Dr. George Manoukian, M.D.
What this data tells you about Dr. Manoukian
Dr. George Manoukian is an internal medicine specialist in Shenandoah, TX, with 14 years of NPI registration. Based on federal Medicare data, Dr. Manoukian performed 1,615 Medicare services across 1,049 unique beneficiaries.
Between the years covered by Open Payments, Dr. Manoukian received a total of $235,494 from 26 pharmaceutical and/or device companies across 1519 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. Manoukian 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.
Medicare Practice Summary
Medicare Utilization ↗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) | 304 | $95 | $274 |
| Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days | 262 | $19 | $75 |
| Office visit, established patient (20-29 min) | 166 | $66 | $182 |
| Remote pacemaker monitoring, 90 days | 94 | $22 | $125 |
| New patient office visit (45-59 min) | 83 | $128 | $430 |
| Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days | 81 | $28 | $205 |
| Initial hospital admission, high complexity | 79 | $133 | $350 |
| Programming of heart rhythm stimulation after drug infusion | 68 | $63 | $375 |
| Insertion of tube in upper and/or lower heart chambers to record and identify origin of abnormal heart rhythm | 67 | $207 | $1,140 |
| Destruction of tissue of upper heart chamber through tube to treat abnormal heart rhythm | 60 | $236 | $825 |
| Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation | 52 | $728 | $2,875 |
| Insertion of catheters and destruction of tissue to treat abnormal heart rhythm | 49 | $232 | $1,250 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 49 | $10 | $150 |
| Ultrasound evaluation of heart blood vessel with review by radiologist | 35 | $57 | $265 |
| Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional | 34 | $630 | $2,100 |
| Repair of left upper heart chamber with implant with review by radiologist | 24 | $593 | $5,000 |
| Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional | 23 | $20 | $100 |
| Insertion of implantable defibrillator system | 20 | $708 | $2,700 |
| Comprehensive electrophysiologic evaluation with catheter destruction of abnormality of upper chamber of heart causing supraventricular tachycardia (rapid heart rate) | 20 | $643 | $2,457 |
| Insertion of left lower heart electrode for pacemaker or defibrillator | 15 | $355 | $1,343 |
| Insertion of permanent leadless pacemaker using imaging guidance | 15 | $353 | $1,760 |
| Programming of dual lead pacemaker system | 15 | $29 | $112 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
The majority of payments (74%) 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.
Geographic Context
4.2 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. Manoukian is a remote & electrophysiology specialist, with above-average Medicare volume (top 23% in TX), with consulting-driven industry engagement in the top 1% of TX peers.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
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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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