Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $71.08 | 4 | 100.0% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Lilly USA, LLC | $71.08 | 4 | $0 (2023) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2023 | $34.11 | 2 | Lilly USA, LLC ($34.11) |
| 2022 | $36.97 | 2 | Lilly USA, LLC ($36.97) |
All Payment Transactions
4 individual payment records from CMS Open Payments
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 05/16/2023 | Lilly USA, LLC | MOUNJARO (Drug) | Food and Beverage | In-kind items and services | $18.93 | General |
| Category: Diabetes | ||||||
| 02/02/2023 | Lilly USA, LLC | MOUNJARO (Drug) | Food and Beverage | In-kind items and services | $15.18 | General |
| Category: Diabetes | ||||||
| 12/05/2022 | Lilly USA, LLC | MOUNJARO (Drug) | Food and Beverage | In-kind items and services | $15.73 | General |
| Category: Diabetes | ||||||
| 08/23/2022 | Lilly USA, LLC | MOUNJARO (Drug) | Food and Beverage | In-kind items and services | $21.24 | General |
| Category: Diabetes | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2020 | 3 | 135 | 151 | $12,219 | $4,701 |
All Medicare Procedures & Services
5 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | Facility | 2020 | 38 | 42 | $2,268 | $1,369 | 60.4% |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | Facility | 2020 | 23 | 25 | $2,075 | $1,314 | 63.3% |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | Office | 2020 | 36 | 44 | $4,620 | $966.77 | 20.9% |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | Office | 2020 | 17 | 17 | $2,635 | $631.78 | 24.0% |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | Facility | 2020 | 21 | 23 | $621.00 | $419.92 | 67.6% |
About Dr. Jonathan Polak, M.D
Dr. Jonathan Polak, M.D is a Internal Medicine healthcare provider based in Wolfeboro, New Hampshire. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 05/26/2015. The National Provider Identifier (NPI) number assigned to this provider is 1659750560.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Jonathan Polak, M.D has received a total of $71.08 in payments from pharmaceutical and medical device companies, with $34.11 received in 2023. These payments were reported across 4 transactions from 1 company. The most common payment nature is "Food and Beverage" ($71.08).
As a Medicare-enrolled provider, Polak has provided services to 135 Medicare beneficiaries, totaling 151 services with total Medicare billing of $4,701. Data is available for 1 year (2020–2020), covering 5 distinct procedure/service records.
Practice Information
- Specialty Internal Medicine
- Other Specialties Internal Medicine
- Location Wolfeboro, NH
- Active Since 05/26/2015
- Last Updated 12/14/2025
- Taxonomy Code 207R00000X
- Entity Type Individual
- NPI Number 1659750560
Products in Payments
- MOUNJARO (Drug) $71.08
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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