Medicare Enrolled

Dr. Kinjal Madhav, M.D.

Sleep Medicine (Family Medicine) Physician · Carlsbad, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Speaking/Promotional
6010 HIDDEN VALLEY RD STE 200, Carlsbad, CA 92011
7606313000
In practice since 2012 (13 years)
NPI: 1124385182 verify on NPPES ↗
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. Madhav 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 →
Are you Dr. Madhav? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Madhav

Dr. Kinjal Madhav is a sleep medicine physician in Carlsbad, CA, with 13 years of NPI registration. Based on federal Medicare data, Dr. Madhav performed 1,371 Medicare services across 1,051 unique beneficiaries.

Between the years covered by Open Payments, Dr. Madhav received a total of $20,686 from 55 pharmaceutical and/or device companies across 254 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in sleep medicine (family medicine) physician. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Madhav 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.

✓ 13 years in practice ▲ Top 31% volume in CA $20,686 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,371
Medicare services
Top 31% in CA for sleep medicine (family medicine) physician
1,051
Unique beneficiaries
$148
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~105 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 (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.
360 $98 $267
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.
313 $71 $189
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.
166 $127 $345
Chronic care management, first 20 min/month
This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions.
147 $50 $131
Sleep study in sleep lab (age 6+)
An overnight test conducted in a sleep laboratory to monitor sleep patterns and bodily functions in patients aged 6 years or older.
84 $544 $1,400
Sleep study with heart rate and breathing monitoring
A sleep study that monitors heart rate, breathing patterns, and sleep duration. This test records physiological data while you sleep to assess your sleep quality and breathing function.
78 $130 $450
Sleep study with continuous airway pressure, age 6+
A sleep study conducted in a sleep lab that monitors breathing and other body functions while administering continuous airway pressure. This test is performed on patients aged 6 years or older.
71 $574 $1,500
New patient office visit, complex (60-74 min) 63 $169 $455
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.
48 $147 $374
Sleep study with heart rate and breathing monitoring
A sleep study that monitors heart rate, breathing, airflow, and physical effort during sleep.
41 $73 $360
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.

Industry Payment Transparency

Open Payments through 2024 ↗
$20,686
Total received (2019-2024)
Avg $3,448/year across 6 years
Top 5% in CA for sleep medicine (family medicine) physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
55
Companies
254
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$11,263 (54.4%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$8,206 (39.7%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$1,217 (5.9%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,088
2023
$2,424
2022
$14,045
2021
$927
2020
$262
2019
$941

