Medicare Enrolled
Dr. Nirupama Vemuri, MD
Internal Medicine · Porterville, 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. Vemuri 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. Vemuri
Dr. Nirupama Vemuri is an internal medicine specialist in Porterville, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Vemuri performed 6,216 Medicare services across 3,142 unique beneficiaries.
Between the years covered by Open Payments, Dr. Vemuri received a total of $8,603 from 53 pharmaceutical and/or device companies across 472 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. Vemuri 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 4% volume in CA
$8,603 industry payments
Medicare Practice Summary
Medicare Utilization ↗6,216
Medicare services
Top 4% in CA for internal medicine
3,142
Unique beneficiaries
$82
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~327 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 (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. |
1,338 | $50 | $114 |
| 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. |
783 | $86 | $169 |
| 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. |
562 | $93 | $163 |
| 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. |
530 | $62 | $113 |
| Dialysis services for patients 20 or older Dialysis treatment provided to patients aged 20 years or older, involving four or more physician visits per month. |
492 | $283 | $443 |
| 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. |
361 | $10 | $40 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
355 | $132 | $268 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
279 | $1 | $25 |
| 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. |
250 | $98 | $212 |
| Quadrivalent influenza vaccine, cell-culture derived A flu shot containing four strains of influenza virus, produced using cell culture technology rather than eggs. This formulation is free from preservatives and antibiotics. |
205 | $33 | $59 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
205 | $31 | $42 |
| Hospital discharge day management, 30 minutes or less This service covers the final day of hospital care when the patient is being discharged. It includes coordination of care and instructions for the patient within a time frame of 30 minutes or less. |
107 | $65 | $114 |
| Nursing facility visit, established patient, straightforward A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves straightforward medical decision making and lasts at least 10 minutes. |
98 | $27 | $69 |
| Pneumococcal vaccine, 23-valent A vaccine that protects against 23 types of pneumococcal bacteria. It is used to prevent infections caused by these bacteria. |
79 | $128 | $169 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
79 | $31 | $43 |
| Dialysis services for adults, 2-3 visits per month This code covers dialysis services for patients aged 20 or older who have 2 to 3 physician visits per month. |
68 | $235 | $373 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
58 | $18 | $32 |
| 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. |
47 | $167 | $259 |
| Dialysis services, partial month (age 20+) Dialysis treatment provided for a partial month of service for patients aged 20 years or older. |
41 | $8 | $12 |
| 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. |
41 | $112 | $257 |
| 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. |
38 | $66 | $169 |
| Monthly dialysis physician visit A monthly doctor's visit for patients aged 20 or older who are receiving dialysis treatment. |
33 | $162 | $288 |
| 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. |
32 | $52 | $107 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
29 | $3 | $15 |
| Triamcinolone acetonide injection, 1 mg An injection of triamcinolone acetonide, a corticosteroid medication, administered in a 1 mg dose without preservatives. |
27 | $2 | $36 |
| Joint fluid aspiration or injection, medium joint Removal of fluid from a medium-sized joint or injection of medication into the joint space. |
26 | $40 | $123 |
| 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. |
15 | $107 | $203 |
| Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 14 | $64 | $142 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
12 | $9 | $69 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
12 | $0 | $50 |
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 ↗$8,603
Total received (2018-2024)
Avg $1,229/year across 7 years
Top 11% in CA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
53
Companies
472
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
$7,880 (91.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$722 (8.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$774
2023
$1,360
2022
$1,315
2021
$2,195
2020
$1,288
2019
$864
2018
$806
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$242
Bayer Healthcare Pharmaceuticals Inc.
$175
Lilly USA, LLC
$59
PFIZER INC.
$48
Novo Nordisk Inc
$47
Boehringer Ingelheim Pharmaceuticals, Inc.
$45
Ardelyx, Inc.
$39
CALLIDITAS THERAPEUTICS US INC.
$37
Mallinckrodt Hospital Products Inc.
$20
Sumitomo Pharma America, Inc.
$18
Baxter Healthcare
$17
ABBVIE INC.
$15
SHIELD THERAPEUTICS INC
$13
Top 3 companies account for 61.4% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$1,664
Novo Nordisk Inc
$1,449
Boehringer Ingelheim Pharmaceuticals, Inc.
$497
Lilly USA, LLC
$479
Amgen Inc.
$414
GlaxoSmithKline, LLC.
