Medicare Enrolled
Dr. Ravindran Palaniyandi, M.D.
Cardiovascular Disease · Port St John, FL
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Palaniyandi 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. Palaniyandi
Dr. Ravindran Palaniyandi is a cardiovascular disease specialist in Port St John, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Palaniyandi performed 14,104 Medicare services across 4,064 unique beneficiaries.
Between the years covered by Open Payments, Dr. Palaniyandi received a total of $5,522 from 25 pharmaceutical and/or device companies across 111 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. Palaniyandi is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. 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 FL
$5,522 industry payments
Medicare Practice Summary
Medicare Utilization ↗14,104
Medicare services
Top 4% in FL for cardiovascular disease
4,064
Unique beneficiaries
$51
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~742 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 |
|---|---|---|---|
| Adenosine injection, 1 mg Administration of a 1 mg dose of adenosine medication. This code is specifically for adenosine and excludes adenosine phosphate compounds. |
6,030 | $0 | $4 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
1,351 | $40 | $71 |
| 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. |
1,270 | $10 | $30 |
| 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. |
1,031 | $63 | $132 |
| 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. |
838 | $62 | $130 |
| 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. |
634 | $89 | $191 |
| 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. |
491 | $94 | $189 |
| Technetium Tc-99m sestamibi diagnostic injection A diagnostic injection of technetium Tc-99m sestamibi used for imaging studies. |
372 | $88 | $236 |
| 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. |
282 | $137 | $368 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
201 | $148 | $399 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
200 | $40 | $120 |
| 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. |
199 | $6 | $15 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review. |
190 | $47 | $135 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
186 | $329 | $848 |
| Ultrasound-guided injection into a single leg vein A chemical agent is injected into one incompetent vein in the leg while using ultrasound to guide the needle placement. |
148 | $988 | $2,252 |
| 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. |
119 | $142 | $345 |
| 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. |
94 | $103 | $248 |
| 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. |
66 | $118 | $294 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
63 | $56 | $104 |
| 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. |
42 | $134 | $258 |
| Continuous external EKG monitoring, 48 hours to 7 days This procedure involves recording the heart's electrical activity continuously using an external device for a period exceeding 48 hours but not more than 7 days. |
33 | $9 | $28 |
| Continuous EKG monitoring review, 48-7 days Review and interpretation of continuous external EKG recordings lasting more than 48 hours up to 7 days. |
33 | $18 | $49 |
| Programming of multiple lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with multiple leads to ensure proper function. |
30 | $63 | $161 |
| Radiofrequency vein destruction, first vein A procedure to treat the first incompetent vein in the arm or leg using radiofrequency energy and imaging guidance. |
27 | $810 | $2,672 |
| Cardiac catheterization | 27 | $162 | $381 |
| Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist | 24 | $263 | $644 |
| 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. |
22 | $182 | $452 |
| 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. |
21 | $471 | $1,145 |
| Intravascular ultrasound of heart vessel, initial An ultrasound procedure used to evaluate a blood vessel within the heart during a diagnostic or treatment procedure. |
19 | $58 | $184 |
| Pacemaker system evaluation Assessment of a pacemaker device, including single, dual, multiple lead, or leadless systems. |
18 | $41 | $67 |
| 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. |
17 | $66 | $184 |
| Aortography with contrast and radiologist review An imaging procedure using contrast dye to visualize the aorta above the heart valve, including professional review by a radiologist. |
15 | $31 | $109 |
| 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. |
11 | $146 | $354 |
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.
2.6% high complexity
51.7% medium
45.7% routine
Industry Payment Transparency
Open Payments through 2024 ↗$5,522
Total received (2018-2024)
Avg $789/year across 7 years
Top 37% in FL for cardiovascular disease
25
Companies
111
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
$5,522 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,488
2023
$723
2022
$552
2021
$1,309
2020
$270
2019
$211
2018
$970
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
BIOTRONIK INC.
$1,178
Penumbra, Inc.
$916
Medtronic, Inc.
$716
Abbott Laboratories
$598
Merck Sharp & Dohme LLC
$382
Novartis Pharmaceuticals Corporation
$288
AstraZeneca Pharmaceuticals LP
$241
ABIOMED
$210
Boehringer Ingelheim Pharmaceuticals, Inc.
$158
Amgen Inc.
$139
Pharming Healthcare, Inc.
$123
Regeneron Healthcare Solutions, Inc.
$107
JAZZ PHARMACEUTICALS INC.
$91
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$58
Bard Peripheral Vascular, Inc.
$47
Astellas Pharma US Inc
$45
Merck Sharp & Dohme Corporation
$40
AngioDynamics, Inc.
$31
E.R. Squibb & Sons, L.L.C.
$28
CVRx, Inc.
$26
Kestra Medical Technology Services, Inc.
$24
Bayer Healthcare Pharmaceuticals Inc.
$22
Actelion Pharmaceuticals US, Inc.
$21
PFIZER INC.
$20
LivaNova USA, Inc.
$13
Top 3 companies account for 50.9% of total payments
Associated products mentioned in payments ›
AMVIA EDGE · AURYON LASER SYSTEM 100-120 VAC · AVEIR · Acticor 7 VR-T DX · Assure WCD · BIOMONITOR · Barostim Neo System · BioMonitor 2 · CAMZYOS · Confirm Rx · ELIQUIS · ENTRESTO · Edora · Ellipse ICD · FARXIGA · Fortify Assura · HeartMate · Impella · Indigo System · JARDIANCE · Kerendia · LEXISCAN · LIFESTENT · Lexiscan · LifeVest · MICRA · Micra · PRADAXA · PRALUENT ALIROCUMAB INJECTION · Pacemakers · ProtekDuo · RUCONEST · Repatha · Resolute · Rivacor 7 DR-T · Solia · UPTRAVI · VERQUVO · VenaSeal · XIENCE SIERRA · Xience Sierra Coronary Stent System
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.
Equivalent to $39 per 100 Medicare services performed
Geographic Context
Cardiologists within 10 mi
25
Per 100K population
4.0
County median income
$75,817
Nearest hospital
PARRISH MEDICAL CENTER
11.4 mi
11.4 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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Palaniyandi is a mixed practice specialist, with above-average Medicare volume (top 4% in FL), with low-engagement industry engagement, with 19 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Palaniyandi experienced with adenosine injection, 1 mg?
Based on Medicare claims data, Dr. Palaniyandi performed 6,030 adenosine injection, 1 mg 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. Palaniyandi receive payments from pharmaceutical companies?
Yes. Dr. Palaniyandi received a total of $5,522 from 25 companies across 111 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. Palaniyandi's costs compare to other cardiologists in Port St John?
Dr. Palaniyandi's average Medicare payment per service is $51. 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. Palaniyandi) 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. The Transparency Score measures 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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