Medicare Enrolled
Dr. Rayan Hourani, M.D.
Internal Medicine · El Cajon, CA
Practice pattern: Cardiac & Electrophysiology
— Practice combining cardiac and electrophysiology services
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. Hourani 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. Hourani
Dr. Rayan Hourani is an internal medicine specialist in El Cajon, CA, with 18 years of NPI registration. Based on federal Medicare data, Dr. Hourani performed 3,425 Medicare services across 2,363 unique beneficiaries.
Between the years covered by Open Payments, Dr. Hourani received a total of $25,272 from 58 pharmaceutical and/or device companies across 760 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal 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. Hourani 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.
✓ 18 years in practice
▲ Top 9% volume in CA
$25,272 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,425
Medicare services
Top 9% in CA for internal medicine
2,363
Unique beneficiaries
$81
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~190 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 |
|---|---|---|---|
| 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. |
738 | $100 | $165 |
| 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. |
674 | $11 | $55 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
282 | $162 | $932 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
224 | $45 | $375 |
| 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. |
222 | $1 | $11 |
| 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. |
194 | $69 | $125 |
| Technetium Tc-99m tetrofosmin diagnostic injection A diagnostic injection of Technetium Tc-99m tetrofosmin used for imaging studies. |
147 | $76 | $207 |
| 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. |
144 | $65 | $136 |
| 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. |
136 | $98 | $201 |
| 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. |
82 | $142 | $325 |
| 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. |
74 | $396 | $1,500 |
| 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. |
73 | $54 | $220 |
| Aminophylline injection, up to 250 mg Administration of aminophylline medication via injection for a dose of up to 250 mg. |
57 | $7 | $100 |
| 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. |
56 | $116 | $275 |
| 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. |
51 | $147 | $225 |
| 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. |
48 | $199 | $600 |
| 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. |
43 | $16 | $25 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
42 | $10 | $49 |
| 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. |
30 | $107 | $267 |
| Cardiac catheterization | 26 | $190 | $1,332 |
| 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. |
16 | $12 | $46 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
16 | $3 | $176 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
13 | $21 | $89 |
| 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. |
13 | $782 | $1,565 |
| New patient office visit, complex (60-74 min) | 13 | $186 | $350 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
11 | $35 | $75 |
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.
15.5% high complexity
19.1% medium
65.4% routine
Industry Payment Transparency
Open Payments through 2024 ↗$25,272
Total received (2018-2024)
Avg $3,610/year across 7 years
Top 5% in CA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
58
Companies
760
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
$24,732 (97.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$539 (2.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,826
2023
$2,221
2022
$2,929
2021
$3,477
2020
$2,432
2019
$4,240
2018
$7,147
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ShockWave Medical, Inc
$751
Medtronic, Inc.
$345
Edwards Lifesciences Corporation
$337
Abbott Laboratories
$220
AstraZeneca Pharmaceuticals LP
$163
Novartis Pharmaceuticals Corporation
$132
Janssen Pharmaceuticals, Inc
$104
E.R. Squibb & Sons, L.L.C.
$82
Amgen Inc.
$81
Boehringer Ingelheim Pharmaceuticals, Inc.
$74
ABIOMED
$58
Merck Sharp & Dohme LLC
$52
SANOFI-AVENTIS U.S. LLC
$52
SCPHARMACEUTICALS INC.
$45
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$44
Novo Nordisk Inc
$38
PFIZER INC.
$36
HEARTFLOW, INC.
$35
Kestra Medical Technology Services, Inc.
$27
iRhythm Technologies, Inc.
$27
Bayer Healthcare Pharmaceuticals Inc.
$24
Lexicon Pharmaceuticals, Inc.
$22
Boston Scientific Corporation
$20
Esperion Therapeutics, Inc.
$20
Kiniksa Pharmaceuticals International, plc
$20
Alnylam Pharmaceuticals Inc.
$17
Top 3 companies account for 50.7% of 2024 payments
All-time payments by company (2018-2024) ›
Abbott Laboratories
$6,329
AstraZeneca Pharmaceuticals LP
$1,527
Medtronic, Inc.
$1,516
Janssen Pharmaceuticals, Inc
$1,329
Novartis Pharmaceuticals Corporation
$1,288
Amgen Inc.
$1,129
PFIZER INC.
$968
SANOFI-AVENTIS U.S. LLC
$849
ShockWave Medical, Inc
$751
Boston Scientific Corporation
$727
Edwards Lifesciences Corporation
$676
Philips Electronics North America Corporation
$647
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$573
Medtronic Vascular, Inc.
$567
Gilead Sciences, Inc.
$566
Chiesi USA, Inc.
$474
Cardiovascular Systems Inc.
$463
ABIOMED
$457
E.R. Squibb & Sons, L.L.C.
$442
Boehringer Ingelheim Pharmaceuticals, Inc.
$439
Novo Nordisk Inc
$424
Esperion Therapeutics, Inc.
$346
BIOTRONIK INC.
$318
Amarin Pharma Inc.
$261
Inari Medical, Inc.
$251
Actelion Pharmaceuticals US, Inc.
$188
Penumbra, Inc.