$381
Otsuka America Pharmaceutical, Inc.
$284
Bayer Healthcare Pharmaceuticals Inc.
$280
Vifor Pharma, Inc.
$266
Mallinckrodt Hospital Products Inc.
$263
ITI, Inc.
$232
SANOFI-AVENTIS U.S. LLC
$230
AbbVie Inc.
$204
Abbott Laboratories
$180
Bayer HealthCare Pharmaceuticals Inc.
$147
PFIZER INC.
$135
Merck Sharp & Dohme LLC
$131
Novartis Pharmaceuticals Corporation
$115
Astellas Pharma US Inc
$105
OPKO Pharmaceuticals, LLC
$95
Sunovion Pharmaceuticals Inc.
$77
Dexcom, Inc.
$66
Allergan Inc.
$60
Takeda Pharmaceuticals U.S.A., Inc.
$59
Travere Therapeutics, Inc.
$59
Fresenius USA Marketing, Inc.
$55
Mylan Specialty L.P.
$52
E.R. Squibb & Sons, L.L.C.
$47
Merck Sharp & Dohme Corporation
$45
Relypsa, Inc.
$42
ARBOR PHARMACEUTICALS, INC.
$39
Ardelyx, Inc.
$39
CALLIDITAS THERAPEUTICS US INC.
$37
SUN PHARMACEUTICAL INDUSTRIES INC.
$37
Allergan, Inc.
$32
Esperion Therapeutics, Inc.
$30
Phathom Pharmaceuticals, Inc.
$20
Janssen Pharmaceuticals, Inc
$19
GENZYME CORPORATION
$19
Biohaven Pharmaceuticals, Inc.
$19
Amarin Pharma Inc.
$19
Sumitomo Pharma America, Inc.
$18
Synergy Pharmaceuticals Inc
$18
Baxter Healthcare
$17
Assertio Therapeutics, Inc.
$17
Xeris Pharmaceuticals, Inc.
$16
ABBVIE INC.
$15
Purdue Pharma L.P.
$14
IDORSIA PHARMACEUTICALS US INC
$14
Eisai Inc.
$14
SHIELD THERAPEUTICS INC
$13
AKEBIA THERAPEUTICS INC
$12
Ironwood Pharmaceuticals, Inc
$12
Top 3 companies account for 42.0% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · ACTHAR · AIRSUPRA · ANORO · AREXVY · Auryxia · BELSOMRA · BENLYSTA · BEVESPI AEROSPHERE · BREO · BREZTRI · BREZTRI AEROSPHERE · BROVANA · CAMBIA · CAPLYTA · CHANTIX · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · Edarbi · FABRAZYME · FARXIGA · FASENRA · FORTEO · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre · GEMTESA · GVOKE PFS · Hillrom - Monarch Airway Clearance System · Horizant · IBSRELA · INVOKANA · JANUVIA · JARDIANCE · JESDUVROQ · JYNARQUE · KAPSPARGO · Kerendia · LINZESS · LO LOESTRIN FE · LOKELMA · LONHALA MAGNAIR · LYRICA · Linzess · MOUNJARO · MYRBETRIQ · Motegrity · NEXLETOL · NURTEC ODT · Otezla · Ozempic · PREMARIN · PREVNAR 20 · Parsabiv · Prolia · QUVIVIQ · RAYALDEE · REBINYN · RYBELSUS · Rayaldee · Repatha · Rybelsus · SAMSCA · SOLIQUA · SOLIQUA 100/33 · STIOLTO RESPIMAT · SYMBICORT · SYMPROIC · TARPEYO · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Tresiba · Trulance · UBRELVY · VOQUEZNA · VRAYLAR · Vascepa · Velphoro · Veltassa · Victoza · Wegovy · Yupelri · ZENPEP
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 (92%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Internal medicine physicians within 10 mi
35
Per 100K population
7.4
County median income
$69,489
Nearest hospital
SIERRA VIEW 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. Vemuri is a clinical cardiology specialist, with above-average Medicare volume (top 4% in CA), with low-engagement industry engagement in the top 11% 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. Vemuri experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Vemuri performed 1,338 office visit, established patient (20-29 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. Vemuri receive payments from pharmaceutical companies?
Yes. Dr. Vemuri received a total of $8,603 from 53 companies across 472 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. Vemuri's costs compare to other internal medicine physicians in Porterville?
Dr. Vemuri'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. Vemuri) 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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