Total Payments
$253,592
2024 Payments
$3,575
Companies
22
Transactions
300
Medicare Patients
2,022
Medicare Billing
$553,096
Payment Breakdown by Category
Other$199,351 (78.6%)
Travel$31,015 (12.2%)
Consulting$15,710 (6.2%)
Food & Beverage$7,176 (2.8%)
Education$339.71 (0.1%)
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 | $192,905 | 90 | 76.1% |
| Travel and Lodging | $31,015 | 41 | 12.2% |
| Consulting Fee | $15,710 | 6 | 6.2% |
| Food and Beverage | $7,176 | 130 | 2.8% |
| Honoraria | $6,446 | 3 | 2.5% |
| Education | $339.71 | 30 | 0.1% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Otsuka America Pharmaceutical, Inc. | $119,409 | 127 | $0 (2024) |
| Mallinckrodt Enterprises LLC | $49,914 | 58 | $0 (2019) |
| Mallinckrodt Hospital Products Inc. | $43,645 | 36 | $0 (2024) |
| Aurinia Pharma U.S., Inc. | $13,242 | 14 | $0 (2022) |
| Horizon Therapeutics plc | $6,688 | 11 | $0 (2022) |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | $5,348 | 3 | $0 (2022) |
| Horizon Pharma plc | $5,121 | 2 | $0 (2018) |
| Novartis Pharmaceuticals Corporation | $3,309 | 4 | $0 (2024) |
| Kaneka Pharma America LLC | $2,000 | 1 | $0 (2018) |
| Alexion Pharmaceuticals, Inc. | $1,862 | 2 | $0 (2017) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $3,575 | 13 | Novartis Pharmaceuticals Corporation ($3,309) |
| 2023 | $1,943 | 11 | Kaneka Medical America LLC ($1,500) |
| 2022 | $7,724 | 12 | Aurinia Pharma U.S., Inc. ($4,039) |
| 2021 | $46,994 | 43 | Mallinckrodt Hospital Products Inc. ($19,130) |
| 2020 | $33,924 | 37 | Mallinckrodt Hospital Products Inc. ($24,314) |
| 2019 | $68,310 | 72 | Otsuka America Pharmaceutical, Inc. ($36,340) |
| 2018 | $73,088 | 79 | Otsuka America Pharmaceutical, Inc. ($57,976) |
| 2017 | $18,033 | 33 | Mallinckrodt LLC ($9,825) |
All Payment Transactions
300 individual payment records from CMS Open Payments — Page 1 of 12
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/09/2024 | Novartis Pharmaceuticals Corporation | Fabhalta (Drug) | Food and Beverage | In-kind items and services | $17.65 | General |
| Category: Immunology | ||||||
| 09/27/2024 | Novartis Pharmaceuticals Corporation | — | Consulting Fee | Cash or cash equivalent | $3,250.00 | General |
| 07/09/2024 | Travere Therapeutics, Inc. | — | Food and Beverage | In-kind items and services | $33.02 | General |
| 07/08/2024 | Novartis Pharmaceuticals Corporation | — | Food and Beverage | In-kind items and services | $21.12 | General |
| 05/15/2024 | Otsuka America Pharmaceutical, Inc. | JYNARQUE (Drug) | Food and Beverage | In-kind items and services | $22.90 | General |
| Category: NEPHROLOGY | ||||||
| 04/23/2024 | Travere Therapeutics, Inc. | — | Education | In-kind items and services | $3.08 | General |
| 04/09/2024 | Novartis Pharmaceuticals Corporation | — | Food and Beverage | In-kind items and services | $20.47 | General |
| 03/20/2024 | Fresenius USA Marketing, Inc. | — | Food and Beverage | In-kind items and services | $17.75 | General |
| 03/19/2024 | Otsuka America Pharmaceutical, Inc. | JYNARQUE (Drug) | Food and Beverage | In-kind items and services | $17.61 | General |
| Category: NEPHROLOGY | ||||||
| 03/13/2024 | Mallinckrodt Hospital Products Inc. | ACTHAR (Biological) | Food and Beverage | In-kind items and services | $23.37 | General |
| Category: IMMUNOLOGY | ||||||
| 02/28/2024 | Travere Therapeutics, Inc. | — | Education | In-kind items and services | $2.66 | General |
