Medicare Enrolled
Dr. Ajitpal Tiwana, M.D.
Primary Care Clinic/Center · Bakersfield, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Tiwana 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. Tiwana
Dr. Ajitpal Tiwana is a primary care clinic/center specialist in Bakersfield, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Tiwana performed 7,929 Medicare services across 4,150 unique beneficiaries.
Between the years covered by Open Payments, Dr. Tiwana received a total of $857 from 22 pharmaceutical and/or device companies across 40 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in primary care clinic/center. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Tiwana 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 in practice
▲ Top 10% volume in CA
$857 industry payments
Medicare Practice Summary
Medicare Utilization ↗7,929
Medicare services
Top 10% in CA for primary care clinic/center
4,150
Unique beneficiaries
$53
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~417 Medicare services per year of practice
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 (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. |
1,872 | $65 | $150 |
| 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. |
1,476 | $90 | $250 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
666 | $3 | $15 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
453 | $1 | $30 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
381 | $10 | $75 |
| Ceftriaxone antibiotic injection This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered. |
256 | $0 | $100 |
| Complete ultrasound of abdomen A diagnostic imaging test that uses sound waves to create detailed pictures of the organs and structures within the abdomen. |
227 | $93 | $200 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
205 | $0 | $30 |
| Complete pelvic ultrasound An imaging test using sound waves to create pictures of the organs and structures within the pelvis. |
175 | $56 | $225 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
168 | $17 | $55 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
164 | $23 | $75 |
| Blood glucose level test A test that measures the amount of sugar in your blood. |
158 | $4 | $20 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
150 | $1 | $24 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
116 | $126 | $350 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
104 | $31 | $70 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
104 | $209 | $400 |
| COVID-19 amplified DNA/RNA probe detection A laboratory test that uses amplified DNA or RNA probes to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) antigen. |
98 | $50 | $200 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
96 | $161 | $900 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
92 | $63 | $200 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
82 | $110 | $1,250 |
| Knee X-ray, 4 or more views An imaging test using X-rays to create multiple pictures of the knee joint from different angles. |
77 | $34 | $80 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
75 | $73 | $200 |
| Complete ultrasound scan of joint An ultrasound exam that uses sound waves to create detailed images of a joint. This procedure allows for the visualization of the joint's internal structures. |
74 | $41 | $250 |
| Quadrivalent influenza vaccine, cell culture-derived A flu shot that protects against four strains of the influenza virus. It is produced using cell culture technology rather than traditional egg-based methods. |
67 | $32 | $50 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
63 | $130 | $1,250 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
61 | $29 | $30 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
52 | $25 | $70 |
| X-ray of upper spine, 2-3 views An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures. |
48 | $30 | $65 |
| Foot X-ray, 3+ views An X-ray imaging test of the foot that captures at least three different views to evaluate the bones and joints. |
35 | $26 | $70 |
| Ultrasound of head and neck soft tissue This procedure uses sound waves to create images of the soft tissues in the head and neck area. It allows for the visualization of structures beneath the skin without using radiation. |
35 | $84 | $250 |
| X-ray of middle spine, 2 views An X-ray imaging test that produces two views of the middle section of the spine to visualize the bones and joints. |
34 | $26 | $75 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
32 | $149 | $450 |
| New patient office visit, complex (60-74 min) | 31 | $134 | $275 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
29 | $30 | $75 |
| Paranasal sinus X-ray, minimum 3 views An X-ray imaging test of the paranasal sinuses using at least three different views to visualize the sinus cavities. |
28 | $29 | $110 |
| Hip X-ray, 1 view An X-ray image of the hip joint taken from a single angle to visualize the bones and surrounding structures. |
28 | $26 | $65 |
| X-ray of hand, minimum of 3 views An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints. |
27 | $30 | $70 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
22 | $16 | $40 |
| Stool test for blood to screen for colon tumors A test that analyzes a stool sample to detect hidden blood, which is used to screen for colon tumors. |
20 | $4 | $20 |
| Ankle X-ray, minimum 3 views An X-ray imaging test of the ankle that captures at least three different angles to evaluate the bones and joints. |
19 | $28 | $65 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
18 | $54 | $150 |
| 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. |
11 | $206 | $1,273 |
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. A higher procedure volume generally indicates more experience with that procedure.
1.2% high complexity
27.2% medium
71.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$857
Total received (2018-2024)
Avg $122/year across 7 years
Top 33% in CA for primary care clinic/center
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
22
Companies
40
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$827 (96.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$30 (3.5%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$158
2023
$254
2022
$67
2021
$83
2020
$89
2019
$74
2018
$132
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
RxSight Inc
$48
Nalu Medical, Inc.
$36
Exact Sciences Corporation
$24
iRhythm Technologies, Inc.
$22
Nevro Corp.
$14
Kowa Pharmaceuticals America, Inc.
$14
Top 3 companies account for 68.4% of 2024 payments
All-time payments by company (2018-2024) ›
iRhythm Technologies, Inc.
$106
Abbott Laboratories
$95
Nevro Corp.
$87
PFIZER INC.
$72
Allergan Inc.
$61
Exact Sciences Corporation
$60
RxSight Inc
$48
AbbVie Inc.
$43
Nalu Medical, Inc.
$36
Lilly USA, LLC
$33
Medtronic Vascular, Inc.
$25
Baxter Healthcare
$25
SI-BONE, INC.
$24
Cardiovascular Systems Inc.
$20
Ferring Pharmaceuticals Inc.
$18
Hologic, LLC
$18
BioFire Diagnostics, LLC
$16
Horizon Therapeutics plc
$16
Dexcom, Inc.
$14
Kowa Pharmaceuticals America, Inc.
$14
Purdue Pharma L.P.
$13
Merck Sharp & Dohme Corporation
$13
Top 3 companies account for 33.6% of all-time payments
Associated products mentioned in payments ›
BioFire FilmArray · CARDIOMEMS · COLOGUARD DNA CAPTURE REAGENTS · Cologuard Collection Kit · Dexcom G6 Transmitter · Diamondback Peripheral · EUFLEXXA · HawkOne · Hillrom - Life 2000 Ventilation System · IFUSE IMPLANT · JANUVIA · JARDIANCE · LINZESS · LYRICA · Nalu Neurostimulation System · PAXLOVID · PENNSAID · Protege RX · RXSIGHT INJECTOR HANDPIECE · SYMPROIC · Senza · Senza Spinal Cord Stimulation System · VIBERZI · VRAYLAR · ZIO XT Patch · ZORYVE · Zio monitor
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. 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 →
Most payments (96%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Primary care clinic/centers within 10 mi
2
Per 100K population
0.2
County median income
$67,660
Nearest hospital
BAKERSFIELD MEMORIAL HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | 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. Tiwana is a clinical cardiology specialist, with above-average Medicare volume (top 10% in CA), with low-engagement industry engagement, 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. Tiwana experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Tiwana performed 1,872 office visit, established patient (20-29 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Tiwana receive payments from pharmaceutical companies?
Yes. Dr. Tiwana received a total of $857 from 22 companies across 40 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. 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. Tiwana's costs compare to other primary care clinic/centers in Bakersfield?
Dr. Tiwana's average Medicare payment per service is $53. 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. Tiwana) 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 a long track record of practice, Medicare participation, and industry disclosure. 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?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): 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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