Medicare Enrolled
Dr. Issa Alesh, M.D.
Cardiovascular Disease · San Bernardino, 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. Alesh 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 →
Are you Dr. Alesh?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Alesh
Dr. Issa Alesh is a cardiovascular disease specialist in San Bernardino, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Alesh performed 1,762 Medicare services across 1,229 unique beneficiaries.
Between the years covered by Open Payments, Dr. Alesh received a total of $4,718 from 35 pharmaceutical and/or device companies across 257 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. Alesh 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
▲ 1,762 Medicare services
$4,718 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,762
Medicare services
Bottom 48% in CA for cardiovascular disease
1,229
Unique beneficiaries
$70
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~93 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 |
|---|---|---|---|
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
610 | $6 | $25 |
| 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. |
248 | $94 | $216 |
| 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. |
193 | $127 | $380 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
148 | $45 | $75 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
107 | $154 | $452 |
| 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. |
96 | $102 | $284 |
| 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. |
81 | $11 | $36 |
| Technetium Tc-99m sestamibi diagnostic injection A diagnostic injection of technetium Tc-99m sestamibi used for imaging studies. |
72 | $100 | $128 |
| 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. |
55 | $96 | $226 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
37 | $370 | $1,065 |
| New patient office visit, complex (60-74 min) | 31 | $169 | $432 |
| 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. |
24 | $64 | $151 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
21 | $26 | $80 |
| Ultrasound of arm and leg arteries A non-invasive imaging test that uses sound waves to examine the blood vessels in the arms and legs. It evaluates blood flow and checks for blockages or other vascular issues. |
15 | $89 | $297 |
| 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. |
13 | $115 | $344 |
| 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. |
11 | $93 | $225 |
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.
7.3% high complexity
15.4% medium
77.3% routine
Industry Payment Transparency
Open Payments through 2024 ↗$4,718
Total received (2018-2024)
Avg $674/year across 7 years
Top 42% in CA for cardiovascular disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
35
Companies
257
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
$4,595 (97.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$123 (2.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,288
2023
$880
2022
$853
2021
$316
2020
$36
2019
$484
2018
$861
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
SCPHARMACEUTICALS INC.
$210
Lexicon Pharmaceuticals, Inc.
$198
Merck Sharp & Dohme LLC
$191
Novartis Pharmaceuticals Corporation
$136
Amgen Inc.
$118
Janssen Pharmaceuticals, Inc
$93
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$58
AstraZeneca Pharmaceuticals LP
$52
Kiniksa Pharmaceuticals International, plc
$51
Boehringer Ingelheim Pharmaceuticals, Inc.
$47
CVRx, Inc.
$37
E.R. Squibb & Sons, L.L.C.
$26
Novo Nordisk Inc
$22
Boston Scientific Corporation
$20
Philips North America LLC
$16
VivaQuant Inc, dba Rhythm Express
$12
Top 3 companies account for 46.5% of 2024 payments
All-time payments by company (2018-2024) ›
Novartis Pharmaceuticals Corporation
$776
Amgen Inc.
$574
Merck Sharp & Dohme LLC
$477
AstraZeneca Pharmaceuticals LP
$378
Janssen Pharmaceuticals, Inc
$269
SCPHARMACEUTICALS INC.
$245
Lexicon Pharmaceuticals, Inc.
$235
Boehringer Ingelheim Pharmaceuticals, Inc.
$195
E.R. Squibb & Sons, L.L.C.
$195
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$170
Edwards Lifesciences Corporation
$160
SANOFI-AVENTIS U.S. LLC
$137
ABIOMED
$134
CVRx, Inc.
$80
PFIZER INC.
$76
Kiniksa Pharmaceuticals, Ltd.
$75
Boston Scientific Corporation
$57
Kiniksa Pharmaceuticals International, plc
$51
Bayer HealthCare Pharmaceuticals Inc.
$46
ATRICURE, INC.
$44
Abbott Laboratories
$43
HeartFlow, Inc.
$39
Philips Electronics North America Corporation
$36
Bayer Healthcare Pharmaceuticals Inc.
$28
Braemar Manufacturing, LLC
$25
PORTOLA PHARMACEUTICALS, INC.
$24
Novo Nordisk Inc
$22
BOSTON SCIENTIFIC CORPORATION
$18
iRhythm Technologies, Inc.
$18
Amarin Pharma Inc.
$17
Medtronic, Inc.
$16
Philips North America LLC
$16
ARALEZ PHARMACEUTICALS US INC.
$15
Otsuka America Pharmaceutical, Inc.
$13
VivaQuant Inc, dba Rhythm Express
$12
Top 3 companies account for 38.7% of all-time payments
Associated products mentioned in payments ›
(5044) MCOT · (5091) Amb Mon & Diag Und · ATRICLIP LAA EXCLUSION SYSTEM · Arcalyst · BEVYXXA · BRILINTA · Barostim Neo System · CAMZYOS · CHANTIX · Cardiac Monitoring Suite · Corlanor · ELIQUIS · ENTRESTO · Edwards SAPIEN 3 Transcatheter Heart Valve · FARXIGA · FUROSCIX · INNOVA · Impella · Inpefa · JARDIANCE · Kerendia · LEQVIO · LINQ II · LOKELMA · LifeVest · MITRACLIP · MULTAQ · MitraClip System · Ozempic · PRADAXA · PRALUENT · Repatha · Rhythm Express · SAMSCA · VERQUVO · VYNDAMAX · Vascepa · Verquvo · WAINUA · WATCHMAN · WATCHMAN Access System · XARELTO · ZIO XT Patch · ZONTIVITY
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 (97%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Cardiologists within 10 mi
100
Per 100K population
4.6
County median income
$82,184
Nearest hospital
ST BERNARDINE 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. Alesh 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. Alesh experienced with ekg interpretation and report?
Based on Medicare claims data, Dr. Alesh performed 610 ekg interpretation and report 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. Alesh receive payments from pharmaceutical companies?
Yes. Dr. Alesh received a total of $4,718 from 35 companies across 257 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. Alesh's costs compare to other cardiologists in San Bernardino?
Dr. Alesh's average Medicare payment per service is $70. 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. Alesh) 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 →
Explore related providers
Same specialty & city
Cardiologists in San Bernardino
Browse cardiologists in San Bernardino ranked by procedure volume and transparency data.
Highest volume
Top Cardiologists in CA
Cardiologists ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Cardiologists in CA
Which CA cardiologists receive the most from drug and device companies.
By company
Novartis Pharmaceuticals Corporation Payments to Doctors
See all physicians who received payments from Novartis Pharmaceuticals Corporation.
By company
Amgen Inc. Payments to Doctors
See all physicians who received payments from Amgen Inc.
By company
Merck Sharp & Dohme LLC Payments to Doctors
See all physicians who received payments from Merck Sharp & Dohme LLC.
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