Medicare Enrolled
Dr. Amitabh Goswami, D.O., M.P.H.
Anesthesiology · Fresno, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Speaking/Promotional
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. Goswami 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. Goswami
Dr. Amitabh Goswami is an anesthesiology specialist in Fresno, CA, with 18 years of NPI registration. Based on federal Medicare data, Dr. Goswami performed 22,075 Medicare services across 6,382 unique beneficiaries.
Between the years covered by Open Payments, Dr. Goswami received a total of $97,295 from 59 pharmaceutical and/or device companies across 1313 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in anesthesiology. 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. Goswami 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.
✓ 18 years in practice
▲ Top 0% volume in CA
$97,295 industry payments
Medicare Practice Summary
Medicare Utilization ↗22,075
Medicare services
Top 0% in CA for anesthesiology
6,382
Unique beneficiaries
$43
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~1,226 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 |
|---|---|---|---|
| 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. |
4,035 | $39 | $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. |
3,040 | $96 | $245 |
| 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. |
2,074 | $51 | $102 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
1,264 | $1 | $25 |
| Intravenous infusion, 1 hour or less Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less. |
928 | $53 | $139 |
| Normal saline infusion, 500 ml Administration of sterile normal saline solution through an intravenous line. This procedure involves the infusion of a 500 ml unit of the solution. |
869 | $1 | $50 |
| Magnesium sulfate injection, per 500 mg An injection of magnesium sulfate administered in 500 mg increments. |
842 | $1 | $25 |
| Additional sequential IV infusion, 1 hour or less This code represents an additional intravenous infusion administered sequentially to a primary infusion. It covers the administration time of one hour or less. |
838 | $24 | $62 |
| Pyridoxine HCl injection, 100 mg An injection of pyridoxine hydrochloride, a form of vitamin B6, administered at a dose of 100 mg. |
832 | $9 | $25 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
775 | $11 | $53 |
| Injection, thiamine hcl, 100 mg | 759 | $2 | $25 |
| Intravenous injection of additional new drug or substance Administration of an additional new medication or substance directly into a vein. |
704 | $13 | $33 |
| 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. |
587 | $22 | $100 |
| 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. |
403 | $10 | $75 |
| Additional hour of intravenous infusion This code represents each additional hour of intravenous infusion beyond the initial hour for therapy, prevention, or diagnosis. |
346 | $17 | $43 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
338 | $58 | $514 |
| Electronic analysis of implanted neurostimulator with complex programming This procedure involves the electronic evaluation of an implanted neurostimulator generator. It includes complex programming of spinal cord or peripheral nerve stimulators. |
336 | $45 | $150 |
| 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. |
254 | $20 | $90 |
| New patient office visit, complex (60-74 min) | 239 | $168 | $503 |
| Electronic psychological or neuropsychological test administration Administration of a single standardized psychological or neuropsychological test using an electronic platform that provides automated results. |
233 | $2 | $100 |
| Annual depression screening | 196 | $20 | $50 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
177 | $1 | $25 |
| 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. |
131 | $69 | $179 |
| Calcium gluconate injection An injection of calcium gluconate administered in 10 ml increments. |
129 | $4 | $25 |
| Trigger point injection, 3 or more muscles Injection of medication into three or more specific muscle trigger points to relieve pain. |
105 | $42 | $206 |
| Lidocaine HCl injection for IV infusion, 10 mg Administration of a 10 mg dose of lidocaine hydrochloride via intravenous infusion. |
100 | $0 | $15 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
97 | $99 | $639 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
96 | $47 | $208 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
95 | $0 | $16 |
| Spinal neurostimulator electrode insertion A procedure to place an electrode array into the spine through the skin. The electrode is used to deliver electrical stimulation to the nervous system. |
92 | $251 | $2,500 |
| 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. |
85 | $87 | $593 |
| 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. |
84 | $50 | $423 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
77 | $8 | $15 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
66 | $37 | $173 |
| 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. |
66 | $23 | $100 |
| 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. |
65 | $195 | $1,972 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
