Medicare Enrolled
Dr. Walter Kusumoto, M.D. M.P.H.
Interventional Cardiology · Chico, 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. Kusumoto 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. Kusumoto
Dr. Walter Kusumoto is an interventional cardiology specialist in Chico, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Kusumoto performed 11,097 Medicare services across 4,765 unique beneficiaries.
Between the years covered by Open Payments, Dr. Kusumoto received a total of $6,752 from 16 pharmaceutical and/or device companies across 165 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in interventional cardiology. 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. Kusumoto 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 7% volume in CA
$6,752 industry payments
Medicare Practice Summary
Medicare Utilization ↗11,097
Medicare services
Top 7% in CA for interventional cardiology
4,765
Unique beneficiaries
$85
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~584 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 |
|---|---|---|---|
| Principal care management for high-risk disease, first 30 minutes This service covers the initial 30 minutes of clinical staff time per calendar month to manage a single high-risk disease. It is directed by a healthcare professional. |
2,522 | $49 | $125 |
| 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. |
1,284 | $50 | $128 |
| 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. |
1,010 | $68 | $186 |
| 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. |
926 | $11 | $30 |
| 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. |
555 | $138 | $367 |
| 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. |
518 | $99 | $263 |
| Additional 30 minutes of principal care management This service covers each additional 30 minutes of clinical staff time directed by a healthcare professional for managing a single high-risk disease, billed per calendar month. |
493 | $38 | $98 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
435 | $62 | $169 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
426 | $38 | $98 |
| Programming of multiple lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with multiple leads to ensure proper function. |
338 | $83 | $224 |
| Programming of single lead implantable defibrillator system Adjustment and testing of the settings for a single-lead implantable cardioverter-defibrillator (ICD) to ensure proper function. |
324 | $62 | $170 |
| Remote cardiac rhythm monitor evaluation, up to 30 days Review and analysis of data from a remote cardiac rhythm monitoring system over a period of up to 30 days. |
186 | $21 | $53 |
| Remote monitoring of implantable heart rhythm device Evaluation of data transmitted remotely from an implantable cardiovascular monitor, such as a loop recorder or subcutaneous cardiac rhythm monitor, over a period up to 30 days. |
185 | $35 | $45 |
| Heart rhythm stimulator programming after drug infusion Adjustment of a heart rhythm stimulation device following a drug infusion. This procedure involves reprogramming the device settings to ensure proper function after the medication has been administered. |
153 | $66 | $167 |
| Cardiac rhythm monitor programming Adjustment and configuration of an implanted cardiac rhythm monitoring device to ensure proper operation and data collection. |
148 | $49 | $129 |
| Heart catheterization to identify abnormal heart rhythm A tube is inserted into the heart chambers to record electrical activity and locate the source of an irregular heartbeat. |
137 | $209 | $533 |
| Programming of dual lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with two leads to ensure proper function. |
134 | $76 | $208 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
111 | $10 | $25 |
| New patient office visit, complex (60-74 min) | 103 | $174 | $451 |
| Atrial fibrillation ablation with pulmonary vein isolation A procedure to treat atrial fibrillation by mapping the heart's electrical activity and destroying tissue causing irregular contractions. This is done by isolating the pulmonary veins using catheter-based destruction. |
88 | $721 | $1,840 |
| Heart chamber tissue destruction via catheter A procedure that destroys tissue in the upper heart chamber using a tube to treat abnormal heart rhythm. |
87 | $233 | $596 |
| 2-day continuous ECG monitoring A continuous electrocardiogram recording that captures heart activity over a 48-hour period. This test helps detect irregular heart rhythms or other cardiac issues that may not appear during a standard, short-term ECG. |
85 | $15 | $40 |
| External shock to heart to regulate heart beat A procedure that delivers an electric shock to the heart from outside the body to restore a normal heart rhythm. |
81 | $86 | $218 |
| Pacemaker programming, single lead Adjustment and testing of a single-lead pacemaker to ensure it functions correctly. |
79 | $55 | $142 |
| Catheter ablation for abnormal heart rhythm A procedure where catheters are inserted to destroy tissue causing irregular heartbeats. |
78 | $233 | $595 |
| 2-day continuous ECG with professional review A two-day continuous electrocardiogram recording that includes a review by a healthcare professional. |
76 | $15 | $37 |
| Radiologist review of major upper body vein image A radiologist reviews images of the major veins in the upper body to assess their structure and function. |
59 | $42 | $106 |
| 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. |
57 | $95 | $241 |
| Pacemaker/ICD evaluation at implant or replacement Assessment of a single or dual chamber pacing cardioverter-defibrillator and generator during the initial implantation or replacement procedure. |
49 | $138 | $600 |
