Medicare Enrolled
Dr. Ramin Ashtiani, M.D.
Optician · Victorville, 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. Ashtiani 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. Ashtiani
Dr. Ramin Ashtiani is an optician specialist in Victorville, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Ashtiani performed 11,674 Medicare services across 5,858 unique beneficiaries.
Between the years covered by Open Payments, Dr. Ashtiani received a total of $19,576 from 55 pharmaceutical and/or device companies across 695 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. Ashtiani 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 8% volume in CA
$19,576 industry payments
Medicare Practice Summary
Medicare Utilization ↗11,674
Medicare services
Top 8% in CA for optician
5,858
Unique beneficiaries
$66
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~614 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 |
|---|---|---|---|
| Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml | 3,101 | $1 | $2 |
| 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. |
1,661 | $69 | $150 |
| 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. |
657 | $98 | $220 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
616 | $40 | $112 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
482 | $154 | $500 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
405 | $152 | $450 |
| Pacemaker system evaluation Assessment of a pacemaker device, including single, dual, multiple lead, or leadless systems. |
371 | $45 | $105 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
353 | $160 | $429 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
339 | $188 | $499 |
| Ultrasound of arm and leg arteries This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries. |
338 | $70 | $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. |
267 | $12 | $52 |
| Technetium Tc-99m sestamibi diagnostic injection A diagnostic injection of technetium Tc-99m sestamibi used for imaging studies. |
260 | $88 | $114 |
| Thallium-201 diagnostic injection A radioactive thallium-201 injection used for diagnostic imaging, with dosage measured in millicuries. |
248 | $65 | $660 |
| Intravenous drug injection A procedure involving the administration of a medication or substance directly into a vein. |
191 | $31 | $115 |
| Intravenous injection of additional new drug or substance Administration of an additional new medication or substance directly into a vein. |
188 | $13 | $50 |
| 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. |
183 | $44 | $100 |
| CT scan of chest, without contrast A computed tomography scan of the chest area that uses X-rays to create detailed images without the use of contrast dye. |
166 | $111 | $350 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review. |
166 | $58 | $200 |
| 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. |
159 | $363 | $1,050 |
| Implantable defibrillator system check A check of the implanted defibrillator device to ensure it is functioning correctly. This evaluation covers single, dual, or multiple lead systems. |
156 | $57 | $140 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
143 | $40 | $69 |
| CT scan of abdomen and pelvis, without contrast A computed tomography scan that creates detailed images of the abdominal and pelvic organs. The procedure is performed without the use of intravenous contrast dye. |
118 | $145 | $450 |
| 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. |
116 | $95 | $200 |
| Remote vital sign monitoring management, each additional 20 minutes This code covers the time spent by a provider managing patient data from remote vital sign monitoring devices. It applies to each additional 20-minute increment beyond the initial monthly service period. |
115 | $32 | $59 |
| 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. |
99 | $41 | $80 |
| 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. |
90 | $167 | $346 |
| Continuous external EKG monitoring, 8-15 days This procedure involves recording heart rhythm continuously using an external EKG device over a period of 8 to 15 days. |
68 | $10 | $60 |
| External EKG monitoring, 8-15 days Continuous external electrocardiogram recording and review over a period of 8 to 15 days to monitor heart rhythm. |
68 | $20 | $60 |
| 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. |
61 | $10 | $55 |
| CT scan of head/brain, without contrast A CT scan uses X-rays to create detailed images of the head or brain without the use of contrast dye. |
54 | $89 | $250 |
| 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. |
54 | $138 | $380 |
| CT scan of lower spine, without contrast A computed tomography scan that creates detailed images of the lower spine using X-rays without the use of contrast dye. |
