Medicare Enrolled
Dr. Shamsuddin Khwaja, M.D.
Thoracic Surgery · 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. Khwaja 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. Khwaja
Dr. Shamsuddin Khwaja is a thoracic surgery specialist in Fresno, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Khwaja performed 702 Medicare services across 641 unique beneficiaries.
Between the years covered by Open Payments, Dr. Khwaja received a total of $160,143 from 44 pharmaceutical and/or device companies across 413 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in thoracic surgery. 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. Khwaja 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.
✓ 20 years in practice
▲ Top 11% volume in CA
$160,143 industry payments
Medicare Practice Summary
Medicare Utilization ↗702
Medicare services
Top 11% in CA for thoracic surgery
641
Unique beneficiaries
$334
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~35 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 |
|---|---|---|---|
| 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. |
111 | $127 | $203 |
| Radiologist review of additional artery image A radiologist reviews an additional image of an artery. This step involves professional interpretation of the imaging data. |
81 | $37 | $124 |
| 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. |
77 | $97 | $152 |
| Coronary artery bypass graft, 1 artery Surgical procedure to bypass a blocked coronary artery using a graft from another artery. This restores blood flow to the heart muscle. |
63 | $1,232 | $3,045 |
| Radiologist review of breast artery image A radiologist examines an image of the breast artery to assess its condition. This service involves the professional interpretation of the imaging study. |
55 | $43 | $125 |
| CT scan of heart for calcium evaluation A CT scan of the heart used to evaluate calcium levels in the blood vessels. |
52 | $22 | $88 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
37 | $91 | $153 |
| 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. |
35 | $69 | $121 |
| Coronary artery bypass graft, 1 graft Surgery to create a new route for blood to flow around a blocked coronary artery using a vein or artery graft. |
31 | $140 | $350 |
| 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. |
25 | $136 | $296 |
| Coronary artery bypass graft, 2 grafts A surgical procedure to restore blood flow to the heart by creating bypasses using two vein or artery grafts. |
24 | $298 | $721 |
| Left atrial appendage exclusion Surgical closure of the left atrial appendage of the heart, performed as part of another chest procedure. |
20 | $98 | $450 |
| 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. |
19 | $95 | $201 |
| Aortic valve replacement surgery Surgical replacement of the aortic valve using a heart-lung machine to maintain blood circulation during the procedure. |
18 | $1,518 | $3,500 |
| Harvest of arm artery for heart bypass Surgical removal of a segment of artery from the arm to be used as a graft in a heart bypass procedure. |
15 | $139 | $400 |
| Coronary artery bypass graft, 2 grafts using arteries A surgical procedure to restore blood flow to the heart by creating bypasses using two arterial grafts. |
14 | $1,663 | $3,500 |
| Mitral valve replacement surgery Surgical replacement of the mitral valve in the heart using a heart-lung machine to maintain circulation during the procedure. |
13 | $1,899 | $4,477 |
| Ascending aorta repair with graft and heart reconstruction Surgical repair of the ascending aorta using a graft, performed on a heart-lung machine, including replacement of the aortic root and reconstruction of the heart. |
12 | $2,234 | $5,000 |
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.
25.4% high complexity
7.4% medium
67.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$160,143
Total received (2018-2024)
Avg $22,878/year across 7 years
Top 4% in CA for thoracic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
44
Companies
413
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
$128,200 (80.1%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$17,542 (11.0%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$14,401 (9.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$39,517
2023
$45,408
2022
$37,286
2021
$5,444
2020
$19,312
2019
$9,753
2018
$3,424
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABIOMED
$37,555
Bolton Medical Inc
$800
Abbott Laboratories
$455
Medtronic, Inc.
$170
Becton, Dickinson and Company
$118
Teleflex LLC
$91
Artivion, Inc.
$81
ATRICURE, INC.
$59
Edwards Lifesciences Corporation
$53
Kestra Medical Technology Services, Inc.
$29
Baxter Healthcare
$26
Dilon Technologies, Inc.
$25
Cornerstone Medical Associates, Inc.
$20
Optinose US, Inc.
$19
Davol Inc.
$16
Top 3 companies account for 98.2% of 2024 payments
All-time payments by company (2018-2024) ›
ABIOMED
$127,671
ATRICURE, INC.
$7,109
Abbott Laboratories
$6,203
Medical Device Business Services, Inc.
$5,850
Edwards Lifesciences Corporation
$1,972
Ethicon US, LLC
$1,952
AtriCure, Inc.
$1,251
CryoLife, Inc.
$1,025
Artivion, Inc.
$901
Bolton Medical Inc
$880
Getinge USA Sales, LLC
$852
Medtronic, Inc.
