Medicare Enrolled
Dr. Babu Makkena, MD
Interventional Cardiology · Denton, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Makkena 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. Makkena
Dr. Babu Makkena is an interventional cardiology specialist in Denton, TX, with 18 years of NPI registration. Based on federal Medicare data, Dr. Makkena performed 3,185 Medicare services across 2,289 unique beneficiaries.
Between the years covered by Open Payments, Dr. Makkena received a total of $14,712 from 46 pharmaceutical and/or device companies across 402 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. Makkena 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.
✓ 18 years in practice
▲ Top 33% volume in TX
$14,712 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,185
Medicare services
Top 33% in TX for interventional cardiology
2,289
Unique beneficiaries
$81
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~177 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 |
|---|---|---|---|
| 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. |
890 | $88 | $206 |
| 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. |
460 | $93 | $202 |
| 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. |
263 | $133 | $393 |
| 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. |
205 | $9 | $60 |
| 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. |
188 | $61 | $141 |
| Critical care, first 30-74 min Emergency medical care for a critically ill or injured patient lasting between 30 and 74 minutes. This service involves direct patient care and medical decision making to stabilize the patient. |
141 | $165 | $441 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
124 | $142 | $684 |
| Remote cardiac rhythm monitor evaluation, up to 30 days Review and analysis of data from a remote cardiac rhythm monitoring system over a period of up to 30 days. |
99 | $20 | $85 |
| 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. |
83 | $55 | $265 |
| 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. |
81 | $10 | $47 |
| 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. |
74 | $97 | $268 |
| 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. |
69 | $61 | $139 |
| 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. |
55 | $10 | $45 |
| 3D radiographic procedure A radiographic imaging technique that creates three-dimensional representations of internal structures. |
44 | $7 | $69 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
41 | $19 | $113 |
| 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. |
41 | $100 | $320 |
| Coronary angiography A procedure to insert a tube into a coronary artery to capture diagnostic images of the heart's blood vessels. |
40 | $147 | $1,762 |
| Remote monitoring of implantable heart rhythm device Evaluation of data transmitted remotely from an implantable cardiovascular monitor, such as a loop recorder or subcutaneous cardiac rhythm monitor, over a period up to 30 days. |
37 | $29 | $144 |
| Stress echocardiogram with contrast An ultrasound of the heart performed during rest or stress with injected contrast to assess heart muscle function. |
35 | $57 | $263 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
34 | $23 | $92 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
31 | $2 | $15 |
| Pacemaker system evaluation Assessment of a pacemaker device, including single, dual, multiple lead, or leadless systems. |
27 | $40 | $118 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
19 | $19 | $79 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
18 | $46 | $152 |
| Transesophageal echocardiogram An ultrasound of the heart performed using a probe inserted into the esophagus to obtain detailed images of heart structures and function. |
17 | $83 | $371 |
| 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. |
15 | $426 | $1,804 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
15 | $14 | $59 |
| 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. |
15 | $6 | $28 |
| Heart muscle strain imaging | 12 | $29 | $123 |
| 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. |
12 | $139 | $748 |
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.
6.2% high complexity
9.8% medium
84.1% routine
Industry Payment Transparency
Open Payments through 2024 ↗$14,712
Total received (2018-2024)
Avg $2,102/year across 7 years
Top 31% in TX for interventional cardiology
46
Companies
402
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
$9,597 (65.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$5,115 (34.8%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$6,911
2023
$1,441
2022
$1,852
2021
$1,465
2020
$621
2019
$1,024
2018
$1,398
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
SCPHARMACEUTICALS INC.
$5,132
Novartis Pharmaceuticals Corporation
$904
Edwards Lifesciences Corporation
$799
Abbott Laboratories
$723
ABIOMED
$659
Merck Sharp & Dohme LLC
$622
PFIZER INC.
$567
Inari Medical, Inc.
$534
Amgen Inc.
$457
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$408
Janssen Pharmaceuticals, Inc
$392
AstraZeneca Pharmaceuticals LP
$381
Medtronic, Inc.