| 02/21/2024 | Travere Therapeutics, Inc. | — | Food and Beverage | In-kind items and services | $125.00 | General |
| 01/17/2024 | Travere Therapeutics, Inc. | — | Food and Beverage | In-kind items and services | $20.71 | General |
| 12/13/2023 | Travere Therapeutics, Inc. | — | Education | In-kind items and services | $3.08 | General |
| 12/01/2023 | Kaneka Medical America LLC | — | Consulting Fee | Cash or cash equivalent | $1,500.00 | General |
| 11/01/2023 | Travere Therapeutics, Inc. | — | Education | In-kind items and services | $3.08 | General |
| 10/10/2023 | Fresenius USA Marketing, Inc. | — | Food and Beverage | In-kind items and services | $16.99 | General |
| 07/18/2023 | Otsuka America Pharmaceutical, Inc. | JYNARQUE (Drug) | Food and Beverage | In-kind items and services | $13.08 | General |
| Category: NEPHROLOGY | ||||||
| 07/12/2023 | GlaxoSmithKline, LLC. | BENLYSTA (Biological) | Food and Beverage | In-kind items and services | $124.99 | General |
| Category: IMMUNOLOGY | ||||||
| 06/28/2023 | Fresenius USA Marketing, Inc. | Velphoro (Drug) | Food and Beverage | In-kind items and services | $16.99 | General |
| Category: Phosphate binder for ESRD | ||||||
| 05/18/2023 | Mallinckrodt Hospital Products Inc. | TERLIVAZ (Drug) | Food and Beverage | In-kind items and services | $121.84 | General |
| Category: CRITICAL CARE | ||||||
| 05/11/2023 | AstraZeneca Pharmaceuticals LP | FARXIGA (Drug) | Food and Beverage | In-kind items and services | $102.31 | General |
| Category: Cardiovascular and Metabolism | ||||||
| 04/10/2023 | Otsuka America Pharmaceutical, Inc. | JYNARQUE (Drug) | Food and Beverage | In-kind items and services | $22.98 | General |
| Category: NEPHROLOGY | ||||||
| 01/17/2023 | Otsuka America Pharmaceutical, Inc. | JYNARQUE (Drug) | Food and Beverage | In-kind items and services | $17.71 | General |
| Category: NEPHROLOGY | ||||||
| 11/15/2022 | Aurinia Pharma U.S., Inc. | LUPKYNIS (Drug) | Food and Beverage | In-kind items and services | $19.42 | General |
| Category: LUPUS NEPHRITIS | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 7 | 382 | 940 | $195,187 | $82,435 |
| 2022 | 7 | 483 | 1,172 | $249,323 | $104,336 |
| 2021 | 11 | 582 | 1,631 | $412,706 | $184,508 |
| 2020 | 10 | 575 | 1,495 | $452,949 | $181,817 |
Total Patients
2,022
Total Services
5,238
Medicare Billing
$553,096
Procedure Codes
35
All Medicare Procedures & Services
35 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Facility | 2023 | 152 | 600 | $85,800 | $35,602 | 41.5% |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | Office | 2023 | 21 | 64 | $36,096 | $17,055 | 47.3% |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | Office | 2023 | 23 | 58 | $27,434 | $13,236 | 48.2% |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 90 | 104 | $28,392 | $9,877 | 34.8% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 73 | 89 | $12,905 | $4,924 | 38.2% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 12 | 14 | $2,954 | $1,136 | 38.5% |
| 90935 | Hemodialysis procedure with physician evaluation | Facility | 2023 | 11 | 11 | $1,606 | $604.78 | 37.7% |
| 99232 | Follow-up hospital inpatient care per day, typically 25 minutes | Facility | 2022 | 189 | 740 | $105,820 | $40,027 | 37.8% |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | Office | 2022 | 30 | 86 | $48,504 | $23,769 | 49.0% |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | Office | 2022 | 32 | 78 | $36,894 | $17,853 | 48.4% |
