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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Nallathamby Thayapran
❤️
MDIndividual

Nallathamby Thayapran, M.D.

NPI: 1386740421
Porterville, CA
10 years of data
Cardiology
$27.4M
Total Payments
356
Beneficiaries
131.6K
Services
3.11x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$27.4M
Specialty median$193.1K

📋 Key Findings

1Billed $27.4M over 10 years
23.11x markup ratio (above median)
399th percentile in Cardiology by payments
453 services/day — unusually high
512 procedures with >3x markup

This provider averages 53 services per working day

Based on 131.6K total services over 10 years (250 working days/year). Learn about impossible service volumes →

🔎 Data Analysis

This provider's $27.4M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.

Averaging 53 services per working day raises questions about billing patterns.

Medicare payments to this provider grew 115% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$379.97$108.793.49x$271.18$1.5M13.9K46
2015$406.60$120.883.36x$285.72$1.8M14.7K41
2016$448.26$135.223.32x$313.04$2.1M15.3K40
2017$482.49$135.943.55x$346.55$2.1M15.5K40
2018$579.83$176.613.28x$403.22$2.4M13.4K37
2019$781.28$273.832.85x$507.45$3.1M11.4K31
2020$947.48$333.232.84x$614.25$3.8M11.5K29
2021$910.22$312.202.92x$598.02$3.8M12.3K33
2022$888.20$292.983.03x$595.22$3.6M12.1K30
2023$862.86$279.123.09x$583.74$3.2M11.6K29

Top Procedures (20)

37229Removal of plaque in artery of leg, initial vessel
$8.0M
888 services$9.0K/svc1.88x markup
78492Nuclear medicine studies of blood flow in heart muscle at rest and with stress
$3.3M
2.7K services$1.3K/svc2.39x markup
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries
$2.2M
5.3K services$415.98/svc1.44x markup
99214Established patient office or other outpatient visit, 30-39 minutes
$2.0M
23.0K services$84.75/svc2.30x markup
37225Removal of plaque in arteries of leg
$1.3M
167 services$7.7K/svc2.61x markup
36247Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch⚠ 3.2x markup
$1.1M
1.5K services$777.40/svc3.20x markup
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function⚠ 5.6x markup
$945.2K
8.3K services$113.77/svc5.58x markup
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies⚠ 3.2x markup
$842.7K
2.1K services$408.29/svc3.18x markup
36245Insertion of tube into abdominal, pelvic, or leg artery, each first order branch⚠ 3.5x markup
$837.8K
1.5K services$558.55/svc3.51x markup
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
$555.6K
3.5K services$157.78/svc2.00x markup
36246Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch⚠ 5.5x markup
$534.1K
1.5K services$360.65/svc5.48x markup
J2785Injection, regadenoson, 0.1 mg⚠ 8.6x markup
$504.5K
10.9K services$46.12/svc8.60x markup
93925Ultrasound of leg arteries or artery grafts
$489.3K
2.4K services$202.04/svc1.98x markup
36200Insertion of tube into aorta⚠ 17.4x markup
$358.8K
1.4K services$249.19/svc17.42x markup
A9502Technetium tc-99m tetrofosmin, diagnostic, per study dose⚠ 3.5x markup
$356.9K
4.1K services$86.99/svc3.45x markup
75710Review by radiologist of arm or leg artery image⚠ 4.4x markup
$345.5K
2.6K services$133.35/svc4.44x markup
37228Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure⚠ 3.8x markup
$334.9K
84 services$4.0K/svc3.76x markup
36140Insertion of needle or tube into artery of arm or leg⚠ 6.4x markup
$286.9K
1.4K services$202.63/svc6.42x markup
93458Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist⚠ 6.8x markup
$284.1K
1.5K services$190.17/svc6.79x markup
37252Ultrasound evaluation of blood vessel with review by radiologist, initial vessel
$283.8K
317 services$895.26/svc1.79x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
37229Removal of plaque in artery of leg, initial vessel888$8.0M$9.0K1.88x
78492Nuclear medicine studies of blood flow in heart muscle at rest and with stress2.7K$3.3M$1.3K2.39x
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries5.3K$2.2M$415.981.44x
99214Established patient office or other outpatient visit, 30-39 minutes23.0K$2.0M$84.752.30x
37225Removal of plaque in arteries of leg167$1.3M$7.7K2.61x
36247Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch1.5K$1.1M$777.403.20x
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function8.3K$945.2K$113.775.58x
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies2.1K$842.7K$408.293.18x
36245Insertion of tube into abdominal, pelvic, or leg artery, each first order branch1.5K$837.8K$558.553.51x
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3.5K$555.6K$157.782.00x
36246Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch1.5K$534.1K$360.655.48x
J2785Injection, regadenoson, 0.1 mg10.9K$504.5K$46.128.60x
93925Ultrasound of leg arteries or artery grafts2.4K$489.3K$202.041.98x
36200Insertion of tube into aorta1.4K$358.8K$249.1917.42x
A9502Technetium tc-99m tetrofosmin, diagnostic, per study dose4.1K$356.9K$86.993.45x
75710Review by radiologist of arm or leg artery image2.6K$345.5K$133.354.44x
37228Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure84$334.9K$4.0K3.76x
36140Insertion of needle or tube into artery of arm or leg1.4K$286.9K$202.636.42x
93458Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist1.5K$284.1K$190.176.79x
37252Ultrasound evaluation of blood vessel with review by radiologist, initial vessel317$283.8K$895.261.79x

Markup Analysis

Charge-to-Payment Ratio

3.11x

This provider submits charges 3.11 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.11x means for every $100 Medicare pays, this provider initially charges $311. This is higher than the national average.

Location

Porterville, CA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Cardiology providers in CA for peer comparison.

Nallathamby Thayapran (you)
$27.4M
Leo Polosajian, M.D.
$52.5M
Athar Ansari, M.D.
$38.2M
Hanumandla Reddy, M.D
$38.1M
Mehran Khorsandi, M.D.,
$36.4M
Shashi Sharma, D.M.
$35.4M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Leo Polosajian, M.D.Reseda, CA$52.5M✓ Clear
Athar Ansari, M.D.El Centro, CA$38.2M✓ Clear
Hanumandla Reddy, M.DHanford, CA$38.1M✓ Clear
Mehran Khorsandi, M.D.,Los Angeles, CA$36.4M✓ Clear
Shashi Sharma, D.M.Visalia, CA$35.4M✓ Clear

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

Believe this data is inaccurate? Dispute this data