Medicare Enrolled
Dr. Kavitha Raj, MD
Hematology · Pleasanton, CA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Raj 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. Raj
Dr. Kavitha Raj is a hematology specialist in Pleasanton, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Raj performed 22,467 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Raj received a total of $1,709 from 23 pharmaceutical and/or device companies across 69 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Raj is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years of NPI registration
▲ Top 4% volume in CA
$1,709 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗22,467
Medicare services
Top 4% in CA for hematology
Not available
Unique patients (not deduplicated)
$23
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 |
|---|---|---|---|
| Anti-nausea injection (fosaprepitant) An injection of fosaprepitant, a medication used to prevent nausea and vomiting. |
5,250 | $0 | $1 |
| Paclitaxel chemotherapy injection | 5,165 | $0 | $1 |
| Pembrolizumab injection (Keytruda) | 3,801 | $43 | $195 |
| Denosumab injection (Prolia/Xgeva) | 1,860 | $18 | $81 |
| 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. |
1,370 | $109 | $432 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
1,217 | $0 | $1 |
| Anti-nausea injection (Aloxi/palonosetron) | 720 | $1 | $5 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
357 | $8 | $33 |
| Pegfilgrastim injection, 0.5 mg An injection of pegfilgrastim, a medication that stimulates the production of white blood cells. This specific code applies to the brand-name drug and excludes biosimilar versions. |
348 | $77 | $468 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
309 | $77 | $321 |
| Intravenous injection of additional new drug or substance Administration of an additional new medication or substance directly into a vein. |
282 | $16 | $119 |
| Anti-nausea injection (ondansetron/Zofran) | 176 | $0 | $1 |
| Intravenous chemotherapy infusion, 1 hour or less Administration of chemotherapy medication directly into a vein. The procedure takes one hour or less to complete. |
169 | $137 | $1,047 |
| Zoledronic acid injection, 1 mg An injection of zoledronic acid administered at a dose of 1 mg. |
158 | $6 | $30 |
| Carboplatin chemotherapy injection, 50 mg Administration of a 50 mg dose of carboplatin, a chemotherapy medication, via injection. |
155 | $2 | $10 |
| New patient office visit, complex (60-74 min) | 146 | $194 | $772 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
128 | $161 | $523 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
105 | $13 | $103 |
| Additional hour of intravenous chemotherapy This code represents the administration of chemotherapy medication into a vein for each additional hour beyond the initial period. |
93 | $29 | $225 |
| Diphenhydramine injection, up to 50 mg An injection of diphenhydramine hydrochloride, an antihistamine medication, administered in a dose of up to 50 milligrams. |
84 | $1 | $3 |
| Non-hormonal chemotherapy injection This procedure involves administering non-hormonal anti-neoplastic chemotherapy medication via injection into the skin or muscle tissue. |
64 | $77 | $343 |
| Intravenous infusion of new drug or substance, 1 hour or less This procedure involves administering a new medication or substance directly into a vein through an existing access site. The infusion is completed within one hour or less. |
53 | $67 | $382 |
| Additional sequential IV infusion, 1 hour or less This code represents an additional intravenous infusion administered sequentially to a primary infusion. It covers the administration time of one hour or less. |
45 | $30 | $170 |
| Irrigation of implanted venous access device This procedure involves flushing an implanted venous access device to clear blockages or maintain patency. It ensures the device remains functional for delivering medications or fluids. |
45 | $24 | $173 |
| Intravenous infusion, 1 hour or less Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less. |
43 | $62 | $374 |
| 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. |
43 | $105 | $365 |
| Subcutaneous or intramuscular chemotherapy injection This procedure involves administering anti-cancer hormonal medication through an injection into the tissue under the skin or into a muscle. |
40 | $35 | $271 |
| Venipuncture for blood collection A procedure to draw blood from a vein for medical testing or analysis. |
30 | $99 | $390 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
30 | $36 | $162 |
| Additional hour of intravenous hydration This code represents each additional hour of intravenous fluid administration beyond the initial hour. It is used to bill for extended hydration therapy. |
27 | $12 | $78 |
| On-body injector for subcutaneous injection A device is applied to the skin to automatically deliver a medication injection under the skin. |
26 | $19 | $92 |
| Intravenous hydration infusion, 31-60 minutes Administration of fluids into a vein to maintain hydration. This procedure involves an infusion lasting between 31 and 60 minutes. |
25 | $32 | $297 |
| 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. |
23 | $143 | $659 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
22 | $65 | $265 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
21 | $2 | $10 |
| Intravenous drug injection A procedure involving the administration of a medication or substance directly into a vein. |
19 | $39 | $298 |
| 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. |
18 | $154 | $745 |
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. These counts do not measure clinical quality or years of experience.