$375
Boehringer Ingelheim Pharmaceuticals, Inc.
$374
Lantheus Medical Imaging, Inc.
$346
E.R. Squibb & Sons, L.L.C.
$221
Esperion Therapeutics, Inc.
$201
SANOFI-AVENTIS U.S. LLC
$190
LivaNova USA, Inc.
$181
Philips Electronics North America Corporation
$151
Penumbra, Inc.
$150
Medtronic Vascular, Inc.
$115
Merck Sharp & Dohme Corporation
$114
Gilead Sciences, Inc.
$108
BOSTON SCIENTIFIC CORPORATION
$92
Amarin Pharma Inc.
$47
Shockwave Medical, Inc
$41
Vital Connect, Inc
$36
GE HEALTHCARE
$35
ZOLL Circulation Inc
$34
Regeneron Healthcare Solutions, Inc.
$34
Philips North America LLC
$31
Lexicon Pharmaceuticals, Inc.
$25
Avinger Inc.
$25
Allergan Inc.
$25
Boston Scientific Corporation
$25
Aziyo Biologics, Inc.
$23
Novo Nordisk Inc
$22
Terumo Medical Corporation
$19
Kiniksa Pharmaceuticals, Ltd.
$15
Lundbeck LLC
$15
G Medical Diagnostic Services, Inc.
$15
AngioDynamics, Inc.
$14
Kowa Pharmaceuticals America, Inc.
$13
iRhythm Technologies, Inc.
$11
Bardy Diagnostics, Inc.
$10
Top 3 companies account for 46.5% of total payments
Associated products mentioned in payments ›
(5044) MCOT · (6585) Omniwire · (7999) SRC Undivided · (CK4) MCOT · ANGIO-SEAL · ASSURITY · AURYON LASER SYSTEM 100-120 VAC · Arcalyst · Azure · BELSOMRA · BRILINTA · BYSTOLIC · CAMZYOS · CARDIOMEMS · CHANTIX · COBALT DR MRI SURESCAN · CONFIRM RX · Cardiac Monitoring Suite · Carnation Ambulatory Monitor · Claria MRI · Confirm Rx · Corlanor · DEFINITY · Definity · ECM Patch · ELIQUIS · ENTRESTO · Edwards SAPIEN 3 Transcatheter Heart Valve · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · FARXIGA · FLOWTRIEVER CATHETER · FUROSCIX · GENERAL THERAPIES · GENERAL TACHY · GENERAL THERAPIES · HeartMate 3 Left Ventricular Assist Device · Impella · Indigo System · Inpefa · JARDIANCE · JOT DX · LEQVIO · LIFESPARC · LINQ II · LifeVest · Livalo · MULTAQ · Merlin Connectivity and Remote · NEXLETOL · NORTHERA · ONYX FRONTIER · Ozempic · PANTHERIS · PRADAXA · PRALUENT · Pouch · Quadra Assura CRT Defibrillator · Repatha · Resolute · Reveal LINQ · S · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · SYMPLICITY G3 · THORATEC HEARTMATE 3 LVAS IMPLANT KIT · Temperature Management System · TherOx DS2 Console · VERQUVO · VITALPATCH RTM · VYNDAQEL · Vascepa · XARELTO · ZIO 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 →
Most payments (65%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $462 per 100 Medicare services performed
Geographic Context
Interventional cardiologists within 10 mi
30
Per 100K population
3.2
County median income
$108,185
Nearest hospital
MEDICAL CITY DENTON
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 measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Makkena is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, with 18 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. Makkena experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Makkena performed 890 office visit, established patient (30-39 min) 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. Makkena receive payments from pharmaceutical companies?
Yes. Dr. Makkena received a total of $14,712 from 46 companies across 402 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. Makkena's costs compare to other interventional cardiologists in Denton?
Dr. Makkena's average Medicare payment per service is $81. 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. Makkena) 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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