Dr. Josier Nisnisan, MD
What this data tells you about Dr. Nisnisan
Dr. Josier Nisnisan is an internal medicine specialist in Sugar Land, TX, with 18 years of NPI registration. Based on federal Medicare data, Dr. Nisnisan performed 4,597 Medicare services across 810 unique beneficiaries.
Between the years covered by Open Payments, Dr. Nisnisan received a total of $26,612 from 54 pharmaceutical and/or device companies across 974 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. 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. Nisnisan 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.
Medicare Practice Summary
Medicare Utilization ↗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 |
|---|---|---|---|
| Professional service for preparation and provision of single-dose vial of allergen | 2,421 | $13 | $24 |
| Hospital follow-up visit, moderate complexity | 681 | $61 | $139 |
| Allergy skin test | 560 | $3 | $8 |
| Office visit, established patient (30-39 min) | 212 | $80 | $158 |
| Allergy immunotherapy preparation | 80 | $9 | $23 |
| Hospital discharge day management, 30 minutes or less | 70 | $64 | $159 |
| Initial hospital admission, high complexity | 65 | $134 | $357 |
| Ultrasound study of arm and leg arteries | 41 | $64 | $184 |
| Ultrasound of both sides of head and neck blood flow | 39 | $146 | $600 |
| Echocardiogram, transthoracic | 38 | $149 | $1,500 |
| Ultrasound of leg arteries or artery grafts | 38 | $182 | $500 |
| Ultrasound study of arm or leg veins with compression and maneuvers | 38 | $116 | $450 |
| Complete ultrasound of abdomen and pelvis artery and vein blood flow | 36 | $207 | $500 |
| Office visit, established patient (20-29 min) | 36 | $58 | $103 |
| Complete ultrasound scan behind abdominal cavity | 35 | $84 | $250 |
| Evaluation of neuropsychological test, first hour | 24 | $98 | $155 |
| Administration of psychological or neuropsychological test by technician, first 30 minutes | 24 | $26 | $60 |
| Administration of psychological or neuropsychological test by technician, each additional 30 minutes | 24 | $27 | $60 |
| Evaluation of brain response to sound for determination of hearing threshold with interpretation and report | 22 | $86 | $175 |
| Electrocardiogram (ecg) 1 to 3 leads with review by physician | 21 | $9 | $30 |
| Measurement of brain wave activity (eeg), awake and drowsy | 21 | $297 | $400 |
| Measurement of nerve conduction using visual stimulation testing with report | 21 | $52 | $90 |
| Measurement of brain wave activity (eeg), digital analysis | 21 | $214 | $300 |
| Annual wellness visit, follow-up | 17 | $126 | $185 |
| Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 12 | $41 | $105 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 4% for internal medicine in TX.
Geographic Context
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. Nisnisan is a mixed practice specialist, with above-average Medicare volume (top 7% in TX), with low-engagement industry engagement in the top 4% of TX peers, with 18 years of NPI registration.
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. Nisnisan experienced with professional service for preparation and provision of single-dose vial of allergen?
Does Dr. Nisnisan receive payments from pharmaceutical companies?
How do Dr. Nisnisan's costs compare to other internal medicine physicians in Sugar Land?
What does Data Coverage mean?
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Explore related providers
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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