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Inspire Medical Systems, Inc.
$481
HARMONY BIOSCIENCES LLC
$278
JAZZ PHARMACEUTICALS INC.
$243
UCB, Inc.
$138
Medtronic, Inc.
$112
Itamar Medical Inc
$100
Noctrix Health, Inc.
$97
Neurent Medical Limited
$79
Lilly USA, LLC
$64
SPR Therapeutics, Inc
$60
Abbott Laboratories
$60
Amneal Pharmaceuticals LLC
$55
Avadel CNS Pharmaceuticals, LLC
$48
SK Life Science, Inc.
$42
Janssen Scientific Affairs, LLC
$41
Harmony Biosciences Llc
$41
Teva Pharmaceuticals USA, Inc.
$40
MDD US Operations, LLC
$25
SCILEX PHARMACEUTICALS INC.
$18
Axsome Therapeutics, Inc.
$18
Boston Scientific Corporation
$18
Curonix LLC
$17
PFIZER INC.
$14
Top 3 companies account for 48.0% of 2024 payments
All-time payments by company (2019-2024) ›
Harmony Biosciences LLC
$12,538
Inspire Medical Systems, Inc.
$3,007
JAZZ PHARMACEUTICALS INC.
$652
Abbott Laboratories
$414
HARMONY BIOSCIENCES LLC
$367
Itamar Medical Inc
$351
Jazz Pharmaceuticals Inc.
$232
Nevro Corp.
$210
Neurent Medical Limited
$193
SPR Therapeutics, Inc
$186
UCB, Inc.
$185
Philips Electronics North America Corporation
$183
SK Life Science, Inc.
$149
IDORSIA PHARMACEUTICALS US INC
$149
Medtronic, Inc.
$132
Amneal Pharmaceuticals LLC
$119
Lundbeck LLC
$106
Noctrix Health, Inc.
$97
Neurocrine Biosciences, Inc.
$82
GENZYME CORPORATION
$80
Novartis Pharmaceuticals Corporation
$79
Lilly USA, LLC
$79
GRT US Holding, Inc.
$72
Axsome Therapeutics, Inc.
$63
Teva Pharmaceuticals USA, Inc.
$51
CSL Behring
$50
Avadel CNS Pharmaceuticals, LLC
$48
Janssen Scientific Affairs, LLC
$41
Alexion Pharmaceuticals, Inc.
$41
Harmony Biosciences Llc
$41
Boston Scientific Corporation
$41
MDD US Operations, LLC
$39
Bioventus LLC
$38
Spinal Simplicity, LLC
$38
UPSHER-SMITH LABORATORIES LLC
$37
Amgen Inc.
$37
Retrophin, Inc.
$35
Kyowa Kirin, Inc.
$34
Biohaven Pharmaceuticals, Inc.
$34
ABBVIE INC.
$34
Scilex Pharmaceuticals Inc.
$31
PFIZER INC.
$29
ARBOR PHARMACEUTICALS, INC.
$28
Merz North America, Inc.
$28
HOSPIRA, INC.
$26
Amylyx Pharmaceuticals, Inc.
$21
Alnylam Pharmaceuticals Inc.
$21
Akcea Therapeutics, Inc.
$20
ARGENX US, INC.
$19
IMPEL PHARMACEUTICALS INC.
$18
SCILEX PHARMACEUTICALS INC.
$18
Curonix LLC
$17
Upsher-Smith Laboratories LLC
$16
PORTOLA PHARMACEUTICALS, INC.
$15
AQUESTIVE THERAPEUTICS, INC.
$13
Top 3 companies account for 78.3% of all-time payments
Associated products mentioned in payments ›
(820) Cholbam · AFINITOR · AIMOVIG · AJOVY · AMYVID · ANDEXXA · AUBAGIO · Aimovig · Austedo XR · BOTOX · Briviact · COMIRNATY · EMGALITY · EPIDIOLEX · Encore Anywhere Rent · GIVLAARI · GOCOVRI · Gocovri · HA MINUTEMAN G3-R · Hizentra · Horizant · INFINITY · INGREZZA · INSPIRE · INTELLIS ADAPTIVESTIM · Inspire Upper Airway Stimulation System · KISUNLA · LEMTRADA · LUMRYZ · MAYZENT · NEUROMARK Device · NIDRA · NOURIANZ · NURTEC ODT · Nayzilam · OCTAGAM IMMUNE GLOBULIN (HUMAN) · OCTRODE · Omnia · Ongentys · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PRI Cpap Auto Core · Proclaim Family of SCS IPGs · QUVIVIQ · Qutenza · RELYVRIO · RYTARY · SOLIRIS · SPRINT PNS System · SUNOSI · SYMPAZAN · Senza · Stimrouter Implantable Kit · Sunosi · Superion Indirect Decompression System · TEGSEDI · TOSYMRA · Tosymra Sumatriptan Nasal Spray · Trudhesa · VYEPTI · VYVGART · WAKIX · Wakix · WatchPAT · WatchPATONE · XEOMIN · XYREM · XYWAV · ZEMBRACE SYMTOUCH · ZOMIG · ZTLido
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 →

The majority of payments (54%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in sleep medicine (family medicine) physician and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 5% for sleep medicine (family medicine) physician in CA.

Looking for a sleep medicine physician in Carlsbad?
Compare sleep medicine physicians in the Carlsbad area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Sleep medicine physicians within 10 mi
2
Per 100K population
0.1
County median income
$102,285
Nearest hospital
SCRIPPS MEMORIAL HOSPITAL - ENCINITAS
4.1 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. Madhav is a clinical cardiology specialist, with moderate Medicare volume, with speaking/promotional industry engagement in the top 5% of CA peers.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Madhav experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Madhav performed 360 office visit, established patient (30-39 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. Madhav receive payments from pharmaceutical companies?
Yes. Dr. Madhav received a total of $20,686 from 55 companies across 254 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. Madhav's costs compare to other sleep medicine physicians in Carlsbad?
Dr. Madhav's average Medicare payment per service is $148. 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. Madhav) 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 →
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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →