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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Sanjay Kumar
❤️
MDIndividual

Sanjay Kumar, M.D.

NPI: 1205948288
Santa Barbara, CA
10 years of data
Cardiology
$4.2M
Total Payments
43.6K
Beneficiaries
60.2K
Services
3.01x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$4.2M
Specialty median$193.1K

📋 Key Findings

1Billed $4.2M over 10 years
23.01x markup ratio (above median)
398th percentile in Cardiology by payments
410 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $4.2M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.

This provider's billing patterns fall within normal ranges for their specialty.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$351.72$110.203.19x$241.52$431.2K6.7K4.4K
2015$351.55$115.093.05x$236.46$472.7K7.2K4.8K
2016$301.35$101.132.98x$200.22$463.7K6.9K4.9K
2017$237.25$79.762.97x$157.49$385.3K6.0K4.3K
2018$259.29$95.272.72x$164.02$420.6K5.9K4.4K
2019$267.21$93.982.84x$173.23$428.8K6.0K4.6K
2020$279.89$95.432.93x$184.46$386.3K5.4K4.1K
2021$320.72$95.743.35x$224.98$452.7K5.8K4.5K
2022$297.79$88.353.37x$209.44$377.3K5.1K3.8K
2023$302.67$88.843.41x$213.83$407.3K5.2K3.7K

Top Procedures (20)

99214Established patient office or other outpatient, visit typically 25 minutes
$984.3K
11.2K services$88.10/svc2.74x markup
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function⚠ 3.1x markup
$646.7K
4.7K services$136.81/svc3.15x markup
99215Established patient office or other outpatient, visit typically 40 minutes
$421.7K
3.5K services$118.85/svc2.62x markup
93350Ultrasound examination of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report⚠ 3.0x markup
$410.8K
2.4K services$171.87/svc3.02x markup
99233Subsequent hospital inpatient care, typically 35 minutes per day
$211.3K
2.5K services$85.52/svc2.76x markup
92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin
$161.3K
373 services$432.57/svc2.91x markup
99205New patient office or other outpatient visit, typically 60 minutes
$148.6K
933 services$159.25/svc2.93x markup
93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart⚠ 3.8x markup
$130.6K
722 services$180.89/svc3.80x markup
93320Doppler ultrasound study of heart blood flow, valves, and chambers⚠ 3.2x markup
$128.7K
2.8K services$46.80/svc3.18x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$91.9K
1.5K services$60.75/svc2.64x markup
99223Initial hospital inpatient care, typically 70 minutes per day
$85.7K
541 services$158.46/svc2.96x markup
93351Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report⚠ 3.4x markup
$77.5K
396 services$195.81/svc3.35x markup
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck
$75.5K
464 services$162.73/svc2.91x markup
92941Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel during heart attack, accessed through the skin
$72.9K
137 services$532.42/svc2.81x markup
99211Established patient office or other outpatient visit, typically 5 minutes⚠ 3.0x markup
$71.9K
4.5K services$15.87/svc3.05x markup
93325Doppler ultrasound study of color-directed heart blood flow, rate, and valve function⚠ 5.0x markup
$61.4K
2.7K services$22.35/svc5.02x markup
93017Exercise or drug-induced heart and blood vessel stress test with EKG tracing and monitoring⚠ 4.2x markup
$57.8K
2.4K services$24.36/svc4.21x markup
93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report⚠ 3.1x markup
$48.9K
1.1K services$44.07/svc3.10x markup
99204New patient office or other outpatient visit, typically 45 minutes⚠ 3.3x markup
$47.5K
366 services$129.75/svc3.31x markup
93016Exercise or drug-induced heart and blood vessel stress test with EKG monitoring and physician supervision
$43.7K
2.4K services$18.45/svc2.91x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
99214Established patient office or other outpatient, visit typically 25 minutes11.2K$984.3K$88.102.74x
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function4.7K$646.7K$136.813.15x
99215Established patient office or other outpatient, visit typically 40 minutes3.5K$421.7K$118.852.62x
93350Ultrasound examination of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report2.4K$410.8K$171.873.02x
99233Subsequent hospital inpatient care, typically 35 minutes per day2.5K$211.3K$85.522.76x
92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin373$161.3K$432.572.91x
99205New patient office or other outpatient visit, typically 60 minutes933$148.6K$159.252.93x
93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart722$130.6K$180.893.80x
93320Doppler ultrasound study of heart blood flow, valves, and chambers2.8K$128.7K$46.803.18x
99213Established patient office or other outpatient visit, typically 15 minutes1.5K$91.9K$60.752.64x
99223Initial hospital inpatient care, typically 70 minutes per day541$85.7K$158.462.96x
93351Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report396$77.5K$195.813.35x
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck464$75.5K$162.732.91x
92941Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel during heart attack, accessed through the skin137$72.9K$532.422.81x
99211Established patient office or other outpatient visit, typically 5 minutes4.5K$71.9K$15.873.05x
93325Doppler ultrasound study of color-directed heart blood flow, rate, and valve function2.7K$61.4K$22.355.02x
93017Exercise or drug-induced heart and blood vessel stress test with EKG tracing and monitoring2.4K$57.8K$24.364.21x
93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report1.1K$48.9K$44.073.10x
99204New patient office or other outpatient visit, typically 45 minutes366$47.5K$129.753.31x
93016Exercise or drug-induced heart and blood vessel stress test with EKG monitoring and physician supervision2.4K$43.7K$18.452.91x

Markup Analysis

Charge-to-Payment Ratio

3.01x

This provider submits charges 3.01 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.01x means for every $100 Medicare pays, this provider initially charges $301. This is higher than the national average.

Location

Santa Barbara, CA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Cardiology providers in CA for peer comparison.

Sanjay Kumar (you)
$4.2M
Leo Polosajian, M.D.
$52.5M
Athar Ansari, M.D.
$38.2M
Hanumandla Reddy, M.D
$38.1M
Mehran Khorsandi, M.D.,
$36.4M
Shashi Sharma, D.M.
$35.4M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Leo Polosajian, M.D.Reseda, CA$52.5M✓ Clear
Athar Ansari, M.D.El Centro, CA$38.2M✓ Clear
Hanumandla Reddy, M.DHanford, CA$38.1M✓ Clear
Mehran Khorsandi, M.D.,Los Angeles, CA$36.4M✓ Clear
Shashi Sharma, D.M.Visalia, CA$35.4M✓ Clear

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

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