Medicare Enrolled
Dr. Nikhil Joshi, MD
Interventional Cardiology · Sherman, TX
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. 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 an interventional cardiology in Sherman, TX, with 19 years in practice. Based on federal Medicare data, Dr. Joshi performed 9,720 Medicare services across 4,411 unique beneficiaries.
Between the years covered by Open Payments, Dr. Joshi received a total of $15,607 from 39 pharmaceutical and/or device companies across 430 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in interventional cardiology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Joshi is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice▲ Top 3% volume in TX$ $15,607 industry payments
Medicare Practice Summary
Medicare Utilization ↗9,720
Medicare services
Top 3% in TX for interventional cardiology
4,411
Unique beneficiaries
$100
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~512 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 |
|---|---|---|---|
| Contrast dye for imaging (iodine-based) | 2,388 | $0 | $1 |
| Office visit, established patient (30-39 min) | 1,977 | $90 | $210 |
| Office visit, established patient (20-29 min) | 839 | $61 | $140 |
| Regadenoson injection (Lexiscan) for heart stress test | 768 | $44 | $66 |
| Electrocardiogram (EKG), 12-lead | 455 | $10 | $32 |
| Echocardiogram, transthoracic | 340 | $140 | $431 |
| Technetium tc-99m sestamibi, diagnostic, per study dose | 248 | $58 | $308 |
| Nuclear medicine studies of heart muscle at rest and with stress and spect | 239 | $335 | $916 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | 235 | $47 | $146 |
| Remote pacemaker/defibrillator monitoring, 90 days | 217 | $16 | $48 |
| Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec | 196 | $26 | $60 |
| Remote pacemaker monitoring, 90 days | 154 | $21 | $67 |
| New patient office visit (45-59 min) | 129 | $119 | $318 |
| Evaluation of cardiac rhythm monitor system, remote up to 30 days | 128 | $19 | $52 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 101 | $10 | $156 |
| Programming of dual lead pacemaker system | 90 | $55 | $112 |
| Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel | 81 | $130 | $419 |
| Ultrasound of both sides of head and neck blood flow | 79 | $137 | $383 |
| Ultrasound study of arm and leg arteries | 76 | $59 | $168 |
| Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days | 62 | $24 | $133 |
| Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days | 62 | $18 | $52 |
| Electrocardiogram (ecg) 2-day continuous with review and report by health care professional | 52 | $47 | $172 |
| Ultrasound evaluation of blood vessel with review by radiologist, initial vessel | 51 | $726 | $2,631 |
| Cardiac catheterization | 46 | $169 | $2,034 |
| Ct scan of blood vessels and grafts of heart with contrast | 43 | $83 | $789 |
| Ultrasound of one leg arteries or artery grafts | 43 | $81 | $290 |
| Coronary stent placement | 39 | $420 | $1,207 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) | 35 | $20 | $73 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician | 35 | $11 | $29 |
| Analysis of data from ct study of heart blood vessels to assess severity of heart artery disease, anatomical data review | 33 | $53 | $400 |
| Hospital follow-up visit, moderate complexity | 31 | $59 | $141 |
| Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional | 27 | $637 | $1,500 |
| Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional | 26 | $19 | $75 |
| Review by radiologist of abdominal aorta image | 25 | $85 | $600 |
| Review by radiologist of both arms or legs arteries image | 24 | $124 | $700 |
| Programming of dual lead implantable defibrillator system | 22 | $62 | $158 |
| Ultrasonic guidance for blood vessel access | 20 | $30 | $60 |
| Removal of plaque and insertion of stents in arteries of leg | 19 | $8,090 | $28,004 |
| Removal of plaque in artery of leg, initial vessel | 19 | $6,248 | $20,852 |
| Review by radiologist of arm or leg artery image | 19 | $115 | $700 |
| Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days | 19 | $18 | $50 |
| Heart rhythm recording continous external ekg over more than 48 hours up to 7 days | 18 | $9 | $50 |
| Programming of multiple lead implantable defibrillator system | 18 | $83 | $174 |
| Removal of plaque in arteries of leg | 17 | $5,300 | $20,740 |
| Heart rhythm recording, analysis, report, review, and interpretation of continous external ekg over more than 48 hours up to 7 days | 17 | $201 | $1,000 |
| Complete ultrasound study of arm and leg arteries | 16 | $90 | $262 |
| Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel | 15 | $55 | $190 |
| Ultrasound study of arm or leg veins with compression and maneuvers | 15 | $135 | $373 |
| Telephone medical discussion with physician, 5-10 minutes | 15 | $43 | $80 |
| Ultrasound of leg arteries or artery grafts | 14 | $164 | $492 |
| Initial hospital admission, high complexity | 14 | $133 | $396 |
| New patient office visit (30-44 min) | 13 | $67 | $207 |
| Telephone medical discussion with physician, 11-20 minutes | 12 | $63 | $140 |
| Insertion of pacemaker and upper and lower heart chamber electrode | 11 | $395 | $1,054 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician | 11 | $16 | $44 |
| Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist | 11 | $183 | $2,248 |
| Ultrasound of aorta, vena cava, groin vessels or bypass grafts | 11 | $89 | $228 |
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.
