Medicare Enrolled
Dr. Ramin Manshadi, MD
Internal Medicine · Stockton, CA
Practice pattern: Remote Monitoring
— Significant remote device monitoring activity
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. Manshadi 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. Manshadi
Dr. Ramin Manshadi is an internal medicine specialist in Stockton, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Manshadi performed 20,476 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Manshadi received a total of $96,408 from 50 pharmaceutical and/or device companies across 651 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. Manshadi 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.
✓ 20 years of NPI registration
▲ Top 1% volume in CA
$96,408 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗20,476
Medicare services
Top 1% in CA for internal medicine
Not available
Unique patients (not deduplicated)
$63
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 |
|---|---|---|---|
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
4,179 | $42 | $120 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
4,162 | $40 | $110 |
| Remote vital sign monitoring management, each additional 20 minutes This code covers the time spent by a provider managing patient data from remote vital sign monitoring devices. It applies to each additional 20-minute increment beyond the initial monthly service period. |
4,104 | $32 | $90 |
| 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. |
1,446 | $67 | $160 |
| 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. |
1,053 | $94 | $240 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
843 | $156 | $444 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
559 | $11 | $40 |
| Remote physiologic monitoring setup and education Initial setup of remote monitoring equipment and patient education on its use. |
411 | $15 | $45 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
302 | $196 | $551 |
| 2-day continuous ECG with review and report A two-day continuous electrocardiogram recording that includes a professional review and written report of the results. |
293 | $53 | $201 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
243 | $154 | $525 |
| Remote cardiac rhythm monitor evaluation, up to 30 days Review and analysis of data from a remote cardiac rhythm monitoring system over a period of up to 30 days. |
237 | $21 | $60 |
| Remote monitoring of implantable heart rhythm device Evaluation of data transmitted remotely from an implantable cardiovascular monitor, such as a loop recorder or subcutaneous cardiac rhythm monitor, over a period up to 30 days. |
231 | $58 | $100 |
| Ultrasound of arm and leg arteries A non-invasive imaging test that uses sound waves to examine the blood vessels in the arms and legs. It evaluates blood flow and checks for blockages or other vascular issues. |
211 | $111 | $300 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results. |
182 | $11 | $30 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
178 | $152 | $418 |
| Nuclear stress test with CT scan A nuclear medicine imaging test that evaluates blood flow in the heart muscle at rest and during stress, performed alongside a concurrent CT scan. |
177 | $72 | $185 |
| PET scan of heart muscle blood flow A nuclear medicine imaging test that uses positron emission tomography (PET) to evaluate blood flow within the heart muscle. |
176 | $24 | $65 |
| Injection, dipyridamole, per 10 mg | 162 | $3 | $6 |
| 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. |
148 | $116 | $345 |
| Technetium Tc-99m sestamibi diagnostic injection A diagnostic injection of technetium Tc-99m sestamibi used for imaging studies. |
141 | $117 | $345 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
139 | $21 | $55 |
| 30-day continuous ECG with patient-triggered event transmission and review This procedure involves continuous electrocardiogram monitoring for up to 30 days, including the transmission of patient-triggered events. A healthcare professional reviews the data and provides a report. |
139 | $724 | $1,597 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
129 | $33 | $208 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review. |
123 | $53 | $169 |
| Normal saline infusion, 250 cc Administration of 250 cubic centimeters of normal saline solution into a vein. This procedure involves the intravenous delivery of a sterile saltwater fluid. |
94 | $1 | $2 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
72 | $28 | $154 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
71 | $377 | $1,080 |
| Aminophylline injection, up to 250 mg Administration of aminophylline medication via injection for a dose of up to 250 mg. |
59 | $2 | $2 |
| Lung volume test using sensors A test that measures the amount of air in the lungs using sensors. |
43 | $42 | $115 |
| Stress echocardiogram with ECG monitoring An ultrasound of the heart performed while monitoring heart rhythm during rest, exercise, or medication-induced stress, followed by a review and report of the findings. |
34 | $183 | $585 |
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
28 | $20 | $56 |
| Ultrasound of abdominal aorta An imaging test that uses sound waves to create pictures of the abdominal aorta, the large blood vessel that carries blood from the heart to the lower body. |
26 | $116 | $205 |
| Programming of single lead implantable defibrillator system Adjustment and testing of the settings for a single-lead implantable cardioverter-defibrillator (ICD) to ensure proper function. |
26 | $30 | $160 |
| Insertion of implantable heart rhythm monitor A small device is placed under the skin to continuously record the heart's electrical activity. This helps detect irregular heart rhythms that may not appear during a standard office visit. |
21 | $3,796 | $10,000 |
| Remote pacemaker monitoring, 90 days Remote assessment of a pacemaker system, including single, dual, multiple lead, or leadless devices, performed up to 90 days apart. |
20 | $24 | $67 |
| Complete ultrasound of retroperitoneum An ultrasound examination of the structures located behind the abdominal cavity. |
14 | $90 | $245 |
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.
5.3% high complexity
10.0% medium
84.7% routine
Industry Payment Transparency
Open Payments through 2024 ↗$96,408
Total received (2018-2024)
Avg $13,773/year across 7 years
Top 2% in CA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
50
Companies
651
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
$1,965
2023
$876
2022
$1,063
2021
$1,025
2020
$6,571
2019
$33,761
2018
$51,147
Payments by company (2024)
Medtronic, Inc.
$1,207
Novartis Pharmaceuticals Corporation
$210
Impulse Dynamics (USA) Inc.
$129
Novo Nordisk Inc
$121
Abbott Laboratories
$87
Boehringer Ingelheim Pharmaceuticals, Inc.
