Medicare Enrolled
Dr. Dikran Torian, M.D.
Interventional Pain Medicine Physician · Rancho Mirage, 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. Torian 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. Torian
Dr. Dikran Torian is an interventional pain medicine physician in Rancho Mirage, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Torian performed 21,858 Medicare services across 2,379 unique beneficiaries.
Between the years covered by Open Payments, Dr. Torian received a total of $1,853 from 14 pharmaceutical and/or device companies across 26 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in interventional pain 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. Torian 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 2% volume in CA
$1,853 industry payments
Medicare Practice Summary
Medicare Utilization ↗21,858
Medicare services
Top 2% in CA for interventional pain medicine physician
2,379
Unique beneficiaries
$34
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~1,150 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 |
|---|---|---|---|
| Joint lubricant injection (Synvisc) | 4,800 | $7 | $45 |
| Betamethasone steroid injection An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate. |
3,384 | $5 | $40 |
| Contrast dye for imaging (iodine-based) A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures. |
2,965 | $0 | $10 |
| Hyaluronan injection (Euflexxa) for joint An injection of hyaluronan or its derivative, specifically Euflexxa, administered directly into a joint space. |
1,245 | $101 | $300 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
963 | $0 | $8 |
| Injection of anesthetic agent and/or steroid into other nerve or branch | 926 | $37 | $500 |
| Tendon injection at attachment site A procedure involving the injection of medication into a tendon where it attaches to bone or muscle. |
853 | $25 | $180 |
| 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. |
827 | $74 | $200 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
802 | $99 | $255 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
567 | $9 | $25 |
| 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. |
512 | $102 | $300 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
485 | $25 | $90 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
434 | $26 | $400 |
| X-ray of sacroiliac joint, 1-2 views An X-ray imaging test of the joint connecting the lower spine to the hip bone, using one to two images. |
215 | $21 | $90 |
| Tendon or ligament injection A procedure involving the injection of medication into a tendon or ligament. |
204 | $27 | $300 |
| Knee joint contrast injection for imaging A contrast dye is injected into the knee joint to enhance visibility during medical imaging procedures. |
195 | $158 | $600 |
| Radiologist review of knee joint image A radiologist examines and interprets images of the knee joint to assess its condition. |
195 | $106 | $400 |
| Trigger point injection, 3 or more muscles Injection of medication into three or more specific muscle trigger points to relieve pain. |
158 | $26 | $300 |
| 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. |
156 | $145 | $350 |
| Joint fluid aspiration or injection, medium joint Removal of fluid from a medium-sized joint or injection of medication into the joint space. |
154 | $22 | $400 |
| 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. |
140 | $123 | $900 |
| Contrast injection for shoulder joint imaging A contrast dye is injected into the shoulder joint to enhance imaging studies. This helps visualize the joint structures more clearly during the procedure. |
129 | $139 | $495 |
| Radiologist review of shoulder joint image A radiologist examines and interprets images of the shoulder joint to assess its condition. |
129 | $110 | $495 |
| Radiologist review of lower spinal canal image A radiologist examines and interprets images of the lower spinal canal to assess its structure and identify any abnormalities. |
124 | $93 | $493 |
| Hip injection of contrast under anesthesia A contrast dye is injected into the hip joint while the patient is under anesthesia to facilitate medical imaging. |
119 | $266 | $625 |
| Radiologist review of hip joint image A radiologist examines and interprets an image of the hip joint to assess its condition. |
119 | $107 | $400 |
| X-ray of both hips, 2 views An X-ray imaging test that captures two views of both hip joints to evaluate bone structure and alignment. |
116 | $26 | $90 |
| 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. |
112 | $219 | $850 |
| 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. |
108 | $112 | $550 |
| Joint fluid aspiration or injection, small joint Removal of fluid from a small joint or injection of medication into a small joint. |
94 | $23 | $250 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
89 | $218 | $795 |
| Pelvis X-ray, 1-2 views An X-ray imaging test of the pelvic area using one to two different angles to visualize the bones and joints. |
79 | $17 | $90 |
| X-ray of sacrum and tailbone, minimum of 2 views An X-ray imaging test of the sacrum and tailbone using at least two different angles to visualize the bones. |
66 | $21 | $90 |
| 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. |
58 | $94 | $495 |
| X-ray of upper spine, 2-3 views An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures. |
57 | $25 | $90 |
| 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. |
52 | $66 | $500 |
| Skull X-ray, 1-3 views An X-ray imaging test of the skull using one to three different angles to visualize the bones of the head. |
52 | $23 | $90 |
| X-ray of middle spine, 2 views An X-ray imaging test that produces two views of the middle section of the spine to visualize the bones and joints. |
36 | $20 | $90 |
| 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. |
29 | $207 | $795 |
| 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. |
26 | $169 | $800 |
| 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. |
26 | $85 | $500 |
| New patient office visit, complex (60-74 min) | 20 | $180 | $850 |
| 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. |
19 | $367 | $1,200 |
| Imaging guidance for procedure, 60 minutes or less Use of imaging technology to guide a medical procedure. This service lasts 60 minutes or less. |
19 | $37 | $255 |
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 ↗$1,853
Total received (2018-2024)
Avg $309/year across 6 years
Bottom 47% in CA for interventional pain medicine physician
14
Companies
26
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
$1,836 (99.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$17 (0.9%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$410
2023
$465
2022
$243
2021
$158
2019
$286
2018
$292
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
PAINTEQ LLC
$162
SI-BONE, INC.
$153
SPR Therapeutics, Inc
$73
Nevro Corp.
$21
Top 3 companies account for 94.8% of 2024 payments
All-time payments by company (2018-2024) ›
Curonix LLC
$465
Stimwave Technologies Incorporated
$270
PAINTEQ LLC
$162
SI-BONE, INC.
$153
Biohaven Pharmaceutical Holding Company Ltd.
$124
Biohaven Pharmaceuticals, Inc.
$124
Nevro Corp.
$122
Medtronic USA, Inc.
$115
PARADIGM SPINE, LLC
$90
PFIZER INC.
$87
SPR Therapeutics, Inc
$73
Neuronetics, Inc.
$32
Abbott Laboratories
$19
Trevena, Inc.
$17
Top 3 companies account for 48.4% of all-time payments
Associated products mentioned in payments ›
EUCRISA · NEUROSTAR TMS THERAPY SYSTEM · NURTEC ODT · OCTRODE · OLINVYK · PAINTEQ · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · RESTORE · SPRINT PNS System · Senza · Senza Spinal Cord Stimulation System · StimQ Receiver Stimulator Kit Channel A US w Receiver · StimQ Receiver Stimulator Kit Channel A US w/Receiver · coflex
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 (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Interventional pain medicine physicians within 10 mi
4
Per 100K population
0.2
County median income
$89,672
Nearest hospital
EISENHOWER 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. Torian is a mixed practice specialist, with above-average Medicare volume (top 2% in CA), with low-engagement industry engagement, 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. Torian experienced with joint lubricant injection (synvisc)?
Based on Medicare claims data, Dr. Torian performed 4,800 joint lubricant injection (synvisc) 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. Torian receive payments from pharmaceutical companies?
Yes. Dr. Torian received a total of $1,853 from 14 companies across 26 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. Torian's costs compare to other interventional pain medicine physicians in Rancho Mirage?
Dr. Torian's average Medicare payment per service is $34. 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. Torian) 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.
Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology