Medicare Enrolled
Dr. Meena Narayanan, MD
Interventional Cardiology · Chula Vista, CA
Practice pattern: Cardiac Imaging
— Practice with significant diagnostic imaging and stress testing
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. Narayanan 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. Narayanan
Dr. Meena Narayanan is an interventional cardiology specialist in Chula Vista, CA, with 15 years of NPI registration. Based on federal Medicare data, Dr. Narayanan performed 1,970 Medicare services across 1,677 unique beneficiaries.
Between the years covered by Open Payments, Dr. Narayanan received a total of $18,126 from 39 pharmaceutical and/or device companies across 414 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in interventional cardiology. 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. Narayanan 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.
✓ 15 years in practice
▲ 1,970 Medicare services
$18,126 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,970
Medicare services
Bottom 45% in CA for interventional cardiology
1,677
Unique beneficiaries
$121
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~131 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 |
|---|---|---|---|
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
273 | $159 | $473 |
| 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. |
239 | $11 | $55 |
| 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. |
237 | $96 | $281 |
| Heart muscle strain imaging | 227 | $33 | $97 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
144 | $40 | $250 |
| 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. |
99 | $68 | $192 |
| Technetium Tc-99m sestamibi diagnostic injection A diagnostic injection of technetium Tc-99m sestamibi used for imaging studies. |
98 | $155 | $1,622 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
91 | $21 | $60 |
| 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. |
91 | $770 | $1,951 |
| 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. |
86 | $98 | $244 |
| 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. |
59 | $200 | $559 |
| New patient office visit, complex (60-74 min) | 50 | $172 | $462 |
| 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. |
49 | $62 | $274 |
| 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. |
49 | $1 | $20 |
| 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. |
48 | $390 | $1,254 |
| 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. |
31 | $93 | $362 |
| 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. |
29 | $139 | $438 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
22 | $138 | $379 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
18 | $87 | $332 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
18 | $15 | $69 |
| 3D ultrasound of heart for congenital heart defects This procedure uses three-dimensional ultrasound imaging to evaluate the structure of the heart during an assessment for congenital heart defects. |
12 | $20 | $122 |
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.
17.3% high complexity
33.2% medium
49.5% routine
Industry Payment Transparency
Open Payments through 2024 ↗$18,126
Total received (2018-2024)
Avg $2,589/year across 7 years
Top 26% in CA for interventional cardiology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
39
Companies
414
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
$17,874 (98.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$252 (1.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,577
2023
$2,790
2022
$3,032
2021
$3,451
2020
$1,204
2019
$2,829
2018
$2,244
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Edwards Lifesciences Corporation
$798
Boston Scientific Corporation
$745
Abbott Laboratories
$428
HEARTFLOW, INC.
$154
BIOTRONIK INC.
$104
Janssen Pharmaceuticals, Inc
$102
Cleerly, Inc.
$83
Novo Nordisk Inc
$40
Amgen Inc.
$33
E.R. Squibb & Sons, L.L.C.
$22
AstraZeneca Pharmaceuticals LP
$21
Kiniksa Pharmaceuticals International, plc
$18
Actelion Pharmaceuticals US, Inc.
$14
Reflow Medical Inc
$13
Top 3 companies account for 76.5% of 2024 payments
All-time payments by company (2018-2024) ›
Abbott Laboratories
$4,769
Boston Scientific Corporation
$4,197
Edwards Lifesciences Corporation
$2,433
BOSTON SCIENTIFIC CORPORATION
$936
Medtronic Vascular, Inc.
$702
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$655
BIOTRONIK INC.
$619
Janssen Pharmaceuticals, Inc
$541
Medtronic, Inc.
$537
Shockwave Medical, Inc
$444
AstraZeneca Pharmaceuticals LP
$332
Impulse Dynamics (USA) Inc.
$251
Astellas Pharma US Inc
$207
Novo Nordisk Inc
$164
HEARTFLOW, INC.
$154
Boehringer Ingelheim Pharmaceuticals, Inc.
$128
Amgen Inc.
$127
SANOFI-AVENTIS U.S. LLC
$124
Biosense Webster, Inc.
$114
E.R. Squibb & Sons, L.L.C.
$99
PFIZER INC.
$89
Cleerly, Inc.