45 | $108 | $350 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
40 | $77 | $220 |
| 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. |
37 | $172 | $575 |
| Contrast injection for X-ray imaging Administration of a contrast agent into a vein in the arm or leg to enhance visibility during an X-ray imaging procedure. |
31 | $19 | $199 |
| Pacemaker or defibrillator programming Adjustment and testing of an implanted heart rhythm device to ensure it functions correctly. |
29 | $179 | $650 |
| Continuous external EKG monitoring, 48 hours to 7 days This procedure involves recording the heart's electrical activity continuously using an external device for a period exceeding 48 hours but not more than 7 days. |
28 | $10 | $30 |
| Continuous EKG monitoring review, 48-7 days Review and interpretation of continuous external EKG recordings lasting more than 48 hours up to 7 days. |
28 | $18 | $50 |
| Transesophageal echocardiogram for congenital heart defect An ultrasound exam using a probe in the esophagus to evaluate the heart for congenital defects, including a written report. |
26 | $96 | $300 |
| Pacemaker/ICD evaluation at implant or replacement Assessment of a single or dual chamber pacing cardioverter-defibrillator and generator during the initial implantation or replacement procedure. |
24 | $143 | $680 |
| 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. |
19 | $7 | $20 |
| CT scan of upper spine, without contrast A CT scan uses X-rays to create detailed images of the upper spine. This procedure is performed without the use of contrast dye. |
18 | $106 | $370 |
| 2-day continuous ECG with review and report A two-day continuous electrocardiogram recording that includes a professional review and written report of the results. |
18 | $54 | $164 |
| CT scan of chest blood vessels with contrast A CT scan that uses contrast dye to create detailed images of the blood vessels in the chest. |
14 | $198 | $675 |
| Pacemaker insertion with heart chamber electrodes A surgical procedure to implant a pacemaker device and place electrodes into the upper and lower chambers of the heart to regulate heart rhythm. |
12 | $377 | $1,100 |
| 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. |
12 | $87 | $300 |
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.
9.2% high complexity
32.0% medium
58.8% routine
Industry Payment Transparency
Open Payments through 2024 ↗$19,576
Total received (2018-2024)
Avg $2,797/year across 7 years
Top 9% in CA for optician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
55
Companies
695
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
$12,072 (61.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$7,466 (38.1%)
Other
Charitable contributions, space rental, and other categories
$38 (0.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,829
2023
$1,771
2022
$2,097
2021
$8,829
2020
$1,397
2019
$1,434
2018
$2,219
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Merck Sharp & Dohme LLC
$229
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$159
Amgen Inc.
$151
Kestra Medical Technology Services, Inc.
$137
Abbott Laboratories
$123
SCPHARMACEUTICALS INC.
$123
Boehringer Ingelheim Pharmaceuticals, Inc.
$109
E.R. Squibb & Sons, L.L.C.
$90
PFIZER INC.
$63
Janssen Pharmaceuticals, Inc
$60
Novo Nordisk Inc
$57
Lexicon Pharmaceuticals, Inc.
$55
Actelion Pharmaceuticals US, Inc.
$54
Esperion Therapeutics, Inc.
$49
AstraZeneca Pharmaceuticals LP
$48
Novartis Pharmaceuticals Corporation
$45
United Therapeutics Corporation
$44
Recor Medical Inc
$44
GlaxoSmithKline, LLC.
$37
Boston Scientific Corporation
$30
Medtronic, Inc.
$27
SANOFI-AVENTIS U.S. LLC
$26
Mylan Specialty L.P.
$21
Exact Sciences Corporation
$17
Philips North America LLC
$17
Kiniksa Pharmaceuticals International, plc
$16
Top 3 companies account for 29.4% of 2024 payments
All-time payments by company (2018-2024) ›
Esperion Therapeutics, Inc.
$7,598
Amgen Inc.
$1,120
Janssen Pharmaceuticals, Inc
$1,045
Boehringer Ingelheim Pharmaceuticals, Inc.
$1,017
AstraZeneca Pharmaceuticals LP
$636
Merck Sharp & Dohme LLC
$634
Novartis Pharmaceuticals Corporation
$617
Actelion Pharmaceuticals US, Inc.
$574
Kestra Medical Technology Services, Inc.
$552
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$549
Amarin Pharma Inc.
$429
Gilead Sciences, Inc.
$424
Regeneron Healthcare Solutions, Inc.
$382
E.R. Squibb & Sons, L.L.C.
$357
SANOFI-AVENTIS U.S. LLC
$288
PFIZER INC.
$259
Abbott Laboratories
$251
NOVARTIS PHARMACEUTICALS CORPORATION
$219
SCPHARMACEUTICALS INC.
$218
United Therapeutics Corporation
$214
Boston Scientific Corporation
$198
ARALEZ PHARMACEUTICALS US INC.
$138
Novo Nordisk Inc
$138
Lexicon Pharmaceuticals, Inc.
