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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. Rajiv Punjya
❤️
MDIndividual

Rajiv Punjya, M.D.

NPI: 1881632263
Tracy, CA
10 years of data
Cardiology
$8.1M
Total Payments
57.8K
Beneficiaries
89.1K
Services
1.98x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$8.1M
Specialty median$193.1K

📋 Key Findings

1Billed $8.1M over 10 years
21.98x markup ratio
399th percentile in Cardiology by payments
41 procedure with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $8.1M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.

Medicare payments to this provider grew 54% 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

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$331.26$134.502.46x$196.76$674.1K9.0K5.6K
2015$228.36$91.722.49x$136.64$622.4K8.3K5.6K
2016$258.89$101.372.55x$157.52$613.6K7.5K5.6K
2017$234.36$114.762.04x$119.60$709.4K7.3K5.5K
2018$302.07$148.032.04x$154.04$777.7K7.2K5.4K
2019$319.27$158.142.02x$161.13$888.1K7.8K6.0K
2020$295.46$147.552.00x$147.91$875.1K7.8K5.9K
2021$290.21$148.031.96x$142.18$909.9K9.1K6.0K
2022$275.18$139.161.98x$136.02$1.0M12.1K6.2K
2023$268.07$131.332.04x$136.74$1.0M12.9K6.1K

Top Procedures (20)

99215Established patient office or other outpatient, visit typically 40 minutes
$1.3M
10.8K services$123.09/svc1.57x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$932.0K
11.9K services$78.57/svc1.77x markup
78492Nuclear medicine study heart muscle at rest and/or stress multiple studies
$852.4K
681 services$1.3K/svc1.84x markup
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function
$838.8K
7.1K services$118.94/svc2.46x markup
93229Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days
$501.1K
755 services$663.65/svc1.66x markup
99490Chronic care management services at least 20 minutes per calendar month
$386.0K
7.9K services$48.68/svc1.69x markup
99223Initial hospital inpatient care, typically 70 minutes per day
$299.7K
1.8K services$162.59/svc1.41x markup
99233Subsequent hospital inpatient care, typically 35 minutes per day
$287.4K
3.4K services$84.82/svc1.46x markup
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck
$265.8K
1.7K services$157.58/svc2.47x markup
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries
$247.0K
687 services$359.58/svc1.28x markup
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies
$238.5K
683 services$349.26/svc2.39x markup
99205New patient office or other outpatient visit, typically 60 minutes
$210.2K
1.4K services$154.88/svc1.67x markup
93975Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow
$185.4K
852 services$217.59/svc2.80x markup
93351Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report
$160.6K
782 services$205.37/svc2.78x markup
99232Subsequent hospital inpatient care, typically 25 minutes per day
$144.8K
2.5K services$58.37/svc1.34x markup
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
$107.7K
2.4K services$44.46/svc2.39x markup
93000Routine EKG using at least 12 leads including interpretation and report⚠ 4.5x markup
$107.5K
8.9K services$12.01/svc4.50x markup
99439Chronic care management services, each additional 20 minutes of clinical staff time per calendar month
$87.8K
2.3K services$37.60/svc1.87x markup
99457Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; first 20 minutes
$85.0K
2.2K services$39.36/svc2.33x markup
93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart
$82.0K
397 services$206.55/svc2.27x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
99215Established patient office or other outpatient, visit typically 40 minutes10.8K$1.3M$123.091.57x
99214Established patient office or other outpatient, visit typically 25 minutes11.9K$932.0K$78.571.77x
78492Nuclear medicine study heart muscle at rest and/or stress multiple studies681$852.4K$1.3K1.84x
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function7.1K$838.8K$118.942.46x
93229Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days755$501.1K$663.651.66x
99490Chronic care management services at least 20 minutes per calendar month7.9K$386.0K$48.681.69x
99223Initial hospital inpatient care, typically 70 minutes per day1.8K$299.7K$162.591.41x
99233Subsequent hospital inpatient care, typically 35 minutes per day3.4K$287.4K$84.821.46x
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck1.7K$265.8K$157.582.47x
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries687$247.0K$359.581.28x
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies683$238.5K$349.262.39x
99205New patient office or other outpatient visit, typically 60 minutes1.4K$210.2K$154.881.67x
93975Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow852$185.4K$217.592.80x
93351Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report782$160.6K$205.372.78x
99232Subsequent hospital inpatient care, typically 25 minutes per day2.5K$144.8K$58.371.34x
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days2.4K$107.7K$44.462.39x
93000Routine EKG using at least 12 leads including interpretation and report8.9K$107.5K$12.014.50x
99439Chronic care management services, each additional 20 minutes of clinical staff time per calendar month2.3K$87.8K$37.601.87x
99457Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; first 20 minutes2.2K$85.0K$39.362.33x
93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart397$82.0K$206.552.27x

Markup Analysis

Charge-to-Payment Ratio

1.98x

This provider submits charges 1.98 times higher than what Medicare actually pays.

What This Means

A markup ratio of 1.98x means for every $100 Medicare pays, this provider initially charges $198. This is lower than the national average.

Location

Tracy, 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.

Rajiv Punjya (you)
$8.1M
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.

Believe this data is inaccurate? Dispute this data