Medicare Enrolled
Dr. Paul Ky
Pain Medicine (Physical Medicine & Rehabilitation) Physician · Fresno, 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. Ky 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. Ky
Dr. Paul Ky is a pain medicine physician in Fresno, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Ky performed 8,155 Medicare services across 3,442 unique beneficiaries.
Between the years covered by Open Payments, Dr. Ky received a total of $29,169 from 51 pharmaceutical and/or device companies across 775 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. Ky 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 8% volume in CA
$29,169 industry payments
Medicare Practice Summary
Medicare Utilization ↗8,155
Medicare services
Top 8% in CA for pain medicine (physical medicine & rehabilitation) physician
3,442
Unique beneficiaries
$97
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~429 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 (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. |
3,149 | $101 | $205 |
| 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. |
1,491 | $70 | $110 |
| 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. |
727 | $12 | $50 |
| 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. |
692 | $10 | $75 |
| 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. |
194 | $121 | $390 |
| 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. |
171 | $94 | $750 |
| 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. |
160 | $12 | $28 |
| Ultrasound-guided large joint aspiration or injection This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint. |
155 | $79 | $110 |
| 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. |
142 | $254 | $1,853 |
| Brachial plexus injection with anesthetic and/or steroid An injection of an anesthetic agent and/or steroid into the brachial plexus nerve bundle in the arm. |
120 | $49 | $276 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
114 | $49 | $80 |
| 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. |
106 | $123 | $241 |
| 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. |
101 | $83 | $500 |
| 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. |
97 | $41 | $141 |
| 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. |
96 | $104 | $1,000 |
| 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. |
92 | $40 | $141 |
| Injection of anesthetic agent and/or steroid into other nerve or branch | 82 | $64 | $92 |
| 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. |
56 | $145 | $642 |
| Fusion of spine in lower back | 51 | $1,258 | $2,200 |
| 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. |
49 | $590 | $2,650 |
| Spinal neurostimulator generator insertion Surgical placement of a spinal neurostimulator generator or receiver device. |
46 | $176 | $573 |
| Partial removal of spine bone with nerve release A surgical procedure involving the partial removal of spinal bone to release pressure on the lower spinal cord or nerves, and/or the removal of a spinal disc. |
41 | $378 | $3,000 |
| Minimally invasive spine decompression, lower spine A minimally invasive procedure to remove bone from the lower spine to relieve pressure on nerve tissue, guided by imaging and accessed through the skin. |
36 | $466 | $6,500 |
| Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 35 | $356 | $678 |
| Spinal disc stabilization device placement A procedure to insert a device into a single disc space in the lower spine to stabilize the area or reduce pressure. |
33 | $853 | $2,200 |
| Pelvic joint fusion with imaging guidance A surgical procedure to join bones in the pelvic joint together. Imaging technology is used to guide the surgeon during the operation. |
30 | $649 | $1,200 |
| Lower back and sciatic nerve injection An injection of an anesthetic and/or steroid medication into the lower back and sciatic nerve. This procedure delivers medication directly to the nerve site. |
22 | $74 | $92 |
| 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. |
19 | $128 | $280 |
| 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. |
19 | $49 | $140 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
17 | $47 | $284 |
| Suprascapular nerve injection An injection of anesthetic and/or steroid medication into the suprascapular nerve in the shoulder area. |
12 | $73 | $500 |
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.
1.0% high complexity
15.9% medium
83.1% routine
Industry Payment Transparency
Open Payments through 2024 ↗$29,169
Total received (2018-2024)
Avg $4,167/year across 7 years
Top 9% 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.
51
Companies
775
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
$19,222 (65.9%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$9,946 (34.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$6,164
2023
$4,261
2022
$3,395
2021
$9,779
2020
$2,166
2019
$1,635
2018
$1,769
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
OrthoFundamentals, LLC
$2,500
Boston Scientific Corporation
$989
Abbott Laboratories
$685
Curonix LLC
$594
Nevro Corp.
$229
Nalu Medical, Inc.
$223
Vertos Medical, Inc.
$211
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$187
Collegium Pharmaceutical, Inc.
$164
Medtronic, Inc.
$104
ABBVIE INC.
$78
Forte Bio-Pharma LLC
$51
VERTEX PHARMACEUTICALS INCORPORATED
$38
BIOTRONIK NRO, Inc.
$38
Pacira Pharmaceuticals Incorporated
$29
SCILEX PHARMACEUTICALS INC.
$20
Stryker Corporation
$16
SPR Therapeutics, Inc
$8
Top 3 companies account for 67.7% of 2024 payments
All-time payments by company (2018-2024) ›
Nutech Spine, Inc.
