Medicare Enrolled
Dr. Natalie Sexenian, PHYSICIAN ASSISTANT
Medical Physician Assistant · Reseda, 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. Sexenian 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. Sexenian
Dr. Natalie Sexenian is a medical physician assistant in Reseda, CA, with 6 years of NPI registration. Based on federal Medicare data, Dr. Sexenian performed 3,642 Medicare services across 2,485 unique beneficiaries.
Between the years covered by Open Payments, Dr. Sexenian received a total of $11,580 from 38 pharmaceutical and/or device companies across 525 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in medical physician assistant. 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. Sexenian 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.
✓ 6 years in practice
▲ Top 5% volume in CA
$11,580 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,642
Medicare services
Top 5% in CA for medical physician assistant
2,485
Unique beneficiaries
$150
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~607 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 |
|---|---|---|---|
| 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. |
638 | $10 | $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. |
613 | $130 | $215 |
| 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. |
337 | $85 | $225 |
| Radiologist review of additional artery image A radiologist reviews an additional image of an artery. This step involves professional interpretation of the imaging data. |
334 | $74 | $385 |
| Additional blood vessel ultrasound evaluation An ultrasound exam of a blood vessel that includes a radiologist's review. This code applies to each additional vessel evaluated beyond the initial one. |
241 | $21 | $98 |
| Ultrasound of blood vessel, initial vessel An ultrasound exam of a blood vessel that includes a radiologist's review of the initial vessel. |
240 | $122 | $521 |
| 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. |
234 | $47 | $100 |
| 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. |
176 | $76 | $155 |
| Arterial plaque removal, initial vessel A procedure to remove plaque buildup from an artery in the leg. This is performed on the first vessel treated during the session. |
147 | $1,038 | $2,989 |
| Radiologist review of arm or leg artery image A radiologist reviews images of the arteries in the arm or leg. This process involves analyzing the visual data to assess the blood vessels. |
108 | $112 | $465 |
| Radiologist review of arm or leg artery images A radiologist reviews images of the arteries in one or both arms or legs to assess blood flow and vessel health. |
106 | $122 | $685 |
| Radiologist review of abdominal aorta image A radiologist reviews images of the abdominal aorta to evaluate the blood vessel. |
105 | $95 | $510 |
| Arterial plaque removal in leg A procedure to remove plaque buildup from the arteries in the leg to restore blood flow. |
92 | $738 | $2,415 |
| 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. |
79 | $121 | $450 |
| New patient office visit, complex (60-74 min) | 40 | $156 | $450 |
| Critical care, first 30-74 min Emergency medical care for a critically ill or injured patient lasting between 30 and 74 minutes. This service involves direct patient care and medical decision making to stabilize the patient. |
39 | $150 | $533 |
| Artery plaque removal and stent insertion in leg This procedure involves removing plaque buildup from leg arteries and placing stents to keep the blood vessels open. |
38 | $1,438 | $3,462 |
| Balloon angioplasty of leg artery, initial vessel A procedure to widen a narrowed or blocked artery in the leg using a balloon catheter. This is performed on the first vessel treated during the session. |
17 | $516 | $2,607 |
| Balloon dilation of leg artery A procedure to widen a narrowed or blocked artery in the leg using a balloon catheter to restore blood flow. |
16 | $289 | $2,500 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
16 | $60 | $145 |
| Radiologist review of arm or leg vein image A radiologist reviews an image of a vein in one arm or leg. |
13 | $77 | $300 |
| Evaluation of implantable heart and blood vessel monitoring system This procedure involves checking the function and data of an implanted device used to monitor heart and blood vessel activity. |
13 | $41 | $80 |
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.
1.5% high complexity
13.2% medium
85.3% routine
Industry Payment Transparency
Open Payments through 2024 ↗$11,580
Total received (2021-2024)
Avg $2,895/year across 4 years
Top 3% in CA for medical physician assistant
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
38
Companies
525
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
$11,442 (98.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$138 (1.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$3,401
2023
$3,760
2022
$2,783
2021
$1,636
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$894
Medtronic, Inc.
$560
Novartis Pharmaceuticals Corporation
$227
Bayer Healthcare Pharmaceuticals Inc.
$209
Boehringer Ingelheim Pharmaceuticals, Inc.
$182
Amgen Inc.
$171
Merck Sharp & Dohme LLC
$165
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$157
Kiniksa Pharmaceuticals International, plc
$149
PFIZER INC.
$107
CVRx, Inc.
$104
AstraZeneca Pharmaceuticals LP
$86
SCPHARMACEUTICALS INC.
$67
Lexicon Pharmaceuticals, Inc.
