Medicare Enrolled
Dr. Sandip Madhav, M.D.
Pain Medicine (Physical Medicine & Rehabilitation) Physician · Carlsbad, CA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. 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 →
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What this data tells you about Dr. Madhav
Dr. Sandip Madhav is a pain medicine physician in Carlsbad, CA, with 15 years of NPI registration. Based on federal Medicare data, Dr. Madhav performed 52,339 Medicare services across 911 unique beneficiaries.
Between the years covered by Open Payments, Dr. Madhav received a total of $17,595 from 68 pharmaceutical and/or device companies across 459 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pain medicine (physical medicine & rehabilitation) physician. 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. 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.
✓ 15 years in practice
▲ Top 2% volume in CA
$17,595 industry payments
Medicare Practice Summary
Medicare Utilization ↗52,339
Medicare services
Top 2% in CA for pain medicine (physical medicine & rehabilitation) physician
911
Unique beneficiaries
$6
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~3,489 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 |
|---|---|---|---|
| Capsaicin pain patch (Qutenza) | 45,640 | $3 | $6 |
| Botox injection, per unit An injection of onabotulinumtoxinA, a medication used to temporarily relax muscles or reduce gland activity. The dose is measured in units, with this code representing a single unit administered. |
5,100 | $5 | $12 |
| 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. |
343 | $135 | $374 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
313 | $1 | $2 |
| 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. |
178 | $108 | $267 |
| 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. |
107 | $98 | $205 |
| New patient office visit, complex (60-74 min) | 93 | $171 | $455 |
| 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. |
86 | $51 | $131 |
| 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. |
81 | $140 | $396 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
73 | $225 | $574 |
| Destruction of peripheral nerve or branch | 43 | $319 | $1,037 |
| 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. |
37 | $137 | $345 |
| 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. |
31 | $218 | $737 |
| 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. |
31 | $116 | $376 |
| Lumbar puncture with imaging guidance A procedure to remove spinal fluid from the lower back for diagnostic testing, performed using imaging guidance. |
30 | $208 | $533 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
26 | $179 | $544 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
24 | $560 | $1,801 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
23 | $316 | $651 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
19 | $234 | $581 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
17 | $51 | $124 |
| 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. |
16 | $118 | $605 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
15 | $90 | $260 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
13 | $60 | $198 |
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 ↗$17,595
Total received (2019-2024)
Avg $2,933/year across 6 years
Top 13% in CA for pain medicine (physical medicine & rehabilitation) physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
68
Companies
459
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
$12,368 (70.3%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$3,200 (18.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$2,027 (11.5%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,725
2023
$6,148
2022
$2,444
2021
$3,961
2020
$1,846
2019
$1,471
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$236
Abbott Laboratories
$213
SPR Therapeutics, Inc
$160
UCB, Inc.
$128
Lundbeck LLC
$110
ABBVIE INC.
$99
MDD US Operations, LLC
$92
Lilly USA, LLC
$84
Neurent Medical Limited
$79
Bioventus LLC
$67
ARGENX US, INC.
$65
Averitas Pharma Inc.
$58
SK Life Science, Inc.
$57
Curonix LLC
$35
JAZZ PHARMACEUTICALS INC.
$30
Octapharma USA, Inc.
$25
Ipsen Biopharmaceuticals, Inc
$22
CSL Behring
$21
SI-BONE, INC.
$20
ACADIA Pharmaceuticals Inc
$20
SCILEX PHARMACEUTICALS INC.
$18
Amneal Pharmaceuticals LLC
$18
Axsome Therapeutics, Inc.
$18
Alexion Pharmaceuticals, Inc.
$16
Boston Scientific Corporation
$16
Spinal Simplicity, LLC
$13
Vertos Medical, Inc.
$7
Top 3 companies account for 35.3% of 2024 payments
All-time payments by company (2019-2024) ›
Immunocore Limited
$3,200
Abbott Laboratories
$2,832
Spinal Simplicity, LLC
$2,326
SPR Therapeutics, Inc
$1,517
Medtronic, Inc.
$1,145
Vertos Medical, Inc.
$1,140
Nevro Corp.
$713
ABBVIE INC.
$665
Boston Scientific Corporation
$360
Amgen Inc.
$277
Stryker Corporation
$256
Lilly USA, LLC
$225
Neurent Medical Limited
$193
UCB, Inc.
$175
UPSHER-SMITH LABORATORIES LLC
$163
Inspire Medical Systems, Inc.
$125
Merz North America, Inc.
$121
Biohaven Pharmaceuticals, Inc.
$116
Medtronic USA, Inc.
$111
Vertiflex, Inc.
$110
Lundbeck LLC
$110
MDD US Operations, LLC
$106
Relievant Medsystems, Inc.
$106
Bioventus LLC
$104
ARGENX US, INC.
$84
Averitas Pharma Inc.
$73
Curonix LLC
$68
Neurocrine Biosciences, Inc.