$668
Zimmer Biomet Holdings, Inc.
$539
CVRx, Inc.
$355
Medtronic Vascular, Inc.
$254
Boston Scientific Corporation
$250
HemoSonics LLC
$230
LSI SOLUTIONS INC
$227
AstraZeneca Pharmaceuticals LP
$208
Baxter Healthcare
$192
ClearFlow, Inc.
$162
Integra LifeSciences Corporation
$148
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$122
Becton, Dickinson and Company
$118
Veran Medical Technologies, Inc.
$118
Admedus Corporation
$111
Teleflex LLC
$91
Werfen USA LLC
$91
Alexion Pharmaceuticals, Inc.
$80
KLS-Martin L.P.
$80
Janssen Pharmaceuticals, Inc
$66
UPSHER-SMITH LABORATORIES LLC
$54
Stryker Corporation
$47
Neurocrine Biosciences, Inc.
$39
Octapharma USA, Inc.
$35
Davol Inc.
$30
Kestra Medical Technology Services, Inc.
$29
Dilon Technologies, Inc.
$25
Covidien LP
$22
Olympus America Inc.
$20
Cornerstone Medical Associates, Inc.
$20
Optinose US, Inc.
$19
Pacira Pharmaceuticals Incorporated
$18
Smith & Nephew, Inc.
$11
Top 3 companies account for 88.0% of all-time payments
Associated products mentioned in payments ›
2ND GEN CENTRIMAG PRIMARY CONSOLE · 3F · ANDEXXA · ATRICLIP LAA EXCLUSION SYSTEM · ATRICURE ATRICLIP LAA EXCLUSION · ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM · ATRICURE SYNERGY ABLATION SYSTEM · AVALUS · AdvantageRib · Assure WCD · AtriCure AtriClip LAA Exclusion System · AtriCure Synergy Ablation System · BRILINTA · Barostim Neo System · BioGlue · CODMAN CERTAS · COR KNOT · Cardiac non-SynerGraft · Cobra Fusion Ablation System · DERMABOND · ECHELON FLEX Stapler · EDWARDS INTUITY Elite valve system · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · EPIC · EVARREST · EVICEL Fibrin Sealant (Human) · EVIS EXERA · Echelon Endopath Staple Line Reinforcement · Enseal X1 · Epic Stented Tissue Valve · Exparel · FLOSEAL · GALLANT · HEMOBLAST BELLOWS · HeartMate · HeartMate 3 Left Ventricular Dev · HeartWare HVAD · INSPIRIS RESILIA AORTIC VALVE · INSPIRIS RESILIA aortic valve · Impella · KONECT RESILIA · LifeVest · MERLIN@HOME · MITRIS RESILIA Mitral Valve · MOSAIC · Mega Vac · Mitra Clip system · MitraClip System · OCTAPLAS · ON-X AORTIC HEART VALVE WITH CONFORM-X SEWING RING AND EXTENDED HOLDER · Ongentys · PENDITURE · PICO · PREVELEAK · PROLENE · Penditure · PleuraFlow · Progel · Progel Applicator Spray Tips · QUNATRA QPLUS SYSTEM · Regent Mechanical Heart Valve · Relay Grafts · SJM REGENT · STERNALOCK BLU SYSTEM · STUDIO 3 · SYNERGY ABLATION SYSTEM · Spin · SternaLock 360 · SternaLock Blu · Surgicel Powder · TAGRISSO · THORATEC HEARTMATE 3 LVAS IMPLANT KIT · TMR · TOSYMRA · TREO ABDOMINAL STENT-GRAFT SYSTEM · TRIFECTA · TYRX · Tendyne Mitral Valve System · Titan SGS · Trifecta GT Tissue Heart Valve · VARISPEED POWERED SCRDVR · VISTASEAL · Vascular · Vasoview Hemopro 2 · WATCHMAN · XARELTO · Xhance · ZEMBRACE SYMTOUCH · iDrive Ultra
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 (80%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in thoracic surgery and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 4% for thoracic surgery in CA.
Geographic Context
Thoracic surgerists within 10 mi
7
Per 100K population
0.7
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. Khwaja is a clinical cardiology specialist, with above-average Medicare volume (top 11% in CA), with speaking/promotional industry engagement in the top 4% of CA peers, with 20 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. Khwaja experienced with new patient office visit (45-59 min)?
Based on Medicare claims data, Dr. Khwaja performed 111 new patient office visit (45-59 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. Khwaja receive payments from pharmaceutical companies?
Yes. Dr. Khwaja received a total of $160,143 from 44 companies across 413 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. Khwaja's costs compare to other thoracic surgerists in Fresno?
Dr. Khwaja's average Medicare payment per service is $334. 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. Khwaja) 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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