Medicare Enrolled
Dr. Arvin Narula, MD
Interventional Cardiology · San Diego, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Speaking/Promotional
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. Narula 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. Narula
Dr. Arvin Narula is an interventional cardiology specialist in San Diego, CA, with 15 years of NPI registration. Based on federal Medicare data, Dr. Narula performed 2,748 Medicare services across 2,095 unique beneficiaries.
Between the years covered by Open Payments, Dr. Narula received a total of $123,059 from 67 pharmaceutical and/or device companies across 906 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in interventional cardiology. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Narula 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.
✓ 15 years in practice
▲ Top 43% volume in CA
$123,059 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,748
Medicare services
Top 43% in CA for interventional cardiology
2,095
Unique beneficiaries
$99
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~183 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. |
539 | $97 | $170 |
| 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. |
294 | $11 | $75 |
| 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. |
264 | $64 | $154 |
| 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. |
156 | $97 | $202 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
130 | $164 | $700 |
| 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. |
123 | $138 | $225 |
| 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. |
113 | $10 | $65 |
| 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. |
109 | $134 | $366 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
81 | $164 | $575 |
| 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. |
77 | $46 | $106 |
| Heart muscle strain imaging | 63 | $30 | $116 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
62 | $42 | $80 |
| 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. |
54 | $170 | $528 |
| 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. |
51 | $107 | $352 |
| 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. |
45 | $72 | $115 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
42 | $3 | $10 |
| Cardiac catheterization | 39 | $191 | $873 |
| Ultrasound of blood vessel, initial vessel An ultrasound exam of a blood vessel that includes a radiologist's review of the initial vessel. |
32 | $67 | $792 |
| 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. |
32 | $133 | $250 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while an electrocardiogram is monitored under physician supervision. |
31 | $17 | $66 |
| 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. |
31 | $11 | $42 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
25 | $21 | $80 |
| 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. |
25 | $781 | $1,620 |
| 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. |
25 | $174 | $575 |
| Ultrasound of heart blood vessel or graft An ultrasound exam to evaluate blood flow in a heart blood vessel or graft, including a radiologist's review of the initial vessel. |
24 | $72 | $288 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
24 | $85 | $337 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
24 | $14 | $54 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
22 | $20 | $74 |
| 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. |
21 | $6 | $25 |
| Radiologist review of arm or leg artery image A radiologist reviews images of the arteries in the arm or leg. This process involves analyzing the visual data to assess the blood vessels. |
19 | $63 | $262 |
| Chemical destruction of first incompetent vein with imaging guidance This procedure uses imaging guidance to chemically destroy the first incompetent vein in the arm or leg. |
17 | $1,539 | $4,500 |
| Ultrasound of arm and leg arteries This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries. |
17 | $60 | $300 |
| Remote physiologic monitoring setup and education Initial setup of remote monitoring equipment and patient education on its use. |
16 | $18 | $33 |
| 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. |
15 | $395 | $1,656 |
| Vein stent insertion with radiologist review A stent is placed in a vein to keep it open, with review by a radiologist. This is performed on the initial vein treated. |
14 | $263 | $2,444 |
| Radiologist review of abdominal aorta image A radiologist reviews images of the abdominal aorta to evaluate the blood vessel. |
14 | $50 | $219 |
| 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. |
14 | $196 | $775 |
| Additional blood vessel ultrasound evaluation An ultrasound exam of a blood vessel that includes a radiologist's review. This code applies to each additional vessel evaluated beyond the initial one. |
13 | $54 | $292 |
| Review by radiologist of both arms and legs veins of both arms or legs image | 13 | $49 | $216 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
13 | $60 | $140 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
13 | $220 | $575 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
12 | $45 | $80 |
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.
9.3% high complexity
16.3% medium
74.3% routine
Industry Payment Transparency
Open Payments through 2024 ↗$123,059
Total received (2018-2024)
Avg $17,580/year across 7 years
Top 7% in CA for interventional cardiology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
67
Companies
906
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.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$49,290 (40.1%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$40,083 (32.6%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$33,686 (27.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$17,399
2023
$26,787
2022
$47,460
2021
$10,972
2020
$3,511
2019
$7,991
2018
$8,938
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ShockWave Medical, Inc
$12,142
Abbott Laboratories
$1,766
Edwards Lifesciences Corporation
$650
Medtronic, Inc.
$476
ABIOMED
$460
Penumbra, Inc.
$439
Terumo Medical Corporation
$343
Inari Medical, Inc.
$258
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$180
Lexicon Pharmaceuticals, Inc.
$120
Imperative Care, Inc
$116
E.R. Squibb & Sons, L.L.C.
$94
Boston Scientific Corporation
$66
Reflow Medical Inc
$49
Daiichi Sankyo Inc.
$36
SANOFI-AVENTIS U.S. LLC
$35
Alnylam Pharmaceuticals Inc.
$32
Recor Medical Inc
$25
AstraZeneca Pharmaceuticals LP
$25
Philips North America LLC
$20
Actelion Pharmaceuticals US, Inc.
$18
Novartis Pharmaceuticals Corporation
$17
Tactile Systems Technology Inc
$16
Merck Sharp & Dohme LLC
$16
Top 3 companies account for 83.7% of 2024 payments
All-time payments by company (2018-2024) ›
ShockWave Medical, Inc
$30,703
Edwards Lifesciences Corporation
$23,318
ABIOMED
$14,919
Penumbra, Inc.
$10,354
Abbott Laboratories
$7,008
Medtronic, Inc.
$5,488
Shockwave Medical, Inc
$5,328
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$4,000
Philips Electronics North America Corporation
$3,237
Medtronic Vascular, Inc.
$2,494
Siemens Medical Solutions USA, Inc.
$2,216
Boston Scientific Corporation
$1,942
Inari Medical, Inc.
$1,795
LivaNova USA, Inc.
$1,400
Terumo Medical Corporation
$1,267
Cardiovascular Systems Inc.
$773
AstraZeneca Pharmaceuticals LP
$738
Novartis Pharmaceuticals Corporation
$570
BOSTON SCIENTIFIC CORPORATION
$515
Janssen Pharmaceuticals, Inc
$466
BIOTRONIK INC.
$294
CVRx, Inc.
$281
Corindus Inc.
$254
CathWorks, Inc.
$222
SANOFI-AVENTIS U.S. LLC
$204
Merck Sharp & Dohme LLC
$176
Acutus Medical, Inc.
$170
Biosense Webster, Inc.
$167
Regeneron Healthcare Solutions, Inc.
$166
ASAHI INTECC USA, INC.
$149
E.R. Squibb & Sons, L.L.C.
$147
Bard Peripheral Vascular, Inc.
$145
Bayer HealthCare Pharmaceuticals Inc.
$141
EKOS Corporation
$139
Amgen Inc.
$128
Cook Medical LLC
$127
Lexicon Pharmaceuticals, Inc.
$120
Imperative Care, Inc
$116
CORDIS US CORP.
$99
ZOLL Circulation Inc
$98
PFIZER INC.
$85
Chiesi USA, Inc.
$80
Novo Nordisk Inc
$78
Kiniksa Pharmaceuticals, Ltd.
$78
Actelion Pharmaceuticals US, Inc.
$76
iRhythm Technologies, Inc.
$72
Gilead Sciences, Inc.
$69
Alnylam Pharmaceuticals Inc.
$69
Tactile Systems Technology Inc
$52
Reflow Medical Inc
$49
CARDIVA MEDICAL, INC.
$49
Relypsa, Inc.
$40
Daiichi Sankyo Inc.
$36
Boehringer Ingelheim Pharmaceuticals, Inc.
$36
Fresenius USA Marketing, Inc.
$35
Esperion Therapeutics, Inc.
$34
HeartFlow, Inc.
$33
CSL Behring
$30
Kestra Medical Technology Services, Inc.
$27
AngioDynamics, Inc.
$26
Recor Medical Inc
$25
Philips North America LLC
$20
ARALEZ PHARMACEUTICALS US INC.
$19
Otsuka America Pharmaceutical, Inc.
$19
PORTOLA PHARMACEUTICALS, INC.
$18
Bardy Diagnostics, Inc.
$15
Lantheus Medical Imaging, Inc.
