 | Medtronic, Inc. ($10,742) |
| 2020 | $89,479 | 119 | PFIZER INC. ($40,960) |
| 2019 | $217,602 | 178 | Philips Electronics North America Corporation ($160,279) |
| 2018 | $78,860 | 258 | PFIZER INC. ($23,715) |
| 2017 | $147,623 | 265 | PFIZER INC. ($58,077) |
All Payment Transactions
1,148 individual payment records from CMS Open Payments — Page 1 of 46
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/31/2024 | Abbott Laboratories | FEMOSTOP (Device) | Food and Beverage | In-kind items and services | $148.49 | General |
| Category: Vascular | ||||||
| 12/30/2024 | Medtronic, Inc. | LINQ II (Device) | Food and Beverage | In-kind items and services | $15.26 | General |
| Category: Cardiac Diagnostics and Monitoring | ||||||
| 12/26/2024 | Medtronic, Inc. | AZURE XT DR MRI SURESCAN (Device) | Food and Beverage | In-kind items and services | $22.57 | General |
| Category: Pacemakers | ||||||
| 12/24/2024 | Abbott Laboratories | AVEIR (Device) | Food and Beverage | In-kind items and services | $9.68 | General |
| Category: Cardiac Rhythm Management | ||||||
| 12/20/2024 | Abbott Laboratories | AVEIR (Device) | Food and Beverage | In-kind items and services | $142.68 | General |
| Category: Cardiac Rhythm Management | ||||||
| 12/19/2024 | ATRICURE, INC. | ATRICLIP LAA EXCLUSION SYSTEM (Device) | Food and Beverage | In-kind items and services | $158.25 | General |
| Category: CARDIOVASCULAR | ||||||
| 12/12/2024 | ATRICURE, INC. | ATRICLIP LAA EXCLUSION SYSTEM (Device) | Food and Beverage | In-kind items and services | $22.25 | General |
| Category: CARDIOVASCULAR | ||||||
| 12/09/2024 | ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | LifeVest (Device) | Food and Beverage | Cash or cash equivalent | $109.55 | General |
| Category: Electromedical and Electrotherapeutic Apparatus | ||||||
| 12/05/2024 | ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | LifeVest (Device) | Food and Beverage | Cash or cash equivalent | $5.13 | General |
| Category: Electromedical and Electrotherapeutic Apparatus | ||||||
| 11/25/2024 | Medtronic, Inc. | AZURE XT DR MRI SURESCAN (Device) | Food and Beverage | In-kind items and services | $16.75 | General |
| Category: Pacemakers | ||||||
| 11/20/2024 | CVRx, Inc. | Barostim Neo System (Device) | Food and Beverage | Cash or cash equivalent | $180.74 | General |
| Category: Heart Failure and Hypertension | ||||||
| 11/13/2024 | Boston Scientific Corporation | — | Food and Beverage | In-kind items and services | $73.64 | General |
| Category: General - Therapies_IC | ||||||
| 11/12/2024 | Elutia, Inc. | ECM Patch,Pouch (Device) | Food and Beverage | Cash or cash equivalent | $120.18 | General |
| Category: Cardiovascular Medical Device | ||||||
| 11/07/2024 | Boston Scientific Corporation | EMBLEM MRI S-ICD (Device) | Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | Cash or cash equivalent | $2,000.00 | General |
| Category: EMBLEM_CRM | ||||||
| 10/08/2024 | Abbott Laboratories | TENDRIL (Device) | Food and Beverage | In-kind items and services | $88.53 | General |
| Category: Cardiac Rhythm Management | ||||||
| 10/03/2024 | Abbott Laboratories | TACTICATH ABLATION CATHETER, SENSOR ENABLED (Device) | Food and Beverage | In-kind items and services | $124.45 | General |
| Category: Electrophysiology | ||||||
| 10/03/2024 | ABIOMED | Impella (Device) | Food and Beverage | Cash or cash equivalent | $28.55 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 09/30/2024 | Boston Scientific Corporation | — | Food and Beverage | In-kind items and services | $126.00 | General |
| Category: General - Therapies_CRM | ||||||
| 09/27/2024 | Boston Scientific Corporation | EMBLEM MRI S-ICD (Device) | Food and Beverage | In-kind items and services | $27.80 | General |
| Category: EMBLEM_CRM | ||||||
| 09/27/2024 | Boston Scientific Corporation | EMBLEM MRI S-ICD (Device) | Food and Beverage | In-kind items and services | $21.74 | General |
| Category: EMBLEM_CRM | ||||||
| 09/27/2024 | Boston Scientific Corporation | EMBLEM MRI S-ICD (Device) | Food and Beverage | In-kind items and services | $3.38 | General |
| Category: EMBLEM_CRM | ||||||
| 09/25/2024 | Impulse Dynamics (USA) Inc. | Optimizer (Device), Optimizer | Food and Beverage | Cash or cash equivalent | $149.93 | General |
| Category: Cardiovascular Device | ||||||
| 09/19/2024 | Medtronic, Inc. | MICRA (Device) | Food and Beverage | In-kind items and services | $19.81 | General |
| Category: Pacemakers | ||||||
| 09/18/2024 | BIOTRONIK INC. | Selectra (Device) | Food and Beverage | In-kind items and services | $6.17 | General |
| Category: Cardiology/Vascular Diseases | ||||||
| 09/05/2024 | ABIOMED | Impella (Device) | Food and Beverage | Cash or cash equivalent | $25.69 | General |
| Category: Cardiology/Vascular Diseases | ||||||
Research Studies & Clinical Trials
| Study Name | Company | Amount | Records |
|---|---|---|---|
| IVUS IMAGING DURING TLE | Philips Electronics North America Corporation | $150,000 | 1 |
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 16 | 553 | 601 | $139,401 | $39,479 |
| 2022 | 11 | 268 | 276 | $204,068 | $23,925 |
