Medicare Enrolled
Dr. Rafael Ching Companioni, M.D.
Internal Medicine · Panama City, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Ching Companioni 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. Ching Companioni
Dr. Rafael Ching Companioni is an internal medicine specialist in Panama City, FL, with 14 years of NPI registration. Based on federal Medicare data, Dr. Ching Companioni performed 3,518 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Ching Companioni received a total of $5,336 from 20 pharmaceutical and/or device companies across 114 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. Ching Companioni 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.
✓ 14 years of NPI registration
▲ Top 12% volume in FL
$5,336 industry payments
Florida License Status
FL DOH · MQA1
Active license
None
Board action on record
0
Recent admin complaints
| Profession | License # | Status | Expires | Board Action |
|---|---|---|---|---|
| Medical Doctor | 115242 | Clear | January 31, 2027 | — |
Data from Florida Department of Health Medical Quality Assurance.
License records are public under Chapter 119, Florida Statutes.
Verify directly on FL DOH →
Medicare Practice Summary — 2023
Medicare Utilization ↗3,518
Medicare services
Top 12% in FL for internal medicine
Not available
Unique patients (not deduplicated)
$91
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 |
|---|---|---|---|
| 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. |
1,039 | $91 | $259 |
| Upper GI endoscopy with biopsy A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities. |
391 | $56 | $749 |
| 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. |
350 | $59 | $214 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
335 | $61 | $204 |
| Colonoscopy with biopsy A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease. |
242 | $48 | $949 |
| Colon polyp removal with endoscopic snare This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination. |
241 | $187 | $1,299 |
| 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. |
141 | $93 | $299 |
| 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. |
124 | $105 | $448 |
| Ultrasound scan of organ tissue for measuring elasticity This procedure uses ultrasound technology to assess the stiffness or elasticity of organ tissues. It helps evaluate tissue characteristics without invasive methods. |
107 | $73 | $255 |
| Balloon dilation of esophagus, stomach, or upper small bowel, less than 3.0 cm A procedure using a flexible endoscope to widen a narrowed section of the esophagus, stomach, or upper small bowel with a balloon that is less than 3.0 cm in length. |
84 | $83 | $1,299 |
| 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. |
59 | $120 | $390 |
| Ultrasound-guided esophageal needle biopsy A procedure using a flexible endoscope with ultrasound to guide a needle for sampling tissue from the esophagus. |
38 | $171 | $595 |
| Endoscopic control of upper GI bleeding A flexible endoscope is used to locate and stop bleeding in the esophagus, stomach, or upper small intestine. |
33 | $137 | $887 |
| External hemorrhoid removal by rubber banding A procedure to remove external hemorrhoids using rubber bands to cut off blood supply. The affected tissue is tied off and eventually falls off. |
33 | $211 | $600 |
| Endoscopic ultrasound of esophagus, stomach, or small bowel An ultrasound exam of the esophagus, stomach, and/or upper small bowel performed using a flexible endoscope inserted through the mouth. |
30 | $134 | $521 |
| Hydrogen breath test A test that measures hydrogen levels in your breath to help evaluate stomach and bowel symptoms. |
28 | $57 | $300 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
24 | $52 | $300 |
| Endoscopic removal of esophagus, stomach, or small bowel polyps This procedure uses an endoscope and a mechanical snare to remove polyps or growths from the esophagus, stomach, or upper small bowel. |
21 | $126 | $795 |
| Removal of large bowel tissue using flexible endoscope A procedure to remove tissue from the large intestine using a flexible tube with a camera. The endoscope allows the provider to access and excise the tissue directly. |
21 | $273 | $1,185 |
| Radiologist review of bile duct tube placement imaging A radiologist reviews images taken during the placement of a tube into the bile duct using an endoscope. |
21 | $18 | $140 |
| Esophageal motility study A test that evaluates the movement and function of the esophagus. |
