Medicare Enrolled
Dr. Justin Cox, M.D.
Interventional Cardiology · San Diego, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Consulting-driven
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. Cox 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. Cox
Dr. Justin Cox is an interventional cardiology specialist in San Diego, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Cox performed 2,086 Medicare services across 1,635 unique beneficiaries.
Between the years covered by Open Payments, Dr. Cox received a total of $356,081 from 42 pharmaceutical and/or device companies across 538 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in interventional cardiology. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Cox 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
▲ 2,086 Medicare services
$356,081 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,086
Medicare services
Bottom 47% in CA for interventional cardiology
1,635
Unique beneficiaries
$79
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~110 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 |
|---|---|---|---|
| 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. |
324 | $65 | $153 |
| 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. |
250 | $101 | $170 |
| 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. |
243 | $12 | $75 |
| 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. |
121 | $10 | $72 |
| 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. |
109 | $99 | $194 |
| 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. |
105 | $101 | $280 |
| 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. |
78 | $142 | $366 |
| 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. |
57 | $69 | $115 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
56 | $3 | $9 |
| 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. |
56 | $149 | $225 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while an electrocardiogram is monitored under physician supervision. |
53 | $16 | $67 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results. |
53 | $11 | $42 |
| 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. |
52 | $173 | $521 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
50 | $165 | $700 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
49 | $47 | $106 |
| Cardiac catheterization | 48 | $185 | $857 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
41 | $21 | $72 |
| 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. |
36 | $6 | $23 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
36 | $43 | $80 |
| Ultrasound of heart blood vessel or graft An ultrasound exam to evaluate blood flow in a heart blood vessel or graft, including a radiologist's review of the initial vessel. |
32 | $76 | $288 |
| Heart muscle strain imaging | 28 | $33 | $117 |
| 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. |
26 | $121 | $250 |
| 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. |
24 | $427 | $1,677 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
21 | $85 | $315 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
20 | $14 | $53 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
20 | $41 | $88 |
| 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. |
17 | $66 | $257 |
| Ultrasound of blood vessel, initial vessel An ultrasound exam of a blood vessel that includes a radiologist's review of the initial vessel. |
16 | $70 | $1,123 |
| Remote physiologic monitoring setup and education Initial setup of remote monitoring equipment and patient education on its use. |
16 | $18 | $33 |
| Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist | 13 | $225 | $990 |
| Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist | 13 | $239 | $1,279 |
| 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. |
12 | $578 | $3,500 |
| New patient office visit, complex (60-74 min) | 11 | $158 | $325 |
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.
9.7% high complexity
14.4% medium
75.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$356,081
Total received (2018-2024)
Avg $50,869/year across 7 years
Top 3% in CA for interventional cardiology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
42
Companies
538
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.
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$206,399 (58.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$137,076 (38.5%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$12,606 (3.5%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$22,955
2023
$7,897
2022
$38,808
2021
$97,376
2020
$48,254
2019
$71,294
2018
$69,497
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Edwards Lifesciences Corporation
$20,379
Abbott Laboratories
$1,129
ShockWave Medical, Inc
$429
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$197
Penumbra, Inc.
$156
Terumo Medical Corporation
$142
ABIOMED
$125
Daiichi Sankyo Inc.
$109
Kiniksa Pharmaceuticals International, plc
$71
Lexicon Pharmaceuticals, Inc.
$43
Actelion Pharmaceuticals US, Inc.
$31
SCPHARMACEUTICALS INC.
$27
Imperative Care, Inc
$27
Alnylam Pharmaceuticals Inc.
$21
Reflow Medical Inc
$20
Chiesi USA, Inc.
$16
Merck Sharp & Dohme LLC
$16
Kestra Medical Technology Services, Inc.
$16
Top 3 companies account for 95.6% of 2024 payments
All-time payments by company (2018-2024) ›
Edwards Lifesciences Corporation
$343,475
Abbott Laboratories
$2,158
Siemens Medical Solutions USA, Inc.
$1,975
Medical Device Business Services, Inc.
$1,177
ABIOMED
$983
Corindus Inc.
$976
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$714
Inari Medical, Inc.
$685
ShockWave Medical, Inc
$651
Medtronic Vascular, Inc.
