Medicare Enrolled
Dr. Sacha Niemi, MD
Family Medicine · San Francisco, 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. Niemi 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. Niemi
Dr. Sacha Niemi is a family medicine specialist in San Francisco, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Niemi performed 2,199 Medicare services across 1,000 unique beneficiaries.
Between the years covered by Open Payments, Dr. Niemi received a total of $7,183 from 43 pharmaceutical and/or device companies across 394 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. 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. Niemi 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 9% volume in CA
$7,183 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,199
Medicare services
Top 9% in CA for family medicine
1,000
Unique beneficiaries
$74
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 |
|---|---|---|---|
| Nursing facility visit, low complexity A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care. |
1,204 | $67 | $175 |
| 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. |
177 | $83 | $297 |
| 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. |
154 | $59 | $225 |
| 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. |
107 | $135 | $459 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
84 | $139 | $281 |
| Annual depression screening | 74 | $21 | $43 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
63 | $27 | $133 |
| Initial nursing facility care, high complexity An initial visit by a healthcare provider to a patient in a nursing facility involving a high level of medical decision making, lasting at least 45 minutes. |
60 | $156 | $300 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
57 | $33 | $90 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
51 | $67 | $170 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
48 | $76 | $225 |
| Nursing facility visit, moderate complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes. |
23 | $97 | $200 |
| 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. |
18 | $11 | $40 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
16 | $33 | $71 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
14 | $39 | $118 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
13 | $282 | $623 |
| Nursing facility discharge management, more than 30 minutes This service involves care coordination and management activities performed by a healthcare professional to prepare a patient for discharge from a nursing facility. It requires more than 30 minutes of time spent on these activities. |
13 | $109 | $225 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
12 | $34 | $115 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
11 | $176 | $369 |
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 ↗$7,183
Total received (2018-2024)
Avg $1,026/year across 7 years
Top 6% in CA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
43
Companies
394
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
$6,999 (97.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$184 (2.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$386
2023
$1,183
2022
$1,311
2021
$1,340
2020
$1,025
2019
$869
2018
$1,070
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
PFIZER INC.
$86
Exact Sciences Corporation
$59
Lilly USA, LLC
$57
Otsuka America Pharmaceutical, Inc.
$49
Amgen Inc.
$44
Novo Nordisk Inc
$35
Mylan Specialty L.P.
$31
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$24
Top 3 companies account for 52.5% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$1,411
Amgen Inc.
$688
PFIZER INC.
$638
Lilly USA, LLC
$516
Astellas Pharma US Inc
$478
Boehringer Ingelheim Pharmaceuticals, Inc.
$347
AstraZeneca Pharmaceuticals LP
$318
Otsuka America Pharmaceutical, Inc.
$280
E.R. Squibb & Sons, L.L.C.
$254
Amarin Pharma Inc.
$238
Janssen Pharmaceuticals, Inc
$216
Mylan Specialty L.P.
$166
Eisai Inc.
$165
Sunovion Pharmaceuticals Inc.
$165
GlaxoSmithKline, LLC.
$138
Merck Sharp & Dohme Corporation
$122
Sumitomo Pharma America, Inc.
$101
Teva Pharmaceuticals USA, Inc.
$94
Janssen Biotech, Inc.
$86
Novartis Pharmaceuticals Corporation
$65
Exact Sciences Corporation
$59
Myriad Women's Health, Inc.
$57
Bausch Health US, LLC
$53
Electromed, Inc.
$49
Biohaven Pharmaceutical Holding Company Ltd.
$44
ABBVIE INC.
$42
Hologic, LLC
$39
Radius Health, Inc.
$35
Merck Sharp & Dohme LLC
$31
Bayer Healthcare Pharmaceuticals Inc.
$29
SANOFI-AVENTIS U.S. LLC
$24
Bayer HealthCare Pharmaceuticals Inc.
$24
Xeris Pharmaceuticals, Inc.
$24
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$24
SANOFI PASTEUR INC.
$23
Nestle HealthCare Nutrition Inc.
$21
Relypsa, Inc.
$20
Hikma Pharmaceuticals USA
$20
Phadia US Inc.
$19
Medtronic, Inc.
$18
BioDelivery Sciences International, Inc.
$16
Mallinckrodt Enterprises LLC
$15
West-Ward Pharmaceuticals
$12
Top 3 companies account for 38.1% of all-time payments
Associated products mentioned in payments ›
ADACEL · AJOVY · APLENZIN · AREXVY · Aptima HPV · BELBUCA · BELSOMRA · BEVESPI AEROSPHERE · BEXSERO · BREATHTEK · BREZTRI · BYDUREON · CAMZYOS · CHANTIX · COMIRNATY · Cologuard Collection Kit · Dayvigo · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · FARXIGA · GARDASIL 9 · GEMTESA · GLYXAMBI · ImmunoCAP · JANUVIA · JARDIANCE · KEVEYIS · Kerendia · LOKELMA · LYRICA · MINIMED 780G · MOUNJARO · MYFEMBREE · MYRBETRIQ · MYRISK · Mitigare · Myrbetriq · NEXPLANON · NUCALA · NURTEC ODT · OFIRMEV · Otezla · Ozempic · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · PREZCOBIX · Ponvory · Prolia · QULIPTA · QVAR · REXULTI · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SMARTVEST · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · Saxenda · Symtuza · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · ThinPrep · Tymlos · UBRELVY · VESICARE · Vascepa · Veltassa · Victoza · Wegovy · XARELTO · XIFAXAN · XTANDI · YUPELRI · Yupelri · ZENPEP
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. Total industry engagement is in the top 6% for family medicine in CA.
Geographic Context
Family medicine physicians within 10 mi
1,473
Per 100K population
176.1
County median income
$141,446
Nearest hospital
CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL
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. Niemi is a clinical cardiology specialist, with above-average Medicare volume (top 9% in CA), with low-engagement industry engagement in the top 6% 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. Niemi experienced with nursing facility visit, low complexity?
Based on Medicare claims data, Dr. Niemi performed 1,204 nursing facility visit, low 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. Niemi receive payments from pharmaceutical companies?
Yes. Dr. Niemi received a total of $7,183 from 43 companies across 394 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. Niemi's costs compare to other family medicine physicians in San Francisco?
Dr. Niemi's average Medicare payment per service is $74. 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. Niemi) 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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