Medicare Enrolled
Dr. Joseph Kozina, MD
Cardiovascular Disease · Sacramento, 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. Kozina 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. Kozina
Dr. Joseph Kozina is a cardiovascular disease specialist in Sacramento, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Kozina performed 2,195 Medicare services across 1,865 unique beneficiaries.
Between the years covered by Open Payments, Dr. Kozina received a total of $7,634 from 16 pharmaceutical and/or device companies across 165 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. 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. Kozina 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 46% volume in CA
$7,634 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,195
Medicare services
Top 46% in CA for cardiovascular disease
1,865
Unique beneficiaries
$106
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~116 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. |
536 | $93 | $451 |
| 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. |
271 | $11 | $102 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
165 | $156 | $1,504 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
116 | $10 | $275 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
101 | $21 | $118 |
| Follow-up ultrasound of heart blood flow, valves and chambers An ultrasound exam that follows up on the heart's blood flow, valves, and chambers. It uses sound waves to create images of the heart's structure and function. |
100 | $6 | $60 |
| 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. |
86 | $66 | $272 |
| 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. |
86 | $176 | $1,074 |
| 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. |
82 | $144 | $773 |
| 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. |
72 | $99 | $389 |
| 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. |
66 | $145 | $699 |
| 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. |
63 | $96 | $417 |
| Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist | 49 | $280 | $2,212 |
| Telephone medical discussion, 21-30 minutes A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone. |
48 | $93 | $150 |
| Cardiac catheterization | 46 | $172 | $1,768 |
| 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. |
33 | $129 | $598 |
| Transcatheter aortic valve replacement via femoral artery A minimally invasive procedure to replace a diseased aortic heart valve using a catheter inserted through the skin and femoral artery. |
32 | $593 | $4,249 |
| 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. |
32 | $108 | $530 |
| Stress echocardiogram with ECG monitoring An ultrasound of the heart performed while monitoring heart rhythm during rest, exercise, or medication-induced stress, followed by a review and report of the findings. |
30 | $175 | $993 |
| Coronary stent placement A procedure to insert a stent into a coronary artery or its branch to keep it open, using balloon dilation during the process. |
28 | $396 | $3,053 |
| External EKG monitoring, 8-15 days Continuous external electrocardiogram recording and review over a period of 8 to 15 days to monitor heart rhythm. |
25 | $21 | $172 |
| Initial hospital admission, low complexity Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter. |
25 | $69 | $386 |
| Continuous external EKG monitoring, 8-15 days This procedure involves recording heart rhythm continuously using an external EKG device over a period of 8 to 15 days. |
23 | $10 | $87 |
| 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. |
22 | $63 | $336 |
| New patient office visit, complex (60-74 min) | 21 | $174 | $749 |
| Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist | 15 | $220 | $1,992 |
| Mitral valve repair through skin, initial prosthesis A minimally invasive procedure to repair the mitral valve using a new prosthetic device inserted through the skin. |
11 | $888 | $5,997 |
| Stent placement and plaque removal in one vessel A procedure to clear plaque and blood clots from a single blood vessel, followed by the insertion of a stent and/or balloon dilation to keep the vessel open. |
11 | $518 | $3,421 |
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.
18.6% high complexity
6.0% medium
75.4% routine
Industry Payment Transparency
Open Payments through 2024 ↗$7,634
Total received (2018-2024)
Avg $1,091/year across 7 years
Top 32% in CA for cardiovascular disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
16
Companies
165
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
$7,634 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,480
2023
$1,065
2022
$861
2021
$2,030
2020
$219
2019
$1,345
2018
$633
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$1,161
Inari Medical, Inc.
$252
Medtronic, Inc.
$48
ShockWave Medical, Inc
$19
Top 3 companies account for 98.7% of 2024 payments
All-time payments by company (2018-2024) ›
Edwards Lifesciences Corporation
$1,755
Medtronic Vascular, Inc.
$1,652
Abbott Laboratories
$1,540
Inari Medical, Inc.
$1,151
Boston Scientific Corporation
$739
BOSTON SCIENTIFIC CORPORATION
$520
Bard Peripheral Vascular, Inc.
$72
Medtronic, Inc.
$66
ABIOMED
$27
BIOTRONIK INC.
$21
ShockWave Medical, Inc
$19
CORDIS US CORP.
$18
Cardiovascular Systems Inc.
$18
Cardinal Health 200, LLC
$13
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$12
Shockwave Medical, Inc
$12
Top 3 companies account for 64.8% of all-time payments
Associated products mentioned in payments ›
3F · AMPLATZER Occluders · AMPLATZER TALISMAN · AVVIGO Guidance System · COMET · COREVALVE EVOLUT R · CT THROMBECTOMY SYSTEM KIT · Comet · CoreValve Evolut · Coronary Orbital Atherectomy System · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · FLOWTRIEVER CATHETER · FilterWire EZ · GENERAL STRUCTURAL HEART · GENERAL - STRUCTURAL HEART · General - Stents · Impella · LOTUS EDGE · LUTONIX · LifeVest · MAMBA · MITRACLIP · MYNX CONTROL · Mitra Clip system · OPTICROSS · OptiCross · Orsiro Mission · PASCAL · POLARIS · Portico Transcatheter Aortic HV · ROTABLATOR · ROTAPRO · Resolute · S · SYNERGY · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · Tryton Side Branch Stent · Vascular Lithotripsy · Wolverine Coronary Cutting Balloon
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
Cardiologists within 10 mi
153
Per 100K population
9.7
County median income
$88,724
Nearest hospital
MERCY GENERAL HOSPITAL
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. Kozina is a clinical cardiology specialist, with moderate Medicare volume, 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. Kozina experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Kozina performed 536 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. Kozina receive payments from pharmaceutical companies?
Yes. Dr. Kozina received a total of $7,634 from 16 companies across 165 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. Kozina's costs compare to other cardiologists in Sacramento?
Dr. Kozina's average Medicare payment per service is $106. 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. Kozina) 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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