Medicare Enrolled
Dr. Hrachya Paruyryan, M.D.
Family Medicine · Glendale, 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. Paruyryan 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. Paruyryan
Dr. Hrachya Paruyryan is a family medicine specialist in Glendale, CA, with 18 years of NPI registration. Based on federal Medicare data, Dr. Paruyryan performed 14,620 Medicare services across 6,520 unique beneficiaries.
Between the years covered by Open Payments, Dr. Paruyryan received a total of $6,688 from 45 pharmaceutical and/or device companies across 267 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. Paruyryan 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 1% volume in CA
$6,688 industry payments
Medicare Practice Summary
Medicare Utilization ↗14,620
Medicare services
Top 1% in CA for family medicine
6,520
Unique beneficiaries
$53
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~812 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 |
|---|---|---|---|
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
2,557 | $42 | $115 |
| 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. |
2,528 | $45 | $148 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
1,343 | $8 | $14 |
| 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. |
1,293 | $110 | $260 |
| Obesity behavioral counseling, 15 minutes A 15-minute face-to-face session focused on behavioral counseling to help manage obesity. |
1,019 | $28 | $58 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
822 | $53 | $90 |
| 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. |
644 | $155 | $356 |
| Annual intensive behavioral therapy for cardiovascular disease, 15 minutes A yearly, in-person session focused on intensive behavioral therapy to help manage cardiovascular disease. The session lasts for 15 minutes and is conducted with the patient individually. |
515 | $28 | $58 |
| Annual alcohol misuse screening, 5 to 15 minutes | 514 | $21 | $58 |
| Annual depression screening | 482 | $21 | $58 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
443 | $144 | $357 |
| 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. |
299 | $16 | $35 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
299 | $34 | $91 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
278 | $44 | $119 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
261 | $34 | $58 |
| Quadrivalent influenza vaccine, preservative-free A flu shot containing four strains of the influenza virus, formulated without preservatives, administered in a 0.5 ml dose. |
247 | $22 | $102 |
| 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. |
228 | $76 | $174 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
159 | $78 | $174 |
| 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. |
74 | $11 | $38 |
| 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. |
63 | $13 | $40 |
| Pneumococcal vaccine, 23-valent A vaccine that protects against 23 types of pneumococcal bacteria. It is used to prevent infections caused by these bacteria. |
59 | $131 | $350 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
59 | $21 | $57 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
59 | $34 | $58 |
| 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. |
58 | $89 | $181 |
| Remote physiologic monitoring setup and education Initial setup of remote monitoring equipment and patient education on its use. |
55 | $16 | $45 |
| 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. |
46 | $140 | $356 |
| 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. |
42 | $183 | $378 |
| 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. |
37 | $246 | $356 |
| Complete ultrasound of abdomen A diagnostic imaging test that uses sound waves to create detailed pictures of the organs and structures within the abdomen. |
27 | $109 | $360 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
27 | $93 | $258 |
| 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. |
26 | $182 | $356 |
| Complete ultrasound of retroperitoneum An ultrasound examination of the structures located behind the abdominal cavity. |
24 | $102 | $358 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
20 | $183 | $378 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
13 | $72 | $103 |
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 ↗$6,688
Total received (2018-2024)
Avg $955/year across 7 years
Top 6% in CA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
45
Companies
267
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
$6,688 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$679
2023
$698
2022
$1,535
2021
$1,832
2020
$844
2019
$734
2018
$366
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$284
Novo Nordisk Inc
$86
ABBVIE INC.
$67
PFIZER INC.
$59
Amgen Inc.
$50
GlaxoSmithKline, LLC.
$40
Lilly USA, LLC
$33
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$21
IRONWOOD PHARMACEUTICALS, INC
$19
Sumitomo Pharma America, Inc.
$18
Top 3 companies account for 64.4% of 2024 payments
All-time payments by company (2018-2024) ›
Amgen Inc.
$1,127
Novo Nordisk Inc
$732
AstraZeneca Pharmaceuticals LP
$513
AbbVie Inc.
