Medicare Enrolled
Dr. Amit Alexander-Nathani, MD
Orthopedic Surgery · Santa Barbara, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Mixed 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. Alexander-Nathani 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. Alexander-Nathani
Dr. Amit Alexander-Nathani is an orthopedic surgery specialist in Santa Barbara, CA, with 13 years of NPI registration. Based on federal Medicare data, Dr. Alexander-Nathani performed 6,899 Medicare services across 1,209 unique beneficiaries.
Between the years covered by Open Payments, Dr. Alexander-Nathani received a total of $478,844 from 33 pharmaceutical and/or device companies across 254 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. Payments are distributed across multiple categories and often reflect legitimate professional engagement with the medical industry. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Alexander-Nathani 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.
✓ 13 years in practice
▲ Top 6% volume in CA
$478,844 industry payments
Medicare Practice Summary
Medicare Utilization ↗6,899
Medicare services
Top 6% in CA for orthopedic surgery
1,209
Unique beneficiaries
$36
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~531 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 |
|---|---|---|---|
| Joint lubricant injection (TriVisc) An injection of hyaluronan or a derivative into a joint space. The dose specified is 1 milligram. |
3,653 | $7 | $25 |
| Hyaluronan intra-articular injection, 1 mg An injection of hyaluronan or its derivative into a joint space. This procedure delivers 1 mg of the substance directly into the affected joint. |
1,142 | $8 | $52 |
| 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. |
933 | $103 | $450 |
| Ultrasound-guided large joint aspiration or injection This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint. |
290 | $92 | $400 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
187 | $9 | $35 |
| 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. |
140 | $124 | $700 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
134 | $31 | $150 |
| 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. |
109 | $77 | $300 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
76 | $52 | $250 |
| Knee X-ray, 3 views An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures. |
46 | $34 | $146 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
39 | $0 | $30 |
| Knee X-ray, 1-2 views An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures. |
25 | $26 | $138 |
| Arthroscopic shoulder debridement A minimally invasive procedure to remove damaged or excess tissue from the shoulder joint using a small camera and instruments inserted through tiny incisions. |
23 | $105 | $2,600 |
| Arthroscopic rotator cuff repair A minimally invasive surgery to repair torn shoulder tendons using a small camera and instruments inserted through tiny incisions. |
23 | $884 | $4,450 |
| Arthroscopic shoulder surgery for bone shaving and ligament repair A minimally invasive procedure using a small camera to shave part of the shoulder bone and repair a ligament. |
22 | $142 | $1,600 |
| Partial collarbone removal via endoscope This procedure involves the surgical removal of a portion of the collarbone (clavicle) using an endoscope, a small camera inserted through a tiny incision to guide the surgeon. |
18 | $201 | $2,800 |
| Knee arthroscopy for removal of loose body or cartilage shaving A surgical knee arthroscopy procedure to remove loose bodies or foreign objects, or to shave damaged articular cartilage. This is performed in a different compartment of the knee during another surgical knee arthroscopy. |
14 | $70 | $350 |
| Total shoulder joint prosthetic repair Surgical replacement of the shoulder joint with a prosthetic device. This procedure involves removing damaged joint components and inserting artificial parts to restore function. |
13 | $1,207 | $6,050 |
| Anchoring of biceps tendon | 12 | $322 | $3,100 |
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.
0.3% high complexity
78.1% medium
21.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$478,844
Total received (2018-2024)
Avg $68,406/year across 7 years
Top 4% in CA for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
33
Companies
254
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.
Other
Charitable contributions, space rental, and other categories
$268,343 (56.0%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$142,394 (29.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$58,556 (12.2%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$9,550 (2.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$67,117
2023
$269,192
2022
$76,295
2021
$45,305
2020
$7,509
2019
$1,899
2018
$11,526
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Zimmer Biomet Holdings, Inc.
$46,725
Shoulder Innovations, Inc.
$11,407
Medical Device Business Services, Inc.
$4,727
Arthrex, Inc.
$1,888
Cornerstone Medical Associates, Inc.
$1,844
Stryker Corporation
$236
DePuy Synthes Sales Inc.
$147
ILLUMINOSS MEDICAL, INC.
