Medicare Enrolled
Dr. Tapan Rami, M.D.
Cardiovascular Disease · Houston, TX
Practice pattern: Remote & Electrophysiology
— Practice combining remote and electrophysiology 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. Rami 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. Rami
Dr. Tapan Rami is a cardiovascular disease specialist in Houston, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Rami performed 8,145 Medicare services across 3,416 unique beneficiaries.
Between the years covered by Open Payments, Dr. Rami received a total of $15,648 from 43 pharmaceutical and/or device companies across 795 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. 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. Rami 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 6% volume in TX
$15,648 industry payments
Medicare Practice Summary
Medicare Utilization ↗8,145
Medicare services
Top 6% in TX for cardiovascular disease
3,416
Unique beneficiaries
$57
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~429 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 |
|---|---|---|---|
| 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. |
1,368 | $28 | $145 |
| 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. |
983 | $20 | $125 |
| 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. |
903 | $97 | $400 |
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
830 | $17 | $125 |
| Remote monitoring of implantable heart device, up to 30 days Remote evaluation of an implanted heart or blood vessel monitoring system over a period of up to 30 days. |
626 | $20 | $145 |
| Remote pacemaker monitoring, 90 days Remote assessment of a pacemaker system, including single, dual, multiple lead, or leadless devices, performed up to 90 days apart. |
495 | $22 | $125 |
| 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. |
426 | $11 | $90 |
| Remote evaluation of implantable defibrillator system Remote assessment of a single, dual, or multiple lead implantable defibrillator system within 90 days of the previous evaluation. |
335 | $28 | $205 |
| Virtual check-in for established patient A brief communication service provided by a qualified healthcare professional to an established patient via technology, such as a virtual check-in. |
301 | $10 | $30 |
| Cardiac rhythm monitor programming Adjustment and configuration of an implanted cardiac rhythm monitoring device to ensure proper operation and data collection. |
293 | $47 | $130 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
220 | $62 | $225 |
| Heart rhythm stimulator programming after drug infusion Adjustment of a heart rhythm stimulation device following a drug infusion. This procedure involves reprogramming the device settings to ensure proper function after the medication has been administered. |
106 | $68 | $2,500 |
| 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. |
103 | $134 | $525 |
| 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. |
103 | $64 | $145 |
| Programming of multiple lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with multiple leads to ensure proper function. |
91 | $87 | $290 |
| Atrial fibrillation ablation with pulmonary vein isolation A procedure to treat atrial fibrillation by mapping the heart's electrical activity and destroying tissue causing irregular contractions. This is done by isolating the pulmonary veins using catheter-based destruction. |
88 | $787 | $3,550 |
| 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. |
81 | $143 | $400 |
| Heart chamber tissue destruction via catheter A procedure that destroys tissue in the upper heart chamber using a tube to treat abnormal heart rhythm. |
77 | $256 | $1,330 |
| Programming of dual lead implantable defibrillator system Adjustment and testing of the settings for an implanted heart device with two leads to ensure proper function. |
75 | $75 | $290 |
| 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. |
59 | $144 | $565 |
| Catheter ablation for abnormal heart rhythm A procedure where catheters are inserted to destroy tissue causing irregular heartbeats. |
53 | $256 | $1,330 |
| 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. |
49 | $96 | $190 |
| Ultrasound of heart blood vessels with radiologist review An ultrasound exam that evaluates blood vessels within the heart, including a review of the results by a radiologist. |
48 | $60 | $440 |