$134
Bayer HealthCare Pharmaceuticals Inc.
$132
Medtronic, Inc.
$124
GlaxoSmithKline, LLC.
$110
Merck Sharp & Dohme Corporation
$100
Lilly USA, LLC
$90
Exact Sciences Corporation
$87
Takeda Pharmaceuticals U.S.A., Inc.
$78
Philips Electronics North America Corporation
$68
Allergan Inc.
$61
Mylan Specialty L.P.
$61
Lundbeck LLC
$61
Medtronic Vascular, Inc.
$56
Bayer Healthcare Pharmaceuticals Inc.
$56
BIOTRONIK INC.
$51
Kiniksa Pharmaceuticals, Ltd.
$46
Recor Medical Inc
$44
Bardy Diagnostics, Inc.
$40
Baxter Healthcare
$38
BOSTON SCIENTIFIC CORPORATION
$38
Braemar Manufacturing, LLC
$35
Preventice Services, LLC
$27
Edwards Lifesciences Corporation
$27
Kowa Pharmaceuticals America, Inc.
$24
Biosense Webster, Inc.
$24
EMD Serono, Inc.
$21
Philips North America LLC
$17
Kiniksa Pharmaceuticals International, plc
$16
IDORSIA PHARMACEUTICALS US INC
$15
Purdue Pharma L.P.
$14
Alnylam Pharmaceuticals Inc.
$13
Eisai Inc.
$11
Top 3 companies account for 49.9% of all-time payments
Associated products mentioned in payments ›
(5044) MCOT · (7999) SRC Undivided · (AM5) Lead management · ANORO ELLIPTA · ASSURITY · ATTAIN COMMAND + SUREVALVE · AVEIR · AZURE XT DR MRI SURESCAN · Adempas · Arcalyst · Assure WCD · Azure · BELSOMRA · BEVESPI AEROSPHERE · BG Mini Plus · BIOMONITOR · BREO · BREZTRI · BREZTRI AEROSPHERE · BRILINTA · BYDUREON · BYSTOLIC · CAMZYOS · CARTO 3 · CHANTIX · COREVALVE EVOLUT R · Cardiac Monitoring Suite · Carnation Ambulatory Monitor · Cologuard Collection Kit · Corlanor · DYNAGEN · Dymista · ELIQUIS · EMBLEM S-ICD ELECTRODE DELIVERY SYSTEM · ENTRESTO · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · FARXIGA · FUROSCIX · GALLANT · GENERAL VASCULAR INTERVENTION · INVOKANA · Inpefa · JANUVIA · JARDIANCE · Kerendia · LATITUDE Communicator Power Supply · LEQVIO · LOKELMA · LifeVest · Livalo · MICRA · MOUNJARO · MOVANTIK · MULTAQ · Merlin Connectivity and Remote · Micra · Mitra Clip system · NEXLETOL · NEXLIZET · NORTHERA · ONPATTRO · OPSUMIT · OPSUMIT MACITENTAN · ORENITRAM · Ozempic · PARADISE RENAL DENERVATION SYSTEM · PRADAXA · PRALUENT · PRALUENT ALIROCUMAB INJECTION · PREMARIN · QUVIVIQ · RESONATE · Repatha · Rybelsus · SYMPROIC · TRELEGY ELLIPTA · TRINTELLIX · TYVASO · Trintellix · UPTRAVI · VERQUVO · Vascepa · Verquvo · Victoza · WINREVAIR · XARELTO · YUPELRI · 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 (62%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 9% for optician in CA.
Geographic Context
Opticians within 10 mi
43
Per 100K population
2.0
County median income
$82,184
Nearest hospital
VICTOR VALLEY GLOBAL 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. Ashtiani is a clinical cardiology specialist, with above-average Medicare volume (top 8% in CA), with low-engagement industry engagement in the top 9% 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. Ashtiani experienced with low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml?
Based on Medicare claims data, Dr. Ashtiani performed 3,101 low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 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. Ashtiani receive payments from pharmaceutical companies?
Yes. Dr. Ashtiani received a total of $19,576 from 55 companies across 695 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. Ashtiani's costs compare to other opticians in Victorville?
Dr. Ashtiani's average Medicare payment per service is $66. 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. Ashtiani) 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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