Medicare Enrolled
Dr. Monica Divakaruni, MD
Cardiovascular Disease · Saint Helena, CA
Practice pattern: Cardiac & Cardiac
— Practice combining cardiac and cardiac 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. Divakaruni 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. Divakaruni
Dr. Monica Divakaruni is a cardiovascular disease specialist in Saint Helena, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Divakaruni performed 1,897 Medicare services across 1,767 unique beneficiaries.
Between the years covered by Open Payments, Dr. Divakaruni received a total of $72,497 from 43 pharmaceutical and/or device companies across 897 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. 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. Divakaruni 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 50% volume in CA
$72,497 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,897
Medicare services
Top 50% in CA for cardiovascular disease
1,767
Unique beneficiaries
$90
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~100 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. |
375 | $56 | $775 |
| 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. |
204 | $10 | $119 |
| 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. |
167 | $81 | $165 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
139 | $21 | $154 |
| 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. |
106 | $12 | $36 |
| Coronary angiography A procedure to insert a tube into a coronary artery to capture diagnostic images of the heart's blood vessels. |
105 | $141 | $2,171 |
| 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. |
88 | $108 | $301 |
| External EKG monitoring, 8-15 days Continuous external electrocardiogram recording and review over a period of 8 to 15 days to monitor heart rhythm. |
74 | $21 | $60 |
| Cardiac catheterization | 65 | $224 | $2,642 |
| 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. |
63 | $67 | $160 |
| 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. |
53 | $7 | $29 |
| Initial hospital admission, low complexity Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter. |
52 | $67 | $219 |
| Transcatheter aortic valve replacement via femoral artery A minimally invasive procedure to replace a diseased aortic heart valve using a catheter inserted through the skin and femoral artery. |
41 | $600 | $3,117 |
| 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. |
38 | $632 | $1,750 |
| 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. |
33 | $113 | $236 |
| Coronary stent placement A procedure to insert a stent into a coronary artery or its branch to keep it open, using balloon dilation during the process. |
31 | $455 | $1,246 |
| Pacemaker system evaluation Assessment of a pacemaker device, including single, dual, multiple lead, or leadless systems. |
29 | $17 | $87 |
| New patient office visit, 15-29 minutes An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold. |
29 | $38 | $166 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
27 | $27 | $130 |
| Stress echocardiogram An ultrasound of the heart performed while at rest and during exercise or drug-induced stress to evaluate heart function under different conditions. |
22 | $58 | $180 |
| 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. |
19 | $65 | $100 |
| 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. |
19 | $54 | $79 |
| 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 | $84 | $257 |
| Tube insertion in bypass graft for diagnosis A tube is inserted into a bypass graft to allow for diagnostic evaluation. A radiologist reviews the procedure. |
17 | $207 | $2,584 |
| Hospital discharge management, 30+ min This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge. |
17 | $98 | $235 |
| 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. |
15 | $65 | $160 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
15 | $53 | $164 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
12 | $3 | $7 |
| Intravascular ultrasound of heart vessel, initial An ultrasound procedure used to evaluate a blood vessel within the heart during a diagnostic or treatment procedure. |
12 | $58 | $215 |
| Telephone medical discussion, 21-30 minutes A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone. |
12 | $76 | $223 |
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.
30.8% high complexity
16.3% medium
52.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$72,497
Total received (2018-2024)
Avg $10,357/year across 7 years
Top 8% in CA for cardiovascular disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
43
Companies
897
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
$50,414 (69.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$21,453 (29.6%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$631 (0.9%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$25,189
2023
$7,364
2022
$17,060
2021
$5,638
2020
$4,248
2019
$5,586
2018
$7,413
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$21,441
Boston Scientific Corporation
$1,051
Abbott Laboratories
$890
BIOTRONIK INC.
$460
Edwards Lifesciences Corporation
$401
Amgen Inc.
$182
E.R. Squibb & Sons, L.L.C.
$180
Bayer Healthcare Pharmaceuticals Inc.
$119
Novartis Pharmaceuticals Corporation
$100
AstraZeneca Pharmaceuticals LP
$76
Philips North America LLC
$56
Baxter Healthcare
$56
Inari Medical, Inc.
$51
ABIOMED
$28
W. L. Gore & Associates, Inc.
$27
PFIZER INC.
$25
Lexicon Pharmaceuticals, Inc.
$23
Boehringer Ingelheim Pharmaceuticals, Inc.
$23
Top 3 companies account for 92.8% of 2024 payments
All-time payments by company (2018-2024) ›
Medtronic, Inc.
$34,033
Abbott Laboratories
$11,373
Boston Scientific Corporation
$9,535
Edwards Lifesciences Corporation
$3,658
Medtronic Vascular, Inc.
$2,251
BIOTRONIK INC.
$2,040
Cardiovascular Systems Inc.
$1,557
CathWorks, Inc.
$1,253
Novartis Pharmaceuticals Corporation
$941
W. L. Gore & Associates, Inc.
$668
Amgen Inc.
$656
BOSTON SCIENTIFIC CORPORATION
$505
Impulse Dynamics (USA) Inc.
$495
ABIOMED
$476
E.R. Squibb & Sons, L.L.C.
$383
Bardy Diagnostics, Inc.