| Radiofrequency ablation for supraventricular tachycardia A procedure to locate and destroy abnormal heart tissue in the upper chambers of the heart that causes a rapid heart rate. |
46 | $641 | $1,625 |
| 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. |
44 | $138 | $350 |
| 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. |
42 | $128 | $338 |
| Insertion of implantable defibrillator system A surgical procedure to place an implantable cardioverter-defibrillator (ICD) device into the body. The device is connected to the heart to monitor heart rhythm and deliver shocks if dangerous arrhythmias occur. |
36 | $691 | $1,788 |
| Insertion of implantable heart rhythm monitor A small device is placed under the skin to continuously record the heart's electrical activity. This helps detect irregular heart rhythms that may not appear during a standard office visit. |
31 | $3,732 | $9,507 |
| Pacemaker system programming Adjustment and testing of a multi-lead pacemaker to ensure proper function and settings. |
26 | $64 | $176 |
| Pacemaker insertion with heart chamber electrodes A surgical procedure to implant a pacemaker device and place electrodes into the upper and lower chambers of the heart to regulate heart rhythm. |
25 | $371 | $1,020 |
| Insertion of left lower heart electrode for pacemaker or defibrillator A procedure to place an electrode in the lower part of the left side of the heart. This electrode is used to connect a pacemaker or defibrillator to help regulate the heart's rhythm. |
25 | $354 | $896 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
23 | $19 | $51 |
| Remote evaluation of implantable defibrillator system Remote assessment of a single, dual, or multiple lead implantable defibrillator system within 90 days of the previous evaluation. |
19 | $28 | $75 |
| Heart rhythm ablation for ventricular tachycardia A procedure to locate and destroy abnormal heart tissue in the lower chambers that causes rapid or irregular heartbeats. This is done using a catheter during an electrophysiologic evaluation. |
17 | $772 | $1,958 |
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
14 | $19 | $49 |
| Removal and replacement of dual lead permanent pacemaker This procedure involves removing an existing permanent pacemaker with two leads and replacing it with a new device. It is performed to update or repair the heart rhythm management system. |
11 | $276 | $697 |
| Right heart catheterization with pacing and rhythm induction A procedure to insert catheters into the right side of the heart to record electrical rhythms and pace the heart. It also involves inducing abnormal heart rhythms to evaluate cardiac function. |
11 | $438 | $1,203 |
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.
19.2% high complexity
0.0% medium
80.8% routine
Industry Payment Transparency
Open Payments through 2024 ↗$6,752
Total received (2018-2024)
Avg $965/year across 7 years
Top 49% in CA for interventional cardiology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
16
Companies
165
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
$6,752 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$553
2023
$1,744
2022
$470
2021
$613
2020
$333
2019
$2,036
2018
$1,004
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$381
ABIOMED
$62
E.R. Squibb & Sons, L.L.C.
$44
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$26
Boston Scientific Corporation
$24
CARDIVA MEDICAL, INC.
$17
Top 3 companies account for 88.0% of 2024 payments
All-time payments by company (2018-2024) ›
Medtronic Vascular, Inc.
$1,654
Medtronic, Inc.
$1,642
Biosense Webster, Inc.
$1,597
SANOFI-AVENTIS U.S. LLC
$674
Abbott Laboratories
$391
E.R. Squibb & Sons, L.L.C.
$188
CHF Solutions, Inc
$138
BIOTRONIK INC.
$113
Boston Scientific Corporation
$92
ABIOMED
$89
Janssen Pharmaceuticals, Inc
$49
CARDIVA MEDICAL, INC.
$42
W. L. Gore & Associates, Inc.
$26
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$26
PFIZER INC.
$19
Bardy Diagnostics, Inc.
$12
Top 3 companies account for 72.5% of all-time payments
Associated products mentioned in payments ›
AZURE XT DR MRI SURESCAN · Advisa · Amplia MRI · Aquadex · Attain · Azure · CAMZYOS · CARDIVA VASCADE MVP VVCS 6-12F · CARTO 3 · CareLink · Carnation Ambulatory Monitor · Carto 3 · Carto 3 System · CartoSound · Cartoreplay · Claria MRI · ClosureFast · ELIQUIS · EMBLEM · ENSITE PRECISION · EP Recording Systems · EP-WorkMate Claris System · Ensite Cardiac Mapping System · GORE CARDIOFORM Septal Occluder · General - Catheter · Impella · LATITUDE · LINQ II · LifeVest · MULTAQ · Micra · MyCareLink · OCTARAY MAPPING CATHETER · QDOT MICRO Catheter · REVEAL LINQ · Renamic Neo · Reveal LINQ · Soundstar · Visia AF · Visitag · WATCHMAN FLX · XARELTO · XIENCE SIERRA
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Interventional cardiologists within 10 mi
3
Per 100K population
1.4
County median income
$68,574
Nearest hospital
ENLOE HEALTH
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. Kusumoto is a clinical cardiology specialist, with above-average Medicare volume (top 7% 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. Kusumoto experienced with principal care management for high-risk disease, first 30 minutes?
Based on Medicare claims data, Dr. Kusumoto performed 2,522 principal care management for high-risk disease, first 30 minutes 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. Kusumoto receive payments from pharmaceutical companies?
Yes. Dr. Kusumoto received a total of $6,752 from 16 companies across 165 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. Kusumoto's costs compare to other interventional cardiologists in Chico?
Dr. Kusumoto's average Medicare payment per service is $85. 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. Kusumoto) 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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