Medicare Enrolled
Dr. Ramesh Hariharan, MD, FHRS
Internal Medicine · Houston, TX
Practice pattern: Remote & Electrophysiology— Practice combining remote and electrophysiology services
Consulting-driven
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. Hariharan 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. Hariharan
Dr. Ramesh Hariharan is an internal medicine in Houston, TX, with 19 years in practice. Based on federal Medicare data, Dr. Hariharan performed 12,209 Medicare services across 3,722 unique beneficiaries.
Between the years covered by Open Payments, Dr. Hariharan received a total of $201,040 from 38 pharmaceutical and/or device companies across 1010 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Hariharan is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice▲ Top 3% volume in TX$ $201,040 industry payments
Medicare Practice Summary
Medicare Utilization ↗12,209
Medicare services
Top 3% in TX for internal medicine
3,722
Unique beneficiaries
$30
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~643 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 |
|---|---|---|---|
| Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days | 2,920 | $18 | $120 |
| Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec | 2,691 | $25 | $93 |
| Remote pacemaker/defibrillator monitoring, 90 days | 2,145 | $15 | $127 |
| Remote pacemaker monitoring, 90 days | 1,842 | $20 | $129 |
| Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days | 1,054 | $25 | $202 |
| Evaluation of cardiac rhythm monitor system, remote up to 30 days | 675 | $18 | $125 |
| Electrocardiogram (EKG), 12-lead | 218 | $10 | $90 |
| Office visit, established patient (30-39 min) | 135 | $91 | $311 |
| Office visit, established patient (20-29 min) | 67 | $67 | $221 |
| Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation | 46 | $762 | $13,013 |
| Insertion of catheters and destruction of tissue to treat abnormal heart rhythm | 41 | $244 | $1,753 |
| New patient office visit (45-59 min) | 38 | $128 | $379 |
| Insertion of tube in upper and/or lower heart chambers to record and identify origin of abnormal heart rhythm | 35 | $218 | $1,360 |
| Destruction of tissue of upper heart chamber through tube to treat abnormal heart rhythm | 31 | $250 | $1,402 |
| New patient office visit, complex (60-74 min) | 28 | $173 | $494 |
| Evaluation of single, dual, multiple lead or leadless pacemaker system | 25 | $45 | $132 |
| Insertion of pacemaker and upper and lower heart chamber electrode | 24 | $389 | $3,460 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 23 | $10 | $158 |
| Evaluation of single, dual, or multiple lead implantable defibrillator system | 22 | $48 | $202 |
| Insertion of left lower heart electrode for pacemaker or defibrillator | 18 | $381 | $2,114 |
| Programming of heart rhythm stimulation after drug infusion | 18 | $63 | $623 |
| Insertion of implantable defibrillator system | 15 | $740 | $6,258 |
| Removal of dual electrodes from right heart | 14 | $470 | $3,020 |
| Repair of left upper heart chamber with implant with review by radiologist | 14 | $610 | $4,184 |
| Telephone medical discussion with physician, 21-30 minutes | 14 | $83 | $290 |
| New patient office visit (30-44 min) | 12 | $90 | $240 |
| Removal of permanent pacemaker pulse generator | 11 | $96 | $1,350 |
| External shock to heart to regulate heart beat | 11 | $87 | $641 |
| Programming of dual lead pacemaker system | 11 | $59 | $200 |
| Ultrasound evaluation of heart blood vessel with review by radiologist | 11 | $60 | $700 |
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.
43.2% high complexity
0.1% medium
56.7% routine
Industry Payment Transparency
Open Payments through 2024 ↗$201,040
Total received (2018-2024)
Avg $28,720/year across 7 years
Top 1% in TX for internal medicine
38
Companies
1,010
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.
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$163,680 (81.4%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$33,201 (16.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$4,000 (2.0%)
Other
Charitable contributions, space rental, and other categories
$158 (0.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024$6,346
2023$9,564
2022$5,790
2021$43,399
2020$39,608
2019$47,509
2018$48,824
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Preventice Services, LLC
$138,000
Abbott Laboratories
$33,254
ATRICURE, INC.
$12,043
BIOTRONIK INC.
$4,274
Biosense Webster, Inc.
$3,580
Boston Scientific Corporation
$2,373
Medtronic, Inc.
$1,032
Medical Device Business Services, Inc.
$1,000
Respicardia, Inc.
$873
Impulse Dynamics (USA) Inc.
$821
Medtronic Vascular, Inc.
$394
AtriCure, Inc.
$384
Bard Peripheral Vascular, Inc.
$375
Acutus Medical, Inc.
$330
BOSTON SCIENTIFIC CORPORATION
$302
E.R. Squibb & Sons, L.L.C.
$267
CARDIVA MEDICAL, INC.
$250
Baxter Healthcare
$195
Cook Medical LLC
$187
Janssen Pharmaceuticals, Inc
$185
CVRx, Inc.
$164
BioSig Technologies, Inc.
$153
CardioFocus, Inc.
$98
Aziyo Biologics, Inc.
$72
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$69
PFIZER INC.
$60
AstraZeneca Pharmaceuticals LP
$52
Stryker Corporation
$45
AltaThera Pharmaceuticals LLC
$36
BARD PERIPHERAL VASCULAR, INC.
$33
Alnylam Pharmaceuticals Inc.
$23
Lundbeck LLC
$21
SANOFI-AVENTIS U.S. LLC
$20
iRhythm Technologies, Inc.