1.5% high complexity
87.1% medium
11.4% routine
Industry Payment Transparency
Open Payments through 2024 ↗$1,709
Total received (2018-2024)
Avg $244/year across 7 years
Bottom 39% in CA for hematology
23
Companies
69
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$250
2023
$511
2022
$185
2021
$223
2020
$57
2019
$13
2018
$469
Payments by company (2024)
Merck Sharp & Dohme LLC
$56
Gilead Sciences, Inc.
$40
Janssen Biotech, Inc.
$39
E.R. Squibb & Sons, L.L.C.
$26
Celgene Corporation
$26
ADC Therapeutics America, Inc.
$24
Takeda Pharmaceuticals U.S.A., Inc.
$20
PFIZER INC.
$18
Top 3 companies account for 54.3% of 2024 payments
All-time payments by company (2018-2024) ›
PFIZER INC.
$399
Abbott Laboratories
$301
Takeda Pharmaceuticals U.S.A., Inc.
$131
Merck Sharp & Dohme LLC
$119
Janssen Biotech, Inc.
$109
Amgen Inc.
$80
E.R. Squibb & Sons, L.L.C.
$71
Seagen Inc.
$70
Pharmacyclics LLC, An AbbVie Company
$61
Coherus Biosciences Inc.
$41
Gilead Sciences, Inc.
$40
GlaxoSmithKline, LLC.
$35
Genentech USA, Inc.
$34
Lilly USA, LLC
$30
Acrotech Biopharma LLC
$26
Celgene Corporation
$26
ADC Therapeutics America, Inc.
$24
Pharmacyclics LLC, an AbbVie Company
$23
Stemline Therapeutics Inc.
$23
PharmaEssentia USA Corporation
$22
Daiichi Sankyo Inc.
$18
Janssen Pharmaceuticals, Inc
$12
Seattle Genetics, Inc.
$12
Top 3 companies account for 48.6% of all-time payments
Associated products mentioned in payments ›
ADCETRIS · BELEODAQ · BESREMI · BLENREP · BRAFTOVI · DARZALEX · ERLEADA · EVENITY · Enhertu · GAZYVA · IBRANCE · IMBRUVICA · INLYTA · KEYTRUDA · LORBRENA · NINLARO · Nplate · OPDIVO · Orserdu · SUTENT · TUKYSA · Udenyca · VELCADE
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Hematologists in nearby ZIP areas
7
County median income
$126,240
Nearest hospital to ZIP centroid (approximate)
STANFORD HEALTH CARE TRI-VALLEY
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Raj is a mixed practice specialist, with above-average Medicare volume (top 4% in CA), with 19 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Raj experienced with anti-nausea injection (fosaprepitant)?
Based on Medicare claims data, Dr. Raj performed 5,250 anti-nausea injection (fosaprepitant) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Raj receive payments from pharmaceutical companies?
Yes. Dr. Raj received a total of $1,709 from 23 companies across 69 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Raj's costs compare to other hematologists in Pleasanton?
Dr. Raj's average Medicare payment per service is $23. 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. Raj) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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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