$165
Regeneron Healthcare Solutions, Inc.
$158
Kiniksa Pharmaceuticals, Ltd.
$134
Teleflex LLC
$130
Merck Sharp & Dohme LLC
$123
ZOLL Circulation Inc
$98
HeartFlow, Inc.
$89
CVRx, Inc.
$79
Cardinal Health 200, LLC
$70
AngioDynamics, Inc.
$67
Lexicon Pharmaceuticals, Inc.
$66
Daiichi Sankyo Inc.
$55
Kestra Medical Technology Services, Inc.
$54
SCPHARMACEUTICALS INC.
$45
Impulse Dynamics (USA) Inc.
$44
Bayer Healthcare Pharmaceuticals Inc.
$37
HEARTFLOW, INC.
$35
Bayer HealthCare Pharmaceuticals Inc.
$35
Alnylam Pharmaceuticals Inc.
$34
Kowa Pharmaceuticals America, Inc.
$29
iRhythm Technologies, Inc.
$27
Lundbeck LLC
$22
Trevena, Inc.
$21
Kiniksa Pharmaceuticals International, plc
$20
Cardinal Health 200 LLC
$18
CARDIVA MEDICAL, INC.
$18
BOSTON SCIENTIFIC CORPORATION
$17
Astellas Pharma US Inc
$16
G Medical Diagnostic Services, Inc.
$16
Maquet Cardiovascular U.S. Sales, L.L.C.
$15
Terumo Medical Corporation
$15
CHIESI USA, INC.
$14
Top 3 companies account for 37.1% of all-time payments
Associated products mentioned in payments ›
(8333) IGT D Coronary · (8874) inCourage · (9284) Stellarex · (9520) IGT Devices Und · ALPHAVAC · AMPLATZER AMULET · AMVUTTRA · ANDEXXA · Adempas · Arcalyst · Asahi Fielder coronary guide wire · Assure WCD · Assurity Pacemaker · Astron; Pulsar; AstronPulsar · BRILINTA · Barostim Neo System · CAMZYOS · CARDIOHELP · CARDIOMEMS · CARDIVA VASCADE MVP VVCS 6-12F · CHANTIX · CLEVIPREX · COREVALVE EVOLUT R · Cardiac Monitoring Suite · CardioMEMS HF System · Confirm Rx · CoreValve Evolut · Coronary Orbital Atherectomy System · Diamondback Peripheral · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · ELIQUIS · EMBLEM · ENTRESTO · Edwards SAPIEN 3 Transcatheter Heart Valve · EluNIR Radaforolimus Eluting Coronary Stent System · FARXIGA · FFRct · FLOWTRIEVER CATHETER · FUROSCIX · GENERAL TACHY · HawkOne · HeartMate 3 Left Ventricular Assist Device · Heartrail · IGT D Coronary · IGT_D Coronary · INJECTAFER · INVOKANA · Impella · Indigo · Indigo System · Inpefa · JARDIANCE · KENGREAL · KENGREAL 50MG/10ML L · Kerendia · LEQVIO · LEXISCAN · LIVALO · LUX-Dx Insertable Cardiac Monitor · LifeVest · Livalo · MANTA · MICRA · MITRACLIP · MULTAQ · Micra · Mitra Clip system · MitraClip System · NAVITOR · NEXLETOL · NORTHERA · ONYX FRONTIER · OPSUMIT · OPSUMIT MACITENTAN · OPTIS · Olinvyk · Optimizer · Optis Coronary Imaging System · Ozempic · PK Papyrus · PRADAXA · PRALUENT · PRALUENT ALIROCUMAB INJECTION · Peripheral Orbital Atherectomy System · PressureWire FFR · Quadra Assura CRT Defibrillator · RESOLUTE ONYX · Ranexa · Repatha · Resolute · Reveal LINQ · Rybelsus · S · SAPIEN 3 Ultra RESILIA · SYNERGY · Saxenda · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · THORATEC HEARTMATE 3 LVAS IMPLANT KIT · TherOx DS2 Console · Tresiba · UPTRAVI · VERQUVO · VYNDAMAX · VYNDAQEL · Vascepa · Verquvo · VersaCross Access Solution · Visia AF · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX · XARELTO · XIENCE SIERRA · XIENCE SKYPOINT · Xience Alpine cornary stent system · Xience Sierra Coronary Stent · Xience Sierra Coronary Stent System · Zio monitor
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 (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 5% for internal medicine in CA.
Geographic Context
Internal medicine physicians within 10 mi
1,634
Per 100K population
49.8
County median income
$102,285
Nearest hospital
GROSSMONT HOSPITAL
3.3 mi
3.3 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. Hourani is a cardiac & electrophysiology specialist, with above-average Medicare volume (top 9% in CA), with low-engagement industry engagement in the top 5% of CA peers, with 18 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. Hourani experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Hourani performed 738 office visit, established patient (30-39 min) 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. Hourani receive payments from pharmaceutical companies?
Yes. Dr. Hourani received a total of $25,272 from 58 companies across 760 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. Hourani's costs compare to other internal medicine physicians in El Cajon?
Dr. Hourani's average Medicare payment per service is $81. 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. Hourani) 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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