Dr. Niraj Patel, M.D

NPI: 1811315492
Total Payments
$1,583
2024 Payments
$247.43
Companies
21
Transactions
78
Medicare Patients
3,271
Medicare Billing
$294,455

Payment Breakdown by Category

Food & Beverage$1,550 (98.0%)
Education$32.27 (2.0%)

Payments by Nature

Nature of Payment Amount Transactions Share
Food and Beverage $1,550 77 98.0%
Education $32.27 1 2.0%

Top Paying Companies

Company Total Records Latest Year
GlaxoSmithKline, LLC. $346.96 16 $0 (2024)
Exact Sciences Corporation $321.81 14 $0 (2024)
PFIZER INC. $183.64 10 $0 (2024)
Boehringer Ingelheim Pharmaceuticals, Inc. $147.33 8 $0 (2020)
Amgen Inc. $105.17 5 $0 (2020)
Kowa Pharmaceuticals America, Inc. $87.09 5 $0 (2020)
Merck Sharp & Dohme Corporation $56.84 3 $0 (2021)
SANOFI PASTEUR INC. $44.04 2 $0 (2019)
Abbott Laboratories $42.28 2 $0 (2023)
Daiichi Sankyo Inc. $33.10 2 $0 (2019)

Payment History by Year

Year Amount Transactions Top Company
2024 $247.43 11 Exact Sciences Corporation ($142.20)
2023 $429.50 19 Exact Sciences Corporation ($179.61)
2022 $99.23 5 GlaxoSmithKline, LLC. ($36.07)
2021 $58.33 3 Merck Sharp & Dohme Corporation ($20.30)
2020 $198.20 10 GlaxoSmithKline, LLC. ($71.34)
2019 $338.32 18 Boehringer Ingelheim Pharmaceuticals, Inc. ($81.63)
2018 $211.70 12 Amgen Inc. ($66.22)

All Payment Transactions

78 individual payment records from CMS Open Payments — Page 1 of 4

Date Company Product Nature Form Amount Type
11/07/2024 GlaxoSmithKline, LLC. AREXVY (Drug), SHINGRIX Food and Beverage In-kind items and services $19.82 General
Category: RESPIRATORY
10/22/2024 Exact Sciences Corporation Cologuard Collection Kit (Device) Food and Beverage In-kind items and services $21.00 General
Category: Oncology
08/26/2024 Exact Sciences Corporation Cologuard Collection Kit (Device) Food and Beverage In-kind items and services $23.69 General
Category: Oncology
08/13/2024 GlaxoSmithKline, LLC. SHINGRIX (Biological), AREXVY, BEXSERO Food and Beverage In-kind items and services $18.36 General
Category: VACCINES
06/25/2024 Exact Sciences Corporation Cologuard Collection Kit (Device) Food and Beverage In-kind items and services $19.97 General
Category: Oncology
06/17/2024 GlaxoSmithKline, LLC. AREXVY (Drug), SHINGRIX Food and Beverage In-kind items and services $20.56 General
Category: RESPIRATORY
06/03/2024 PFIZER INC. PREVNAR 20 (Biological), COMIRNATY, ABRYSVO Food and Beverage In-kind items and services $22.60 General
Category: VACCINES
05/18/2024 Exact Sciences Corporation Cologuard Collection Kit (Device) Food and Beverage In-kind items and services $28.77 General
Category: Oncology
03/26/2024 Exact Sciences Corporation Cologuard Collection Kit (Device) Food and Beverage In-kind items and services $23.57 General
Category: Oncology
02/27/2024 Exact Sciences Corporation Cologuard Collection Kit (Device) Food and Beverage In-kind items and services $25.20 General
Category: Oncology
01/22/2024 GlaxoSmithKline, LLC. AREXVY (Drug), SHINGRIX Food and Beverage In-kind items and services $23.89 General
Category: RESPIRATORY
12/19/2023 Exact Sciences Corporation Cologuard Collection Kit (Device) Food and Beverage In-kind items and services $23.17 General
Category: Oncology
11/21/2023 Exact Sciences Corporation Cologuard Collection Kit (Device) Food and Beverage In-kind items and services $24.00 General
Category: Oncology
11/13/2023 PFIZER INC. PREVNAR 20 (Biological), COMIRNATY, ABRYSVO Food and Beverage In-kind items and services $29.56 General
Category: VACCINES
11/06/2023 GlaxoSmithKline, LLC. AREXVY (Drug), SHINGRIX Food and Beverage In-kind items and services $23.22 General
Category: RESPIRATORY
09/11/2023 GlaxoSmithKline, LLC. AREXVY (Drug), SHINGRIX Food and Beverage In-kind items and services $24.75 General
Category: RESPIRATORY
08/28/2023 Exact Sciences Corporation Cologuard Collection Kit (Device) Food and Beverage In-kind items and services $27.50 General
Category: Oncology
07/26/2023 Abbott Laboratories PROCLAIM (Device) Food and Beverage In-kind items and services $24.20 General
Category: Neuromodulation
07/25/2023 Exact Sciences Corporation Cologuard Collection Kit (Device) Food and Beverage In-kind items and services $24.00 General
Category: Oncology
07/13/2023 HARTMANN USA, INC. Zetuvit Plus (Device) Food and Beverage Cash or cash equivalent $17.63 General
Category: Wound Care
07/07/2023 GlaxoSmithKline, LLC. AREXVY (Drug), SHINGRIX Food and Beverage In-kind items and services $25.75 General
Category: RESPIRATORY
06/28/2023 Exact Sciences Corporation Cologuard Collection Kit (Device) Food and Beverage In-kind items and services $20.27 General
Category: Oncology
06/08/2023 PFIZER INC. PREVNAR 20 (Biological) Food and Beverage In-kind items and services $28.73 General
Category: VACCINES
04/25/2023 Exact Sciences Corporation Cologuard Collection Kit (Device) Food and Beverage In-kind items and services $23.47 General
Category: Oncology
04/10/2023 Cranial Technologies, Inc Doc Band (Device) Food and Beverage Cash or cash equivalent $13.89 General
Category: Cranial Orthotic

