Medicare Enrolled
Dr. Chandrasekar Palaniswamy, MD
Student in an Organized Health Care Education/Training Program · Fresno, 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. Palaniswamy 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 →
Are you Dr. Palaniswamy?
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What this data tells you about Dr. Palaniswamy
Dr. Chandrasekar Palaniswamy is a student in an organized health care education/training program specialist in Fresno, CA, with 16 years of NPI registration. Based on federal Medicare data, Dr. Palaniswamy performed 12,080 Medicare services across 8,355 unique beneficiaries.
Between the years covered by Open Payments, Dr. Palaniswamy received a total of $15,289 from 36 pharmaceutical and/or device companies across 399 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in student in an organized health care education/training program. 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. Palaniswamy 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.
✓ 16 years in practice
▲ Top 2% volume in CA
$15,289 industry payments
Medicare Practice Summary
Medicare Utilization ↗12,080
Medicare services
Top 2% in CA for student in an organized health care education/training program
8,355
Unique beneficiaries
$82
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~755 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 |
|---|---|---|---|
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
2,943 | $6 | $112 |
| 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. |
1,946 | $95 | $275 |
| 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. |
882 | $11 | $57 |
| 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. |
730 | $20 | $75 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
645 | $45 | $96 |
| Technetium Tc-99m sestamibi diagnostic injection A diagnostic injection of technetium Tc-99m sestamibi used for imaging studies. |
434 | $48 | $250 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
416 | $67 | $189 |
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
322 | $18 | $95 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
298 | $149 | $700 |
| 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. |
265 | $49 | $292 |
| 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. |
243 | $22 | $90 |
| 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. |
211 | $124 | $374 |
| 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. |
208 | $365 | $975 |
| Electrocardiogram, 1-3 leads with physician review A heart rhythm test using one to three electrodes to record electrical activity, with interpretation by a physician. |
173 | $9 | $36 |
| Normal saline infusion, 1000 cc Administration of 1000 cc of normal saline solution into a vein. This procedure involves the intravenous delivery of a sterile saltwater solution. |
160 | $2 | $3 |
| 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. |
148 | $135 | $400 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
124 | $62 | $165 |
| Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 114 | $408 | $1,200 |
| 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. |
109 | $65 | $189 |
| 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. |
108 | $92 | $250 |
| Heart rhythm stimulator programming after drug infusion Adjustment of a heart rhythm stimulation device following a drug infusion. This procedure involves reprogramming the device settings to ensure proper function after the medication has been administered. |
101 | $66 | $400 |
| Catheter ablation for abnormal heart rhythm A procedure where catheters are inserted to destroy tissue causing irregular heartbeats. |
99 | $235 | $1,080 |
| Atrial fibrillation ablation with pulmonary vein isolation A procedure to treat atrial fibrillation by mapping the heart's electrical activity and destroying tissue causing irregular contractions. This is done by isolating the pulmonary veins using catheter-based destruction. |
92 | $718 | $2,850 |
| Heart chamber tissue destruction via catheter A procedure that destroys tissue in the upper heart chamber using a tube to treat abnormal heart rhythm. |
85 | $235 | $1,075 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
82 | $2 | $10 |
| Remote evaluation of implantable defibrillator system Remote assessment of a single, dual, or multiple lead implantable defibrillator system within 90 days of the previous evaluation. |
80 | $26 | $170 |
| 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. |
71 | $714 | $1,800 |
| 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. |
61 | $137 | $350 |
| 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. |
60 | $10 | $30 |
| 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. |
57 | $1,546 | $4,500 |
| 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. |
57 | $111 | $361 |
| New patient office visit, complex (60-74 min) | 47 | $161 | $475 |
| Programming of multiple lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with multiple leads to ensure proper function. |
43 | $81 | $250 |
