Medicare Enrolled
Dr. Nicholas Juan, M.D.
Anesthesiology · Kennewick, WA
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 Dr. Juan 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. Juan
Dr. Nicholas Juan is an anesthesiology specialist in Kennewick, WA, with 14 years of NPI registration. Based on federal Medicare data, Dr. Juan performed 12,681 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Juan received a total of $10,137 from 52 pharmaceutical and/or device companies across 338 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. Juan 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 0% volume in WA
$10,137 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗12,681
Medicare services
Top 0% in WA for anesthesiology
Not available
Unique patients (not deduplicated)
$45
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 |
|---|---|---|---|
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
5,729 | $0 | $1 |
| 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. |
2,889 | $89 | $335 |
| Joint lubricant injection (TriVisc) An injection of hyaluronan or a derivative into a joint space. The dose specified is 1 milligram. |
1,151 | $7 | $39 |
| Contrast dye for imaging, lower concentration | 864 | $0 | $1 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
174 | $200 | $1,343 |
| 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. |
174 | $65 | $230 |
| 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. |
110 | $119 | $493 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
105 | $201 | $1,340 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
102 | $105 | $688 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
101 | $58 | $332 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
99 | $45 | $200 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
95 | $153 | $924 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
93 | $180 | $1,030 |
| Additional sacral spine nerve root injection with imaging An injection of anesthetic and/or steroid medication into an additional sacral spine nerve root level, guided by imaging. |
89 | $79 | $424 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
85 | $93 | $450 |
| 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. |
78 | $10 | $212 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
71 | $354 | $2,471 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
71 | $168 | $1,026 |
| Spinal drug pump reprogramming and refill A physician electronically adjusts the settings of a spinal drug infusion pump and refills its medication reservoir. |
63 | $69 | $500 |
| Spinal neurostimulator electrode insertion A procedure to place an electrode array into the spine through the skin. The electrode is used to deliver electrical stimulation to the nervous system. |
63 | $783 | $6,700 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
62 | $186 | $1,252 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
59 | $206 | $1,042 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
59 | $99 | $610 |
| New patient office visit, complex (60-74 min) | 45 | $152 | $611 |
| 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. |
45 | $136 | $429 |
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
38 | $61 | $287 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
36 | $195 | $795 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional upper or middle spinal facet joint. |
23 | $55 | $643 |
| Trigger point injection, 1-2 muscles A procedure involving the injection of medication into one or two specific muscles to treat trigger points. |
22 | $39 | $226 |
| Injection of anesthetic agent and/or steroid into other nerve or branch | 22 | $60 | $405 |
| Facet joint nerve destruction, single joint This procedure uses imaging guidance to destroy the nerves supplying a single upper or middle spinal facet joint. It is performed to interrupt pain signals from that specific joint. |
22 | $154 | $1,958 |
| Trigger point injection, 3 or more muscles Injection of medication into three or more specific muscle trigger points to relieve pain. |
16 | $38 | $261 |
| Spinal neurostimulator generator insertion Surgical placement of a spinal neurostimulator generator or receiver device. |
15 | $142 | $1,500 |
| Knee nerve block injection with imaging guidance An injection of anesthetic and/or steroid medication into a nerve branch of the knee, performed using imaging guidance to ensure accurate placement. |
11 | $211 | $1,200 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$10,137
Total received (2018-2024)
Avg $1,448/year across 7 years
Top 3% in WA for anesthesiology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
52
Companies
338
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
$874
2023
$2,915
2022
$1,390
2021
$705
2020
$1,481
2019
$1,415
2018
$1,356
Payments by company (2024)
Boston Scientific Corporation
$239
ABBVIE INC.
$168
Nevro Corp.
$125
SI-BONE, INC.
$123
Virtus Pharmaceuticals LLC
$53
Vertos Medical, Inc.
$43
Siemens Medical Solutions USA, Inc.
$27
Saluda Medical Americas, Inc.
$22
PAINTEQ LLC
$22
Nalu Medical, Inc.
$21
Collegium Pharmaceutical, Inc.
$19
Abbott Laboratories
$13
Top 3 companies account for 60.7% of 2024 payments
All-time payments by company (2018-2024) ›
Boston Scientific Corporation
$1,517
Relievant Medsystems, Inc.
$1,281
Abbott Laboratories
$985
Nevro Corp.
$967
Nalu Medical, Inc.
$804
Nuvectra Corporation
$601
Collegium Pharmaceutical, Inc.
