Medicare Enrolled
Dr. Payam Shadi, M.D.
Sleep Medicine (Internal Medicine) Physician · Los Angeles, 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. Shadi 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. Shadi
Dr. Payam Shadi is a sleep medicine physician in Los Angeles, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Shadi performed 3,820 Medicare services across 1,948 unique beneficiaries.
Between the years covered by Open Payments, Dr. Shadi received a total of $9,213 from 49 pharmaceutical and/or device companies across 393 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in sleep medicine (internal medicine) 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. Shadi 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 6% volume in CA
$9,213 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,820
Medicare services
Top 6% in CA for sleep medicine (internal medicine) physician
1,948
Unique beneficiaries
$100
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~201 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. |
1,420 | $105 | $250 |
| Nursing facility visit, high complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves a high level of medical decision making and takes at least 45 minutes. |
397 | $126 | $300 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
352 | $65 | $150 |
| 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. |
290 | $102 | $350 |
| 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. |
174 | $52 | $150 |
| 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. |
168 | $46 | $150 |
| Initial nursing facility care, high complexity An initial visit by a healthcare provider to a patient in a nursing facility involving a high level of medical decision making, lasting at least 45 minutes. |
114 | $156 | $400 |
| 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. |
111 | $35 | $150 |
| Hospital discharge management, 30+ min This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge. |
104 | $99 | $600 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
95 | $144 | $300 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
72 | $150 | $450 |
| 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. |
72 | $162 | $500 |
| 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. |
54 | $39 | $125 |
| Quadrivalent influenza vaccine, cell culture-derived A flu shot that protects against four strains of the influenza virus. It is produced using cell culture technology rather than traditional egg-based methods. |
44 | $32 | $75 |
| 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. |
44 | $149 | $350 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
44 | $34 | $50 |
| 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. |
42 | $149 | $500 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
39 | $247 | $400 |
| 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. |
36 | $12 | $75 |
| Nursing facility visit, moderate complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes. |
36 | $93 | $200 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
26 | $68 | $300 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
21 | $182 | $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. |
18 | $112 | $450 |
| Hospital discharge day management, 30 minutes or less This service covers the final day of hospital care when the patient is being discharged. It includes coordination of care and instructions for the patient within a time frame of 30 minutes or less. |
14 | $70 | $450 |
| 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. |
11 | $228 | $350 |
| 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. |
11 | $141 | $450 |
| 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. |
11 | $111 | $450 |
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.
1.9% high complexity
2.5% medium
95.7% routine
Industry Payment Transparency
Open Payments through 2024 ↗$9,213
Total received (2018-2024)
Avg $1,316/year across 7 years
Top 11% in CA for sleep medicine (internal medicine) physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
49
Companies
393
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
$9,213 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,282
2023
$969
2022
$1,667
2021
$1,777
2020
$1,277
2019
$1,343
2018
$897
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$175
JAZZ PHARMACEUTICALS INC.
$126
Janssen Pharmaceuticals, Inc
$126
Boehringer Ingelheim Pharmaceuticals, Inc.
$106
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$99
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$91
HARMONY BIOSCIENCES LLC
$89
Bayer Healthcare Pharmaceuticals Inc.
$80
Amgen Inc.
$77
Novo Nordisk Inc
$69
Philips North America LLC
$60
PFIZER INC.
$55
Lilly USA, LLC
$50
E.R. Squibb & Sons, L.L.C.
$29
GlaxoSmithKline, LLC.
$24
Esperion Therapeutics, Inc.
$14
Itamar Medical Inc
$14
Top 3 companies account for 33.3% of 2024 payments
All-time payments by company (2018-2024) ›
Janssen Pharmaceuticals, Inc
$2,083
PFIZER INC.
$707
AstraZeneca Pharmaceuticals LP
$692
Bayer HealthCare Pharmaceuticals Inc.
$646
Nobel Biocare USA
$530
Novartis Pharmaceuticals Corporation
$485
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$366
Lilly USA, LLC
$349
Boehringer Ingelheim Pharmaceuticals, Inc.
