Medicare Enrolled

Dr. Raghavendra Charan Makam, MD

Internal Medicine · Vero Beach, FL
Practice pattern: Cardiac Imaging— Practice with significant diagnostic imaging and stress testing
Speaking/Promotional
1000 36TH ST, Vero Beach, FL 32960
9037388613
In practice since 2009 (17 years)
NPI: 1235378217 verify on NPPES ↗
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. Makam 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. Makam

Dr. Raghavendra Charan Makam is an internal medicine in Vero Beach, FL, with 17 years in practice. Based on federal Medicare data, Dr. Makam performed 1,186 Medicare services across 966 unique beneficiaries.

Between the years covered by Open Payments, Dr. Makam received a total of $85,134 from 21 pharmaceutical and/or device companies across 130 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. 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. Makam 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.

✓ 17 years in practice▲ Top 33% volume in FL$ $85,134 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,186
Medicare services
Top 33% in FL for internal medicine
966
Unique beneficiaries
$55
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~70 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.

ProcedureVolumeAvg. paidAvg. submitted
Hospital follow-up visit, high complexity148$99$252
Heart rhythm review and interpretation of continous external ekg over 8-15 days144$21$62
Office visit, established patient (30-39 min)130$77$205
Initial hospital admission, moderate complexity122$102$1,649
Nuclear medicine studies of heart muscle at rest and with stress and spect81$61$2,380
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician77$11$53
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician76$17$53
EKG interpretation and report69$7$54
Office visit, established patient, complex (40-54 min)36$112$240
Echocardiogram, transthoracic35$52$473
Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days34$21$124
Heart muscle strain imaging31$9$29
Ultrasound of heart with probe in esophagus, with report27$84$253
New patient office visit (45-59 min)27$112$304
Nuclear medicine study, spect imaging with concurrent ct scan, 1 area or single acquisition, single day imaging23$56$243
Ultrasound of heart with color-depicted blood flow, rate and valve function22$2$58
Ultrasound of heart blood flow, valves and chambers21$14$498
Remote pacemaker monitoring, 90 days18$22$73
Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days16$30$106
3d ultrasound imaging of heart for evaluation of heart structure performed during ultrasound imaging of congenital heart defects14$20$357
External shock to heart to regulate heart beat13$85$370
Ultrasound of heart, follow-up11$18$224
New patient office visit, complex (60-74 min)11$135$396
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.
9.4% high complexity
28.7% medium
61.9% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$85,134
Total received (2018-2024)
Avg $12,162/year across 7 years
Top 1% in FL for internal medicine
21
Companies
130
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
$80,681 (94.8%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$4,453 (5.2%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$51,938
2023
$31,284
2022
$168
2021
$536
2020
$123
2019
$1,012
2018
$72

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Lexicon Pharmaceuticals, Inc.
$56,690
Boehringer Ingelheim Pharmaceuticals, Inc.
$12,681
PFIZER INC.
$7,064
Lilly USA, LLC
$5,567
ABIOMED
$1,145
Abbott Laboratories
$515
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$316
Impulse Dynamics (USA) Inc.
$176
Actelion Pharmaceuticals US, Inc.
$140
CVRx, Inc.
$139
Edwards Lifesciences Corporation
$139
Acerta Pharma LLC
$125
Boston Scientific Corporation
$121
AstraZeneca Pharmaceuticals LP
$103
Akcea Therapeutics, Inc.
$94
IRONWOOD PHARMACEUTICALS, INC
$29
Novartis Pharmaceuticals Corporation
$25
iRhythm Technologies, Inc.
$19
Merck Sharp & Dohme LLC
$17
E.R. Squibb & Sons, L.L.C.
$16
Davol Inc.
$14
Top 3 companies account for 89.8% of total payments
Associated products mentioned in payments ›
AMPLATZER AMULET · AMPLATZER TALISMAN · Barostim Neo System · CAMZYOS · CARDIOMEMS · CFN ChloraPrep · CRESTOR · CardioMEMS HF System · ENTRESTO · EnSite Precision Cardiac Mapping System · FARXIGA · Impella · Inpefa · JARDIANCE · LifeVest · Linzess · Optimizer · SAPIEN 3 Ultra RESILIA · TEGSEDI · THORATEC HEARTMATE 3 LVAS IMPLANT KIT · VERQUVO · VYNDAQEL · WATCHMAN Access System · 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 →

The majority of payments (95%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in internal medicine and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 1% for internal medicine in FL.

Equivalent to $7,178 per 100 Medicare services performed
Looking for a internal medicine in Vero Beach?
Compare internal medicines in the Vero Beach area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal Medicines within 10 mi
182
Per 100K population
111.1
County median income
$71,049
Nearest hospital
CLEVELAND CLINIC INDIAN RIVER HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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. Makam is a cardiac imaging specialist, with moderate Medicare volume, and high industry engagement (speaking/promotional, top 1%), with 17 years of practice experience.

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. Makam experienced with hospital follow-up visit, high complexity?
Based on Medicare claims data, Dr. Makam performed 148 hospital follow-up visit, high complexity 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. Makam receive payments from pharmaceutical companies?
Yes. Dr. Makam received a total of $85,134 from 21 companies across 130 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. Makam's costs compare to other internal medicines in Vero Beach?
Dr. Makam's average Medicare payment per service is $55. 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. Makam) 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 →
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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →