OpenMedicare
Start Here
Explore
Fraud
Investigations
Data
Tools
About

Footer

OpenMedicare

Independent Medicare data journalism

Sister Sites

  • OpenMedicaid
  • OpenFeds
  • OpenSpending

Explore

  • Providers
  • Procedures
  • States
  • Specialties
  • Search

Fraud Analysis

  • Still Out There (AI)
  • Fraud Overview
  • Fraud Watchlist
  • Deep Dive Profiles
  • Impossible Numbers
  • Report Fraud

Investigations

  • The Algorithm Knows
  • How We Built the Model
  • Internal Medicine Crisis
  • Florida & California Fraud
  • Million Dollar Flagged
  • All Investigations

Tools

  • Provider Lookup
  • Compare
  • Cost Calculator
  • Your Medicare Dollar
  • Downloads

About

  • About OpenMedicare
  • Methodology
  • Glossary
  • Data Sources
  • API Docs
  • Updates
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.
Sister Sites: OpenMedicaid · OpenFeds · OpenSpending

© 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodology•Download Data
  1. Home
  2. Providers
  3. Niraj Doctor
❤️
MDIndividual

Niraj Doctor, M.D

NPI: 1285925883
Bakersfield, CA
8 years of data
Cardiology
$4.0M
Total Payments
29.5K
Beneficiaries
39.6K
Services
2.91x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$4.0M
Specialty median$193.1K

📋 Key Findings

1Billed $4.0M over 8 years
22.91x markup ratio (above median)
398th percentile in Cardiology by payments
4Payments surged 289% in 2017
56 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $4.0M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.

Medicare payments to this provider grew 1536% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 289% in 2017

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

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$591.28$154.213.83x$437.07$37.5K229216
2017$403.37$122.613.29x$280.76$145.9K1.5K1.4K
2018$392.23$131.382.99x$260.85$465.6K4.5K3.6K
2019$375.52$128.462.92x$247.06$688.6K7.4K5.5K
2020$330.09$108.273.05x$221.82$649.3K6.7K4.9K
2021$345.47$121.092.85x$224.38$638.8K5.8K4.2K
2022$332.89$108.783.06x$224.11$762.1K7.2K5.2K
2023$317.38$99.813.18x$217.57$613.7K6.3K4.5K

Top Procedures (20)

78492Nuclear medicine study heart muscle at rest and/or stress multiple studies⚠ 3.2x markup
$1.2M
955 services$1.2K/svc3.23x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$827.2K
13.2K services$62.52/svc2.46x markup
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function
$461.4K
3.4K services$133.98/svc2.74x markup
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries
$382.1K
960 services$398.00/svc2.51x markup
93312Insertion of probe in esophagus for heart ultrasound examination including interpretation and report⚠ 3.3x markup
$159.6K
995 services$160.45/svc3.31x markup
99203New patient office or other outpatient visit, typically 30 minutes
$87.9K
1.1K services$76.88/svc2.93x markup
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies
$82.7K
209 services$395.65/svc2.69x markup
99442Physician telephone patient service, 11-20 minutes of medical discussion
$73.8K
1.2K services$63.12/svc2.37x markup
93015Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report
$73.6K
1.3K services$58.75/svc2.60x markup
99223Initial hospital inpatient care, typically 70 minutes per day⚠ 3.6x markup
$72.4K
440 services$164.51/svc3.56x markup
75571CT scan of heart with evaluation of blood vessel calcium
$62.7K
781 services$80.27/svc2.78x markup
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers
$54.6K
338 services$161.45/svc2.65x markup
99232Subsequent hospital inpatient care, typically 25 minutes per day
$52.3K
873 services$59.88/svc2.52x markup
J2785Injection, regadenoson, 0.1 mg⚠ 3.3x markup
$48.7K
1.1K services$45.79/svc3.28x markup
93320Doppler ultrasound study of heart blood flow, valves, and chambers⚠ 3.3x markup
$32.0K
903 services$35.44/svc3.33x markup
71275CT scan of blood vessels in chest with contrast
$26.7K
115 services$232.60/svc2.78x markup
93355Insertion of probe in esophagus for heart ultrasound examination during procedure on heart or great blood vessel via catheter
$24.7K
129 services$191.24/svc2.48x markup
93000Routine EKG using at least 12 leads including interpretation and report⚠ 3.0x markup
$23.4K
2.0K services$11.88/svc3.03x markup
93925Ultrasound study of arteries and arterial grafts of both legs
$22.8K
109 services$208.95/svc2.72x markup
99221Initial hospital inpatient care, typically 30 minutes per day
$18.6K
234 services$79.49/svc2.62x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
78492Nuclear medicine study heart muscle at rest and/or stress multiple studies955$1.2M$1.2K3.23x
99213Established patient office or other outpatient visit, typically 15 minutes13.2K$827.2K$62.522.46x
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function3.4K$461.4K$133.982.74x
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries960$382.1K$398.002.51x
93312Insertion of probe in esophagus for heart ultrasound examination including interpretation and report995$159.6K$160.453.31x
99203New patient office or other outpatient visit, typically 30 minutes1.1K$87.9K$76.882.93x
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies209$82.7K$395.652.69x
99442Physician telephone patient service, 11-20 minutes of medical discussion1.2K$73.8K$63.122.37x
93015Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report1.3K$73.6K$58.752.60x
99223Initial hospital inpatient care, typically 70 minutes per day440$72.4K$164.513.56x
75571CT scan of heart with evaluation of blood vessel calcium781$62.7K$80.272.78x
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers338$54.6K$161.452.65x
99232Subsequent hospital inpatient care, typically 25 minutes per day873$52.3K$59.882.52x
J2785Injection, regadenoson, 0.1 mg1.1K$48.7K$45.793.28x
93320Doppler ultrasound study of heart blood flow, valves, and chambers903$32.0K$35.443.33x
71275CT scan of blood vessels in chest with contrast115$26.7K$232.602.78x
93355Insertion of probe in esophagus for heart ultrasound examination during procedure on heart or great blood vessel via catheter129$24.7K$191.242.48x
93000Routine EKG using at least 12 leads including interpretation and report2.0K$23.4K$11.883.03x
93925Ultrasound study of arteries and arterial grafts of both legs109$22.8K$208.952.72x
99221Initial hospital inpatient care, typically 30 minutes per day234$18.6K$79.492.62x

Markup Analysis

Charge-to-Payment Ratio

2.91x

This provider submits charges 2.91 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.91x means for every $100 Medicare pays, this provider initially charges $291. This is higher than the national average.

Location

Bakersfield, 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.

Niraj Doctor (you)
$4.0M
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

Related

Browse
← Back to Provider Directory
State
All providers in CA →
Specialty
All Cardiology providers →
Tool
Compare this provider →
Analysis
Fraud Watchlist →
Search
Search all providers →

Share This Provider

Share this provider's Medicare payment information

Share:

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.

Believe this data is inaccurate? Dispute this data