Medicare Enrolled
Dr. Indurashmi Mayakrishnan, M.D
Neurology · Sherman, 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. Mayakrishnan 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. Mayakrishnan
Dr. Indurashmi Mayakrishnan is a neurology specialist in Sherman, TX, with 18 years of NPI registration. Based on federal Medicare data, Dr. Mayakrishnan performed 2,540 Medicare services across 1,609 unique beneficiaries.
Between the years covered by Open Payments, Dr. Mayakrishnan received a total of $4,472 from 28 pharmaceutical and/or device companies across 77 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurology. 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. Mayakrishnan 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 17% volume in TX
$4,472 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,540
Medicare services
Top 17% in TX for neurology
1,609
Unique beneficiaries
$99
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~141 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. |
1,358 | $90 | $312 |
| Gadolinium MRI contrast injection Administration of a gadolinium-based contrast agent to enhance magnetic resonance imaging. The dose is measured per milliliter of the agent injected. |
219 | $1 | $4 |
| New patient office visit, complex (60-74 min) | 108 | $156 | $536 |
| Complete ultrasound of brain blood flow An ultrasound test that evaluates blood flow within the brain's blood vessels. It uses sound waves to create images of the vessels and assess circulation. |
80 | $196 | $658 |
| 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. |
69 | $116 | $466 |
| MRI scan of brain, without contrast A magnetic resonance imaging test of the brain that does not use contrast dye. This procedure creates detailed images of the brain's structure using magnetic fields and radio waves. |
66 | $102 | $340 |
| 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. |
66 | $121 | $438 |
| Psychological test administration, first 30 minutes A technician administers psychological or neuropsychological testing for the first 30 minutes. |
61 | $25 | $82 |
| Punch biopsy of additional skin growth A small circular tool is used to remove a sample of an extra skin growth for laboratory examination. |
60 | $46 | $144 |
| MRI of brain with and without contrast An MRI scan of the brain using contrast dye both before and after administration to provide detailed images of brain structures. |
47 | $163 | $544 |
| Neuropsychological test evaluation, first hour A professional assessment of cognitive and behavioral functioning using standardized tests. This service covers the initial hour of the evaluation process. |
46 | $96 | $320 |
| MRI of upper spine without contrast An MRI scan of the upper spinal canal that does not use contrast dye. This imaging test uses magnetic fields and radio waves to create detailed pictures of the spine. |
44 | $79 | $310 |
| Sleep study in sleep lab (age 6+) An overnight test conducted in a sleep laboratory to monitor sleep patterns and bodily functions in patients aged 6 years or older. |
37 | $462 | $1,467 |
| 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. |
37 | $109 | $406 |
| Assessment of and care planning for patient with impaired thought processing, typically 60 minutes | 32 | $195 | $666 |
| Punch biopsy of first skin growth A small, circular piece of skin is removed from a skin growth using a circular blade. The sample is then sent to a laboratory for examination. |
31 | $97 | $306 |
| MRI of lower spine, without contrast A magnetic resonance imaging scan of the lower spinal canal that does not use contrast dye to create detailed images of the spine. |
28 | $91 | $312 |
| Sleep study with continuous airway pressure, age 6+ A sleep study conducted in a sleep lab that monitors breathing and other body functions while administering continuous airway pressure. This test is performed on patients aged 6 years or older. |
25 | $476 | $1,485 |
| Electrocardiogram, 1-3 leads with physician review A heart rhythm test using one to three electrodes to record electrical activity, with interpretation by a physician. |
21 | $10 | $31 |
| Sleep study with technician monitoring A sleep study that monitors heart rate and breathing while being attended by a technician. |
20 | $45 | $145 |
| Autonomic nervous system function test This test evaluates how well the sympathetic nervous system is functioning. It assesses the automatic control of bodily processes such as heart rate and blood pressure. |
18 | $95 | $301 |
| 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. |
15 | $56 | $221 |
| Sleep study with heart rate and breathing monitoring A sleep study that monitors heart rate, breathing, airflow, and physical effort during sleep. |
14 | $71 | $224 |
| MRI of upper spine with and without contrast An MRI scan of the upper spinal canal performed both before and after the administration of contrast dye to enhance image detail. |
13 | $166 | $546 |
| Autonomic nervous system testing with tilt This test evaluates the function of the sympathetic and parasympathetic nervous systems. It involves monitoring the patient for at least five minutes while they are tilted. |
13 | $117 | $370 |
| Ultrasound of arm and leg arteries A non-invasive imaging test that uses sound waves to examine the blood vessels in the arms and legs. It evaluates blood flow and checks for blockages or other vascular issues. |
12 | $98 | $311 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$4,472
Total received (2018-2024)
Avg $639/year across 7 years
Top 41% in TX for neurology
28
Companies
77
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
$4,168 (93.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$304 (6.8%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,299
2023
$2,468
2022
$132
2021
$268
2020
$32
2019
$137
2018
$136
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ZOLL Respicardia, Inc.