| 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. |
48 | $58 | $285 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
44 | $41 | $100 |
| Pacemaker system programming Adjustment and testing of a multi-lead pacemaker to ensure proper function and settings. |
42 | $63 | $200 |
| 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. |
32 | $10 | $50 |
| 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. |
31 | $87 | $571 |
| Repair of left upper heart chamber with implant A surgical procedure to repair the left upper chamber of the heart using an implanted device, with review by a radiologist. |
27 | $636 | $2,511 |
| Programming of single lead implantable defibrillator system Adjustment and testing of the settings for a single-lead implantable cardioverter-defibrillator (ICD) to ensure proper function. |
26 | $67 | $225 |
| Pacemaker insertion with heart chamber electrodes A surgical procedure to implant a pacemaker device and place electrodes into the upper and lower chambers of the heart to regulate heart rhythm. |
23 | $432 | $2,750 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
22 | $151 | $1,300 |
| 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. |
20 | $108 | $270 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
17 | $41 | $90 |
| Removal of subcutaneous heart rhythm monitor This procedure involves the removal of a heart rhythm monitor that has been implanted under the skin. It is a minor surgical intervention to extract the device. |
16 | $41 | $275 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review. |
13 | $51 | $349 |
| Radiofrequency ablation for supraventricular tachycardia A procedure to locate and destroy abnormal heart tissue in the upper chambers of the heart that causes a rapid heart rate. |
13 | $694 | $2,660 |
| Hospital discharge day management, 30 minutes or less This service covers the final day of hospital care when the patient is being discharged. It includes coordination of care and instructions for the patient within a time frame of 30 minutes or less. |
13 | $67 | $145 |
| 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. |
12 | $363 | $2,925 |
| Insertion of implantable heart rhythm monitor A small device is placed under the skin to continuously record the heart's electrical activity. This helps detect irregular heart rhythms that may not appear during a standard office visit. |
11 | $65 | $280 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
11 | $43 | $285 |
| Technetium Tc-99m sestamibi diagnostic injection A diagnostic injection of technetium Tc-99m sestamibi used for imaging studies. |
11 | $64 | $82 |
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.
30.6% high complexity
1.6% medium
67.8% routine
Industry Payment Transparency
Open Payments through 2024 ↗$15,648
Total received (2018-2024)
Avg $2,235/year across 7 years
Top 23% in TX for cardiovascular disease
43
Companies
795
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
$15,602 (99.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$46 (0.3%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,067
2023
$2,158
2022
$2,954
2021
$1,998
2020
$1,304
2019
$2,158
2018
$3,009
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$3,760
Abbott Laboratories
$3,138
Medtronic Vascular, Inc.
$1,799
Biosense Webster, Inc.
$1,789
Janssen Pharmaceuticals, Inc
$1,004
Impulse Dynamics (USA) Inc.
$554
Boston Scientific Corporation
$545
E.R. Squibb & Sons, L.L.C.
$313
BIOTRONIK INC.
$279
PFIZER INC.
$275
Medical Device Business Services, Inc.
$251
CARDIVA MEDICAL, INC.
$231
Amgen Inc.
$197
SANOFI-AVENTIS U.S. LLC
$178
BOSTON SCIENTIFIC CORPORATION
$140
Bayer HealthCare Pharmaceuticals Inc.
$125
Otsuka America Pharmaceutical, Inc.
$113
Edwards Lifesciences Corporation
$111
ATRICURE, INC.
$94
Novartis Pharmaceuticals Corporation
$78
Aziyo Biologics, Inc.
$76
Inspire Medical Systems, Inc.
$64
AtriCure, Inc.
$57
AltaThera Pharmaceuticals LLC
$57
Astellas Pharma US Inc
$40
G Medical Diagnostic Services, Inc.
$39
Esperion Therapeutics, Inc.
$36
CardioFocus, Inc.
$31
Boehringer Ingelheim Pharmaceuticals, Inc.
$25
CVRx, Inc.
$24
Regeneron Healthcare Solutions, Inc.
$22
Novo Nordisk Inc
$22
Amarin Pharma Inc.
$21
Kestra Medical Technology Services, Inc.
$21
Merck Sharp & Dohme LLC
$20
Arrow International, Inc.
$18
Biom'Up SA
$17
Avinger Inc.
$17
Lundbeck LLC
$15
Tactile Systems Technology Inc
$14
Preventice Services, LLC
$14
iRhythm Technologies, Inc.