65 | $60 | $1,008 |
| Additional chronic care management time, 60 minutes This service covers an additional 60 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions, billed per calendar month. |
63 | $55 | $143 |
| 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. |
50 | $115 | $363 |
| Breath alcohol level test A test that measures the amount of alcohol present in a breath specimen. |
46 | $29 | $85 |
| Drug test with direct observation A drug screening test performed under direct observation to ensure the sample is provided correctly. This method is used to verify the integrity of the specimen collection process. |
44 | $12 | $45 |
| Normal saline infusion, 250 cc Administration of 250 cubic centimeters of normal saline solution into a vein. This procedure involves the intravenous delivery of a sterile saltwater fluid. |
36 | $1 | $26 |
| Spinal neurostimulator electrode insertion A procedure to place an electrode array into the spine using fluoroscopic imaging guidance. |
34 | $581 | $800 |
| Injection of anesthetic or steroid into upper neck and back of head nerve An injection of an anesthetic agent and/or steroid into a nerve located in the upper neck and back of the head. |
28 | $72 | $498 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
28 | $3 | $20 |
| X-ray of sacroiliac joint, 1-2 views An X-ray imaging test of the joint connecting the lower spine to the hip bone, using one to two images. |
26 | $6 | $80 |
| Fusion of spine in lower back | 25 | $1,267 | $3,000 |
| 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. |
25 | $85 | $907 |
| Joint fluid aspiration or injection, medium joint Removal of fluid from a medium-sized joint or injection of medication into the joint space. |
24 | $43 | $117 |
| Placement of stabilizing device to back of 1 spine bone in neck A procedure involving the placement of a stabilizing device on the back of a single vertebra in the neck. |
24 | $590 | $2,000 |
| Complex chronic care management, first 60 minutes This service involves clinical staff time directed by a healthcare professional to manage two or more chronic conditions over a calendar month. It covers the first 60 minutes of this coordinated care effort. |
24 | $99 | $272 |
| 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. |
22 | $87 | $650 |
| 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. |
22 | $138 | $365 |
| Spinal neurostimulator generator insertion Surgical placement of a spinal neurostimulator generator or receiver device. |
21 | $163 | $600 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
21 | $21 | $150 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
19 | $8 | $115 |
| Peripheral nerve neurostimulator electrode insertion A procedure to place an electrode through the skin into a peripheral nerve. This electrode is part of a neurostimulator system used to deliver electrical impulses. |
18 | $221 | $4,000 |
| 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. |
15 | $80 | $650 |
| Joint fluid aspiration or injection, small joint Removal of fluid from a small joint or injection of medication into a small joint. |
14 | $30 | $123 |
| 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. |
12 | $93 | $375 |
| Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 12 | $351 | $1,000 |
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.
14.2% high complexity
29.8% medium
55.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$97,295
Total received (2018-2024)
Avg $13,899/year across 7 years
Top 1% in CA for anesthesiology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
59
Companies
1,313
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
$56,124 (57.7%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$22,822 (23.5%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$18,349 (18.9%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$13,364
2023
$15,814
2022
$10,311
2021
$18,595
2020
$12,051
2019
$20,207
2018
$6,953
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Boston Scientific Corporation
$7,648
PAINTEQ LLC
$2,997
Nalu Medical, Inc.
$1,036
Abbott Laboratories
$819
Medtronic, Inc.
$247
Spinal Simplicity, LLC
$195
HydroCision, Inc.
$102
SI-BONE, INC.
$89
SPR Therapeutics, Inc
$77
Nevro Corp.
$50
Curonix LLC
$30
Azurity Pharmaceuticals, Inc.
$25
ABBVIE INC.
$21
Saluda Medical Americas, Inc.
$15
Vertos Medical, Inc.
$14
Top 3 companies account for 87.4% of 2024 payments
All-time payments by company (2018-2024) ›
Boston Scientific Corporation
$58,964
BOSTON SCIENTIFIC CORPORATION
$13,225
PAINTEQ LLC
$7,939
Vertiflex, Inc.
$3,717
Spinal Simplicity, LLC
$2,898
Relievant Medsystems, Inc.
$2,372
Abbott Laboratories
$1,259
Nalu Medical, Inc.
$1,240
Teva Pharmaceuticals USA, Inc.
$749
Medtronic, Inc.
$656
Nevro Corp.
$534
SPR Therapeutics, Inc
$271
Scilex Pharmaceuticals Inc.
$252
Egalet US Inc
$226
ABBVIE INC.
$217
AbbVie Inc.
$195
Allergan, Inc.
$191
Zyla Life Sciences
$185
Vertos Medical, Inc.
$169
ARBOR PHARMACEUTICALS, INC.
$155
Alkermes, Inc.
$115
Medtronic USA, Inc.
$108
HydroCision, Inc.
$102
Saluda Medical Americas, Inc.
$102
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$98
Collegium Pharmaceutical, Inc.
$97
SI-BONE, INC.
