Medicare Enrolled

Dr. Ramavathi Nandyala, MD

Cardiovascular Disease · San Antonio, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
4411 MEDICAL DR, San Antonio, TX 78229
2106145400
In practice since 2006 (20 years)
NPI: 1609837988 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. Nandyala 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. Nandyala

Dr. Ramavathi Nandyala is a cardiovascular disease in San Antonio, TX, with 20 years in practice. Based on federal Medicare data, Dr. Nandyala performed 6,409 Medicare services across 4,039 unique beneficiaries.

Between the years covered by Open Payments, Dr. Nandyala received a total of $6,813 from 42 pharmaceutical and/or device companies across 368 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. Nandyala 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.

✓ 20 years in practice▲ Top 9% volume in TX$ $6,813 industry payments

Medicare Practice Summary

Medicare Utilization ↗
6,409
Medicare services
Top 9% in TX for cardiovascular disease
4,039
Unique beneficiaries
$55
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~320 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.

ProcedureVolumeAvg. paidAvg. submitted
EKG interpretation and report1,193$6$23
Office visit, established patient (30-39 min)1,079$88$259
Hospital follow-up visit, moderate complexity868$60$176
Electrocardiogram (EKG), 12-lead626$10$50
External counterpulsation, per treatment session519$74$900
Echocardiogram, transthoracic507$51$179
Office visit, established patient, complex (40-54 min)254$130$348
Hospital follow-up visit, high complexity249$92$252
Initial hospital admission, high complexity230$131$492
Heart muscle strain imaging169$9$32
Nuclear medicine studies of heart muscle at rest and with stress and spect148$58$197
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician133$11$39
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician90$16$59
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes70$10$32
New patient office visit (45-59 min)53$122$400
Ultrasound of heart with color-depicted blood flow, rate and valve function29$2$10
Ultrasound of heart with probe in esophagus, with report27$83$278
Heart rhythm review and interpretation of continous external ekg over 8-15 days26$19$66
Cardiac catheterization24$223$819
Ultrasound of heart blood flow, valves and chambers23$14$49
Office visit, established patient (20-29 min)23$58$302
New patient office visit, complex (60-74 min)18$142$482
Initial hospital admission, moderate complexity18$96$335
Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist17$283$1,027
External shock to heart to regulate heart beat16$80$325
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.
9.1% high complexity
8.8% medium
82.1% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$6,813
Total received (2018-2024)
Avg $973/year across 7 years
Top 40% in TX for cardiovascular disease
42
Companies
368
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
$6,714 (98.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$99 (1.5%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,220
2023
$1,523
2022
$936
2021
$1,518
2020
$590
2019
$765
2018
$261

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Novartis Pharmaceuticals Corporation
$1,193
Janssen Pharmaceuticals, Inc
$861
Merck Sharp & Dohme LLC
$619
Esperion Therapeutics, Inc.
$522
E.R. Squibb & Sons, L.L.C.
$489
PFIZER INC.
$399
SANOFI-AVENTIS U.S. LLC
$299
Novo Nordisk Inc
$285
Amgen Inc.
$227
AstraZeneca Pharmaceuticals LP
$192
Boston Scientific Corporation
$190
Amarin Pharma Inc.
$138
Boehringer Ingelheim Pharmaceuticals, Inc.
$136
HeartFlow, Inc.
$130
Alnylam Pharmaceuticals Inc.
$103
ABIOMED
$99
Lexicon Pharmaceuticals, Inc.
$97
BIOTRONIK INC.
$76
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$58
Merck Sharp & Dohme Corporation
$54
Medtronic Vascular, Inc.
$53
Bayer HealthCare Pharmaceuticals Inc.
$48
Regeneron Healthcare Solutions, Inc.
$37
Lundbeck LLC
$37
ATRICURE, INC.
$36
Allergan Inc.
$36
AtriCure, Inc.
$32
BOSTON SCIENTIFIC CORPORATION
$32
Inspire Medical Systems, Inc.
$31
Kiniksa Pharmaceuticals International, plc
$29
Althera Pharmaceuticals LLC
$28
Azurity Pharmaceuticals, Inc.
$28
G Medical Diagnostic Services, Inc.
$28
Baxter Healthcare
$27
Itamar Medical Inc
$25
Acist Medical Systems, Inc.
$24
Siemens Medical Solutions USA, Inc.
$24
Kiniksa Pharmaceuticals, Ltd.
$20
AGEPHA Pharma FZ LLC
$20
Impulse Dynamics (USA) Inc.
$20
iRhythm Technologies, Inc.
$17
SCPHARMACEUTICALS INC.
$15
Top 3 companies account for 39.2% of total payments
Associated products mentioned in payments ›
ATRICLIP LAA EXCLUSION SYSTEM · Arcalyst · Artis icono floor · BRILINTA · BYSTOLIC · CAMZYOS · CHANTIX · CVI Systems · Cardiac Monitoring Suite · Corlanor · ELIQUIS · ENTRESTO · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · Edarbi · FARXIGA · FFRct · FUROSCIX · Hillrom - Carnation Ambulatory Monitor · INSPIRE · Impella · JARDIANCE · Kerendia · LEQVIO · LODOCO · LOKELMA · LifeVest · MULTAQ · Micra · NEXLETOL · NEXLIZET · NORTHERA · ONPATTRO · OPTIMIZER · Ozempic · PRALUENT · PRALUENT ALIROCUMAB INJECTION · Renamic Neo · Repatha · Roszet · Rybelsus · VERQUVO · VYNDAQEL · Vascepa · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX · WatchPATONE · 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 (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $106 per 100 Medicare services performed
Looking for a cardiovascular disease in San Antonio?
Compare cardiovascular diseases in the San Antonio area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Cardiovascular Diseases within 10 mi
150
Per 100K population
7.4
County median income
$70,571
Nearest hospital
UNIVERSITY HEALTH SYSTEM
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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. Nandyala is a clinical cardiology specialist, with above-average Medicare volume (top 9% in TX), and low-engagement industry engagement, with 20 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. Nandyala experienced with ekg interpretation and report?
Based on Medicare claims data, Dr. Nandyala performed 1,193 ekg interpretation and report 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. Nandyala receive payments from pharmaceutical companies?
Yes. Dr. Nandyala received a total of $6,813 from 42 companies across 368 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. Nandyala's costs compare to other cardiovascular diseases in San Antonio?
Dr. Nandyala's average Medicare payment per service is $55. 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. Nandyala) 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. 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.

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 →