Medicare Enrolled
Dr. Vijay Kumar, MD,FCCP
Optician · Simi Valley, 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. Kumar 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. Kumar
Dr. Vijay Kumar is an optician specialist in Simi Valley, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Kumar performed 7,843 Medicare services across 2,701 unique beneficiaries.
Between the years covered by Open Payments, Dr. Kumar received a total of $2,830 from 31 pharmaceutical and/or device companies across 135 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optician. 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. Kumar 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 11% volume in CA
$2,830 industry payments
Medicare Practice Summary
Medicare Utilization ↗7,843
Medicare services
Top 11% in CA for optician
2,701
Unique beneficiaries
$100
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~413 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, 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. |
2,686 | $101 | $158 |
| 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. |
981 | $98 | $180 |
| 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. |
977 | $67 | $125 |
| 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. |
825 | $89 | $125 |
| 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. |
665 | $74 | $110 |
| 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. |
609 | $147 | $390 |
| 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. |
265 | $174 | $436 |
| Nursing facility visit, high complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves a high level of medical decision making and takes at least 45 minutes. |
252 | $131 | $165 |
| 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. |
220 | $155 | $215 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
89 | $32 | $37 |
| Quadrivalent influenza vaccine, preservative-free A flu shot containing four strains of the influenza virus, formulated without preservatives, administered in a 0.5 ml dose. |
88 | $22 | $75 |
| Bronchial irrigation and suction for cell collection This procedure uses an endoscope to flush and suction the lung airways in order to collect cells for testing. |
43 | $111 | $1,100 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
37 | $232 | $351 |
| New patient office visit, complex (60-74 min) | 34 | $169 | $375 |
| Home health agency supervision, complex multidisciplinary care Supervision by a physician or allowed practitioner for a patient receiving Medicare-covered services from a participating home health agency. This involves complex and multidisciplinary care modalities, with the patient not present during the supervision. |
31 | $78 | $125 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
14 | $172 | $255 |
| 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 | $46 | $200 |
| Spirometry test before and after medication A test that measures the amount of air you can exhale and the speed of your breathing before and after taking a medication. |
13 | $9 | $40 |
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 ↗$2,830
Total received (2018-2024)
Avg $404/year across 7 years
Top 32% in CA for optician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
31
Companies
135
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
$2,701 (95.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$129 (4.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$583
2023
$497
2022
$407
2021
$37
2020
$90
2019
$585
2018
$631
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Mylan Specialty L.P.
$218
Abbott Laboratories
$180
VERTEX PHARMACEUTICALS INCORPORATED
$35
Insmed, Inc.
$30
Philips North America LLC
$28
AstraZeneca Pharmaceuticals LP
$28
Grifols USA, LLC
$26
Lundbeck LLC
$20
Paratek Pharmaceuticals, Inc.
$18
Top 3 companies account for 74.2% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$480
Mylan Specialty L.P.
$463
GlaxoSmithKline, LLC.
$309
Novo Nordisk Inc
$208
Abbott Laboratories
$197
Grifols USA, LLC
$194
Boehringer Ingelheim Pharmaceuticals, Inc.
$141
Philips Electronics North America Corporation
$122
SANOFI-AVENTIS U.S. LLC
$96
Vertiflex, Inc.
$65
PFIZER INC.
$60
E.R. Squibb & Sons, L.L.C.
$47
Insmed, Inc.
$47
Lundbeck LLC
$44
VERTEX PHARMACEUTICALS INCORPORATED
$35
Bayer HealthCare Pharmaceuticals Inc.
$30
Otsuka America Pharmaceutical, Inc.
$30
Janssen Pharmaceuticals, Inc
$29
Philips North America LLC
$28
Alnylam Pharmaceuticals Inc.
$26
Pulmonx Corporation
$23
Novartis Pharmaceuticals Corporation
$22
Inspire Medical Systems, Inc.
$21
Allergan, Inc.
$19
ABBVIE INC.
$18
Paratek Pharmaceuticals, Inc.
$18
Sumitomo Pharma America, Inc.
$14
Gilead Sciences, Inc.
$14
Genentech USA, Inc.
$13
UROVANT SCIENCES INC
$13
United Therapeutics Corporation
$2
Top 3 companies account for 44.3% of all-time payments
Associated products mentioned in payments ›
(7999) SRC Und · (7999) SRC Undivided · (8874) inCourage · AIRSUPRA · ANORO ELLIPTA · Adempas · Arikayce · BREO · BREZTRI · CHARTIS CATHETER · DALVANCE · DUPIXENT · Dymista · ELIQUIS · ENTRESTO · Esbriet · FARXIGA · FASENRA · FREESTYLE LIBRE 3 · GEMTESA · INSPIRE · LYRICA · NUZYRA · OFEV · ONPATTRO · ORENITRAM · Ozempic · PRESSUREWIRE · Perforomist · Prolastin-C · Prolastin-C Liquid · REXULTI · Rybelsus · STIOLTO RESPIMAT · SYMBICORT · Superion ISS · TRELEGY ELLIPTA · Tresiba · VRAYLAR · Veklury · XARELTO · YUPELRI · Yupelri
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 (95%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Opticians within 10 mi
641
Per 100K population
76.5
County median income
$107,327
Nearest hospital
ADVENTIST HEALTH SIMI VALLEY
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. Kumar is a clinical cardiology specialist, with above-average Medicare volume (top 11% in CA), 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. Kumar experienced with hospital follow-up visit, high complexity?
Based on Medicare claims data, Dr. Kumar performed 2,686 hospital follow-up visit, high 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. Kumar receive payments from pharmaceutical companies?
Yes. Dr. Kumar received a total of $2,830 from 31 companies across 135 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. Kumar's costs compare to other opticians in Simi Valley?
Dr. Kumar's average Medicare payment per service is $100. 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. Kumar) 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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