Medicare Enrolled

Dr. Mythili Ramachandran, M.D.

Internal Medicine · Auburn, WA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
17500 SE 392ND ST, Auburn, WA 98092
2532948201
In practice since 2006 (20 years)
NPI: 1205891181 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. Ramachandran 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. Ramachandran

Dr. Mythili Ramachandran is an internal medicine specialist in Auburn, WA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Ramachandran performed 631 Medicare services across 344 unique beneficiaries.

Between the years covered by Open Payments, Dr. Ramachandran received a total of $16,452 from 54 pharmaceutical and/or device companies across 709 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. Ramachandran is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years in practice ▲ Top 36% volume in WA $16,452 industry payments

Medicare Practice Summary

Medicare Utilization ↗
631
Medicare services
Top 36% in WA for internal medicine
344
Unique beneficiaries
$66
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~32 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.
401 $75 $239
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.
126 $53 $162
Annual intensive behavioral therapy for cardiovascular disease, 15 minutes
A yearly, in-person session focused on intensive behavioral therapy to help manage cardiovascular disease. The session lasts for 15 minutes and is conducted with the patient individually.
27 $25 $45
Annual alcohol misuse screening, 5 to 15 minutes 26 $19 $25
Annual depression screening 26 $19 $35
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
25 $128 $200
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 ↗
$16,452
Total received (2018-2024)
Avg $2,350/year across 7 years
Top 5% in WA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
54
Companies
709
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
$16,277 (98.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$175 (1.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$80
2023
$1,105
2022
$1,505
2021
$2,786
2020
$2,552
2019
$4,047
2018
$4,377

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$32
Indivior Inc.
$27
Alkermes, Inc.
$20
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$2,359
AstraZeneca Pharmaceuticals LP
$1,783
Boehringer Ingelheim Pharmaceuticals, Inc.
$1,736
Amgen Inc.
$1,081
Janssen Pharmaceuticals, Inc
$963
GlaxoSmithKline, LLC.
$935
PFIZER INC.
$771
SANOFI-AVENTIS U.S. LLC
$641
Lilly USA, LLC
$489
Novartis Pharmaceuticals Corporation
$446
Merck Sharp & Dohme Corporation
$438
Kowa Pharmaceuticals America, Inc.
$426
Takeda Pharmaceuticals U.S.A., Inc.
$393
Astellas Pharma US Inc
$356
Daiichi Sankyo Inc.
$334
Sunovion Pharmaceuticals Inc.
$290
Teva Pharmaceuticals USA, Inc.
$279
ABBVIE INC.
$269
Allergan Inc.
$258
Bayer HealthCare Pharmaceuticals Inc.
$222
Allergan, Inc.
$192
Bayer Healthcare Pharmaceuticals Inc.
$167
Amarin Pharma Inc.
$165
Antares Pharma, Inc.
$159
AbbVie Inc.
$137
Genentech USA, Inc.
$125
Esperion Therapeutics, Inc.
$125
Abbott Laboratories
$103
Mylan Specialty L.P.
$79
Biohaven Pharmaceuticals, Inc.
$65
Shire North American Group Inc
$58
MAYNE PHARMA COMMERCIAL LLC
$51
Merck Sharp & Dohme LLC
$46
Biohaven Pharmaceutical Holding Company Ltd.
$41
Radius Health, Inc.
$40
E.R. Squibb & Sons, L.L.C.
$39
IRONWOOD PHARMACEUTICALS, INC
$36
Circassia Pharmaceuticals Inc
$32
AMAG Pharmaceuticals, Inc.
$32
TherapeuticsMD, Inc.
$31
Indivior Inc.
$27
Exact Sciences Corporation
$25
Biogen, Inc.
$22
Eisai Inc.
$21
Alkermes, Inc.
$20
DERMIRA, INC.
$20
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$18
Purdue Pharma L.P.
$18
Horizon Pharma plc
$17
Seqirus USA Inc
$16
Grifols USA, LLC
$16
Horizon Therapeutics plc
$15
BIODELIVERY SCIENCES INTERNATIONAL, INC.
$14
Medtronic MiniMed, Inc.
$11
Top 3 companies account for 35.7% of all-time payments
Associated products mentioned in payments ›
ADUHELM · AJOVY · AMITIZA · AMYVID · ANORO · ANORO ELLIPTA · ARISTADA · AUSTEDO · Afluria · Aimovig · AirDuo Digihaler · Amitiza · BASAGLAR · BELBUCA · BELSOMRA · BREO · BREZTRI · BREZTRI AEROSPHERE · BRILINTA · BROVANA · CHANTIX · CYCLOSET · Cologuard Collection Kit · DUAKLIR PRESSAIR · Dayvigo · Dexilant · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EVENITY · FARXIGA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Freedom Lite system · GEMTESA · Guardian Sensor 3 · IMVEXXY · INJECTAFER · INTRAROSA · INVOKANA · JANUVIA · JARDIANCE · Kerendia · LATUDA · LINZESS · LO LOESTRIN FE · LONHALA MAGNAIR · LYRICA · Linzess · Livalo · MOUNJARO · MYDAYIS · MYRBETRIQ · Myrbetriq · NEXLIZET · NOCDURNA · NUCALA · NURTEC ODT · OXYCONTIN · Otezla · Otrexup · Ozempic · PENNSAID · PRADAXA · PRALUENT · PREMARIN · Prolastin-C Liquid · Prolia · QBREXZA · QULIPTA · QVAR · RYBELSUS · Repatha · Rybelsus · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STEGLATRO · STIOLTO · STIOLTO RESPIMAT · SUBLOCADE · SYMBICORT · Saxenda · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Tresiba · Trintellix · Tymlos · UBRELVY · UTIBRON NEOHALER · Utibron · VERQUVO · VESICARE · VIBERZI · VRAYLAR · VYVANSE · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XELJANZ · XYOSTED · Xofluza · YUPELRI · Yupelri
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 (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 5% for internal medicine in WA.

Looking for an internal medicine specialist in Auburn?
Compare internal medicine physicians in the Auburn area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal medicine physicians within 10 mi
1,455
Per 100K population
64.3
County median income
$122,148
Nearest hospital
MULTICARE COVINGTON MEDICAL CENTER
5.1 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 reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Ramachandran is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 5% of WA peers, with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Ramachandran experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Ramachandran performed 401 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. Ramachandran receive payments from pharmaceutical companies?
Yes. Dr. Ramachandran received a total of $16,452 from 54 companies across 709 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. Ramachandran's costs compare to other internal medicine physicians in Auburn?
Dr. Ramachandran's average Medicare payment per service is $66. 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. Ramachandran) 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. Data Coverage reflects 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 →