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2023 10 1,055 1,459 $191,164 $96,652
2022 8 914 1,323 $173,438 $89,781
2021 10 776 1,043 $117,891 $67,840
2020 8 526 826 $69,845 $40,183
Total Patients
3,271
Total Services
4,651
Medicare Billing
$294,455
Procedure Codes
39

All Medicare Procedures & Services

39 procedure records from CMS Medicare Utilization — Page 1 of 2

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2023 401 642 $53,244 $28,882 54.2%
99214 Established patient office or other outpatient visit, 30-39 minutes Office 2023 229 385 $46,200 $24,685 53.4%
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit Office 2023 156 156 $43,368 $21,410 49.4%
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit Office 2023 65 65 $25,740 $11,421 44.4%
99495 Transitional care management services for problem of at least moderate complexity Office 2023 40 44 $9,504 $5,126 53.9%
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment Office 2023 18 18 $2,592 $2,459 94.9%
99212 Established patient office or other outpatient visit, 10-19 minutes Office 2023 32 33 $1,824 $794.80 43.6%
99213 Established patient office or other outpatient visit, 20-29 minutes Facility 2023 16 16 $1,312 $767.34 58.5%
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and Office 2023 20 20 $3,060 $674.40 22.0%
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only Office 2023 57 59 $3,186 $344.25 10.8%
G0405 Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination Office 2023 21 21 $1,134 $87.75 7.7%
99214 Established patient office or other outpatient visit, 30-39 minutes Office 2022 262 457 $55,335 $29,110 52.6%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2022 386 597 $49,479 $28,454 57.5%
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit Office 2022 104 104 $41,184 $18,482 44.9%
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit Office 2022 55 55 $15,290 $7,652 50.0%
99495 Transitional care management services for problem of moderate complexity Office 2022 28 30 $6,480 $3,593 55.4%
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment Office 2022 15 15 $2,160 $2,105 97.5%
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only Office 2022 46 47 $2,538 $309.48 12.2%
G0405 Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination Office 2022 18 18 $972.00 $75.73 7.8%
99214 Established patient outpatient visit, total time 30-39 minutes Office 2021 250 400 $41,298 $26,222 63.5%
99213 Established patient outpatient visit, total time 20-29 minutes Office 2021 239 356 $24,895 $16,083 64.6%
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit Office 2021 90 90 $24,273 $12,732 52.5%
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit Office 2021 25 25 $9,744 $4,479 46.0%
99204 New patient outpatient visit, total time 45-59 minutes Office 2021 47 47 $7,894 $2,864 36.3%
99213 Established patient outpatient visit, total time 20-29 minutes Facility 2021 39 39 $2,794 $2,022 72.4%

About Dr. Niraj Patel, M.D

Dr. Niraj Patel, M.D is a Family Medicine healthcare provider based in Cameron Park, California. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 04/01/2014. The National Provider Identifier (NPI) number assigned to this provider is 1811315492.

According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Niraj Patel, M.D has received a total of $1,583 in payments from pharmaceutical and medical device companies, with $247.43 received in 2024. These payments were reported across 78 transactions from 21 companies. The most common payment nature is "Food and Beverage" ($1,550).

As a Medicare-enrolled provider, Patel has provided services to 3,271 Medicare beneficiaries, totaling 4,651 services with total Medicare billing of $294,455. Data is available for 4 years (2020–2023), covering 39 distinct procedure/service records.

Practice Information

  • Specialty Family Medicine
  • Location Cameron Park, CA
  • Active Since 04/01/2014
  • Last Updated 03/17/2018
  • Taxonomy Code 207Q00000X
  • Entity Type Individual
  • Practice Solo Practitioner
  • NPI Number 1811315492

Products in Payments

  • Cologuard Collection Kit (Device) $321.81
  • SHINGRIX (Biological) $160.45
  • JARDIANCE (Drug) $147.33
  • AREXVY (Drug) $137.99
  • Livalo (Drug) $87.09
  • PREVNAR 20 (Biological) $80.89
  • Prolia (Biological) $66.22
  • CHANTIX (Drug) $54.79
  • ANORO ELLIPTA (Drug) $48.52
  • EVENITY (Biological) $38.95
  • INJECTAFER (Drug) $33.10
  • Saxenda (Drug) $32.27
  • INTELLIS ADAPTIVESTIM (Device) $26.08
  • PROCLAIM (Device) $24.20
  • FLUZONE HIGH-DOSE (Drug) $23.28
  • Trilogy 100 (Device) $23.27
  • JANUVIA (Drug) $22.36
  • OPSUMIT (Drug) $20.97
  • ADACEL (Drug) $20.76
  • BELSOMRA (Drug) $20.30

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.

Family Medicine Doctors in Cameron Park