18 | $115 | $800 |
| Endoscopic injection of esophagus, stomach, or upper small bowel A procedure where a flexible endoscope is used to deliver an injection into the esophagus, stomach, or upper small intestine. |
17 | $33 | $750 |
| Endoscopic removal of bile or pancreatic duct stone A flexible endoscope is used to remove stones or debris from the bile or pancreatic ducts. |
16 | $97 | $1,288 |
| Dilation of esophagus | 16 | $32 | $375 |
| Esophageal function monitoring via nasal tube This procedure involves monitoring and recording esophageal function using a tube inserted through the nose that contains electrodes. |
16 | $91 | $750 |
| Endoscopic control of bleeding in large intestine A flexible tube with a camera is inserted into the large intestine to locate and stop bleeding. |
14 | $200 | $1,161 |
| Pancreatic or bile duct stent insertion A flexible endoscope is used to place a stent into the pancreatic or bile duct to keep it open. |
13 | $323 | $1,292 |
| Destruction of large bowel polyp via endoscope Removal of a polyp or growth in the large intestine using a flexible tube with a camera. The procedure is performed through the endoscope to destroy the tissue. |
12 | $173 | $1,310 |
| Endoscopy of digestive tract Imaging of the digestive tract performed from the inside using an endoscope. |
12 | $539 | $2,100 |
| New patient office visit, 15-29 minutes An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold. |
11 | $44 | $215 |
| Colonoscopy for colorectal cancer screening, high risk A colonoscopy performed to screen for colorectal cancer in individuals identified as being at high risk for the disease. |
11 | $175 | $715 |
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.
0.4% high complexity
24.7% medium
74.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$5,336
Total received (2018-2024)
Avg $762/year across 7 years
Top 13% in FL for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
20
Companies
114
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
$729
2023
$979
2022
$1,052
2021
$832
2020
$610
2019
$685
2018
$450
Payments by company (2024)
Merck Sharp & Dohme LLC
$375
ABBVIE INC.
$265
PFIZER INC.
$31
Braintree Laboratories, Inc.
$22
Gilead Sciences, Inc.
$22
Lilly USA, LLC
$14
Top 3 companies account for 92.1% of 2024 payments
All-time payments by company (2018-2024) ›
Merck Sharp & Dohme Corporation
$2,270
Merck Sharp & Dohme LLC
$1,575
ABBVIE INC.
$565
AbbVie Inc.
$368
Gilead Sciences, Inc.
$73
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$68
AnX Robotica Corp
$65
Janssen Biotech, Inc.
$58
Celgene Corporation
$52
Takeda Pharmaceuticals U.S.A., Inc.
$40
Intercept Pharmaceuticals, Inc.
$35
PFIZER INC.
$31
GENZYME CORPORATION
$25
Braintree Laboratories, Inc.
$22
Nestle HealthCare Nutrition Inc.
$18
RedHill Biopharma Inc.
$16
Medtronic, Inc.
$15
Lilly USA, LLC
$14
Fresenius Kabi USA, LLC
$13
INTERCEPT PHARMACEUTICALS, INC.
$12
Top 3 companies account for 82.6% of all-time payments
Associated products mentioned in payments ›
BARRX · CREON · DUPIXENT · ENTYVIO · Epclusa · HUMIRA · IDACIO · LINZESS · MAVYRET · OCALIVA · RINVOQ · SKYRIZI · STELARA · SUFLAVE · Talicia · VELSIPITY · VIBERZI · XELJANZ · XIFAXAN · XIFAXANIBSD · ZENPEP · ZEPOSIA
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
Internal medicine physicians in nearby ZIP areas
51
County median income
$70,188
Nearest hospital to ZIP centroid (approximate)
HCA FLORIDA GULF COAST HOSPITAL
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. Ching Companioni is a clinical cardiology specialist, with above-average Medicare volume (top 12% in FL).
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Ching Companioni experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Ching Companioni performed 1,039 office visit, established patient (30-39 min) 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. Ching Companioni receive payments from pharmaceutical companies?
Yes. Dr. Ching Companioni received a total of $5,336 from 20 companies across 114 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. Ching Companioni's costs compare to other internal medicine physicians in Panama City?
Dr. Ching Companioni's average Medicare payment per service is $91. 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. Ching Companioni) 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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