Dr. Alexandre Petrakian, MD
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.
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 |
|---|---|---|---|
| EKG interpretation and report | 555 | $6 | $19 |
| Office visit, established patient (30-39 min) | 327 | $70 | $310 |
| Hospital follow-up visit, moderate complexity | 230 | $61 | $185 |
| Programming of dual lead pacemaker system | 179 | $32 | $193 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician | 154 | $10 | $37 |
| Office visit, established patient (20-29 min) | 136 | $46 | $218 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician | 127 | $16 | $54 |
| Nuclear medicine studies of heart muscle at rest and with stress and spect | 123 | $54 | $277 |
| Evaluation of implantable heart and blood vessel monitoring system | 116 | $18 | $123 |
| Electrocardiogram (EKG), 12-lead | 96 | $8 | $56 |
| Initial hospital admission, moderate complexity | 68 | $99 | $355 |
| New patient office visit (45-59 min) | 57 | $101 | $410 |
| Programming of multiple lead implantable defibrillator system | 55 | $44 | $238 |
| Programming of dual lead implantable defibrillator system | 54 | $43 | $211 |
| Nuclear medicine studies of blood flow in heart muscle at rest and with stress | 49 | $64 | $299 |
| Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days | 46 | $26 | $152 |
| Evaluation of cardiac rhythm monitor system, remote up to 30 days | 44 | $19 | $63 |
| Office visit, established patient, complex (40-54 min) | 42 | $112 | $415 |
| Hospital follow-up visit, high complexity | 39 | $93 | $228 |
| Office visit, established patient (10-19 min) | 38 | $26 | $127 |
| Programming of single lead pacemaker system | 33 | $30 | $160 |
| Heart rhythm review and interpretation of continous external ekg over 8-15 days | 32 | $20 | $67 |
| Evaluation of single, dual, multiple lead or leadless pacemaker system | 28 | $22 | $129 |
| Telephonic rhythm strip evaluation of single, dual, multiple lead or leadless pacemaker system, up to 90 days | 28 | $11 | $117 |
| Hospital follow-up visit, low complexity | 27 | $39 | $86 |
| Remote pacemaker monitoring, 90 days | 25 | $23 | $68 |
| Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days | 25 | $19 | $64 |
| Echocardiogram, transthoracic | 24 | $53 | $684 |
| Programming of single lead implantable defibrillator system | 20 | $29 | $189 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 20 | $10 | $173 |
| Hospital discharge day management, 30 minutes or less | 18 | $63 | $193 |
| Insertion of pacemaker and upper and lower heart chamber electrode | 17 | $397 | $2,415 |
| Ultrasound of heart, follow-up | 17 | $19 | $281 |
| Programming of cardiac rhythm monitor system | 13 | $24 | $142 |
| Insertion of tube in upper and/or lower heart chambers to record and identify origin of abnormal heart rhythm | 13 | $209 | $1,397 |
| Comprehensive electrophysiologic evaluation with catheter destruction of abnormality of upper chamber of heart causing supraventricular tachycardia (rapid heart rate) | 13 | $641 | $2,749 |
| New patient office visit (30-44 min) | 13 | $66 | $259 |
| New patient office visit, complex (60-74 min) | 13 | $141 | $496 |
| Initial hospital admission, high complexity | 12 | $136 | $441 |
| Insertion of left lower heart electrode for pacemaker or defibrillator | 11 | $354 | $1,546 |
| Insertion of implantable defibrillator system | 11 | $700 | $3,053 |
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 ›
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.
Geographic Context
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
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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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