Medicare Enrolled
Dr. Ayuna Panossian, MD
Family Medicine · Burbank, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Panossian 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. Panossian
Dr. Ayuna Panossian is a family medicine specialist in Burbank, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Panossian performed 7,829 Medicare services across 4,504 unique beneficiaries.
Between the years covered by Open Payments, Dr. Panossian received a total of $9,734 from 51 pharmaceutical and/or device companies across 427 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Panossian 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.
✓ 19 years in practice
▲ Top 2% volume in CA
$9,734 industry payments
Medicare Practice Summary
Medicare Utilization ↗7,829
Medicare services
Top 2% in CA for family medicine
4,504
Unique beneficiaries
$89
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~412 Medicare services per year of practice
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 |
|---|---|---|---|
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
1,918 | $100 | $222 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
1,166 | $66 | $154 |
| Hospital discharge management, 30+ min This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge. |
635 | $97 | $230 |
| 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. |
540 | $99 | $234 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
481 | $145 | $433 |
| Nursing facility visit, low complexity A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care. |
398 | $61 | $149 |
| Critical care, first 30-74 min Emergency medical care for a critically ill or injured patient lasting between 30 and 74 minutes. This service involves direct patient care and medical decision making to stabilize the patient. |
375 | $177 | $590 |
| Annual depression screening | 312 | $21 | $40 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
299 | $140 | $248 |
| 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. |
279 | $71 | $160 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
185 | $61 | $167 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
178 | $8 | $10 |
| Annual alcohol misuse screening, 5 to 15 minutes | 178 | $21 | $40 |
| Home visit, established patient, moderate complexity A home visit for an established patient involving moderate medical decision making. The visit requires at least 40 minutes of time if time is used to determine the level of service. |
96 | $108 | $236 |
| Nursing facility visit, moderate complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes. |
80 | $91 | $195 |
| 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. |
77 | $133 | $303 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
76 | $33 | $50 |
| Obesity behavioral counseling, 15 minutes A 15-minute face-to-face session focused on behavioral counseling to help manage obesity. |
72 | $27 | $56 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
61 | $75 | $123 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
59 | $11 | $55 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
53 | $1 | $20 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
47 | $109 | $294 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
45 | $178 | $297 |
| 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. |
35 | $12 | $38 |
| Psychological or neuropsychological test, first 30 minutes Administration of psychological or neuropsychological testing for the first 30 minutes. |
35 | $25 | $197 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
27 | $241 | $462 |
| Initial nursing facility care, moderate complexity Initial care provided to a patient in a nursing facility with moderate medical decision making, taking at least 35 minutes. |
26 | $113 | $239 |
| Pelvic and clinical breast exam for cancer screening A physical examination of the pelvis and breasts to screen for cervical or vaginal cancer. This procedure involves a clinical assessment performed by a healthcare provider. |
26 | $43 | $55 |
| Influenza vaccine, quadrivalent, 0.5 ml dosage | 15 | $20 | $80 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
15 | $178 | $362 |
| Additional 30 minutes of critical care This code represents an additional 30 minutes of critical care services provided beyond the initial critical care time period. |
14 | $89 | $262 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
14 | $16 | $31 |
| Nursing facility discharge management, more than 30 minutes This service involves care coordination and management activities performed by a healthcare professional to prepare a patient for discharge from a nursing facility. It requires more than 30 minutes of time spent on these activities. |
12 | $111 | $225 |
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. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$9,734
Total received (2018-2024)
Avg $1,391/year across 7 years
Top 4% in CA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
51
Companies
427
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$9,734 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,592
2023
$1,739
2022
$1,792
2021
$1,648
2020
$439
2019
$766
2018
$1,756
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Amgen Inc.
$347
AstraZeneca Pharmaceuticals LP
$205
Lilly USA, LLC
$153
Optinose US, Inc.
$146
Novo Nordisk Inc
$124
Boehringer Ingelheim Pharmaceuticals, Inc.
$112
Otsuka America Pharmaceutical, Inc.
$108
Ardelyx, Inc.
$97
ABBVIE INC.
$73
Sumitomo Pharma America, Inc.
$57
Novartis Pharmaceuticals Corporation
$28
Lexicon Pharmaceuticals, Inc.
$24
Philips North America LLC
$24
Radius Health, Inc.
$22
GlaxoSmithKline, LLC.
$22
Bayer Healthcare Pharmaceuticals Inc.
$17
Xeris Pharmaceuticals, Inc.
$17
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$16
Top 3 companies account for 44.2% of 2024 payments
All-time payments by company (2018-2024) ›
Boehringer Ingelheim Pharmaceuticals, Inc.
$1,094
Amgen Inc.
