Medicare Enrolled
Dr. Kiumars Arfai, MD
Emergency Medicine · Mission Hills, CA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Arfai 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. Arfai
Dr. Kiumars Arfai is an emergency medicine specialist in Mission Hills, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Arfai performed 12,673 Medicare services across 4,204 unique beneficiaries.
Between the years covered by Open Payments, Dr. Arfai received a total of $12,203 from 44 pharmaceutical and/or device companies across 499 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in emergency medicine. 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. Arfai 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 0% volume in CA
$12,203 industry payments
Medicare Practice Summary
Medicare Utilization ↗12,673
Medicare services
Top 0% in CA for emergency medicine
4,204
Unique beneficiaries
$56
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~667 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 |
|---|---|---|---|
| Functional activity therapy A therapy procedure that utilizes functional activities as part of the treatment process. |
1,489 | $31 | $115 |
| Physical therapy exercise, per 15 min A therapy session using exercises to improve strength, endurance, range of motion, and flexibility. Each 15-minute unit is billed separately. |
1,487 | $18 | $95 |
| Neuromuscular re-education therapy, per 15 min A therapy procedure designed to re-educate the functional connection between the brain, nerves, and muscles. It is billed in 15-minute increments. |
1,485 | $21 | $100 |
| Manual therapy (hands-on treatment), per 15 min | 1,482 | $17 | $90 |
| 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. |
1,192 | $103 | $271 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
861 | $15 | $350 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
743 | $26 | $225 |
| 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. |
572 | $60 | $1,249 |
| 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. |
568 | $105 | $1,400 |
| 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. |
359 | $73 | $173 |
| 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. |
355 | $130 | $1,267 |
| 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. |
320 | $70 | $1,400 |
| 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. |
311 | $124 | $1,500 |
| 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. |
263 | $227 | $1,233 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
263 | $70 | $457 |
| Spinal nerve root injection with imaging guidance An injection of anesthetic or steroid medication into a single nerve root in the upper or middle spine. The procedure uses imaging guidance to ensure accurate placement. |
255 | $156 | $1,108 |
| 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. |
173 | $97 | $1,500 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional upper or middle spinal facet joint. |
128 | $79 | $1,450 |
| Facet joint nerve destruction, single joint This procedure uses imaging guidance to destroy the nerves supplying a single upper or middle spinal facet joint. It is performed to interrupt pain signals from that specific joint. |
124 | $227 | $1,500 |
| 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. |
112 | $135 | $450 |
| Knee nerve block injection with imaging guidance An injection of anesthetic and/or steroid medication into a nerve branch of the knee, performed using imaging guidance to ensure accurate placement. |
34 | $61 | $735 |
| Destruction of nerve branches of knee using imaging guidance | 27 | $117 | $1,100 |
| 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. |
23 | $34 | $1,500 |
| 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. |
19 | $213 | $1,608 |
| Trigger point injection, 3 or more muscles Injection of medication into three or more specific muscle trigger points to relieve pain. |
15 | $17 | $400 |
| Electronic analysis of implanted neurostimulator This procedure involves electronically analyzing an implanted neurostimulator generator and performing simple programming for spinal cord or peripheral nerve stimulation. |
13 | $31 | $550 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$12,203
Total received (2018-2024)
Avg $1,743/year across 7 years
Top 2% in CA for emergency medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
44
Companies
499
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
$12,203 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,248
2023
$904
2022
$173
2021
$1,028
2020
$1,946
2019
$2,188
2018
$4,717
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Collegium Pharmaceutical, Inc.
$440
Abbott Laboratories
$227
BIOTRONIK NRO, Inc.
$200
Curonix LLC
$147
VERTEX PHARMACEUTICALS INCORPORATED
$61
Avanos Medical
$36
PAINTEQ LLC
$34
DePuy Synthes Sales Inc.
$30
Vertos Medical, Inc.
$25
Fidia Pharma USA Inc.
$19
SCILEX PHARMACEUTICALS INC.
$15
Boston Scientific Corporation
$15
Top 3 companies account for 69.4% of 2024 payments
All-time payments by company (2018-2024) ›
Abbott Laboratories
$6,916
Collegium Pharmaceutical, Inc.
$1,121
Boston Scientific Corporation
$808
Daiichi Sankyo Inc.