$462
Medtronic, Inc.
$407
ACIST MEDICAL SYSTEMS, INC.
$216
BOSTON SCIENTIFIC CORPORATION
$202
Philips Electronics North America Corporation
$191
Terumo Medical Corporation
$183
Penumbra, Inc.
$156
Biosense Webster, Inc.
$144
Daiichi Sankyo Inc.
$139
EKOS Corporation
$138
Cardiovascular Systems Inc.
$135
Boston Scientific Corporation
$114
Shockwave Medical, Inc
$84
Actelion Pharmaceuticals US, Inc.
$84
Kiniksa Pharmaceuticals International, plc
$71
CVRx, Inc.
$58
Boehringer Ingelheim Pharmaceuticals, Inc.
$54
AstraZeneca Pharmaceuticals LP
$51
SCPHARMACEUTICALS INC.
$45
Lexicon Pharmaceuticals, Inc.
$43
Alnylam Pharmaceuticals Inc.
$38
Kiniksa Pharmaceuticals, Ltd.
$36
Merck Sharp & Dohme LLC
$32
Janssen Pharmaceuticals, Inc
$30
AngioDynamics, Inc.
$29
Imperative Care, Inc
$27
Reflow Medical Inc
$20
Novartis Pharmaceuticals Corporation
$19
Chiesi USA, Inc.
$16
CathWorks, Inc.
$16
Kestra Medical Technology Services, Inc.
$16
Novo Nordisk Inc
$16
E.R. Squibb & Sons, L.L.C.
$13
Top 3 companies account for 97.6% of all-time payments
Associated products mentioned in payments ›
ABRE · ACUSON SC2000 Diagnostic Ultrasound System · ALPHAVAC · AMPLATZER · AMPLATZER AMULET · AMPLATZER Occluders · AMVUTTRA · ANDEXXA · AVEIR · Arcalyst · Asahi Fielder coronary guide wire · Assure WCD · BRILINTA · Barostim Neo System · CARDIOMEMS · CARTO 3 · COREVALVE EVOLUT R · Carto 3 System · CorPath GRX · CoreValve Evolut · Coronary Orbital Atherectomy System · Diamondback Peripheral · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · EKOSONIC · ELIQUIS · ENTRESTO · EVOQUE · Edwards SAPIEN 3 Transcatheter Heart Valve · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · Edwards SAPIEN XT Transcatheter Heart Valve · FFRangio · FLOWTRIEVER CATHETER · FUROSCIX · GALLANT · GENERAL ATHERECTOMY · GLIDESHEATH SLENDER · HD-IVUS · IGT D Coronary · IGT_D Coronary · INJECTAFER · Impella · Indigo System · JARDIANCE · KENGREAL · LifeVest · METACROSS OTW · MITRACLIP · Masters Mechanical Heart Valve · Mitra Clip system · NAVICROSS · Ozempic · PASCAL · PRODIGY CATHETER · QUADRA ALLURE MP · Quadra Assura CRT Defibrillator · RESOLUTE ONYX · ROTABLATOR · RXI SYSTEMS · Resolute · S · SAPIEN 3 Ultra RESILIA · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · UPTRAVI · VERQUVO · VersaCross Access Solution · WATCHMAN Access System · WATCHMAN FLX · WINREVAIR · XARELTO · XIENCE SIERRA · XIENCE SKYPOINT · Xience Alpine cornary stent system · Xience Sierra Coronary Stent
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 →
The majority of payments (58%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 3% for interventional cardiology in CA.
Geographic Context
Interventional cardiologists within 10 mi
30
Per 100K population
0.9
County median income
$102,285
Nearest hospital
SHARP MEMORIAL 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. Cox is a clinical cardiology specialist, with moderate Medicare volume, with consulting-driven industry engagement in the top 3% 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. Cox experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Cox performed 324 hospital follow-up visit, moderate complexity 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. Cox receive payments from pharmaceutical companies?
Yes. Dr. Cox received a total of $356,081 from 42 companies across 538 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. Cox's costs compare to other interventional cardiologists in San Diego?
Dr. Cox's average Medicare payment per service is $79. 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. Cox) 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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