Medicare Enrolled
Dr. Tigran Karamanukyan, M.D.
Student in an Organized Health Care Education/Training Program · Victorville, CA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Research-focused
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. Karamanukyan 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. Karamanukyan
Dr. Tigran Karamanukyan is a student in an organized health care education/training program specialist in Victorville, CA, with 10 years of NPI registration. Based on federal Medicare data, Dr. Karamanukyan performed 2,589 Medicare services across 1,151 unique beneficiaries.
Between the years covered by Open Payments, Dr. Karamanukyan received a total of $8,218 from 12 pharmaceutical and/or device companies across 48 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. The majority of payments are classified as research and scientific activities (grants and research funding). Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Karamanukyan 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.
✓ 10 years in practice
▲ Top 7% volume in CA
$8,218 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,589
Medicare services
Top 7% in CA for student in an organized health care education/training program
1,151
Unique beneficiaries
$75
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~259 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 |
|---|---|---|---|
| Contrast dye for imaging (iodine-based) A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures. |
1,188 | $0 | $1 |
| Heparin sodium injection, per 1000 units An injection of heparin sodium, a blood thinner, administered in units of 1000. |
192 | $0 | $1 |
| 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. |
116 | $12 | $38 |
| 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. |
101 | $51 | $222 |
| 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. |
94 | $95 | $239 |
| Ultrasound of hemodialysis access An ultrasound imaging test used to evaluate the blood flow and structure of a hemodialysis access site. |
85 | $94 | $283 |
| Ultrasound guidance for blood vessel access Use of ultrasound imaging to help locate and access a blood vessel. This guidance assists healthcare providers in performing procedures such as inserting IV lines or drawing blood. |
81 | $33 | $105 |
| 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. |
79 | $196 | $655 |
| 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. |
68 | $147 | $454 |
| Ultrasound of blood vessel, initial vessel An ultrasound exam of a blood vessel that includes a radiologist's review of the initial vessel. |
65 | $845 | $2,640 |
| 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. |
54 | $144 | $519 |
| 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. |
53 | $146 | $507 |
| Intravenous drug injection A procedure involving the administration of a medication or substance directly into a vein. |
48 | $32 | $104 |
| 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. |
46 | $135 | $380 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
37 | $8 | $24 |
| 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. |
36 | $62 | $144 |
| Hemodialysis circuit intervention with balloon dilation A procedure to insert a needle or tube into a hemodialysis circuit and dilate the dialysis segment using a balloon, with radiological review. |
34 | $1,048 | $3,329 |
| Midazolam injection, per 1 mg Administration of midazolam hydrochloride, a sedative medication, measured in 1 mg increments. |
34 | $0 | $10 |
| Injection, fentanyl citrate, 0.1 mg | 34 | $1 | $10 |
| 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. |
29 | $44 | $135 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages. |
26 | $93 | $324 |
| Needle or tube insertion into hemodialysis circuit with radiologist review A procedure involving the insertion of a needle or tube into a hemodialysis circuit, accompanied by a review of the procedure by a radiologist. |
21 | $579 | $1,908 |
| Ultrasound of leg arteries or grafts An ultrasound exam that uses sound waves to create images of the arteries in one leg or any grafts present in that leg. |
18 | $56 | $140 |
| Ultrasound of arm arteries or grafts An ultrasound exam of the arteries in one arm or any arterial grafts present. This imaging test uses sound waves to visualize blood flow and vessel structure. |
14 | $19 | $60 |
| Ultrasound of arm and leg arteries A non-invasive imaging test that uses sound waves to examine the blood vessels in the arms and legs. It evaluates blood flow and checks for blockages or other vascular issues. |
13 | $86 | $346 |
| Balloon dilation of dialysis access with radiologist review A minimally invasive procedure to widen a narrowed section of a dialysis access vessel using a balloon catheter. The procedure includes review by a radiologist to ensure proper placement and effectiveness. |
12 | $513 | $1,624 |
| 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. |
11 | $117 | $402 |
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 ↗$8,218
Total received (2019-2024)
Avg $1,370/year across 6 years
Top 4% 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.
12
Companies
48
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.
Scientific / Research
Research funding and grants
$5,218 (63.5%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$2,999 (36.5%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,081
2023
$311
2022
$1,275
2021
$2,848
2020
$2,500
2019
$203
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ShockWave Medical, Inc
$406
Smith+Nephew, Inc.
$199
W. L. Gore & Associates, Inc.
$152
Medtronic, Inc.
$89
Organogenesis Inc.
$86
Silk Road Medical, Inc.
$41
Solventum Corporation
$38
Kerecis Limited
$28
Bard Peripheral Vascular, Inc.
$22
LeMaitre Vascular, Inc.
$19
Top 3 companies account for 70.1% of 2024 payments
All-time payments by company (2019-2024) ›
Medtronic Vascular, Inc.
$2,703
Medtronic, Inc.
$2,676
Silk Road Medical, Inc.
$1,259
Bard Peripheral Vascular, Inc.
$443
ShockWave Medical, Inc
$406
Kerecis Limited
$221
Smith+Nephew, Inc.
$199
W. L. Gore & Associates, Inc.
$152
Organogenesis Inc.
$86
Solventum Corporation
$38
LeMaitre Vascular, Inc.
$19
Tactile Systems Technology Inc
$17
Top 3 companies account for 80.8% of all-time payments
Associated products mentioned in payments ›
ACTIV.A.C. · CONQUEST · ENDURANT IIS · ENROUTE Transcarotid Neuroprotection System · ENROUTE Transcarotid Stent · Endurant · Flexitouch Plus · Fluency Endovascular Stent Graft · GORE EXCLUDER AAA Endoprosthesis · GRAFIX PL · HYDRO LEMAITRE VALVULOTOME · Kerecis Omega3 SurgiClose · LUTONIX · Lutonix Drug Coated Balloon · PRESTO · RotarexS 6 F x 135 cm · STRAVIX · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · TurboHawk · Ultraverse 014
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 (64%) are classified as scientific/research, suggesting involvement in clinical studies, grants, or innovation-related work. Total industry engagement is in the top 4% 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
221
Per 100K population
10.1
County median income
$82,184
Nearest hospital
VICTOR VALLEY GLOBAL 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. Karamanukyan is a mixed practice specialist, with above-average Medicare volume (top 7% in CA), with research-focused industry engagement in the top 4% of CA peers.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Karamanukyan experienced with contrast dye for imaging (iodine-based)?
Based on Medicare claims data, Dr. Karamanukyan performed 1,188 contrast dye for imaging (iodine-based) 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. Karamanukyan receive payments from pharmaceutical companies?
Yes. Dr. Karamanukyan received a total of $8,218 from 12 companies across 48 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. Karamanukyan's costs compare to other student in an organized health care education/training programs in Victorville?
Dr. Karamanukyan's average Medicare payment per service is $75. 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. Karamanukyan) 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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