| Evaluation of implantable heart and blood vessel monitoring system This procedure involves checking the function and data of an implanted device used to monitor heart and blood vessel activity. |
42 | $39 | $80 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
42 | $20 | $78 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
42 | $14 | $56 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
40 | $85 | $338 |
| Follow-up ultrasound of heart blood flow, valves and chambers An ultrasound exam that follows up on the heart's blood flow, valves, and chambers. It uses sound waves to create images of the heart's structure and function. |
36 | $6 | $23 |
| Continuous external EKG monitoring, 8-15 days This procedure involves recording heart rhythm continuously using an external EKG device over a period of 8 to 15 days. |
34 | $10 | $40 |
| External EKG monitoring, 8-15 days Continuous external electrocardiogram recording and review over a period of 8 to 15 days to monitor heart rhythm. |
34 | $20 | $70 |
| Programming of dual lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with two leads to ensure proper function. |
34 | $63 | $200 |
| Repair of left upper heart chamber with implant A surgical procedure to repair the left upper chamber of the heart using an implanted device, with review by a radiologist. |
33 | $587 | $2,000 |
| External shock to heart to regulate heart beat A procedure that delivers an electric shock to the heart from outside the body to restore a normal heart rhythm. |
33 | $85 | $372 |
| Cardiac rhythm monitor evaluation Review and analysis of data recorded by a cardiac rhythm monitoring device to assess heart activity. |
33 | $37 | $100 |
| 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. |
30 | $160 | $525 |
| Continuous external EKG monitoring, 48 hours to 7 days This procedure involves recording the heart's electrical activity continuously using an external device for a period exceeding 48 hours but not more than 7 days. |
26 | $10 | $40 |
| Continuous EKG monitoring review, 48-7 days Review and interpretation of continuous external EKG recordings lasting more than 48 hours up to 7 days. |
26 | $19 | $64 |
| Pacemaker insertion with heart chamber electrodes A surgical procedure to implant a pacemaker device and place electrodes into the upper and lower chambers of the heart to regulate heart rhythm. |
22 | $392 | $2,692 |
| 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. |
18 | $168 | $500 |
| Nuclear medicine study, 1 area A diagnostic imaging test that uses a small amount of radioactive material to evaluate the function or structure of a specific body area. |
17 | $200 | $708 |
| Radiofrequency ablation for supraventricular tachycardia A procedure to locate and destroy abnormal heart tissue in the upper chambers of the heart that causes a rapid heart rate. |
17 | $606 | $2,125 |
| 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. |
16 | $3,733 | $14,000 |
| SPECT nuclear medicine scan, 1 area A nuclear medicine imaging test using a single photon emission computed tomography (SPECT) scan to create detailed images of one specific area of the body. |
16 | $302 | $1,050 |
| Pacemaker programming, single lead Adjustment and testing of a single-lead pacemaker to ensure it functions correctly. |
16 | $57 | $140 |
| Implantable defibrillator system check A check of the implanted defibrillator device to ensure it is functioning correctly. This evaluation covers single, dual, or multiple lead systems. |
16 | $49 | $170 |
| Ultrasound of heart blood vessels with radiologist review An ultrasound exam that evaluates blood vessels within the heart, including a review of the results by a radiologist. |
16 | $59 | $400 |
| Nuclear medicine heart pumping function test A nuclear medicine study that labels red blood cells to measure the volume of blood ejected from the heart with each beat over multiple cycles. |
14 | $158 | $550 |
| Pacemaker system evaluation Assessment of a pacemaker device, including single, dual, multiple lead, or leadless systems. |
13 | $37 | $100 |
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.
15.3% high complexity
15.4% medium
69.3% routine
Industry Payment Transparency
Open Payments through 2024 ↗$15,289
Total received (2018-2024)
Avg $2,184/year across 7 years
Top 2% in CA for student in an organized health care education/training program
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
36
Companies
399
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
$12,640 (82.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$2,649 (17.3%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,337
2023
$2,820
2022
$3,045
2021
$765
2020
$1,007
2019
$3,626
2018
$2,690
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Amgen Inc.
$374
Boehringer Ingelheim Pharmaceuticals, Inc.
$229
Abbott Laboratories
$179
Boston Scientific Corporation
$102
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$54
iRhythm Technologies, Inc.
$49
Medtronic, Inc.
$48
CVRx, Inc.
$40
ATRICURE, INC.
$36
Regeneron Healthcare Solutions, Inc.
$36
PFIZER INC.
$34
Tactile Systems Technology Inc
$26
E.R. Squibb & Sons, L.L.C.
$26
Kestra Medical Technology Services, Inc.
$25
Bayer Healthcare Pharmaceuticals Inc.
