Medicare Enrolled
Dr. Alexandre Petrakian, MD
Internal Medicine · Tyler, TX
Practice pattern: Electrophysiology & Cardiac
— Practice combining electrophysiology and cardiac 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. Petrakian 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. Petrakian
Dr. Alexandre Petrakian is an internal medicine specialist in Tyler, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Petrakian performed 2,948 Medicare services across 2,465 unique beneficiaries.
Between the years covered by Open Payments, Dr. Petrakian received a total of $30,414 from 46 pharmaceutical and/or device companies across 520 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. 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. Petrakian 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 12% volume in TX
$30,414 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,948
Medicare services
Top 12% in TX for internal medicine
2,465
Unique beneficiaries
$47
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~147 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 |
|---|---|---|---|
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
555 | $6 | $19 |
| 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. |
327 | $70 | $310 |
| 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. |
230 | $61 | $185 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
179 | $32 | $193 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results. |
154 | $10 | $37 |
| 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. |
136 | $46 | $218 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while an electrocardiogram is monitored under physician supervision. |
127 | $16 | $54 |
| 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. |
123 | $54 | $277 |
| Evaluation of implantable heart and blood vessel monitoring system This procedure involves checking the function and data of an implanted device used to monitor heart and blood vessel activity. |
116 | $18 | $123 |
| 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. |
96 | $8 | $56 |
| 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. |
68 | $99 | $355 |
| 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. |
57 | $101 | $410 |
| 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. |
55 | $44 | $238 |
| 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. |
54 | $43 | $211 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle while at rest and during stress. |
49 | $64 | $299 |
| 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. |
46 | $26 | $152 |
| 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. |
44 | $19 | $63 |
| 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. |
42 | $112 | $415 |
| 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. |
39 | $93 | $228 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
38 | $26 | $127 |
| Pacemaker programming, single lead Adjustment and testing of a single-lead pacemaker to ensure it functions correctly. |
33 | $30 | $160 |
| External EKG monitoring, 8-15 days Continuous external electrocardiogram recording and review over a period of 8 to 15 days to monitor heart rhythm. |
32 | $20 | $67 |
| Pacemaker system evaluation Assessment of a pacemaker device, including single, dual, multiple lead, or leadless systems. |
28 | $22 | $129 |
| Remote pacemaker rhythm strip evaluation Remote evaluation of pacemaker rhythm strips via telephone. This service covers assessment of single, dual, multiple lead, or leadless pacemaker systems within a 90-day period. |
28 | $11 | $117 |
| 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. |
27 | $39 | $86 |
| 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. |
25 | $23 | $68 |
| 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. |
25 | $19 | $64 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
24 | $53 | $684 |
| 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. |
20 | $29 | $189 |
| 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. |
20 | $10 | $173 |
| 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. |
18 | $63 | $193 |
| 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. |
17 | $397 | $2,415 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
17 | $19 | $281 |
| Cardiac rhythm monitor programming Adjustment and configuration of an implanted cardiac rhythm monitoring device to ensure proper operation and data collection. |
13 | $24 | $142 |
| Heart catheterization to identify abnormal heart rhythm A tube is inserted into the heart chambers to record electrical activity and locate the source of an irregular heartbeat. |
13 | $209 | $1,397 |
| 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 | $641 | $2,749 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
13 | $66 | $259 |
| New patient office visit, complex (60-74 min) | 13 | $141 | $496 |
| 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. |
12 | $136 | $441 |
| Insertion of left lower heart electrode for pacemaker or defibrillator A procedure to place an electrode in the lower part of the left side of the heart. This electrode is used to connect a pacemaker or defibrillator to help regulate the heart's rhythm. |
11 | $354 | $1,546 |
| Insertion of implantable defibrillator system A surgical procedure to place an implantable cardioverter-defibrillator (ICD) device into the body. The device is connected to the heart to monitor heart rhythm and deliver shocks if dangerous arrhythmias occur. |
11 | $700 | $3,053 |
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.
18.9% high complexity
15.9% medium
65.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$30,414
Total received (2018-2024)
Avg $4,345/year across 7 years
Top 3% in TX for internal medicine
46
Companies
520
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
$16,647 (54.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$13,767 (45.3%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$7,528
2023
$3,250
2022
$2,093
2021
$3,544
2020
$2,109
2019
$4,431
2018
$7,459
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
BOSTON SCIENTIFIC CORPORATION
$7,750
Abbott Laboratories
$6,629
Boston Scientific Corporation
$5,830
BIOTRONIK INC.
$1,178
Novartis Pharmaceuticals Corporation
$1,178
Impulse Dynamics (USA) Inc.
$1,138
Janssen Pharmaceuticals, Inc
$966
Medtronic Vascular, Inc.
$653
Astellas Pharma US Inc
$461
Medtronic, Inc.
$375
ABIOMED
$336
Boehringer Ingelheim Pharmaceuticals, Inc.
$313
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$305
E.R. Squibb & Sons, L.L.C.