$617
Stimwave Technologies Incorporated
$358
Nalu Medical, Inc.
$242
Curonix LLC
$223
BIOTRONIK NRO, Inc.
$200
BOSTON SCIENTIFIC CORPORATION
$191
Centinel Spine, LLC
$176
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$132
Myoscience Inc.
$122
SI-BONE, Inc.
$98
BioDelivery Sciences International, Inc.
$97
Stryker Corporation
$87
Scilex Pharmaceuticals Inc.
$62
VERTEX PHARMACEUTICALS INCORPORATED
$61
PAINTEQ LLC
$55
Nevro Corp.
$55
Avanos Medical
$49
DePuy Synthes Sales Inc.
$45
Fidia Pharma USA Inc.
$39
Sentynl Therapeutics, Inc.
$39
Medtronic USA, Inc.
$38
ARBOR PHARMACEUTICALS, INC.
$33
Medtronic, Inc.
$33
Shionogi Inc
$29
Vertos Medical, Inc.
$25
ASSERTIO THERAPEUTICS, Inc.
$22
Novartis Pharmaceuticals Corporation
$22
RedHill Biopharma Inc.
$21
Pernix Therapeutics Holdings, Inc.
$19
Averitas Pharma Inc.
$19
E.R. Squibb & Sons, L.L.C.
$18
Zyla Life Sciences
$17
SCILEX PHARMACEUTICALS INC.
$15
US WorldMeds, LLC
$14
PFIZER INC.
$14
IBSA Pharma Inc.
$14
AstraZeneca Pharmaceuticals LP
$13
Allergan Inc.
$13
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$12
Egalet US Inc
$11
Forte Bio-Pharma LLC
$7
Top 3 companies account for 72.5% of all-time payments
Associated products mentioned in payments ›
ACCURIAN · Axium Sheath Braided DRG · BELBUCA · BOTOX · BUNAVAIL 2.1 mg 30-count box · Belbuca · CAMZYOS · CFNS StimQ Peripheral Nerve StimulatorSystem · DRG IPGs · ETERNA · EVEREST · GENERAL PAIN MANAGEMENT · GENERAL - PAIN MANAGEMENT · GENVISC 850 SODIUM HYALURONATE · General - Pain Management · Gralise · HYMOVIS · Horizant · INFINION · INTELLIS · IVS - IVAS · IVS - VERTEBRAL AUGMENTATION PRODUCTS · Intracept · LUCEMYRA · LYRICA · Levorphanol · Levorphanol Tartrate · Licart · Lucemyra/Lofexidine · MOVANTIK · Morphabond ER · Movantik · Nalocet · Nalu Neurostimulation System · Neuromodulation Dspsbls and Accs · ORTHOVISC · Octrode SCS Leads · Omnia · PAINTEQ · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PROCLAIM · PRODISC C · Penta SCS Leads · Proclaim Family of SCS IPGs · Proclaim IPG · Prospera · QUTENZA · RELISTOR · SCS IPGs · SCS leads · SPECTRA WAVEWRITER · SPRIX · SUPERION · Senza Spinal Cord Stimulation System · Spinal Cord Stimulation Accessories · StimQ Peripheral Nerve StimulatorSystem · StimQ Receiver Stimulator Kit Channel A US w Receiver · StimQ Receiver Stimulator Kit Channel A US w/Receiver · Superion · Superion Indirect Decompression System · Symproic · XTAMPZA · XTAMPZAER · Xtampza ER · XtampzaER · ZOHYDRO ER · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · 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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 2% for emergency medicine in CA.
Geographic Context
Emergency medicines within 10 mi
1,083
Per 100K population
11.0
County median income
$87,760
Nearest hospital
KAISER FOUNDATION HOSPITAL - PANORAMA CITY
3.1 mi
3.1 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. Arfai is a mixed practice specialist, with above-average Medicare volume (top 0% in CA), with low-engagement industry engagement in the top 2% 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. Arfai experienced with functional activity therapy?
Based on Medicare claims data, Dr. Arfai performed 1,489 functional activity therapy 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. Arfai receive payments from pharmaceutical companies?
Yes. Dr. Arfai received a total of $12,203 from 44 companies across 499 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. Arfai's costs compare to other emergency medicines in Mission Hills?
Dr. Arfai's average Medicare payment per service is $56. 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. Arfai) 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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