$65
SK Life Science, Inc.
$57
EMD Serono, Inc.
$57
GENZYME CORPORATION
$54
Upsher-Smith Laboratories LLC
$52
JAZZ PHARMACEUTICALS INC.
$52
Kyowa Kirin, Inc.
$49
PAINTEQ LLC
$43
Ipsen Biopharmaceuticals, Inc
$40
CSL Behring
$38
Amneal Pharmaceuticals LLC
$38
Teva Pharmaceuticals USA, Inc.
$37
ACADIA Pharmaceuticals Inc
$37
Allergan, Inc.
$33
AQUESTIVE THERAPEUTICS, INC.
$32
HOSPIRA, INC.
$26
Supernus Pharmaceuticals, Inc.
$26
Octapharma USA, Inc.
$25
Novartis Pharmaceuticals Corporation
$23
SI-BONE, Inc.
$23
Amylyx Pharmaceuticals, Inc.
$21
Alnylam Pharmaceuticals Inc.
$21
Eisai Inc.
$21
ASSERTIO THERAPEUTICS, Inc.
$20
Itamar Medical Inc
$20
SI-BONE, INC.
$20
Vanda Pharmaceuticals Inc.
$18
SCILEX PHARMACEUTICALS INC.
$18
MERZ NORTH AMERICA, INC.
$18
Axsome Therapeutics, Inc.
$18
Biogen, Inc.
$17
Assertio Therapeutics, Inc.
$17
CATALYST PHARMACEUTICALS, INC.
$17
PFIZER INC.
$17
Alexion Pharmaceuticals, Inc.
$16
Horizon Therapeutics plc
$16
Zyla Life Sciences, Inc.
$16
EISAI INC.
$15
Stratus Medical, LLC
$14
Scilex Pharmaceuticals Inc.
$13
Nalu Medical, Inc.
$11
Top 3 companies account for 47.5% of all-time payments
Associated products mentioned in payments ›
ACCURIAN · AIMOVIG · AJOVY · AMYVID · AUBAGIO · AUSTEDO · Aimovig · Axium INS DRG IPG · Axium Sheath Braided DRG · BOTOX · Briviact · CAMBIA · Cambia · Confirm Rx · DUEXIS · DUOPA · Dysport · EMGALITY · EPIDIOLEX · ETERNA · FIRDAPSE · Fycompa · GENERAL - PAIN MANAGEMENT · GIVLAARI · GOCOVRI · General - Pain Management · Gocovri · HA MINUTEMAN G3-R · HETLIOZ · Hizentra · INFINITY · INGREZZA · INSPIRE · INTELLIS · INTELLIS ADAPTIVESTIM · IONICRF · IVAS · IVS - MULTIGEN 2RF · IVS - RF CANNULAE/NEEDLES · Intracept · KIMMTRAK · KISUNLA · KYPHON Balloon Kyphoplasty · KYPHON EXPRESS II KYPHOPAK TRAY · LEMTRADA · Leqembi · Mavenclad · NEUROMARK Device · NOURIANZ · NUPLAZID · NURTEC ODT · Nalu Neurostimulation System · Nimbus · Nourianz · OCTAGAM IMMUNE GLOBULIN (HUMAN) · OCTRODE · OMNICURVE · Omnia · Ongentys · PAINTEQ · PANZYGA · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PROCLAIM · PRODIGY · Proclaim Family of SCS IPGs · Proclaim IPG · QULIPTA · QUTENZA · RELYVRIO · RYTARY · SPINEJACK · SPRINT PNS System · SPRIX · STIMROUTER IMPLANTABLE KIT · SYMPAZAN · Senza · Senza Spinal Cord Stimulation System · Stimrouter Implantable Kit · Sunosi · Superion ISS · Superion Indirect Decompression System · TOSYMRA · TOSYMRA SUMATRIPTAN NASAL SPRAY · TROKENDI XR · Tosymra Sumatriptan Nasal Spray · UBRELVY · ULTOMIRIS · VANTA ADAPTIVESTIM · VUMERITY · VYEPTI · VYVGART · VYVGART HYTRULO · Vanta · WatchPATONE · XEOMIN · ZEMBRACE SYMTOUCH · ZTLido · Zilbrysq · mild Device Kit
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 (70%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Pain medicine physicians within 10 mi
20
Per 100K population
0.6
County median income
$102,285
Nearest hospital
SCRIPPS MEMORIAL HOSPITAL - ENCINITAS
4.1 mi
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 mixed practice specialist, with above-average Medicare volume (top 2% in CA), with low-engagement industry engagement in the top 13% of CA peers, with 15 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. Madhav experienced with capsaicin pain patch (qutenza)?
Based on Medicare claims data, Dr. Madhav performed 45,640 capsaicin pain patch (qutenza) 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 $17,595 from 68 companies across 459 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 pain medicine physicians in Carlsbad?
Dr. Madhav's average Medicare payment per service is $6. 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 →
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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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