Medicare Enrolled
Dr. Bipin Joshi, MD
Optician · Fresno, CA
Practice pattern: Cardiac Imaging
— Practice with significant diagnostic imaging and stress testing
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. Joshi 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. Joshi
Dr. Bipin Joshi is an optician specialist in Fresno, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Joshi performed 6,990 Medicare services across 4,918 unique beneficiaries.
Between the years covered by Open Payments, Dr. Joshi received a total of $63,271 from 54 pharmaceutical and/or device companies across 1248 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optician. 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. Joshi 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 12% volume in CA
$63,271 industry payments
Medicare Practice Summary
Medicare Utilization ↗6,990
Medicare services
Top 12% in CA for optician
4,918
Unique beneficiaries
$67
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~368 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 |
|---|---|---|---|
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
2,212 | $6 | $116 |
| 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. |
1,158 | $90 | $145 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
960 | $44 | $70 |
| Technetium Tc-99m tetrofosmin diagnostic injection A diagnostic injection of Technetium Tc-99m tetrofosmin used for imaging studies. |
488 | $76 | $200 |
| 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. |
463 | $10 | $50 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
358 | $157 | $350 |
| 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. |
250 | $52 | $200 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
244 | $369 | $800 |
| Aminophylline injection, up to 250 mg Administration of aminophylline medication via injection for a dose of up to 250 mg. |
240 | $7 | $20 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
105 | $20 | $50 |
| 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. |
104 | $91 | $220 |
| 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. |
102 | $56 | $200 |
| 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. |
102 | $732 | $1,000 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
66 | $101 | $150 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
31 | $20 | $78 |
| Follow-up ultrasound of heart blood flow, valves and chambers An ultrasound exam that follows up on the heart's blood flow, valves, and chambers. It uses sound waves to create images of the heart's structure and function. |
30 | $6 | $23 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
29 | $2 | $10 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
25 | $46 | $80 |
| 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. |
12 | $141 | $270 |
| 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. |
11 | $30 | $268 |
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.
5.9% high complexity
32.2% medium
61.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$63,271
Total received (2018-2024)
Avg $9,039/year across 7 years
Top 4% in CA for optician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
54
Companies
1,248
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
$32,361 (51.1%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$30,910 (48.9%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$4,380
2023
$5,627
2022
$5,099
2021
$3,721
2020
$8,965
2019
$19,111
2018
$16,368
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Amgen Inc.
$883
Medtronic, Inc.
$460
Novartis Pharmaceuticals Corporation
$384
Actelion Pharmaceuticals US, Inc.
$298
ShockWave Medical, Inc
$279
Lexicon Pharmaceuticals, Inc.
$260
Boehringer Ingelheim Pharmaceuticals, Inc.
$228
AstraZeneca Pharmaceuticals LP
$215
Merck Sharp & Dohme LLC
$167
Bayer Healthcare Pharmaceuticals Inc.
$156
ABIOMED
$147
Abbott Laboratories
$140
E.R. Squibb & Sons, L.L.C.
$115
Kiniksa Pharmaceuticals International, plc
$100
SCPHARMACEUTICALS INC.
$97
CVRx, Inc.
$86
Boston Scientific Corporation
$70
Novo Nordisk Inc
$55
Janssen Pharmaceuticals, Inc
$45
Esperion Therapeutics, Inc.
$36
Lilly USA, LLC
$35
Chiesi USA, Inc.
$33
Kestra Medical Technology Services, Inc.
$28
Edwards Lifesciences Corporation
$25
Daiichi Sankyo Inc.
$20
PFIZER INC.
$19
Top 3 companies account for 39.4% of 2024 payments
All-time payments by company (2018-2024) ›
Amgen Inc.
$22,021
Novartis Pharmaceuticals Corporation
$13,728
AstraZeneca Pharmaceuticals LP
$4,863
ABIOMED
$3,995
Medtronic Vascular, Inc.
$2,115
E.R. Squibb & Sons, L.L.C.
$1,804
Janssen Pharmaceuticals, Inc
$1,490
Boehringer Ingelheim Pharmaceuticals, Inc.
$1,310
Esperion Therapeutics, Inc.
$1,073
Abbott Laboratories
$777
Medtronic, Inc.
$670
PFIZER INC.
$664
Chiesi USA, Inc.
$631
Actelion Pharmaceuticals US, Inc.
$612
Edwards Lifesciences Corporation
$580
SANOFI-AVENTIS U.S. LLC
$575
Gilead Sciences, Inc.
$519
Merck Sharp & Dohme LLC
$430
Novo Nordisk Inc
$410
Akcea Therapeutics, Inc.