$13
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$11
Top 3 companies account for 55.6% of total payments
Associated products mentioned in payments ›
ACCENT · ADAPTA · ASSURITY · ATRICURE ATRICLIP LAA EXCLUSION · ATTAIN COMMAND + SUREVALVE · AURORA EV-ICD MRI SURESCAN · AVEIR · AZURE XT DR MRI SURESCAN · Accent Pacemaker · Acticor · Adapta · Advisa · Allure Quadra RF CRT Pacemaker · Arctic Front · Assure WCD · Assurity Pacemaker · Attain · Axium INS DRG IPG · Azure · Barostim Neo System · CAMZYOS · CAPSUREFIX NOVUS MRI SURESCAN · CARDIOMEMS · CARDIVA VASCADE 6/7F VCS · CARDIVA VASCADE MVP VVCS 6-12F · CARTO 3 · CHANTIX · CLARIA MRI QUAD CRT-D SURESCAN · COBALT DR MRI SURESCAN · CONFIRM RX · CRESEMBA · CRT-Ds · Cardiac Monitoring Suite · CareLink · CareLink Express · Carto 3 · Carto 3 System · Circulatory Support · Claria MRI · Cobalt · Compia MRI · Confirm Rx · Connectivity and Remote care · Corlanor · ECM · ECM Patch · ELIQUIS · EMBLEM S ICD ELECTRODE DELIVERY SYSTEM · ENSITE · ENSITE PRECISION · ENTRESTO · EPI-SENSE GUIDED COAGULATION SYS · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · Ellipse ICD · EnSite Precision Cardiac Mapping System · Ensite Cardiac Mapping System · Evera · FORTIFY ASSURA · Flexitouch Plus · Fortify Assura · HeartMate 3 Left Ventricular Assist Device · HeartMate 3 Left Ventricular Dev · Hemoblast · INSPIRE · JYNARQUE · Kerendia · LABSYSTEM · LEXISCAN · LINQ II · LUX-Dx Insertable Cardiac Monitor · LifeVest · MICRA · MOMENTUM · MRI Ready Leads · MULTAQ · MYCARELINK · Merlin Connectivity and Remote · Micra · NA · NEXLETOL · NORTHERA · OPTIMIZER · OPTISURE · Optimizer · Optimizer Smart System · PANTHERIS · PERCEPTA QUAD CRT-P MRI SURESCAN · PRADAXA · PRALUENT · PRALUENT ALIROCUMAB INJECTION · PULSESELECT · Pacemakers · Percepta · Pouch · Quadra Assura CRT Defibrillator · Quartet CRT Lead · RESONATE · Repatha · Reveal LINQ · SAPIEN 3 Ultra RESILIA · SELECTSECURE · SELECTSITE · SelectSecure · Sheath - Percutaneous · Sotalol Hydrochloride · TENDRIL · THORATEC HEARTMATE 3 LVAS IMPLANT KIT · TYRX · TactiCath Quartz CFA Catheter · UNIFY ASSURA · VERQUVO · VIGILANT · VISA AF MRI VR SURESCAN · Vascepa · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX · Wegovy · XARELTO · ZIO Patch · Zephyr Pacemaker · i-STAT 1
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.
Equivalent to $192 per 100 Medicare services performed
Geographic Context
Cardiologists within 10 mi
385
Per 100K population
8.1
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. Rami is a remote & electrophysiology specialist, with above-average Medicare volume (top 6% in TX), with low-engagement industry engagement, with 19 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. Rami experienced with remote monitoring of implantable heart rhythm device?
Based on Medicare claims data, Dr. Rami performed 1,368 remote monitoring of implantable heart rhythm device 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. Rami receive payments from pharmaceutical companies?
Yes. Dr. Rami received a total of $15,648 from 43 companies across 795 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. Rami's costs compare to other cardiologists in Houston?
Dr. Rami's average Medicare payment per service is $57. 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. Rami) 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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