$51
SANOFI-AVENTIS U.S. LLC
$46
Novo Nordisk Inc
$46
Alnylam Pharmaceuticals Inc.
$44
Edwards Lifesciences Corporation
$42
Boston Scientific Corporation
$25
CORDIS US CORP.
$20
Janssen Pharmaceuticals, Inc
$19
HEARTFLOW, INC.
$16
E.R. Squibb & Sons, L.L.C.
$14
Top 3 companies account for 49.5% of 2024 payments
All-time payments by company (2021-2024) ›
Abbott Laboratories
$2,301
Novartis Pharmaceuticals Corporation
$1,128
Medtronic, Inc.
$1,021
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$739
Amgen Inc.
$714
Boehringer Ingelheim Pharmaceuticals, Inc.
$629
Bayer HealthCare Pharmaceuticals Inc.
$494
PFIZER INC.
$478
Bayer Healthcare Pharmaceuticals Inc.
$383
AstraZeneca Pharmaceuticals LP
$378
Edwards Lifesciences Corporation
$338
Merck Sharp & Dohme LLC
$308
SANOFI-AVENTIS U.S. LLC
$298
Novo Nordisk Inc
$260
Amarin Pharma Inc.
$232
Kiniksa Pharmaceuticals, Ltd.
$183
Janssen Pharmaceuticals, Inc
$177
Merck Sharp & Dohme Corporation
$171
Alnylam Pharmaceuticals Inc.
$153
Kiniksa Pharmaceuticals International, plc
$149
Lexicon Pharmaceuticals, Inc.
$136
SCPHARMACEUTICALS INC.
$114
HeartFlow, Inc.
$107
CVRx, Inc.
$104
Esperion Therapeutics, Inc.
$93
Impulse Dynamics (USA) Inc.
$86
E.R. Squibb & Sons, L.L.C.
$69
Actelion Pharmaceuticals US, Inc.
$64
Boston Scientific Corporation
$60
Bard Peripheral Vascular, Inc.
$43
ATRICURE, INC.
$28
Kowa Pharmaceuticals America, Inc.
$25
Avinger Inc.
$25
Philips Electronics North America Corporation
$21
CORDIS US CORP.
$20
Tactile Systems Technology Inc
$17
G Medical Diagnostic Services, Inc.
$16
HEARTFLOW, INC.
$16
Top 3 companies account for 38.4% of all-time payments
Associated products mentioned in payments ›
(5044) MCOT · ASSURITY · AVEIR · AZURE XT DR MRI SURESCAN · Adempas · Arcalyst · BRILINTA · Barostim Neo System · CAMZYOS · CARDIOMEMS · COBALT DR MRI SURESCAN · CONFIRM RX · Cardiac Monitoring Suite · Corlanor · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · ELIQUIS · ENSITE · ENTRESTO · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · FARXIGA · FFRct · FORTIFY ASSURA · FUROSCIX · Flexitouch Plus · GALLANT · Inpefa · JARDIANCE · JOT DX · Kerendia · LEQVIO · LINQ II · LIVALO · LifeVest · MERLIN@HOME · MICRA · MULTAQ · MYCARELINK · MYNX CONTROL · NEXLETOL · ONPATTRO · OPSUMIT · OPTIMIZER · Ozempic · PANTHERIS · REVEAL LINQ · Repatha · Rotarex · Rybelsus · SAPIEN 3 Ultra RESILIA · SENSOR ENABLED · SILVERHAWK · TACTICATH ABLATION CATHETER · TURBOHAWK · VERQUVO · VIEWMATE · VYNDAMAX · VYNDAQEL · Varithena Administration Pack · Vascepa · Verquvo · WORKMATE CLARIS · XARELTO
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. Total industry engagement is in the top 3% for medical physician assistant in CA.
Geographic Context
Medical physician assistants within 10 mi
565
Per 100K population
5.7
County median income
$87,760
Nearest hospital
JOYCE EISENBERG KEEFER 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. Sexenian is a clinical cardiology specialist, with above-average Medicare volume (top 5% in CA), with low-engagement industry engagement in the top 3% of CA peers.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Sexenian experienced with electrocardiogram (ekg), 12-lead?
Based on Medicare claims data, Dr. Sexenian performed 638 electrocardiogram (ekg), 12-lead 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. Sexenian receive payments from pharmaceutical companies?
Yes. Dr. Sexenian received a total of $11,580 from 38 companies across 525 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. Sexenian's costs compare to other medical physician assistants in Reseda?
Dr. Sexenian's average Medicare payment per service is $150. 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. Sexenian) 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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