$102
Circinus Medical Technology LLC
$40
Top 3 companies account for 93.7% of 2024 payments
All-time payments by company (2018-2024) ›
Zimmer Biomet Holdings, Inc.
$315,446
Embody, Inc.
$75,061
Maruho Medical, Inc.
$49,310
Shoulder Innovations, Inc.
$13,132
Smith & Nephew, Inc.
$10,632
Medical Device Business Services, Inc.
$5,847
Cornerstone Medical Associates, Inc.
$2,014
Arthrex, Inc.
$1,993
Micromed Inc
$1,200
DePuy Synthes Sales Inc.
$1,039
Stryker Corporation
$1,024
Smith+Nephew, Inc.
$619
CPM Medical Consultants, LLC
$228
Globus Medical, Inc.
$168
Exactech, Inc.
$150
Acumed LLC
$141
EXACTECH, INC.
$120
Vericel Corporation
$116
NuVasive Specialized Orthopedics, Inc.
$116
IlluminOss Medical, Inc.
$105
ILLUMINOSS MEDICAL, INC.
$102
Bioventus LLC
$65
Circinus Medical Technology LLC
$40
Nevro Corp.
$25
ABBVIE INC.
$23
Pacira Pharmaceuticals Incorporated
$22
Medtronic USA, Inc.
$22
Nalu Medical, Inc.
$16
Merck Sharp & Dohme Corporation
$15
BioDelivery Sciences International, Inc.
$15
ENCORE MEDICAL, LP
$13
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$12
Orthogenrx Inc.
$11
Top 3 companies account for 91.8% of all-time payments
Associated products mentioned in payments ›
1788 · AEQUALIS PERFORM · AQUAMANTYS · AUGMENT INJECTABLE · AXSOS · Accessories · Acu-Loc/Acu-Loc 2 Wrist Plating System · Alliance · Arthrex · BELBUCA · BMET Disposable Hip Instruments · BRIDION · Bolt Navigation · Clancy Anatomic Cruciate Guide · Comprehensive Primary Stem · DJO Surgical Empowr Knee System · DVR Crosslock Plates/Screws/Pegs · DYNACORD · EQUINOXE · EXPAREL · Elite Hip Instruments · Equinoxe · Exogen · Expressbraid · Firstpass · GAMMA · GELSYN-3 · GenVisc 850 · HEALICOIL REGENESORB · ICONIX · INHANCE · INSPACE · ITTO CSP · IVS - MULTIGEN 2RF · InSet System · Juggerknotless Soft Anchor · L360 Thigh System · MACI · MAKO · MILAGRO · MULTIGEN 2 · NA · Nalu Neurostimulation System · OMNISPAN · ORTHOVISC · Omnia · Other · PRECICE Intramedullary Limb Lengthening System · PROFYLE · Persona · Photodynamic Bone Stabilization Procedure Pack · Quattro · REGENETEN · REGENETEN Shoulder · RIGIDLOOP · Regeneten · SPIDER/2 · Samples Biologics · T-MAX · T2 ALPHA · TAPESTRY · TFN-Advance · TMAX · TRUESPAN · TWISTR · Tapestry · Tricera Handpiece · UBRELVY · VA-LCP · VARIAX
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 →
Payments are distributed across multiple categories with no single dominant type. Total industry engagement is in the top 4% for orthopedic surgery in CA.
Geographic Context
Orthopedic surgeons within 10 mi
36
Per 100K population
8.1
County median income
$95,977
Nearest hospital
SANTA BARBARA COUNTY PSYCHIATRIC HEALTH FACILITY
3.7 mi
3.7 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. Alexander-Nathani is a clinical cardiology specialist, with above-average Medicare volume (top 6% in CA), with mixed engagement industry engagement in the top 4% of CA peers.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Alexander-Nathani experienced with joint lubricant injection (trivisc)?
Based on Medicare claims data, Dr. Alexander-Nathani performed 3,653 joint lubricant injection (trivisc) 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. Alexander-Nathani receive payments from pharmaceutical companies?
Yes. Dr. Alexander-Nathani received a total of $478,844 from 33 companies across 254 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. Alexander-Nathani's costs compare to other orthopedic surgeons in Santa Barbara?
Dr. Alexander-Nathani's average Medicare payment per service is $36. 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. Alexander-Nathani) 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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