$347
E.R. Squibb & Sons, L.L.C.
$225
Harmony Biosciences LLC
$201
GlaxoSmithKline, LLC.
$200
Amgen Inc.
$188
Novo Nordisk Inc
$169
Nestle HealthCare Nutrition Inc.
$165
Bayer Healthcare Pharmaceuticals Inc.
$154
AbbVie Inc.
$149
Radius Health, Inc.
$148
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$127
JAZZ PHARMACEUTICALS INC.
$126
Eisai Inc.
$94
Astellas Pharma US Inc
$92
HARMONY BIOSCIENCES LLC
$89
Corcept Therapeutics
$85
Philips North America LLC
$60
Evoke Pharma, Inc.
$60
NESTLE HEALTHCARE NUTRITION INC.
$56
Melinta Therapeutics, LLC
$51
Cardiovascular Systems Inc.
$50
Mannkind Corporation
$44
Allergan, Inc.
$42
SANOFI-AVENTIS U.S. LLC
$40
IDORSIA PHARMACEUTICALS US INC
$35
Allergan Inc.
$31
Itamar Medical Inc
$31
Jazz Pharmaceuticals Inc.
$29
Aytu BioScience, Inc
$25
IRONWOOD PHARMACEUTICALS, INC
$25
Xeris Pharmaceuticals, Inc.
$25
HeartFlow, Inc.
$24
Abbott Laboratories
$23
Amarin Pharma Inc.
$22
SUN PHARMACEUTICAL INDUSTRIES INC.
$22
DEXCOM, INC.
$20
Nabriva Therapeutics, plc
$19
Ironwood Pharmaceuticals, Inc
$18
Medtronic, Inc.
$17
AbbVie, Inc.
$17
Esperion Therapeutics, Inc.
$14
Top 3 companies account for 37.8% of all-time payments
Associated products mentioned in payments ›
(AK6) Vest Therapy · AFREZZA · AIRSUPRA · BAQSIMI · BASAGLAR · BREZTRI · CAMZYOS · CHANTIX · COLOGUARD DNA CAPTURE REAGENTS · Creon · DEXCOM G6 TRANSMITTER · Dayvigo · ELIQUIS · EMGALITY · ENTRESTO · FARXIGA · FFRct · FREESTYLE LIBRE 3 · GIMOTI · GVOKE PFS · INVOKANA · JARDIANCE · KAPSPARGO · Kerendia · Korlym · LEQVIO · LINZESS · LOKELMA · LYRICA · LifeVest · Linzess · MINIMED 770G · MOUNJARO · MYRBETRIQ · NEXLETOL · NOBELPARALLEL · Natesto · Orbactiv · Otezla · Ozempic · Peripheral Orbital Atherectomy System · QULIPTA · QUVIVIQ · RYBELSUS · Repatha · SOLIQUA 100/33 · SPIRIVA · SPRAVATO · STIOLTO RESPIMAT · SYMBICORT · TOUJEO · TOVIAZ · TRELEGY ELLIPTA · TRULICITY · Tymlos · UBRELVY · VESICARE · VIBERZI · Vascepa · Verquvo · Victoza · WAKIX · Wakix · WatchPAT · WatchPATONE · XARELTO · XIFAXAN · XYWAV · Xenleta · ZENPEP
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Sleep medicine physicians within 10 mi
16
Per 100K population
0.2
County median income
$87,760
Nearest hospital
KAISER FOUNDATION HOSPITAL - WEST LA
1.6 mi
1.6 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. Shadi is a clinical cardiology specialist, with above-average Medicare volume (top 6% in CA), with low-engagement industry engagement in the top 11% 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. Shadi experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Shadi performed 1,420 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. Shadi receive payments from pharmaceutical companies?
Yes. Dr. Shadi received a total of $9,213 from 49 companies across 393 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. Shadi's costs compare to other sleep medicine physicians in Los Angeles?
Dr. Shadi's average Medicare payment per service is $100. 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. Shadi) 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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