Medicare Enrolled
Dr. Tim Provias, M.D.
Interventional Cardiology · Chicago, IL
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. Provias 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 →
Are you Dr. Provias?
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What this data tells you about Dr. Provias
Dr. Tim Provias is an interventional cardiology specialist in Chicago, IL, with 18 years of NPI registration. Based on federal Medicare data, Dr. Provias performed 1,912 Medicare services across 1,799 unique beneficiaries.
Between the years covered by Open Payments, Dr. Provias received a total of $8,490 from 22 pharmaceutical and/or device companies across 107 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in interventional cardiology. 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. Provias 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.
✓ 18 years in practice
▲ 1,912 Medicare services
$8,490 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,912
Medicare services
Bottom 49% in IL for interventional cardiology
1,799
Unique beneficiaries
$96
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~106 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. |
400 | $113 | $871 |
| 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. |
255 | $95 | $323 |
| 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. |
190 | $11 | $67 |
| 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. |
100 | $98 | $311 |
| 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. |
96 | $145 | $631 |
| 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. |
95 | $11 | $140 |
| Cardiac catheterization | 89 | $209 | $1,957 |
| 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. |
78 | $66 | $217 |
| Heart muscle strain imaging | 63 | $24 | $147 |
| 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. |
62 | $82 | $501 |
| 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. |
48 | $480 | $3,687 |
| 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. |
46 | $131 | $591 |
| Perflutren lipid microspheres injection Injection of perflutren lipid microspheres, measured per milliliter. |
41 | $34 | $247 |
| Coronary angiography A procedure to insert a tube into a coronary artery to capture diagnostic images of the heart's blood vessels. |
35 | $159 | $1,608 |
| 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. |
34 | $6 | $57 |
| Right heart catheterization A procedure where a thin, flexible tube is inserted into the right side of the heart to measure pressure and oxygen levels. |
34 | $108 | $907 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
30 | $8 | $20 |
| 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. |
24 | $17 | $217 |
| 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. |
24 | $12 | $200 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
21 | $14 | $149 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
20 | $83 | $593 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
20 | $2 | $175 |
| 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. |
18 | $63 | $219 |
| 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. |
15 | $111 | $461 |
| External shock to heart to regulate heart beat A procedure that delivers an electric shock to the heart from outside the body to restore a normal heart rhythm. |
14 | $74 | $1,659 |
| Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist | 14 | $311 | $2,453 |
| Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist | 12 | $275 | $2,203 |
| 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 | $62 | $611 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
11 | $4 | $29 |
| 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. |
11 | $131 | $434 |
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.
31.6% high complexity
13.9% medium
54.5% routine
Industry Payment Transparency
Open Payments through 2024 ↗$8,490
Total received (2018-2024)
Avg $1,213/year across 7 years
Top 38% in IL for interventional cardiology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
22
Companies
107
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
$8,490 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$444
2023
$1,130
2022
$1,192
2021
$534
2020
$121
2019
$1,461
2018
$3,610
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Edwards Lifesciences Corporation
$201
Inari Medical, Inc.
$72
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$45
Medtronic, Inc.
$43
Philips North America LLC
$34
Abbott Laboratories
$27
AngioDynamics, Inc.
$22
Top 3 companies account for 71.7% of 2024 payments
All-time payments by company (2018-2024) ›
Cardiovascular Systems Inc.
$2,250
ABIOMED
$1,686
Boston Scientific Corporation
$1,646
Abbott Laboratories
$750
Inari Medical, Inc.
$380
Medtronic Vascular, Inc.
$356
Edwards Lifesciences Corporation
$344
Medtronic, Inc.
$208
Shockwave Medical, Inc
$152
AstraZeneca Pharmaceuticals LP
$138
Penumbra, Inc.
$115
BIOTRONIK INC.
$85
W. L. Gore & Associates, Inc.
$73
Philips Electronics North America Corporation
$50
ShockWave Medical, Inc
$46
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$45
AngioDynamics, Inc.
$43
Cook Medical LLC
$39
Philips North America LLC
$34
Terumo Medical Corporation
$24
Teleflex LLC
$19
BOSTON SCIENTIFIC CORPORATION
$8
Top 3 companies account for 65.8% of all-time payments
Associated products mentioned in payments ›
(6571) Eagle Eye · (6585) Omniwire · (9267) AngioSculpt CV RX · (AO0) IGT Devices Intracardiac · ALPHAVAC · ANGIO-SEAL · AVVIGO Guidance System · AngioJet Ultra 5000A · CARDIOMEMS · Cook Medical Zilver PTX · Diamondback Coronary · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · Edwards SAPIEN 3 Transcatheter Heart Valve · EkoSonic · FARXIGA · FLOWTRIEVER CATHETER · GORE CARDIOFORM Septal Occluder · General - Therapies · General - Vascular Access · IN.PACT Admiral · Impella · Indigo System · LANGSTON · LifeVest · Lunderquist · MITRACLIP · ONYX FRONTIER · OptiCross · PASCAL · Peripheral Orbital Atherectomy System · RESOLUTE ONYX · Resolute · RotaWire and wireClip Torquer · S · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · STINGRAY · SYMPLICITY G3 · Stingray · Supera peripheral stent system · Telescope · Vascular Lithotripsy · Wolverine Coronary Cutting Balloon
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.
Geographic Context
Interventional cardiologists within 10 mi
60
Per 100K population
1.2
County median income
$81,797
Nearest hospital
NORTHWESTERN 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. Provias is a cardiac & cardiac specialist, with moderate Medicare volume, with low-engagement industry engagement, with 18 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. Provias experienced with echocardiogram, transthoracic?
Based on Medicare claims data, Dr. Provias performed 400 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. Provias receive payments from pharmaceutical companies?
Yes. Dr. Provias received a total of $8,490 from 22 companies across 107 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. Provias's costs compare to other interventional cardiologists in Chicago?
Dr. Provias's average Medicare payment per service is $96. 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. Provias) 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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