$46
E.R. Squibb & Sons, L.L.C.
$25
Bayer Healthcare Pharmaceuticals Inc.
$23
Kiniksa Pharmaceuticals International, plc
$22
Regeneron Healthcare Solutions, Inc.
$20
Kestra Medical Technology Services, Inc.
$20
Lexicon Pharmaceuticals, Inc.
$18
Baxter Healthcare
$17
HEARTFLOW, INC.
$15
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$7
Top 3 companies account for 78.7% of 2024 payments
All-time payments by company (2018-2024) ›
Amarin Pharma Inc.
$22,671
Amgen Inc.
$15,974
Novartis Pharmaceuticals Corporation
$10,445
AstraZeneca Pharmaceuticals LP
$10,195
PFIZER INC.
$7,403
SANOFI-AVENTIS U.S. LLC
$6,698
PORTOLA PHARMACEUTICALS, INC.
$5,763
E.R. Squibb & Sons, L.L.C.
$4,863
Gilead Sciences, Inc.
$3,275
Regeneron Healthcare Solutions, Inc.
$1,780
Medtronic Vascular, Inc.
$1,397
Medtronic, Inc.
$1,359
Boehringer Ingelheim Pharmaceuticals, Inc.
$704
Janssen Pharmaceuticals, Inc
$606
United Therapeutics Corporation
$385
Abbott Laboratories
$373
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$301
Novo Nordisk Inc
$267
Astellas Pharma US Inc
$221
Merck Sharp & Dohme LLC
$206
Impulse Dynamics (USA) Inc.
$181
Edwards Lifesciences Corporation
$127
Boston Scientific Corporation
$126
Venclose Inc.
$91
Kiniksa Pharmaceuticals, Ltd.
$90
Kestra Medical Technology Services, Inc.
$90
Bardy Diagnostics, Inc.
$87
ARBOR PHARMACEUTICALS, INC.
$83
Allergan Inc.
$81
Bayer HealthCare Pharmaceuticals Inc.
$73
Relypsa, Inc.
$57
Esperion Therapeutics, Inc.
$56
Arbor Pharmaceuticals, Inc.
$38
Actelion Pharmaceuticals US, Inc.
$38
BOSTON SCIENTIFIC CORPORATION
$33
Lexicon Pharmaceuticals, Inc.
$32
Bayer Healthcare Pharmaceuticals Inc.
$23
ARALEZ PHARMACEUTICALS US INC.
$22
Kiniksa Pharmaceuticals International, plc
$22
Otsuka America Pharmaceutical, Inc.
$22
Medtronic USA, Inc.
$20
Baxter Healthcare
$17
GlaxoSmithKline, LLC.
$17
Aegerion Pharmaceuticals, Inc.
$17
iRhythm Technologies, Inc.
$17
HEARTFLOW, INC.
$15
InfoBionic, Inc
$14
Amryt Pharma Holdings Ltd
$13
Kowa Pharmaceuticals America, Inc.
$12
Preventice Services, LLC
$11
Top 3 companies account for 50.9% of all-time payments
Associated products mentioned in payments ›
ADVISA DR MRI SURESCAN · ANDEXXA · AZURE XT DR MRI SURESCAN · Arcalyst · Assure WCD · BEVYXXA · BG Mini Plus · BRILINTA · BYSTOLIC · CAMZYOS · CARDIOMEMS · CHANTIX · COBALT DR MRI SURESCAN · CONFIRM RX · CardioMEMS HF System · Carnation Ambulatory Monitor · ClosureFast · Confirm Rx · Corlanor · ELIQUIS · ENTRESTO · EVKEEZA · EVRSF · Edarbi · Edarbyclor · Ellipse ICD · FARXIGA · FFRct · Fortify Assura · GALLANT · HeartMate · HeartMate 3 Left Ventricular Assist Device · HeartMate 3 Left Ventricular Dev · Hillrom - Carnation Ambulatory Monitor · IN.PACT Admiral · INVOKANA · Inpefa · JANUVIA · JARDIANCE · JOT DX · JUXTAPID · Kerendia · LEQVIO · LEXISCAN · LINQ II · LOKELMA · LifeVest · Livalo · MICRA · MULTAQ · Merlin Connectivity and Remote · Micra · Mitra Clip system · MoMe Kardia · NEXLETOL · OPSUMIT · OPTICROSS · OPTIMIZER · ORENITRAM · Optimizer · Ozempic · PRADAXA · PRALUENT · PRALUENT ALIROCUMAB INJECTION · PlasmaBlade · REVEAL LINQ · RYBELSUS · Ranexa · Repatha · Reveal LINQ · SAMSCA · SHINGRIX · TYVASO · VARITHENA · VERQUVO · VYNDAQEL · Vascepa · Veltassa · Verquvo · WATCHMAN Access System · WOLVERINE · Wegovy · XARELTO · ZIO Patch · ZONTIVITY
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
Internal medicine physicians in nearby ZIP areas
251
County median income
$88,531
Nearest hospital to ZIP centroid (approximate)
ST JOSEPH'S MEDICAL CENTER OF STOCKTON
0.0 mi
0.0 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. Manshadi is a remote monitoring specialist, with above-average Medicare volume (top 1% in CA), with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Manshadi experienced with remote patient monitoring device, 30 days?
Based on Medicare claims data, Dr. Manshadi performed 4,179 remote patient monitoring device, 30 days 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. Manshadi receive payments from pharmaceutical companies?
Yes. Dr. Manshadi received a total of $96,408 from 50 companies across 651 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. Manshadi's costs compare to other internal medicine physicians in Stockton?
Dr. Manshadi's average Medicare payment per service is $63. 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. Manshadi) 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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