Medicare Enrolled
Dr. Nikhil Joshi, M.D.
Cardiovascular Disease · Syracuse, NY
Practice pattern: Electrophysiology & Device
— Practice focused on heart rhythm disorders and cardiac device management
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. Joshi 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. Joshi
Dr. Nikhil Joshi is a cardiovascular disease specialist in Syracuse, NY, with 18 years of NPI registration. Based on federal Medicare data, Dr. Joshi performed 1,078 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Joshi received a total of $22,841 from 16 pharmaceutical and/or device companies across 133 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Joshi 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.
✓ 18 years of NPI registration
▲ 1,078 Medicare services
$22,841 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗1,078
Medicare services
Bottom 31% in NY for cardiovascular disease
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
Not available
Unique patients (not deduplicated)
$95
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 |
|---|---|---|---|
| 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. |
226 | $10 | $40 |
| 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. |
181 | $89 | $209 |
| 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. |
161 | $6 | $17 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
134 | $71 | $368 |
| 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. |
50 | $59 | $142 |
| 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. |
48 | $62 | $142 |
| Atrial fibrillation ablation with pulmonary vein isolation A procedure to treat atrial fibrillation by mapping the heart's electrical activity and destroying tissue causing irregular contractions. This is done by isolating the pulmonary veins using catheter-based destruction. |
40 | $725 | $2,172 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
33 | $54 | $162 |
| 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. |
28 | $123 | $319 |
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
22 | $14 | $51 |
| 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. |
22 | $96 | $266 |
| 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. |
20 | $397 | $1,008 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
18 | $20 | $51 |
| Remote pacemaker monitoring, 90 days Remote assessment of a pacemaker system, including single, dual, multiple lead, or leadless devices, performed up to 90 days apart. |
16 | $18 | $60 |
| Catheter ablation for abnormal heart rhythm A procedure where catheters are inserted to destroy tissue causing irregular heartbeats. |
16 | $235 | $824 |
| New patient office visit, complex (60-74 min) | 16 | $172 | $401 |
| 2-day continuous ECG monitoring A continuous electrocardiogram recording that captures heart activity over a 48-hour period. This test helps detect irregular heart rhythms or other cardiac issues that may not appear during a standard, short-term ECG. |
13 | $14 | $51 |
| Permanent leadless pacemaker insertion A small, self-contained pacemaker is placed directly into the heart without using wires. The procedure is guided by imaging to ensure correct positioning. |
12 | $350 | $955 |
| Insertion of left lower heart electrode for pacemaker or defibrillator A procedure to place an electrode in the lower part of the left side of the heart. This electrode is used to connect a pacemaker or defibrillator to help regulate the heart's rhythm. |
11 | $354 | $909 |
| Insertion of implantable defibrillator system A surgical procedure to place an implantable cardioverter-defibrillator (ICD) device into the body. The device is connected to the heart to monitor heart rhythm and deliver shocks if dangerous arrhythmias occur. |
11 | $698 | $1,774 |
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. These counts do not measure clinical quality or years of experience.
29.2% high complexity
0.0% medium
70.8% routine
Industry Payment Transparency
Open Payments through 2024 ↗$22,841
Total received (2018-2024)
Avg $3,263/year across 7 years
Top 12% in NY for cardiovascular disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
16
Companies
133
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$13,727
2023
$2,148
2022
$4,776
2021
$258
2020
$618
2019
$751
2018
$563
Payments by company (2024)
Medical Device Business Services, Inc.
$7,650
Biosense Webster, Inc.
$4,277
Boston Scientific Corporation
$1,254
Medtronic, Inc.
$293
Abbott Laboratories
$119
Merck Sharp & Dohme LLC
$97
Philips North America LLC
$21
E.R. Squibb & Sons, L.L.C.
$16
Top 3 companies account for 96.0% of 2024 payments
All-time payments by company (2018-2024) ›
Medical Device Business Services, Inc.
$10,777
Biosense Webster, Inc.
$7,334
Medtronic, Inc.
$1,989
Boston Scientific Corporation
$1,266
Medtronic Vascular, Inc.
$579
Abbott Laboratories
$499
Merck Sharp & Dohme LLC
$97
Philips Electronics North America Corporation
$65
Novartis Pharmaceuticals Corporation
$57
BIOTRONIK INC.
$54
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$45
Philips North America LLC
$21
E.R. Squibb & Sons, L.L.C.
$16
Janssen Pharmaceuticals, Inc
$15
ABIOMED
$15
Gilead Sciences, Inc.
$13
Top 3 companies account for 88.0% of all-time payments
Associated products mentioned in payments ›
(5050) Extended Holter · (5091) Amb Mon & Diag Und · (6585) Omniwire · (BH4) IGT Devices Undivided · AMPLATZER AMULET · AZURE XT DR MRI SURESCAN · Advisa · CAMZYOS · CARTO 3 · COBALT DR MRI SURESCAN · CardioInsight · Carto 3 · Carto 3 System · Carto Smarttouch · CartoSound · Confidense · ENSITE · ENTRESTO · GENERAL TACHY · Impella · LINQ II · LifeVest · MICRA · Micra · OCTARAY MAPPING CATHETER · PERCLOSE PROGLIDE · Paso · Perclose ProGlide suture mediated closure system · Reveal LINQ · WATCHMAN Access System · WATCHMAN FLX · WINREVAIR · XARELTO
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Cardiologists in nearby ZIP areas
72
County median income
$74,740
Nearest hospital to ZIP centroid (approximate)
CROUSE HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | 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. Joshi is an electrophysiology & device specialist, with moderate Medicare volume, with 18 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. Joshi experienced with electrocardiogram (ekg), 12-lead?
Based on Medicare claims data, Dr. Joshi performed 226 electrocardiogram (ekg), 12-lead services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Joshi receive payments from pharmaceutical companies?
Yes. Dr. Joshi received a total of $22,841 from 16 companies across 133 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Joshi's costs compare to other cardiologists in Syracuse?
Dr. Joshi's average Medicare payment per service is $95. 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. Joshi) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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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