$528
ABBVIE INC.
$333
PFIZER INC.
$310
Vertos Medical, Inc.
$257
BOSTON SCIENTIFIC CORPORATION
$216
AbbVie Inc.
$189
Amgen Inc.
$175
Medtronic USA, Inc.
$130
Lilly USA, LLC
$125
SI-BONE, INC.
$123
Teva Pharmaceuticals USA, Inc.
$119
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$99
Allergan, Inc.
$95
Daiichi Sankyo Inc.
$86
TerSera Therapeutics LLC
$81
BioDelivery Sciences International, Inc.
$78
Zyla Life Sciences
$77
Medtronic, Inc.
$74
Scilex Pharmaceuticals Inc.
$67
ARBOR PHARMACEUTICALS, INC.
$57
Siemens Medical Solutions USA, Inc.
$54
Novartis Pharmaceuticals Corporation
$53
Virtus Pharmaceuticals LLC
$53
Zyla Life Sciences, Inc.
$52
Bausch Health US, LLC
$44
Saol Therapeutics Inc.
$40
Supernus Pharmaceuticals, Inc.
$40
GRT US Holding, Inc.
$39
Stimwave Technologies Incorporated
$36
Flexion Therapeutics, Inc.
$30
US WorldMeds, LLC
$29
Sentynl Therapeutics, Inc.
$28
Arteriocyte Medical Systems, Inc.
$25
Pernix Therapeutics Holdings, Inc.
$25
Saluda Medical Americas, Inc.
$22
Biohaven Pharmaceuticals, Inc.
$22
PAINTEQ LLC
$22
Allergan Inc.
$22
ASSERTIO THERAPEUTICS, Inc.
$19
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$18
Assertio Therapeutics, Inc.
$18
Biohaven Pharmaceutical Holding Company Ltd.
$17
Baudax Bio Inc.
$16
FIDIA PHARMA USA INC.
$14
Egalet US Inc
$13
Kaleo, Inc.
$12
Top 3 companies account for 37.3% of all-time payments
Associated products mentioned in payments ›
AIMOVIG · AJOVY · ANJESO · Aimovig · Algovita · BELBUCA · BOTOX THERAPEUTIC · BUNAVAIL 2.1 mg 30-count box · Belbuca · CFNS StimQ Peripheral Nerve StimulatorSystem · CHANTIX · CLINICAL TRIAL PRODUCT · COLOGUARD DNA CAPTURE REAGENTS · Cios Select · EMGALITY · ETERNA · Evoke · Evzio · FLECTOR · GENERAL PAIN MANAGEMENT · GENERAL - PAIN MANAGEMENT · GENERAL - THERAPIES · GENERAL PAIN MANAGEMENT · GRALISE · General - Pain Management · General - Therapies · Gralise · Horizant · Hymovis · INFINION · INTELLIS · INTELLIS ADAPTIVESTIM · Intracept · LEVORPHANOL TARTRATE · LYRICA · Levorphanol Tartrate · Lioresal (baclofen) · Lucemyra/Lofexidine · MIGRANAL · Morphabond ER · NURTEC ODT · Nalu Neurostimulation System · OSTEOCOOL RF ABLATION · Omnia · PAINTEQ · PRIALT · PROCLAIM · Prialt · QULIPTA · Qutenza · RELISTOR · REYVOW · SPECTRA WAVEWRITER · SPECTRA WAVEWRITER (REFURBISHED) · SPRIX · SUPERION · SYNCHROMED · Senza · Senza Spinal Cord Stimulation System · Spectra WaveWriter · Superion · TROKENDI XR · UBRELVY · WaveWriter Alpha Prime 16 · XTAMPZA · XTAMPZAER · Xtampza ER · ZOHYDRO ER · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zilretta · mild Device Kit
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
Anesthesiologists in nearby ZIP areas
34
County median income
$87,316
Nearest hospital to ZIP centroid (approximate)
TRIOS HEALTH
5.5 mi
5.5 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. Juan is a clinical cardiology specialist, with above-average Medicare volume (top 0% in WA).
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Juan experienced with dexamethasone injection (steroid)?
Based on Medicare claims data, Dr. Juan performed 5,729 dexamethasone injection (steroid) 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. Juan receive payments from pharmaceutical companies?
Yes. Dr. Juan received a total of $10,137 from 52 companies across 338 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. Juan's costs compare to other anesthesiologists in Kennewick?
Dr. Juan's average Medicare payment per service is $45. 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. Juan) 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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