$1,813
BIOTRONIK NRO, Inc.
$401
HARMONY BIOSCIENCES LLC
$206
Alexion Pharmaceuticals, Inc.
$196
JAZZ PHARMACEUTICALS INC.
$177
Eisai Inc.
$171
UCB, Inc.
$168
ABBVIE INC.
$166
Teva Pharmaceuticals USA, Inc.
$154
Sumitomo Pharma America, Inc.
$117
Jazz Pharmaceuticals Inc.
$113
SK Life Science, Inc.
$102
Lilly USA, LLC
$98
Inspire Medical Systems, Inc.
$93
BOSTON SCIENTIFIC CORPORATION
$79
Neurocrine Biosciences, Inc.
$71
PFIZER INC.
$59
Avadel CNS Pharmaceuticals, LLC
$55
ARGENX US, INC.
$44
SCILEX PHARMACEUTICALS INC.
$32
Neurelis, Inc.
$32
Lundbeck LLC
$25
Sunovion Pharmaceuticals Inc.
$24
Celgene Corporation
$23
Adamas Pharmaceuticals, Inc.
$16
Biohaven Pharmaceuticals, Inc.
$15
Amneal Pharmaceuticals LLC
$14
BioMarin Pharmaceutical Inc.
$11
Top 3 companies account for 54.1% of total payments
Associated products mentioned in payments ›
AJOVY · AMYVID · APTIOM · AUSTEDO · BOTOX · Briviact · EMGALITY · EPIDIOLEX · GOCOVRI · INGREZZA · INSPIRE · KISUNLA · KYNMOBI · LUMRYZ · Leqembi · NURTEC ODT · Ongentys · Prospera · QULIPTA · RYTARY · Rystiggo · SOLIRIS · SUNOSI · Soliris · UBRELVY · ULTOMIRIS · VALTOCO · VYEPTI · VYVGART · VYVGART HYTRULO · Vimizim · WAKIX · WATCHMAN · XYWAV · Xyrem · ZEPOSIA · ZTLido · 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 →
Most payments (93%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Equivalent to $176 per 100 Medicare services performed
Geographic Context
Neurologists within 10 mi
20
Per 100K population
14.3
County median income
$70,455
Nearest hospital
WILSON N JONES REGIONAL 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. Mayakrishnan is a clinical cardiology specialist, with above-average Medicare volume (top 17% in TX), 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. Mayakrishnan experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Mayakrishnan performed 1,358 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. Mayakrishnan receive payments from pharmaceutical companies?
Yes. Dr. Mayakrishnan received a total of $4,472 from 28 companies across 77 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. Mayakrishnan's costs compare to other neurologists in Sherman?
Dr. Mayakrishnan's average Medicare payment per service is $99. 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. Mayakrishnan) 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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