$296
AstraZeneca Pharmaceuticals LP
$292
Lundbeck LLC
$289
PFIZER INC.
$278
SANOFI-AVENTIS U.S. LLC
$276
Amgen Inc.
$255
Gilead Sciences, Inc.
$196
Merck Sharp & Dohme LLC
$181
HeartFlow, Inc.
$137
Amarin Pharma Inc.
$129
Novo Nordisk Inc
$100
AtriCure, Inc.
$82
CMP Pharma, Inc.
$79
Lexicon Pharmaceuticals, Inc.
$70
Merck Sharp & Dohme Corporation
$67
Alnylam Pharmaceuticals Inc.
$67
ATRICURE, INC.
$58
Bayer HealthCare Pharmaceuticals Inc.
$54
Terumo Medical Corporation
$45
AngioDynamics, Inc.
$40
Cardiovascular Systems Inc.
$39
Kiniksa Pharmaceuticals International, plc
$35
Philips Electronics North America Corporation
$35
Biosense Webster, Inc.
$34
Siemens Medical Solutions USA, Inc.
$28
CVRx, Inc.
$25
United Therapeutics Corporation
$24
Regeneron Healthcare Solutions, Inc.
$23
Invuity, Inc.
$18
Kowa Pharmaceuticals America, Inc.
$14
iRhythm Technologies, Inc.
$12
Biocompatibles, Inc.
$12
Allergan Inc.
$12
Top 3 companies account for 66.4% of total payments
Associated products mentioned in payments ›
(5044) MCOT · (6554) Peripheral Vascular Undivided · ARTIS icono biplane · ATRICLIP LAA EXCLUSION SYSTEM · AURYON LASER SYSTEM 100-120 VAC · AVEIR · Acticor · Acticor 7 VR-T DX · Arcalyst · Artis icono floor · Assurity Pacemaker · Azure · BIOMONITOR · BRILINTA · BYSTOLIC · Barostim Neo System · BioMonitor · CAMZYOS · CARDIOMEMS · CAROSPIR · CHANTIX · CONFIRM RX · COREVALVE EVOLUT R · Carospir · Carto 3 System · CartoSound · Confirm Rx · Corlanor · Diamondback Peripheral · Durata Defibrillation ICD Lead · ELIQUIS · EMBLEM · ENSITE · ENSITE PRECISION · ENTRESTO · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · Edora · Ellipse ICD · EnSite Precision Cardiac Mapping System · Endurity Pacemaker · FARXIGA · FFRct · FORTIFY ASSURA · Fortify Assura · GALLANT · GENERAL - TACHY · GENERAL - THERAPIES · GENERAL BRADY · GENERAL TACHY · General - Vascular Access · HeartMate 3 Left Ventricular Dev · ICD Leads · ICDs · Impella · Inpefa · JARDIANCE · JOT DX · Kerendia · LEQVIO · LEXISCAN · LifeVest · Livalo · MICRA · MITRACLIP · MULTAQ · Merlin Connectivity and Remote · Micra · NORTHERA · ONPATTRO · ONYX FRONTIER · OPTIMIZER · ORENITRAM · Optimizer · Optimizer Smart System · Ozempic · PERCLOSE PROSTYLE · PRADAXA · PRALUENT · PRALUENT ALIROCUMAB INJECTION · Perclose ProGlide suture mediated closure system · Photonblade · QUADRA ASSURA · Quadra Allure MP RF CRT Pacemkr · Quadra Assura CRT Defibrillator · Quartet CRT Lead · RHYTHMIA · RYBELSUS · Repatha · Rhythmia Mapping System · Rybelsus · SENSOR ENABLED · SYMPLICITY G3 · SYNERGY ABLATION SYSTEM · Solia · TACTICATH · TACTICATH ABLATION CATHETER · THORATEC HEARTMATE 3 LVAS IMPLANT KIT · TR BAND · VANTAGEVIEW · VARITHENA · VERQUVO · VIEWMATE · VYNDAQEL · Vascepa · WORKMATE CLARIS · XARELTO · Xience Alpine cornary stent system · ZIO XT 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 (55%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 3% for internal medicine in TX.
Equivalent to $1,032 per 100 Medicare services performed
Geographic Context
Internal medicine physicians within 10 mi
172
Per 100K population
72.3
County median income
$71,923
Nearest hospital
UT HEALTH EAST TEXAS TYLER REGIONAL HOSPITAL
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. Petrakian is an electrophysiology & cardiac specialist, with above-average Medicare volume (top 12% in TX), with low-engagement industry engagement in the top 3% of TX peers, with 20 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. Petrakian experienced with ekg interpretation and report?
Based on Medicare claims data, Dr. Petrakian performed 555 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. Petrakian receive payments from pharmaceutical companies?
Yes. Dr. Petrakian received a total of $30,414 from 46 companies across 520 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. Petrakian's costs compare to other internal medicine physicians in Tyler?
Dr. Petrakian's average Medicare payment per service is $47. 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. Petrakian) 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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