$319
Inari Medical, Inc.
$236
AtriCure, Inc.
$217
AstraZeneca Pharmaceuticals LP
$206
Janssen Pharmaceuticals, Inc
$201
Boehringer Ingelheim Pharmaceuticals, Inc.
$190
Merck Sharp & Dohme LLC
$169
GE HEALTHCARE
$134
CardioFocus, Inc.
$126
Bayer Healthcare Pharmaceuticals Inc.
$119
CVRx, Inc.
$119
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$93
iRhythm Technologies, Inc.
$83
PFIZER INC.
$76
Philips North America LLC
$56
Baxter Healthcare
$56
Lexicon Pharmaceuticals, Inc.
$41
Merck Sharp & Dohme Corporation
$36
ACIST MEDICAL SYSTEMS, INC.
$28
Amarin Pharma Inc.
$24
Terumo Medical Corporation
$22
Braemar Manufacturing, LLC
$22
CORDIS US CORP.
$21
Shockwave Medical, Inc
$20
CHIESI USA, INC.
$19
Kiniksa Pharmaceuticals, Ltd.
$15
Philips Electronics North America Corporation
$14
Arrow International, Inc.
$13
Top 3 companies account for 75.8% of all-time payments
Associated products mentioned in payments ›
(5044) MCOT · (9266) ELCA · 3F · AMPLATZER Occluders · AMPLATZER PICCOLO · AMVIA EDGE · ANGIO-SEAL · ASSURITY · AVALUS · AVVIGO Guidance System · Acticor · Acticor 7 VR-T DX · AngioJet Ultra 5000A · Arcalyst · Assurity Pacemaker · Azure · BIOMONITOR · BRILINTA · Barostim Neo System · Baylis Medical Company Radiofrequency Puncture Generator · CAMZYOS · CARDIOMEMS · COMET · COREVALVE EVOLUT R · COROFLOW · CROSSBOSS · CVI CONSUMABLES · Cardiac Monitoring Suite · CardioMEMS HF System · Carnation Ambulatory Monitor · Catheter - GuideLiner · Claria MRI · Comet · Confirm Rx · CoreValve Evolut · Coronary Orbital Atherectomy System · CryoConsole · DIAMONDBACK CORONARY · Diamondback Coronary · Diamondback Peripheral · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · ELIQUIS · ELUVIA · EMBLEM · ENSITE · ENSITE PRECISION · ENTRESTO · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · Edora 8 DR-T · Edwards SAPIEN 3 Transcatheter Heart Valve · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · Ellipse ICD · Encore 26 · Ensite Cardiac Mapping System · FARXIGA · FFRangio System · FLOWTRIEVER CATHETER · Fortify Assura · GENERAL STENTS · GENERAL THERAPIES · GENERAL STENTS · GENERAL STRUCTURAL HEART · GENERAL THERAPIES · GENERAL - STENTS · GENERAL - STRUCTURAL HEART · GENERAL - THERAPIES · GENERAL STENTS · GENERAL THERAPIES · GORE CARDIOFORM Septal Occluder · General - Atherectomy · General - Stents · General - Therapies · HeartLight System · Hillrom - Carnation Ambulatory Monitor · Impella · Inpefa · Irrigated Ablation Catheters · JARDIANCE · JETSTREAM SC · KENGREAL 50MG/10ML L · Kerendia · LEQVIO · LINQ II · LOTUS EDGE · LUX-Dx Insertable Cardiac Monitor · LifeVest · MAMBA · MICRA · MITRACLIP · Micra · Mitra Clip system · MitraClip System · MyCareLink · NAVITOR · ONYX FRONTIER · OPTICROSS · OPTIMIZER · OPTIS · OptiCross · Optimizer · Optis Coronary Imaging System · Orsiro Mission · PRESSUREWIRE · Perclose ProStyle · Quadra Allure MP RF CRT Pacemkr · RADIAL 360 · RESOLUTE ONYX · ROTABLATOR · ROTAPRO · RXI SYSTEMS · Repatha · Resolute · Reveal LINQ · Rivacor · S · SAPIEN 3 Ultra RESILIA · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · STINGRAY · SYNERGY · SYNERGY ABLATION SYSTEM · Solia · TactiCath Quartz CFA Catheter · Telescope · Trifecta GT Tissue Heart Valve · VERQUVO · VYNDAQEL · Vascepa · ViewMate Intracardiac Echo · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX · XARELTO · XIENCE SIERRA · Xience Sierra Coronary Stent · ZIO Patch · ZIO XT Patch
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 (70%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 8% for cardiovascular disease in CA.
Geographic Context
Cardiologists within 10 mi
51
Per 100K population
37.5
County median income
$108,970
Nearest hospital
ADVENTIST HEALTH ST HELENA
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. Divakaruni is a cardiac & cardiac specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 8% 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. Divakaruni experienced with echocardiogram, transthoracic?
Based on Medicare claims data, Dr. Divakaruni performed 375 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. Divakaruni receive payments from pharmaceutical companies?
Yes. Dr. Divakaruni received a total of $72,497 from 43 companies across 897 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. Divakaruni's costs compare to other cardiologists in Saint Helena?
Dr. Divakaruni's average Medicare payment per service is $90. 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. Divakaruni) 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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