$400
Baylis Medical Company Inc
$370
Alnylam Pharmaceuticals Inc.
$327
Lexicon Pharmaceuticals, Inc.
$303
ShockWave Medical, Inc
$279
Kiniksa Pharmaceuticals, Ltd.
$267
Shockwave Medical, Inc
$237
Bayer Healthcare Pharmaceuticals Inc.
$225
NOVARTIS PHARMACEUTICALS CORPORATION
$220
Regeneron Healthcare Solutions, Inc.
$205
Bayer HealthCare Pharmaceuticals Inc.
$190
Penumbra, Inc.
$184
Daiichi Sankyo Inc.
$170
Boston Scientific Corporation
$169
SCPHARMACEUTICALS INC.
$158
Merck Sharp & Dohme Corporation
$146
Kowa Pharmaceuticals America, Inc.
$144
Amarin Pharma Inc.
$125
CHIESI USA, INC.
$107
Kiniksa Pharmaceuticals International, plc
$100
Lilly USA, LLC
$87
CVRx, Inc.
$86
Baxter Healthcare
$69
Relypsa, Inc.
$68
Aziyo Biologics, Inc.
$64
United Therapeutics Corporation
$47
Otsuka America Pharmaceutical, Inc.
$44
Allergan Inc.
$41
Astellas Pharma US Inc
$40
BIOTRONIK INC.
$38
Kestra Medical Technology Services, Inc.
$28
Noden Pharma USA Inc
$19
Avinger Inc.
$18
Inspire Medical Systems, Inc.
$17
Amryt Pharma Holdings Ltd
$12
Top 3 companies account for 64.2% of all-time payments
Associated products mentioned in payments ›
3F · AMPLATZER Occluders · AMVUTTRA · ASSURITY · AZURE XT DR MRI SURESCAN · Advisa · Allure Quadra RF CRT Pacemaker · Arcalyst · Assure WCD · BRILINTA · BYSTOLIC · Barostim Neo System · CAMZYOS · CG FUTURE · CHANTIX · CONFIRM RX · COREVALVE EVOLUT R · CardioMEMS HF System · Claria MRI · Confirm Rx · CoreValve Evolut · Corlanor · ECM · ECM Patch · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · ELIQUIS · ENTRESTO · EVKEEZA · Edwards SAPIEN 3 Transcatheter Heart Valve · Endurant · FARXIGA · FUROSCIX · GALLANT · General - Brady · Hillrom - Carnation Ambulatory Monitor · Hillrom - Life 2000 Ventilation System · INJECTAFER · INSPIRE · Impella · Indigo System · Inpefa · JARDIANCE · JOT DX · JUXTAPID · KENGREAL · KENGREAL 50MG/10ML L · Kerendia · LEQVIO · LEXISCAN · LOKELMA · LUX-DX · LUX-Dx Insertable Cardiac Monitor · Letairis · Lexiscan · Livalo · MITRACLIP · MOUNJARO · MULTAQ · Merlin Connectivity and Remote · Micra · Mitra Clip system · MitraClip System · NEXLETOL · NEXLIZET · NRG needle · ONPATTRO · ONYX FRONTIER · OPSUMIT · OPSUMIT MACITENTAN · OPTIS · ORENITRAM · PANTHERIS · PRADAXA · PRALUENT · PRALUENT ALIROCUMAB INJECTION · PREVNAR 20 · Pacemakers · Pouch · RESONATE EL ICD VR · Repatha · Resolute · Reveal LINQ · Rivacor 7 DR-T · SAMSCA · SAPIEN 3 Ultra RESILIA · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · TEGSEDI · TEKTURNA · TEZSPIRE · TRULICITY · TYRX · TYVASO · UPTRAVI · Unify Assura CRT Defibrillator · VERQUVO · VYNDAQEL · Vascepa · Veltassa · 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 →
The majority of payments (51%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in optician and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 4% for optician in CA.
Geographic Context
Opticians within 10 mi
94
Per 100K population
9.3
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. Joshi is a cardiac imaging specialist, with above-average Medicare volume (top 12% in CA), with speaking/promotional industry engagement in the top 4% of CA peers, 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. Joshi experienced with ekg interpretation and report?
Based on Medicare claims data, Dr. Joshi performed 2,212 ekg interpretation and report 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. Joshi receive payments from pharmaceutical companies?
Yes. Dr. Joshi received a total of $63,271 from 54 companies across 1,248 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. Joshi's costs compare to other opticians in Fresno?
Dr. Joshi's average Medicare payment per service is $67. 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. Joshi) 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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