Medicare Enrolled
Dr. Romesh Japra, M.D.
Cardiovascular Disease · Fremont, 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. Japra 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. Japra
Dr. Romesh Japra is a cardiovascular disease specialist in Fremont, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Japra performed 7,900 Medicare services across 3,314 unique beneficiaries.
Between the years covered by Open Payments, Dr. Japra received a total of $5,442 from 31 pharmaceutical and/or device companies across 275 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. 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. Japra 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 9% volume in CA
$5,442 industry payments
Medicare Practice Summary
Medicare Utilization ↗7,900
Medicare services
Top 9% in CA for cardiovascular disease
3,314
Unique beneficiaries
$114
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~416 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. |
2,284 | $80 | $150 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
1,658 | $29 | $85 |
| External counterpulsation, per treatment session | 1,276 | $114 | $275 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
240 | $191 | $500 |
| Ultrasound of brain blood flow following medication An ultrasound test used to assess blood flow within the brain after a medication has been administered. |
209 | $300 | $450 |
| Ultrasound of brain blood flow An ultrasound test used to examine blood flow within the brain to check for blood clots. |
209 | $172 | $400 |
| Complete ultrasound of brain blood flow An ultrasound test that evaluates blood flow within the brain's blood vessels. It uses sound waves to create images of the vessels and assess circulation. |
208 | $224 | $450 |
| 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. |
158 | $200 | $325 |
| Autonomic nervous system testing with tilt This test evaluates the function of the sympathetic and parasympathetic nervous systems. It involves monitoring the patient for at least five minutes while they are tilted. |
148 | $147 | $250 |
| 2-day continuous ECG with review and report A two-day continuous electrocardiogram recording that includes a professional review and written report of the results. |
137 | $72 | $150 |
| Ultrasound of arm and leg arteries A non-invasive imaging test that uses sound waves to examine the blood vessels in the arms and legs. It evaluates blood flow and checks for blockages or other vascular issues. |
137 | $130 | $275 |
| Complete ultrasound of abdomen and pelvis blood flow This procedure uses sound waves to create images of blood flow in the arteries and veins of the abdomen and pelvis. It evaluates the rate and direction of blood movement within these vessels. |
133 | $269 | $450 |
| 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. |
115 | $13 | $50 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
109 | $22 | $40 |
| 30-day continuous ECG with patient-triggered event transmission and review This procedure involves continuous electrocardiogram monitoring for up to 30 days, including the transmission of patient-triggered events. A healthcare professional reviews the data and provides a report. |
109 | $929 | $1,300 |
| 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. |
108 | $244 | $400 |
| Electrocardiogram for irregular heartbeats An electrocardiogram test that assesses irregular heart rhythms. It records the electrical activity of the heart to identify abnormal beat patterns. |
90 | $120 | $300 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review. |
87 | $64 | $200 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
82 | $40 | $80 |
| 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. |
80 | $80 | $200 |
| 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. |
76 | $186 | $300 |
| 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. |
47 | $136 | $250 |
| 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. |
44 | $96 | $150 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
35 | $74 | $107 |
| 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. |
28 | $147 | $350 |
| Radiofrequency vein destruction, first vein A procedure to treat the first incompetent vein in the arm or leg using radiofrequency energy and imaging guidance. |
23 | $1,127 | $2,900 |
| 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. |
23 | $88 | $180 |
| Measurement of heart blood flow and respiration This procedure measures blood flow within the heart and tracks breathing patterns. |
17 | $28 | $65 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
16 | $45 | $100 |
| Expiratory airflow and volume test A test that measures the amount of air you can exhale and the speed at which you can breathe it out. It evaluates lung function by assessing expiratory airflow and volume. |
14 | $26 | $55 |
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.
4.0% high complexity
17.1% medium
78.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$5,442
Total received (2018-2024)
Avg $777/year across 7 years
Top 39% in CA for cardiovascular disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
31
Companies
275
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
$5,151 (94.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$291 (5.3%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$472
2023
$592
2022
$577
2021
$1,096
2020
$240
2019
$1,300
2018
$1,165
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Amgen Inc.
$199
Novo Nordisk Inc
$107
E.R. Squibb & Sons, L.L.C.
$58
Merck Sharp & Dohme LLC
$51
Medtronic, Inc.
$21
Kiniksa Pharmaceuticals International, plc
$19
PFIZER INC.
$17
Top 3 companies account for 77.2% of 2024 payments
All-time payments by company (2018-2024) ›
Amgen Inc.
$888
Novartis Pharmaceuticals Corporation
$760
BIOTRONIK INC.
$608
Merck Sharp & Dohme LLC
$509
E.R. Squibb & Sons, L.L.C.
$472
Boehringer Ingelheim Pharmaceuticals, Inc.
$330
AstraZeneca Pharmaceuticals LP
$312
Janssen Pharmaceuticals, Inc
$303
Akcea Therapeutics, Inc.
$219
Gilead Sciences, Inc.
$216
Novo Nordisk Inc
$178
Bayer HealthCare Pharmaceuticals Inc.
$97
Regeneron Healthcare Solutions, Inc.
$78
Abbott Laboratories
$63
PFIZER INC.
$50
iRhythm Technologies, Inc.
$38
Boston Scientific Corporation
$37
Takeda Pharmaceuticals U.S.A., Inc.
$24
Merck Sharp & Dohme Corporation
$24
Kiniksa Pharmaceuticals, Ltd.
$23
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$22
Baxter Healthcare
$21
SANOFI-AVENTIS U.S. LLC
$21
Medtronic, Inc.
$21
Astellas Pharma US Inc
$21
Kiniksa Pharmaceuticals International, plc
$19
MEDICOMP INC
$18
Chiesi USA, Inc.
$18
MannKind Corporation
$18
Aegerion Pharmaceuticals, Inc.
$17
BOSTON SCIENTIFIC CORPORATION
$16
Top 3 companies account for 41.5% of all-time payments
Associated products mentioned in payments ›
AFREZZA · Amitiza · Arcalyst · BRILINTA · BioMonitor · CLEVIPREX · CLOSUREFAST · Corlanor · ELIQUIS · ENTRESTO · Edora · FARXIGA · Hillrom - Cardiac Ambulatory Monitor · JARDIANCE · JUXTAPID · LEQVIO · LEXISCAN · LOKELMA · LifeVest · Mitra Clip system · Motegrity · Ozempic · PRADAXA · PRALUENT · PRALUENT ALIROCUMAB INJECTION · RYBELSUS · Repatha · Rybelsus · SYMBICORT · Solia · TEGSEDI · TELEPATCH CARDIAC MONITOR · TRADJENTA · VERQUVO · Verquvo · WATCHMAN · XARELTO · ZIO Patch
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 (95%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Cardiologists within 10 mi
251
Per 100K population
15.2
County median income
$126,240
Nearest hospital
WASHINGTON 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. Japra is a clinical cardiology specialist, with above-average Medicare volume (top 9% 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. Japra experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Japra performed 2,284 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. Japra receive payments from pharmaceutical companies?
Yes. Dr. Japra received a total of $5,442 from 31 companies across 275 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. Japra's costs compare to other cardiologists in Fremont?
Dr. Japra's average Medicare payment per service is $114. 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. Japra) 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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