$1,045
Lilly USA, LLC
$948
AstraZeneca Pharmaceuticals LP
$906
ABBVIE INC.
$632
PFIZER INC.
$389
Novo Nordisk Inc
$374
GlaxoSmithKline, LLC.
$362
AbbVie Inc.
$314
Takeda Pharmaceuticals U.S.A., Inc.
$297
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$285
Merck Sharp & Dohme Corporation
$227
Bayer HealthCare Pharmaceuticals Inc.
$199
Merck Sharp & Dohme LLC
$187
Janssen Pharmaceuticals, Inc
$183
Novartis Pharmaceuticals Corporation
$170
Optinose US, Inc.
$146
Astellas Pharma US Inc
$138
Otsuka America Pharmaceutical, Inc.
$128
Boston Scientific Corporation
$125
Vertiflex, Inc.
$115
Intuitive Surgical, Inc.
$107
Radius Health, Inc.
$104
Ardelyx, Inc.
$97
Avanir Pharmaceuticals, Inc.
$93
Sunovion Pharmaceuticals Inc.
$82
Xeris Pharmaceuticals, Inc.
$80
E.R. Squibb & Sons, L.L.C.
$75
Amarin Pharma Inc.
$69
Bayer Healthcare Pharmaceuticals Inc.
$68
IDORSIA PHARMACEUTICALS US INC
$64
Ironwood Pharmaceuticals, Inc
$61
Sumitomo Pharma America, Inc.
$57
Almatica Pharma LLC
$47
Abbott Laboratories
$47
Kowa Pharmaceuticals America, Inc.
$45
Horizon Therapeutics plc
$43
Nestle HealthCare Nutrition Inc.
$35
Allergan Inc.
$34
Exact Sciences Corporation
$33
Corium, LLC
$28
Shield Therapeutics Inc
$26
Biohaven Pharmaceuticals, Inc.
$26
Medtronic Vascular, Inc.
$25
Lexicon Pharmaceuticals, Inc.
$24
Philips North America LLC
$24
AbbVie, Inc.
$19
Medtronic USA, Inc.
$16
Lundbeck LLC
$16
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$15
BioDelivery Sciences International, Inc.
$11
Top 3 companies account for 31.7% of all-time payments
Associated products mentioned in payments ›
(8874) inCourage · ABILIFY MYCITE · ACCRUFER · ACTIVA · AIRSUPRA · ANORO · ANORO ELLIPTA · APRISO · APTIOM · Adempas · Adlarity · Aimovig · Amitiza · BAQSIMI · BASAGLAR · BELBUCA · BELSOMRA · BREZTRI · BRILINTA · BUNAVAIL 2.1 mg 30-count box · CHANTIX · CREON · Cologuard Collection Kit · Da Vinci Surgical System · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · FARXIGA · FORTEO · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · GEMTESA · GENERAL BPH · GRALISE · GVOKE HYPOPEN · GVOKE PFS · IBSRELA · INVOKANA · JANUVIA · JARDIANCE · Kerendia · LEQVIO · LINZESS · LOKELMA · LONHALA MAGNAIR · LYRICA · Linzess · Livalo · MOUNJARO · MYRBETRIQ · Micra · Myrbetriq · NAPRELAN · NUEDEXTA · NURTEC ODT · Nuedexta · Otezla · Ozempic · PENNSAID · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · QULIPTA · QUVIVIQ · REXULTI · Repatha · Rybelsus · SPIRIVA RESPIMAT · STEGLATRO · STIOLTO · STIOLTO RESPIMAT · Superion ISS · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Trintellix · Tymlos · UBRELVY · UTIBRON · VERQUVO · VRAYLAR · VYNDAMAX · Vascepa · Victoza · XARELTO · XIFAXAN · Xhance · ZENPEP · ZEPBOUND
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. 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 →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 4% for family medicine in CA.
Geographic Context
Family medicine physicians within 10 mi
2,880
Per 100K population
29.2
County median income
$87,760
Nearest hospital
PROVIDENCE SAINT JOSEPH MEDICAL CTR
2.2 mi
2.2 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | 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. Panossian is a clinical cardiology specialist, with above-average Medicare volume (top 2% in CA), with low-engagement industry engagement in the top 4% of CA peers, with 19 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. Panossian experienced with hospital follow-up visit, high complexity?
Based on Medicare claims data, Dr. Panossian performed 1,918 hospital follow-up visit, high complexity services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Panossian receive payments from pharmaceutical companies?
Yes. Dr. Panossian received a total of $9,734 from 51 companies across 427 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. 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. Panossian's costs compare to other family medicine physicians in Burbank?
Dr. Panossian's average Medicare payment per service is $89. 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. Panossian) 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 a long track record of practice, Medicare participation, and industry disclosure. 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?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): 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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