$89
SCILEX PHARMACEUTICALS INC.
$89
Inari Medical, Inc.
$83
IDORSIA PHARMACEUTICALS US INC
$63
Almatica Pharma LLC
$63
Assertio Therapeutics, Inc.
$60
Indivior Inc.
$54
Kowa Pharmaceuticals America, Inc.
$53
Nuvectra Corporation
$48
Stryker Corporation
$48
PFIZER INC.
$47
Merz North America, Inc.
$46
Biohaven Pharmaceutical Holding Company Ltd.
$44
Merz Pharmaceuticals, LLC
$43
Radius Health, Inc.
$34
Masimo Corporation
$33
SI-BONE, Inc.
$30
Curonix LLC
$30
Flexion Therapeutics, Inc.
$29
Gilead Sciences, Inc.
$29
Zyla Life Sciences, Inc.
$26
Azurity Pharmaceuticals, Inc.
$25
BioDelivery Sciences International, Inc.
$24
Pacira Pharmaceuticals Incorporated
$23
Novartis Pharmaceuticals Corporation
$20
Arbor Pharmaceuticals, Inc.
$19
Amgen Inc.
$19
Neuronetics, Inc.
$18
GRT US Holding, Inc.
$17
Lilly USA, LLC
$15
Axonics, Inc.
$13
Bioventus LLC
$13
Medline Industries, Inc.
$12
Top 3 companies account for 82.4% of all-time payments
Associated products mentioned in payments ›
AIMOVIG · AJOVY · AVAFLEX · Aimovig · Algovita · Anesthesia Epidural Trays · Artisan · Axonics r-SNM System · BOTOX · BUNAVAIL 2.1 mg 30-count box · Bridge · COVEREDGE · CROSSBOSS · Cambia · Click · Durolane · EMGALITY · ENTRADA · ETERNA · Evoke · Evoke SCS · FIXATE · FLECTOR · FLOWTRIEVER CATHETER · Fixate · GENERAL THERAPIES · GENERAL PAIN MANAGEMENT · GENERAL THERAPIES · GENERAL - PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · GRALISE · General - Pain Management · General - Therapies · Gralise · HA MINUTEMAN G3-R · HORIZANT · Horizant · INFINION · INTELLIS · INTELLIS ADAPTIVESTIM · IVS - MULTIGEN 2RF · Infinion 16 · Infinion 16 · Intracept · Iovera · KYPHON Balloon Kyphoplasty · KYPHON EXPRESS II KYPHOPAK TRAY · LINEAR · LYRICA · Linear · NAPRELAN · NEUROSTAR TMS THERAPY · NURTEC ODT · Nalu Neurostimulation System · Omnia · PAINTEQ · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PROCLAIM · Patient SafetyNet System · Proclaim IPG · QULIPTA · QUVIVIQ · Qutenza · RELISTOR · S · SPECTRA WAVEWRITER · SPECTRA WAVEWRITER (REFURBISHED) · SPRINT PNS System · SPRIX · SUBLOCADE · SUPERION · SYNCHROMED · SYNCHROMEDII · Seglentis · Senza · Senza Spinal Cord Stimulation System · Spectra WaveWriter · Superion · Superion ISS · Superion Indirect Decompression System · TARGETSTIM · TENJET · Tymlos · UBRELVY · VENASEAL · Vanta · Vivitrol 380 mg · WAVEWRITER ALPHA · WaveWriter Alpha Prime 16 · XEOMIN · XTAMPZA · Xeomin · ZIPSOR · ZORVOLEX · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zilretta · Zipsor · iFuse Implant · 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 →
The majority of payments (58%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in anesthesiology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 1% for anesthesiology in CA.
Geographic Context
Anesthesiologists within 10 mi
123
Per 100K population
12.2
County median income
$71,434
Nearest hospital
SAINT AGNES MEDICAL CENTER
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. Goswami is a clinical cardiology specialist, with above-average Medicare volume (top 0% in CA), with speaking/promotional industry engagement in the top 1% of CA peers, with 18 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. Goswami experienced with chronic care management, additional 20 min/month?
Based on Medicare claims data, Dr. Goswami performed 4,035 chronic care management, additional 20 min/month 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. Goswami receive payments from pharmaceutical companies?
Yes. Dr. Goswami received a total of $97,295 from 59 companies across 1,313 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. Goswami's costs compare to other anesthesiologists in Fresno?
Dr. Goswami's average Medicare payment per service is $43. 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. Goswami) 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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