Medicare Enrolled
Rayji Tsutsui, MBCHB
Student in an Organized Health Care Education/Training Program · Cleveland, OH
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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 Tsutsui 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 →
Are you Tsutsui?
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What this data tells you about Tsutsui
Rayji Tsutsui is a student in an organized health care education/training program specialist in Cleveland, OH, with 14 years of NPI registration. Based on federal Medicare data, Tsutsui performed 1,448 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Tsutsui received a total of $72,385 from 21 pharmaceutical and/or device companies across 346 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 Tsutsui 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.
✓ 14 years of NPI registration
▲ Top 8% volume in OH
$72,385 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗1,448
Medicare services
Top 8% in OH for student in an organized health care education/training program
Not available
Unique patients (not deduplicated)
$79
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 |
|---|---|---|---|
| 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. |
404 | $6 | $27 |
| 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. |
237 | $74 | $177 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
165 | $54 | $224 |
| 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. |
96 | $10 | $105 |
| 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. |
56 | $105 | $255 |
| Ultrasound of heart blood vessel or graft An ultrasound exam to evaluate blood flow in a heart blood vessel or graft, including a radiologist's review of the initial vessel. |
44 | $74 | $199 |
| Cardiac catheterization | 35 | $179 | $590 |
| Coronary stent placement A procedure to insert a stent into a coronary artery or its branch to keep it open, using balloon dilation during the process. |
34 | $397 | $1,488 |
| 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. |
33 | $58 | $191 |
| 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. |
32 | $173 | $726 |
| 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. |
31 | $41 | $123 |
| 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. |
29 | $114 | $255 |
| Repair of left upper heart chamber with implant A surgical procedure to repair the left upper chamber of the heart using an implanted device, with review by a radiologist. |
24 | $611 | $2,010 |
| Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist | 24 | $268 | $742 |
| Ultrasound of heart blood vessels with radiologist review An ultrasound exam that evaluates blood vessels within the heart, including a review of the results by a radiologist. |
24 | $61 | $305 |
| 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. |
24 | $59 | $162 |
| Intravascular ultrasound of heart vessel, initial An ultrasound procedure used to evaluate a blood vessel within the heart during a diagnostic or treatment procedure. |
22 | $57 | $143 |
| 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. |
21 | $142 | $461 |
| Transcatheter aortic valve replacement via femoral artery A minimally invasive procedure to replace a diseased aortic heart valve using a catheter inserted through the skin and femoral artery. |
19 | $587 | $1,925 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while an electrocardiogram is monitored under physician supervision. |
19 | $14 | $62 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results. |
19 | $9 | $41 |
| 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. |
16 | $98 | $278 |
| Cerebral embolic protection device placement and removal A catheter-based procedure to place a device in the brain to prevent embolisms, followed by its removal, using imaging guidance. |
14 | $104 | $337 |
| Additional heart vessel ultrasound evaluation An additional ultrasound assessment of a specific heart blood vessel or graft, including radiologist review. |
14 | $59 | $154 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
12 | $20 | $81 |
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.
17.5% high complexity
10.6% medium
71.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$72,385
Total received (2018-2024)
Avg $10,341/year across 7 years
Top 1% in OH for student in an organized health care education/training program
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
21
Companies
346
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
$28,056
2023
$30,574
2022
$7,520
2021
$464
2020
$2,335
2019
$2,563
2018
$871
Payments by company (2024)
Edwards Lifesciences Corporation
$11,419
Boston Scientific Corporation
$8,318
Philips North America LLC
$5,186
Abbott Laboratories
$2,089
ABIOMED
$366
ShockWave Medical, Inc
$321
Medtronic, Inc.
$241
Boehringer Ingelheim Pharmaceuticals, Inc.
$64
Biosense Webster, Inc.
$29
LANTHEUS MEDICAL IMAGING, INC.
$23
Top 3 companies account for 88.8% of 2024 payments
All-time payments by company (2018-2024) ›
Edwards Lifesciences Corporation
$28,649
ShockWave Medical, Inc
$14,497
Boston Scientific Corporation
$9,780
Philips North America LLC
$5,186
Abbott Laboratories
$4,532
ABIOMED
$3,263
Philips Electronics North America Corporation
$2,701
Medtronic Vascular, Inc.
$2,495
Medtronic, Inc.
$641
BOSTON SCIENTIFIC CORPORATION
$246
AstraZeneca Pharmaceuticals LP
$100
Lantheus Medical Imaging, Inc.
$67
Boehringer Ingelheim Pharmaceuticals, Inc.
$64
E.R. Squibb & Sons, L.L.C.
$43
Biosense Webster, Inc.
$29
LANTHEUS MEDICAL IMAGING, INC.
$23
ASAHI INTECC USA, INC.
$20
LivaNova USA, Inc.
$16
Siemens Medical Solutions USA, Inc.
$16
Chiesi USA, Inc.
$13
Cardiovascular Systems Inc.
$4
Top 3 companies account for 73.1% of all-time payments
Associated products mentioned in payments ›
(5027) Intact Vascular Und · (6399) Angio iFR · (6574) Coronary Other · (6575) Coronary Undivided · (8328) Image Guided Therapy Devices _ Therapy · (9266) ELCA · (9520) IGT Devices Undivided · (BR0) Coronary Atherectomy · (BR1) Coronary Specialty Balloon · (BR3) Coronary Other · AMPLATZER Occluders · AMPLATZER PICCOLO · ASAHI PTCA Guide Wire · BRILINTA · CAMZYOS · COBALT DR MRI SURESCAN · CONFIANZA · COREVALVE EVOLUT R · CoreValve Evolut · DEFINITY · DRAGONFLY OPSTAR · Diamondback Peripheral · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · ELIQUIS · Edwards SAPIEN 3 Transcatheter Heart Valve · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · Ellipse ICD · Fortify Assura · GENERAL STENTS · GENERAL STRUCTURAL HEART · GENERAL - STRUCTURAL HEART · GENERAL ATHERECTOMY · GENERAL STENTS · GUIDEZILLA · Hi-Torque Whisper guide wire · IN.PACT Admiral · Impella · JARDIANCE · KENGREAL · MITRACLIP · Micra · Mitra Clip system · MitraClip System · Omnilink Elite vascular stent system · Optis Coronary Imaging System · PASCAL · Perclose ProGlide suture mediated closure system · QDOT MICRO Catheter · ROTABLATOR · Resolute · SAMURAI · SAPIEN 3 Ultra RESILIA · SC2000 · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · SYNERGY · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · Shockwave Intravascular Lithotripsy (IVL) System with the Shockwave C2+ Coronary · TandemHeart · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX · XIENCE SIERRA · Xact carotid stent system · Xience Sierra Coronary Stent · Xience Sierra Coronary Stent System
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 →
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
Tsutsui is a clinical cardiology specialist, with above-average Medicare volume (top 8% in OH).
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Tsutsui experienced with ekg interpretation and report?
Based on Medicare claims data, Tsutsui performed 404 ekg interpretation and report services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Tsutsui receive payments from pharmaceutical companies?
Yes. Tsutsui received a total of $72,385 from 21 companies across 346 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 Tsutsui's costs compare to other student in an organized health care education/training programs in Cleveland?
Tsutsui's average Medicare payment per service is $79. 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 Tsutsui) 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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