$17
Merck Sharp & Dohme LLC
$16
ZOLL Respicardia, Inc.
$16
Philips Electronics North America Corporation
$14
Amgen Inc.
$12
Top 3 companies account for 91.2% of total payments
Associated products mentioned in payments ›
(7999) SRC Undivided · ACCENT · ACCOLADE SR · ACUTHERM Catheter · ADVISOR · AGILIS · AGILIS HISPRO · AMPERE · AMPLATZER AMULET · AMPLATZER Occluders · AMPLATZER TORQVUE 45 X 45 · ANDEXXA · ASSURITY · ATRICLIP LAA EXCLUSION SYSTEM · ATTAIN COMMAND + SUREVALVE · AVEIR · AZURE XT DR MRI SURESCAN · Ablation Therapy Hardware · Accent Pacemaker · Adapta · Advisa · Advisor Catheter · Agilis NxT EP Introducer · Allure CRT Pacemaker · Allure Quadra RF CRT Pacemaker · Ampere RF Ablation Generator · Angio-Seal Vascular Closure Dev · Arctic Front · Assurity Pacemaker · BG Mini Plus · BRK EP Transseptal Access · Barostim Neo System · BioMonitor · BioMonitor 2 · BodyGuardian · CAMZYOS · CARDIOBLATE CRYOFLEX · CARDIVA VASCADE 6/7F VCS · CARDIVA VASCADE MVP VVCS 6-12F · CARTO 3 · COBALT DR MRI SURESCAN · CONFIRM RX · CRM-Research only · CRT-Ds · Cardiac Mapping System · CardioMEMS HF System · Carto 3 · Carto 3 System · Carto Smarttouch · CartoSound · CartoUnivu · Cartoreplay · Circular Mapping Catheters · Claria MRI · Confirm Rx · Connectivity and Remote care · Cook Medical Lead Management - Lead Extraction · CoreValve Evolut · ECM Patch · ELIQUIS · EMBLEM · EMBLEM MRI S-ICD · ENSITE · ENSITE PRECISION · EP Guiding Introducers · EP Recording Systems · EP Transseptal Access · EP-4 · EP-Research Only · EP-WorkMate Claris System · EP-WorkMate Recording System · EPI-SENSE GUIDED COAGULATION SYS · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · ESSENTIO SR · EVOLUTION · Ellipse ICD · EnSite Precision Cardiac Mapping System · EnSite Velocity System Expansion Modules · EnSite Velocity System Mapping Disposables · EnSite X · Endurant · Ensite Cardiac Mapping System · FLEXABILITY · FORTIFY ASSURA · FlexAbility Ablation Catheter · Fortify Assura · GALLANT · GENERAL STRUCTURAL HEART · GENERAL THERAPIES · GENERAL - EP · GENERAL THERAPIES · General - Brady · General - Tachy · General - Therapies · HOFFMANN · HeartMate 3 Left Ventricular Dev · Inquiry EP Diagnostic Catheters · Inquiry Steerable Catheters · LATITUDE Communicator Power Supply · LINQ II · LUTONIX · LUX-Dx Insertable Cardiac Monitor · LifeVest · Livewire Steerable Catheters · MICRA · MITRACLIP · MULTAQ · MYCARELINK · MediGuide Technology · Merlin Connectivity and Remote · Micra · MitraClip System · NA · NORTHERA · Nanostim Leadleas Pacemaker · OCTARAY MAPPING CATHETER · ONPATTRO · OPTIMIZER · Optimizer · Optimizer Smart System · PERCLOSE PROGLIDE · PERCLOT · PULSESELECT · PURE EP SYSTEM · Pacemakers · Pouch · QUADRA ASSURA · QUARTET · Quadra Allure MP RF CRT Pacemkr · Quadra Assura CRT Defibrillator · Quartet CRT Lead · RESONATE · RESONATE EL ICD VR · RHYTHMIA · Repatha · Rivacor · Rotarex · SENSOR ENABLED · SQ-RX PULSE GENERATOR · SYNERGY ABLATION SYSTEM · Sotalol Hydrochloride · Standard Ablation Catheters · TACTICATH · TACTICATH ABLATION CATHETER · TENDRIL · THORATEC HEARTMATE 3 LVAS IMPLANT KIT · TactiCath Quartz CFA Catheter · VANTAGEVIEW · VENOVO · VERQUVO · VIEWMATE · VIGILANT · Vascular Closure Device · ViewFlex Xtra ICE Catheter · ViewMate Intracardiac Echo · WATCHMAN · WATCHMAN Access System · XARELTO · Zio monitor · myLUX Patient Kit with mobile device · remede System
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 (81%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 1% for internal medicine in TX.
Equivalent to $1,647 per 100 Medicare services performed
Geographic Context
Internal Medicines within 10 mi
2,667
Per 100K population
56.0
County median income
$73,104
Nearest hospital
MEMORIAL HERMANN - TEXAS MEDICAL CENTER
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. Hariharan is a remote & electrophysiology specialist, with above-average Medicare volume (top 3% in TX), and high industry engagement (consulting-driven, top 1%), with 19 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. Hariharan experienced with evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days?
Based on Medicare claims data, Dr. Hariharan performed 2,920 evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days 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. Hariharan receive payments from pharmaceutical companies?
Yes. Dr. Hariharan received a total of $201,040 from 38 companies across 1,010 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. Hariharan's costs compare to other internal medicines in Houston?
Dr. Hariharan's average Medicare payment per service is $30. 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. Hariharan) 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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