| 2021 | 25 | 945 | 1,225 | $823,276 | $106,098 |
| 2020 | 24 | 991 | 1,206 | $658,802 | $83,882 |
Total Patients
2,757
Total Services
3,308
Medicare Billing
$253,384
Procedure Codes
76
All Medicare Procedures & Services
76 procedure records from CMS Medicare Utilization — Page 1 of 4
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 33208 | Insertion of pacemaker and upper and lower heart chamber electrode | Facility | 2023 | 21 | 21 | $31,306 | $8,274 | 26.4% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 54 | 60 | $18,521 | $5,927 | 32.0% |
| 93280 | Programming of dual lead pacemaker system | Office | 2023 | 71 | 86 | $20,010 | $5,254 | 26.3% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 28 | 28 | $11,370 | $3,375 | 29.7% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 34 | 35 | $7,712 | $2,436 | 31.6% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2023 | 28 | 28 | $7,631 | $2,196 | 28.8% |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Facility | 2023 | 16 | 16 | $7,384 | $2,175 | 29.5% |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 21 | 21 | $6,745 | $2,139 | 31.7% |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | Office | 2023 | 158 | 178 | $7,514 | $1,959 | 26.1% |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | Facility | 2023 | 25 | 25 | $5,583 | $1,621 | 29.0% |
| 93284 | Programming of multiple lead implantable defibrillator system | Office | 2023 | 13 | 16 | $5,006 | $1,337 | 26.7% |
| 93283 | Programming of dual lead implantable defibrillator system | Office | 2023 | 12 | 13 | $3,767 | $1,008 | 26.7% |
| 75820 | Review by radiologist of 1 arm or leg vein of 1 arm or leg image | Facility | 2023 | 18 | 18 | $2,646 | $696.96 | 26.3% |
| 93291 | Evaluation of cardiac rhythm monitor system | Office | 2023 | 13 | 14 | $2,027 | $544.46 | 26.9% |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | Facility | 2023 | 28 | 29 | $1,044 | $281.01 | 26.9% |
| 93294 | Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days | Office | 2023 | 13 | 13 | $1,135 | $256.63 | 22.6% |
| 33249 | Insertion of implantable defibrillator system | Facility | 2022 | 12 | 12 | $86,324 | $10,151 | 11.8% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Facility | 2022 | 43 | 43 | $27,218 | $3,989 | 14.7% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Facility | 2022 | 38 | 38 | $20,776 | $3,097 | 14.9% |
| 99221 | Initial hospital inpatient care per day, typically 30 minutes | Facility | 2022 | 26 | 26 | $12,732 | $2,042 | 16.0% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Facility | 2022 | 30 | 30 | $9,174 | $1,680 | 18.3% |
| 93289 | Evaluation of single, dual, or multiple lead implantable defibrillator system | Facility | 2022 | 26 | 29 | $10,683 | $847.96 | 7.9% |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | Facility | 2022 | 13 | 13 | $4,095 | $704.19 | 17.2% |
| 93295 | Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days | Facility | 2022 | 29 | 29 | $17,603 | $648.82 | 3.7% |
| 93288 | Evaluation of single, dual, multiple lead or leadless pacemaker system | Facility | 2022 | 17 | 19 | $4,392 | $340.77 | 7.8% |
About Dr. Hemal Nayak, MD
Dr. Hemal Nayak, MD is a Internal Medicine healthcare provider based in San Antonio, Texas. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 05/26/2006. The National Provider Identifier (NPI) number assigned to this provider is 1306892765.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Hemal Nayak, MD has received a total of $642,605 in payments from pharmaceutical and medical device companies, with $20,049 received in 2024. These payments were reported across 1,148 transactions from 39 companies. The most common payment nature is "Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program" ($267,314).
As a Medicare-enrolled provider, Nayak has provided services to 2,757 Medicare beneficiaries, totaling 3,308 services with total Medicare billing of $253,384. Data is available for 4 years (2020–2023), covering 76 distinct procedure/service records.
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Practice Information
- Specialty Internal Medicine
- Other Specialties Cardiovascular Disease, Clinical Cardiac Electrophysiology
- Location San Antonio, TX
- Active Since 05/26/2006
- Last Updated 01/23/2023
- Taxonomy Code 207R00000X
- Entity Type Individual
- NPI Number 1306892765
Products in Payments
- ELIQUIS (Drug) $212,858
- IVUS Systems (Device) $150,000
- remede System (Device) $23,003
- Carto 3 System (Device) $16,308
- Micra (Device) $11,132
- WATCHMAN (Device) $10,073
- EMBLEM (Device) $9,490
- EMBLEM MRI S-ICD (Device) $9,242
- (9520) IGT Devices Undivided (Device) $9,153
- ECM Patch,Pouch (Device) $6,975
- LifeVest (Device) $6,509
- RHYTHMIA (Device) $6,351
- Spectranetics Undiv (Device) $6,135
- Arctic Front (Device) $5,612
- Turbo Elite (Device) $4,964
- S-ICD System Magnet (Device) $4,957
- CVX-300 (Device) $4,667
- RHYTHMIA MAPPING SYSTEM (Device) $4,000
- DISEASE STATE (Drug) $3,999
- Resolute (Device) $3,778
Explore
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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