$83
Philips Electronics North America Corporation
$51
Gilead Sciences, Inc.
$50
Novartis Pharmaceuticals Corporation
$41
ATRICURE, INC.
$37
CVRx, Inc.
$32
Merck Sharp & Dohme LLC
$25
CARDIVA MEDICAL, INC.
$24
Esperion Therapeutics, Inc.
$19
Kiniksa Pharmaceuticals, Ltd.
$19
Merck Sharp & Dohme Corporation
$19
Kiniksa Pharmaceuticals International, plc
$18
Alnylam Pharmaceuticals Inc.
$17
Regeneron Healthcare Solutions, Inc.
$17
Actelion Pharmaceuticals US, Inc.
$14
Tactile Systems Technology Inc
$14
Reflow Medical Inc
$13
Cardiovascular Systems Inc.
$11
Top 3 companies account for 62.9% of all-time payments
Associated products mentioned in payments ›
ACCOLADE · ASSURITY · AVEIR · AZURE XT DR MRI SURESCAN · Acticor · Acticor 7 VR-T DX · Amplia MRI · Arcalyst · Asahi Fielder coronary guide wire · Assurity Pacemaker · BIOMONITOR · BRILINTA · Barostim Neo System · BioMonitor · CHANTIX · CONFIRM RX · CardioMEMS HF System · Carto 3 · Cleerly Ischemia · Confirm Rx · CoreValve Evolut · Diamondback Peripheral · ELIQUIS · EMBLEM · EMBLEM S ICD ELECTRODE DELIVERY SYSTEM · ENSITE · ENTRESTO · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · Edwards SAPIEN 3 Transcatheter Heart Valve · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · Ellipse ICD · FARXIGA · FFRct · FLEXITOUCH · FLEXTEND · FORTIFY ASSURA · Fortify Assura · GALLANT · GENERAL TACHY · GENERAL THERAPIES · GENERAL BRADY · GENERAL TACHY · GENERAL THERAPIES · GENERAL - TACHY · GENERAL - THERAPIES · GENERAL ATHERECTOMY · GENERAL TACHY · GENERAL THERAPIES · GENERAL ULTRASOUND · General - Therapies · HeartMate 3 Left Ventricular Assist Device · ILAB · INGEVITY · JARDIANCE · JOT DX · LATITUDE · LATITUDE Communicator Power Supply · LEXISCAN · LUX DX · LUX-DX · LUX-Dx Insertable Cardiac Monitor · Leadless Pacemaker · Lexiscan · LifeVest · MERLIN@HOME · MICRA · MITRACLIP · MULTAQ · MYLUX · Merlin Connectivity and Remote · Micra · Mitra Clip system · NAVITOR · NEXLETOL · ONPATTRO · ONYX FRONTIER · OPSUMIT · Optimizer · Ozempic · PERCLOSE PROGLIDE · PRALUENT · PRALUENT ALIROCUMAB INJECTION · Plexa ProMRI · Quadra Allure MP RF CRT Pacemkr · Quadra Assura CRT Defibrillator · Repatha · Resolute · Reveal LINQ · SAPIEN 3 Ultra RESILIA · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · SQ-RX PULSE GENERATOR · Solia · Trilogy 100 · VARITHENA · VERQUVO · VIGILANT · Vascular Closure Device · Vascular Lithotripsy · VersaCross Access Solution · VersaCross Steerable Access Solution · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX · WOLVERINE · Wegovy · XARELTO
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 (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Interventional cardiologists within 10 mi
28
Per 100K population
0.9
County median income
$102,285
Nearest hospital
SHARP CHULA VISTA MEDICAL CENTER
0.0 mi
0.0 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. Narayanan is a cardiac imaging specialist, with moderate Medicare volume, with low-engagement industry engagement, with 15 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. Narayanan experienced with echocardiogram, transthoracic?
Based on Medicare claims data, Dr. Narayanan performed 273 echocardiogram, transthoracic 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. Narayanan receive payments from pharmaceutical companies?
Yes. Dr. Narayanan received a total of $18,126 from 39 companies across 414 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. Narayanan's costs compare to other interventional cardiologists in Chula Vista?
Dr. Narayanan's average Medicare payment per service is $121. 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. Narayanan) 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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