10.7% high complexity
42.6% medium
46.7% routine
Industry Payment Transparency
Open Payments through 2024 ↗$15,607
Total received (2018-2024)
Avg $2,230/year across 7 years
Top 29% in TX for interventional cardiology
39
Companies
430
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
$14,828 (95.0%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$779 (5.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024$1,855
2023$4,733
2022$1,271
2021$1,524
2020$1,377
2019$1,555
2018$3,291
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$6,472
Boston Scientific Corporation
$1,253
Medtronic Vascular, Inc.
$1,218
Cardiovascular Systems Inc.
$930
BIOTRONIK INC.
$842
PFIZER INC.
$759
Philips North America LLC
$558
Philips Electronics North America Corporation
$537
Novartis Pharmaceuticals Corporation
$485
Janssen Pharmaceuticals, Inc
$374
Merck Sharp & Dohme LLC
$321
HeartFlow, Inc.
$275
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$156
E.R. Squibb & Sons, L.L.C.
$147
Amgen Inc.
$129
Amarin Pharma Inc.
$122
AstraZeneca Pharmaceuticals LP
$114
Boehringer Ingelheim Pharmaceuticals, Inc.
$100
Novo Nordisk Inc
$90
Merck Sharp & Dohme Corporation
$87
Terumo Medical Corporation
$85
SANOFI-AVENTIS U.S. LLC
$82
AtriCure, Inc.
$59
HEARTFLOW, INC.
$59
ATRICURE, INC.
$49
Impulse Dynamics (USA) Inc.
$48
CVRx, Inc.
$34
CARDIVA MEDICAL, INC.
$30
Braemar Manufacturing, LLC
$28
Silk Road Medical, Inc.
$24
Lexicon Pharmaceuticals, Inc.
$23
Astellas Pharma US Inc
$20
Aziyo Biologics, Inc.
$20
Shockwave Medical, Inc
$17
Tactile Systems Technology Inc
$16
SCPHARMACEUTICALS INC.
$14
Adhera Therapeutics, Inc.
$11
ZOLL Circulation Inc
$10
Bardy Diagnostics, Inc.
$8
Top 3 companies account for 57.3% of total payments
Associated products mentioned in payments ›
(5027) Intact Vascular Undivided · (5050) Extended Holter · (5091) Amb Mon & Diag Und · (6536) Phoenix · (6554) Peripheral Vascular Undivided · (9281) Turbo Elite · (9520) IGT Devices Undivided · (AM5) Lead management · (AM7) Stellarex · (AZ7) Lasers · (BH4) IGT Devices Undivided · (BR5) Peripheral IVUS · (BR6) Re Entry · (BS0) Mechanical Atherectomy · (BS1) Peripheral Vascular Undivided · (CX0) IGT Marketing · (P84) IGT Devices Systems · ABSOLUTE PRO · AMPLATZER · ANGIO-SEAL · ASSURITY · ATRICLIP LAA EXCLUSION SYSTEM · Accent Pacemaker · Allure Quadra RF CRT Pacemaker · AngioJet Ultra 5000A · Asahi Fielder coronary guide wire · Assurity Pacemaker · BRILINTA · Barostim Neo System · CAMZYOS · CHANTIX · CONFIRM RX · Cardiac Monitoring Suite · Carnation Ambulatory Monitor · Confirm Rx · Corlanor · Coronary Orbital Atherectomy System · Diamondback Peripheral · ECM Patch · ELIQUIS · ENROUTE Transcarotid Neuroprotection System · ENTRESTO · EVUSHELD · EkoSonic · FARXIGA · FFRct · FUROSCIX · Flexitouch Plus · GALLANT · GLIDESHEATH SLENDER · HawkOne · HeartMate 3 Left Ventricular Dev · IGT D Peripheral · Inpefa · JARDIANCE · LEQVIO · LEXISCAN · LifeVest · MRI Ready Leads · MULTAQ · Merlin Connectivity and Remote · Micra · No Associated Product · OPTIMIZER · OPTIS · Optis Coronary Imaging System · Oscar · Ozempic · PRESTALIA · Pacemakers · Passeo-18 · Perclose ProGlide suture mediated closure system · Peripheral Orbital Atherectomy System · Pouch · Pulsar-18 T3 · Quadra Assura CRT Defibrillator · Quartet CRT Lead · Repatha · Rybelsus · SYNERGY ABLATION SYSTEM · Supera peripheral stent system · THORATEC HEARTMATE 3 LVAS IMPLANT KIT · Temperature Management System · TurboHawk · VERQUVO · VYNDAQEL · Varithena Administration Pack · Vascepa · Vascular Closure Device · Vascular Lithotripsy · WATCHMAN FLX · XARELTO · Xience V coronary stent system
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.
Equivalent to $161 per 100 Medicare services performed
Geographic Context
Interventional Cardiologys within 10 mi
5
Per 100K population
3.6
County median income
$70,455
Nearest hospital
BAYLOR SCOTT AND WHITE SURGICAL HOSPITAL AT SHERMA
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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Joshi is a clinical cardiology specialist, with above-average Medicare volume (top 3% in TX), and low-engagement industry engagement, with 19 years of practice experience.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Joshi experienced with contrast dye for imaging (iodine-based)?
Based on Medicare claims data, Dr. Joshi performed 2,388 contrast dye for imaging (iodine-based) 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. Joshi receive payments from pharmaceutical companies?
Yes. Dr. Joshi received a total of $15,607 from 39 companies across 430 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. Joshi's costs compare to other interventional cardiologys in Sherman?
Dr. Joshi'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. 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 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. The Transparency Score measures 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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