Medicare Enrolled
Dr. Bacharanianda Muthappa, M.D., F.R.C.S.
Family Medicine · Clarksville, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Muthappa 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. Muthappa
Dr. Bacharanianda Muthappa is a family medicine specialist in Clarksville, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Muthappa performed 6,213 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Muthappa received a total of $2,725 from 29 pharmaceutical and/or device companies across 152 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Muthappa 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 of NPI registration
▲ Top 2% volume in TX
$2,725 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗6,213
Medicare services
Top 2% in TX for family medicine
Not available
Unique patients (not deduplicated)
$59
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 |
|---|---|---|---|
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
1,613 | $47 | $128 |
| 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. |
1,583 | $82 | $155 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
658 | $36 | $97 |
| Nursing facility visit, moderate complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes. |
261 | $81 | $132 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
236 | $123 | $200 |
| Annual depression screening | 234 | $17 | $35 |
| Home health plan of care re-certification A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present. |
195 | $31 | $75 |
| Nursing facility visit, high complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves a high level of medical decision making and takes at least 45 minutes. |
178 | $116 | $197 |
| Additional chronic care management time, 60 minutes This service covers an additional 60 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions, billed per calendar month. |
152 | $53 | $141 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
120 | $29 | $36 |
| Complex chronic care management, first 60 minutes This service involves clinical staff time directed by a healthcare professional to manage two or more chronic conditions over a calendar month. It covers the first 60 minutes of this coordinated care effort. |
100 | $101 | $269 |
| 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. |
98 | $10 | $45 |
| 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. |
94 | $60 | $105 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
90 | $75 | $85 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
80 | $1 | $25 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
78 | $3 | $13 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
71 | $14 | $40 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
45 | $10 | $45 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
45 | $39 | $100 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
45 | $0 | $25 |
| Nursing facility visit, low complexity A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care. |
43 | $57 | $100 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
34 | $206 | $564 |
| 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. |
29 | $115 | $210 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
27 | $8 | $18 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
26 | $8 | $40 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
20 | $72 | $80 |
| 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. |
18 | $74 | $238 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
17 | $40 | $80 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
12 | $156 | $416 |
| Vaccine administration The process of giving a vaccine to a patient. This code covers the administration service only and does not include the cost of the vaccine itself. |
11 | $14 | $50 |
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. These counts do not measure clinical quality or years of experience.
Industry Payment Transparency
Open Payments through 2024 ↗$2,725
Total received (2018-2024)
Avg $389/year across 7 years
Top 22% in TX for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
29
Companies
152
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$509
2023
$501
2022
$387
2021
$454
2020
$249
2019
$344
2018
$279
Payments by company (2024)
Amgen Inc.
$144
PFIZER INC.
$75
GlaxoSmithKline, LLC.
$57
Philips North America LLC
$46
AstraZeneca Pharmaceuticals LP
$33
Axsome Therapeutics, Inc.
$24
Phathom Pharmaceuticals, Inc.
$22
Dexcom, Inc.
$22
Mylan Specialty L.P.
$21
SHIELD THERAPEUTICS INC
$20
Almatica Pharma LLC
$16
AIMMUNE THERAPEUTICS, INC.
$15
ABBVIE INC.
$14
Top 3 companies account for 54.2% of 2024 payments
All-time payments by company (2018-2024) ›
GlaxoSmithKline, LLC.
$504
AstraZeneca Pharmaceuticals LP
$443
Sunovion Pharmaceuticals Inc.
$256
Amgen Inc.
$207
PFIZER INC.
$184
Mylan Specialty L.P.
$159
Novo Nordisk Inc
$142
Lilly USA, LLC
$141
PUMA BIOTECHNOLOGY, INC.
$125
Merck Sharp & Dohme Corporation
$109
IDORSIA PHARMACEUTICALS US INC
$47
Philips North America LLC
$46
Otsuka America Pharmaceutical, Inc.
$40
ABBVIE INC.
$39
Almatica Pharma LLC
$31
Xeris Pharmaceuticals, Inc.
$24
Axsome Therapeutics, Inc.
$24
Phathom Pharmaceuticals, Inc.
$22
Astellas Pharma US Inc
$22
Dexcom, Inc.
$22
SHIELD THERAPEUTICS INC
$20
Bayer Healthcare Pharmaceuticals Inc.
$20
Eisai Inc.
$16
AIMMUNE THERAPEUTICS, INC.
$15
Janssen Pharmaceuticals, Inc
$15
Celgene Corporation
$15
AbbVie Inc.
$14
Novartis Pharmaceuticals Corporation
$11
Corium, LLC
$11
Top 3 companies account for 44.2% of all-time payments
Associated products mentioned in payments ›
(CK7) Extended Holter · ACCRUFER · ANORO · ANORO ELLIPTA · AREXVY · Adlarity · Auvelity · BREZTRI · BREZTRI AEROSPHERE · CHANTIX · Dayvigo · Dexcom G6 Transmitter · EMGALITY · ENTRESTO · FARXIGA · GVOKE PFS · JANUVIA · Kerendia · LOKELMA · LONHALA MAGNAIR · LOREEV XR · LYRICA · MOUNJARO · Myrbetriq · NERLYNX · Otezla · Ozempic · PAXLOVID · PREMARIN · PREVNAR 13 · PREVNAR 20 · QULIPTA · QUVIVIQ · REXULTI · Rybelsus · STEGLATRO · TRELEGY ELLIPTA · TRULICITY · Tresiba · UBRELVY · UTIBRON NEOHALER · Utibron · VOQUEZNA · Victoza · XARELTO · YUPELRI · Yupelri · ZENPEP
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Family medicine physicians in nearby ZIP areas
11
County median income
$46,912
Nearest hospital to ZIP centroid (approximate)
MCCURTAIN MEMORIAL HOSPITAL
18.4 mi
18.4 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | 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. Muthappa is a clinical cardiology specialist, with above-average Medicare volume (top 2% in TX), 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. Muthappa experienced with chronic care management, first 20 min/month?
Based on Medicare claims data, Dr. Muthappa performed 1,613 chronic care management, first 20 min/month services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Muthappa receive payments from pharmaceutical companies?
Yes. Dr. Muthappa received a total of $2,725 from 29 companies across 152 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Muthappa's costs compare to other family medicine physicians in Clarksville?
Dr. Muthappa's average Medicare payment per service is $59. 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. Muthappa) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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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