| 99222 | Initial hospital inpatient care per day, typically 50 minutes | Facility | 2022 | 106 | 116 | $31,668 | $11,749 | 37.1% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 94 | 115 | $16,675 | $6,784 | 40.7% |
| 90962 | Dialysis services, 1 physician visit per month (20 years or older) | Office | 2022 | 18 | 20 | $7,280 | $3,186 | 43.8% |
| 90935 | Hemodialysis procedure with physician evaluation | Facility | 2022 | 14 | 17 | $2,482 | $968.64 | 39.0% |
| 90960 | Dialysis services (4 or more physician visits per month), patient 20 years of age and older | Office | 2021 | 50 | 338 | $190,632 | $96,018 | 50.4% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2021 | 178 | 808 | $115,544 | $45,296 | 39.2% |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | Facility | 2021 | 95 | 118 | $32,214 | $12,277 | 38.1% |
| 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | Office | 2021 | 22 | 36 | $17,028 | $8,353 | 49.1% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 78 | 105 | $15,225 | $6,695 | 44.0% |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | Facility | 2021 | 30 | 56 | $11,536 | $4,236 | 36.7% |
| 90935 | Hemodialysis procedure with one physician evaluation | Facility | 2021 | 36 | 65 | $9,490 | $3,772 | 39.8% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 38 | 42 | $8,862 | $3,359 | 37.9% |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | Facility | 2021 | 12 | 13 | $5,213 | $1,695 | 32.5% |
| 99203 | New patient outpatient visit, total time 30-44 minutes | Office | 2021 | 18 | 18 | $3,762 | $1,542 | 41.0% |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | Office | 2021 | 25 | 32 | $3,200 | $1,265 | 39.5% |
About Dr. Rupesh Raina, MD
Dr. Rupesh Raina, MD is a Pediatric Nephrology healthcare provider based in Akron, Ohio. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 06/11/2007. The National Provider Identifier (NPI) number assigned to this provider is 1295939734.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Rupesh Raina, MD has received a total of $253,592 in payments from pharmaceutical and medical device companies, with $3,575 received in 2024. These payments were reported across 300 transactions from 22 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" ($192,905).
As a Medicare-enrolled provider, Raina has provided services to 2,022 Medicare beneficiaries, totaling 5,238 services with total Medicare billing of $553,096. Data is available for 4 years (2020–2023), covering 35 distinct procedure/service records.
Ad
Practice Information
- Specialty Pediatric Nephrology
- Other Specialties Nephrology
- Location Akron, OH
- Active Since 06/11/2007
- Last Updated 01/26/2017
- Taxonomy Code 2080P0210X
- Entity Type Individual
- NPI Number 1295939734
Products in Payments
- JYNARQUE (Drug) $112,231
- ACTHAR (Biological) $93,437
- LUPKYNIS (Drug) $11,742
- PROCYSBI (Drug) $8,988
- TOLVAPTAN (Drug) $8,940
- KRYSTEXXA (Biological) $2,700
- SOLIRIS (Drug) $1,862
- SAMSCA (Drug) $1,638
- FARXIGA (Drug) $240.78
- BENLYSTA (Biological) $224.38
- LOKELMA (Drug) $193.72
- Veltassa (Drug) $168.62
- Velphoro (Drug) $129.28
- TERLIVAZ (Drug) $121.84
- KRYSTEXXA (Drug) $121.09
- BRILINTA (Drug) $99.99
- Parsabiv (Biological) $74.48
- FERAHEME (Drug) $20.57
- Kerendia (Drug) $19.77
- TARPEYO (Drug) $17.95
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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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