$13
Top 3 companies account for 56.0% of all-time payments
Associated products mentioned in payments ›
(4066) Tack Endo Sys ATK · (4067) Tack Endovascular Systems BTK · (5027) Intact Vascular Und · (5027) Intact Vascular Undivided · (6577) Visions 014 · (8333) IGT D Coronary · (BR5) Peripheral IVUS · ABRE · ACUSON SC2000 Diagnostic Ultrasound System · AMPLATZER · AMPLATZER AMULET · AMPLATZER Occluders · AMPLATZER TALISMAN · AMVUTTRA · ANDEXXA · ANGIOVAC · ASAHI PTCA Guide Wire · AVEIR · AVVIGO Guidance System · AZUR · AZUR CX DETACHABLE · Acticor · Adempas · Arcalyst · Asahi Fielder coronary guide wire · Assure WCD · Assurity Pacemaker · Astron; Pulsar; AstronPulsar · BRILINTA · Barostim Neo System · CAMZYOS · CARDIOMEMS · CARDIVA VASCADE MVP VVCS 6-12F · CARTO 3 · CONFIRM RX · COOK MEDICAL ZILVER PTX · COREVALVE EVOLUT R · CROSSBOSS · CT THROMBECTOMY SYSTEM KIT · CVX-300 · CardioMEMS HF System · Cardiva VASCADE MVP VVCS 6-12F · Carnation Ambulatory Monitor · Carto 3 · ClosureFast · Confirm Rx · Cook Medical Zilver PTX · CoreValve Evolut · DRAGONFLY OPSTAR · Definity · Diamondback Coronary · Diamondback Peripheral · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · EKOSONIC · ELCA · ELIQUIS · ELUVIA · ENTRESTO · EVOQUE · Edwards SAPIEN 3 Transcatheter Heart Valve · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · FARXIGA · FFRangio System · FIGHTER · FLEXITOUCH · FLOWTRIEVER CATHETER · Flexitouch Plus · GALLANT · GENERAL STENTS · GENERAL - THERAPIES · GENERAL STENTS · GENERAL VASCULAR ACCESS · General - Angioplasty · HAWKONE · HawkOne · IGT D Coronary · IGT_D Coronary · IN.PACT ADMIRAL · IN.PACT Admiral · INGEVITY+ · INJECTAFER · IVUS Systems · Image Guided Therapy Devices _ Coronary · Impella · Indigo · Indigo System · Inpefa · JARDIANCE · JETSTREAM · JOT DX · KENGREAL · Kerendia · LATITUDE · LEQVIO · LUTONIX · LifeVest · METACROSS OTW · MICRA · MITRACLIP · MULTAQ · Masters Mechanical Heart Valve · MetaCross · Mitra Clip system · MitraClip System · NAVICROSS · NAVITOR · NEXLETOL · NITINOL · NOVALUNG SYSTEM · OPSUMIT · Optis Coronary Imaging System · Orsiro · Orsiro Mission · Ozempic · PARADISE RENAL DENERVATION SYSTEM · PASCAL · PCI Optimization · PERCLOSE PROSTYLE · PK Papyrus · PLASMABLADE(TM) · PRADAXA · PRALUENT · PRO-Kinetic Energy · PRODIGY CATHETER · Penumbra Ruby Coil · Penumbra System · Peripheral Orbital Atherectomy System · Pulsar · QUADRA ALLURE MP · Quadra Assura CRT Defibrillator · RESOLUTE ONYX · RUBY Coil · Ranger · Repatha · Resolute · Reveal LINQ · Rybelsus · S · SAMSCA · SAPIEN 3 Ultra RESILIA · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · SILVERHAWK · SPIDERFX · STINGRAY · SYMPHONY CATHETER · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · Shockwave Intravascular Lithotripsy (IVL) System with the Shockwave E8 Peripher · TRUE DILATATION · TURBOHAWK · TandemLife · TherOx DS2 Console · Trifecta GT Tissue Heart Valve · Trilogy 100 · UPTRAVI · VARITHENA · VENASEAL · VERQUVO · VYNDAQEL · Varithena Administration Pack · Vascular Lithotripsy · Veltassa · VersaCross Access Solution · WAINUA · WALLSTENT · WATCHMAN · WATCHMAN Access System · XARELTO · XIENCE SIERRA · XIENCE SKYPOINT · Xience Alpine cornary stent system · Xience Sierra Coronary Stent · Xience Sierra Coronary Stent System · Xience cornary stent systems · ZILVER PTX · ZIO Patch · ZIO XT Patch · ZONTIVITY
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 →
The majority of payments (40%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in interventional cardiology and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 7% for interventional cardiology in CA.
Geographic Context
Interventional cardiologists within 10 mi
30
Per 100K population
0.9
County median income
$102,285
Nearest hospital
SHARP MEMORIAL HOSPITAL
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. Narula is a clinical cardiology specialist, with moderate Medicare volume, with speaking/promotional industry engagement in the top 7% of CA peers, with 15 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. Narula experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Narula performed 539 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. Narula receive payments from pharmaceutical companies?
Yes. Dr. Narula received a total of $123,059 from 67 companies across 906 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. Narula's costs compare to other interventional cardiologists in San Diego?
Dr. Narula's average Medicare payment per service is $99. 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. Narula) 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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