Medicare Enrolled

Dr. Thriveni Sanagala, MD

Adult Congenital Heart Disease Physician · Evanston, IL
Practice pattern: Cardiac & Cardiac — Practice combining cardiac and cardiac services
Low-engagement
1000 CENTRAL ST STE 730, Evanston, IL 60201
8478643278
In practice since 2006 (19 years)
NPI: 1083772511 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. Sanagala 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. Sanagala

Dr. Thriveni Sanagala is an adult congenital heart disease physician in Evanston, IL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Sanagala performed 685 Medicare services across 654 unique beneficiaries.

Between the years covered by Open Payments, Dr. Sanagala received a total of $4,249 from 13 pharmaceutical and/or device companies across 38 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in adult congenital heart disease physician. 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. Sanagala 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.

✓ 19 years in practice ▲ 685 Medicare services $4,249 industry payments

Medicare Practice Summary

Medicare Utilization ↗
685
Medicare services
Bottom 25% in IL for adult congenital heart disease physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
654
Unique beneficiaries
$40
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~36 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.
156 $55 $252
Echocardiogram with color Doppler
An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function.
99 $2 $14
Follow-up heart ultrasound
An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress.
98 $20 $95
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.
77 $6 $29
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.
40 $79 $242
New patient office visit, complex (60-74 min) 30 $148 $500
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.
25 $12 $71
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 $92
Heart muscle strain imaging 24 $10 $77
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.
22 $95 $415
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.
22 $68 $170
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 $53 $165
Transesophageal echocardiogram
An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function.
15 $88 $458
Echocardiogram, transthoracic
An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers.
13 $15 $75
MRI of heart with and without contrast
A magnetic resonance imaging scan of the heart performed both before and after the administration of a contrast dye to enhance image detail.
11 $103 $440
MRI of heart blood flow
An MRI scan that visualizes the flow of blood within the heart.
11 $10 $40
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.
35.9% high complexity
44.8% medium
19.3% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$4,249
Total received (2018-2024)
Avg $1,062/year across 4 years
Bottom 20% in IL for adult congenital heart disease physician
13
Companies
38
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
$4,249 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$3,200
2023
$76
2022
$34
2018
$938

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Edwards Lifesciences Corporation
$2,602
Inari Medical, Inc.
$176
Abbott Laboratories
$90
GE HEALTHCARE
$64
Boehringer Ingelheim Pharmaceuticals, Inc.
$64
E.R. Squibb & Sons, L.L.C.
$56
Novo Nordisk Inc
$46
Merck Sharp & Dohme LLC
$33
Novartis Pharmaceuticals Corporation
$25
PFIZER INC.
$22
Kiniksa Pharmaceuticals International, plc
$21
Top 3 companies account for 89.6% of 2024 payments
All-time payments by company (2018-2024) ›
Edwards Lifesciences Corporation
$2,602
Medtronic Vascular, Inc.
$938
Inari Medical, Inc.
$176
Novartis Pharmaceuticals Corporation
$109
Abbott Laboratories
$90
GE HEALTHCARE
$64
Boehringer Ingelheim Pharmaceuticals, Inc.
$64
E.R. Squibb & Sons, L.L.C.
$56
Novo Nordisk Inc
$46
Merck Sharp & Dohme LLC
$33
Lantheus Medical Imaging, Inc.
$26
PFIZER INC.
$22
Kiniksa Pharmaceuticals International, plc
$21
Top 3 companies account for 87.5% of all-time payments
Associated products mentioned in payments ›
Arcalyst · CAMZYOS · CoreValve Evolut · DEFINITY · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · ENTRESTO · EVOQUE · FLOWTRIEVER CATHETER · JARDIANCE · LEQVIO · PASCAL · S · SAPIEN 3 Ultra RESILIA · VERQUVO · VYNDAQEL · Wegovy
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.

Looking for an adult congenital heart disease physician in Evanston?
Compare adult congenital heart disease physicians in the Evanston area by procedure volume, costs, and industry payment transparency.
Browse adult congenital heart disease physicians nearby

Geographic Context

Adult congenital heart disease physicians within 10 mi
5
Per 100K population
0.1
County median income
$81,797
Nearest hospital
NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL
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. Sanagala is a cardiac & cardiac specialist, with moderate Medicare volume, with low-engagement industry engagement, with 19 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. Sanagala experienced with echocardiogram, transthoracic?
Based on Medicare claims data, Dr. Sanagala performed 156 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. Sanagala receive payments from pharmaceutical companies?
Yes. Dr. Sanagala received a total of $4,249 from 13 companies across 38 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. Sanagala's costs compare to other adult congenital heart disease physicians in Evanston?
Dr. Sanagala's average Medicare payment per service is $40. 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. Sanagala) 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. 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.

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 →