$7,446
Boston Scientific Corporation
$3,397
Abbott Laboratories
$2,797
OrthoFundamentals, LLC
$2,500
Nevro Corp.
$2,370
Vertos Medical, Inc.
$1,556
Relievant Medsystems, Inc.
$1,373
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$1,050
Collegium Pharmaceutical, Inc.
$1,012
Nuvectra Corporation
$644
Curonix LLC
$594
BOSTON SCIENTIFIC CORPORATION
$564
PAINTEQ LLC
$480
Vertiflex, Inc.
$397
AbbVie Inc.
$346
Nalu Medical, Inc.
$240
ABBVIE INC.
$227
Daiichi Sankyo Inc.
$204
Captiva Spine Inc
$153
PFIZER INC.
$151
Medtronic, Inc.
$149
SI-BONE, INC.
$138
Stimwave Technologies Incorporated
$134
Scilex Pharmaceuticals Inc.
$132
Pernix Therapeutics Holdings, Inc.
$121
BIOTRONIK NRO, Inc.
$116
Takeda Pharmaceuticals U.S.A., Inc.
$100
Horizon Therapeutics plc
$98
SPR Therapeutics, Inc
$83
Forte Bio-Pharma LLC
$79
BioDelivery Sciences International, Inc.
$44
AstraZeneca Pharmaceuticals LP
$43
Merz Pharmaceuticals, LLC
$40
VERTEX PHARMACEUTICALS INCORPORATED
$38
SCILEX PHARMACEUTICALS INC.
$35
ARBOR PHARMACEUTICALS, INC.
$34
Flexion Therapeutics, Inc.
$32
Pacira Pharmaceuticals Incorporated
$29
Spinal Simplicity, LLC
$29
Shire North American Group Inc
$24
Bioventus LLC
$23
RedHill Biopharma Inc.
$18
Kowa Pharmaceuticals America, Inc.
$17
Stryker Corporation
$16
Medtronic USA, Inc.
$15
SI-BONE, Inc.
$15
Teva Pharmaceuticals USA, Inc.
$14
Purdue Pharma L.P.
$13
Allergan, Inc.
$12
Medline Industries, Inc.
$12
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$12
Top 3 companies account for 46.8% of all-time payments
Associated products mentioned in payments ›
AJOVY · Algovita · Amitiza · Avista MRI · Axium INS DRG IPG · BELBUCA · BIOTRONIK · BUNAVAIL 2.1 mg 30-count box · Belbuca · CFNS StimQ Peripheral Nerve StimulatorSystem · DUEXIS · Durolane · ELYXYB - CELECOXIB · ETERNA · Exparel · Fixate · GENERAL PAIN MANAGEMENT · GENERAL - PAIN MANAGEMENT · GENERAL PAIN MANAGEMENT · GENERAL THERAPIES · General - Pain Management · HYSINGLA ER · Horizant · IFUSE IMPLANT · INFINION · INTELLIS ADAPTIVESTIM · Infinion 16 · Intracept · KYPHON Balloon Kyphoplasty · LINEAR · LYRICA · MILD DEVICE KIT · MOVANTIK · Minuteman · Morphabond ER · Movantik · NALOCET · NURTEC ODT · Nalu Neurostimulation System · Omnia · PAINTEQ · PAXLOVID · PENNSAID · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PROCLAIM · Proclaim Family of SCS IPGs · Proclaim IPG · Prospera · QULIPTA · RAYOS · RELISTOR · REYVOW · SEGLENTIS · SPECTRA WAVEWRITER · SPECTRA WAVEWRITER (REFURBISHED) · SPRINT PNS System · SUPERION · Senza · Senza Spinal Cord Stimulation System · Sifix · SlimTip lead DRG Lead · Superion · Superion ISS · Superion Indirect Decompression System · Transfasten · Trintellix · UBRELVY · WAVEWRITER ALPHA · WaveWriter Alpha Prime 16 · XIFAXAN · XTAMPZA · XTAMPZAER · Xeomin · XtampzaER · ZOHYDRO ER · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zilretta · 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 →
Most payments (66%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 9% for pain medicine (physical medicine & rehabilitation) physician in CA.
Geographic Context
Pain medicine physicians within 10 mi
4
Per 100K population
0.4
County median income
$71,434
Nearest hospital
FRESNO SURGICAL 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. Ky is a clinical cardiology specialist, with above-average Medicare volume (top 8% in CA), with low-engagement industry engagement in the top 9% 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. Ky experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Ky performed 3,149 office visit, established patient (30-39 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. Ky receive payments from pharmaceutical companies?
Yes. Dr. Ky received a total of $29,169 from 51 companies across 775 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. Ky's costs compare to other pain medicine physicians in Fresno?
Dr. Ky's average Medicare payment per service is $97. 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. Ky) 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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