$466
ABBVIE INC.
$398
GlaxoSmithKline, LLC.
$331
Lilly USA, LLC
$248
Esperion Therapeutics, Inc.
$230
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$225
Bayer HealthCare Pharmaceuticals Inc.
$208
Astellas Pharma US Inc
$196
PFIZER INC.
$191
AbbVie, Inc.
$165
Sunovion Pharmaceuticals Inc.
$121
MERZ NORTH AMERICA, INC.
$112
ARBOR PHARMACEUTICALS, INC.
$106
Takeda Pharmaceuticals U.S.A., Inc.
$97
Arbor Pharmaceuticals, Inc.
$92
Horizon Therapeutics plc
$91
Eisai Inc.
$83
SCILEX PHARMACEUTICALS INC.
$79
Merck Sharp & Dohme LLC
$75
Janssen Pharmaceuticals, Inc
$71
Boehringer Ingelheim Pharmaceuticals, Inc.
$68
Merz Pharmaceuticals, LLC
$63
Biohaven Pharmaceutical Holding Company Ltd.
$60
Merck Sharp & Dohme Corporation
$58
Scilex Pharmaceuticals Inc.
$55
Amarin Pharma Inc.
$43
Sumitomo Pharma America, Inc.
$41
UCB, Inc.
$38
Novartis Pharmaceuticals Corporation
$34
Phadia US Inc.
$32
CSL Behring
$25
Supernus Pharmaceuticals, Inc.
$23
MDD US Operations, LLC
$23
Akcea Therapeutics, Inc.
$23
Allergan Inc.
$22
Biohaven Pharmaceuticals, Inc.
$22
Biogen, Inc.
$20
IRONWOOD PHARMACEUTICALS, INC
$19
SANOFI-AVENTIS U.S. LLC
$19
Teva Pharmaceuticals USA, Inc.
$19
Hikma Pharmaceuticals USA
$12
Eyevance Pharmaceuticals LLC
$12
Top 3 companies account for 35.5% of all-time payments
Associated products mentioned in payments ›
ADUHELM · AIRSUPRA · AJOVY · APTIOM · Aimovig · BASAGLAR · BELSOMRA · BOTOX · BREZTRI · CHANTIX · CREON · Creon · Dayvigo · ELIQUIS · EVENITY · Edarbi · Edarbyclor · FARXIGA · GEMTESA · Hizentra · Horizant · ImmunoCAP · JANUVIA · JARDIANCE · Kerendia · LEQVIO · LINZESS · LYRICA · Linzess · MOTEGRITY · MOUNJARO · MYRBETRIQ · Mitigare · Motegrity · Myrbetriq · NEXLETOL · NURTEC ODT · Otezla · Ozempic · PENNSAID · QULIPTA · RYBELSUS · Repatha · Rybelsus · SPRAVATO · SYMBICORT · TEGSEDI · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TROKENDI XR · TRULICITY · Tobradex ST · UBRELVY · VERQUVO · VRAYLAR · Vascepa · XADAGO · XARELTO · XEOMIN · XIFAXAN · Xeomin · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH
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 6% for family medicine in CA.
Geographic Context
Family medicine physicians within 10 mi
3,224
Per 100K population
32.7
County median income
$87,760
Nearest hospital
GLENDALE MEM HOSPITAL & HLTH CENTER
0.9 mi
0.9 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. Paruyryan is a clinical cardiology specialist, with above-average Medicare volume (top 1% in CA), with low-engagement industry engagement in the top 6% 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. Paruyryan experienced with remote patient monitoring management, 20 min/month?
Based on Medicare claims data, Dr. Paruyryan performed 2,557 remote patient monitoring management, 20 min/month 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. Paruyryan receive payments from pharmaceutical companies?
Yes. Dr. Paruyryan received a total of $6,688 from 45 companies across 267 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. Paruyryan's costs compare to other family medicine physicians in Glendale?
Dr. Paruyryan's average Medicare payment per service is $53. 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. Paruyryan) 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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