$25
Kiniksa Pharmaceuticals International, plc
$21
Novo Nordisk Inc
$20
Novartis Pharmaceuticals Corporation
$13
Top 3 companies account for 58.5% of 2024 payments
All-time payments by company (2018-2024) ›
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$2,742
Medtronic Vascular, Inc.
$1,652
Amgen Inc.
$1,419
Abbott Laboratories
$1,267
AtriCure, Inc.
$1,194
BIOTRONIK INC.
$803
ATRICURE, INC.
$688
Boston Scientific Corporation
$635
CVRx, Inc.
$559
Biosense Webster, Inc.
$553
CardioFocus, Inc.
$523
Boehringer Ingelheim Pharmaceuticals, Inc.
$491
Novartis Pharmaceuticals Corporation
$298
Bayer Healthcare Pharmaceuticals Inc.
$257
AstraZeneca Pharmaceuticals LP
$245
PFIZER INC.
$240
Medtronic, Inc.
$236
E.R. Squibb & Sons, L.L.C.
$219
Vifor Pharma, Inc.
$200
Janssen Pharmaceuticals, Inc
$172
Bayer HealthCare Pharmaceuticals Inc.
$126
Kiniksa Pharmaceuticals, Ltd.
$99
Merck Sharp & Dohme LLC
$96
Philips Electronics North America Corporation
$81
BOSTON SCIENTIFIC CORPORATION
$77
iRhythm Technologies, Inc.
$77
Bardy Diagnostics, Inc.
$63
Novo Nordisk Inc
$61
Tactile Systems Technology Inc
$42
Regeneron Healthcare Solutions, Inc.
$36
Amarin Pharma Inc.
$35
Kestra Medical Technology Services, Inc.
$25
ABIOMED
$21
Kiniksa Pharmaceuticals International, plc
$21
Esperion Therapeutics, Inc.
$21
Chiesi USA, Inc.
$16
Top 3 companies account for 38.0% of all-time payments
Associated products mentioned in payments ›
ANDEXXA · ATRICLIP LAA EXCLUSION SYSTEM · ATRICURE ATRICLIP LAA EXCLUSION · AVEIR · AZURE XT DR MRI SURESCAN · Acticor 7 VR-T DX · Adempas · Agilis NxT EP Introducer · Arcalyst · Assure WCD · Azure · BRILINTA · Barostim Neo System · BioMonitor 2 · CAMZYOS · CARTO 3 · COBALT DR MRI SURESCAN · CONFIRM RX · CareLink · Carnation Ambulatory Monitor · Carto 3 · Carto 3 System · CartoSound · Corlanor · ELIQUIS · ENSITE PRECISION · ENTRESTO · EP Transseptal Access · EP-4 Cardiac Stimulator · EPI-SENSE GUIDED COAGULATION SYS · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · EVKEEZA · Ensite Cardiac Mapping System · Evera · FARXIGA · Flexitouch Plus · GALLANT · HEARTLIGHT SYSTEM · HeartLight System · Impella · JARDIANCE · JOT DX · KENGREAL · Kerendia · LEQVIO · LINQ II · LifeVest · MICRA · Micra · Mitra Clip system · NEXLETOL · PRADAXA · Perclose ProGlide suture mediated closure system · RELIANCE 4FRONT · REVEAL LINQ · Repatha · Reveal LINQ · TactiCath Quartz CFA Catheter · Trilogy 100 · VERQUVO · VIEWMATE · VYNDAQEL · Vascepa · Veltassa · Verquvo · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX · XARELTO · ZIO XT Patch · 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 (83%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 2% for student in an organized health care education/training program in CA.
Geographic Context
Student in an organized health care education/training programs within 10 mi
1,012
Per 100K population
100.0
County median income
$71,434
Nearest hospital
SAINT AGNES 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. Palaniswamy is a clinical cardiology specialist, with above-average Medicare volume (top 2% in CA), with low-engagement industry engagement in the top 2% of CA peers, with 16 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. Palaniswamy experienced with ekg interpretation and report?
Based on Medicare claims data, Dr. Palaniswamy performed 2,943 ekg interpretation and report 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. Palaniswamy receive payments from pharmaceutical companies?
Yes. Dr. Palaniswamy received a total of $15,289 from 36 companies across 399 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. Palaniswamy's costs compare to other student in an organized health care education/training programs in Fresno?
Dr. Palaniswamy's average Medicare payment per service is $82. 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. Palaniswamy) 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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