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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. Vachaspathi Palakodeti
❤️
MDIndividual

Vachaspathi Palakodeti, MD

NPI: 1649224387
Imperial, CA
10 years of data
Cardiology
$15.5M
Total Payments
178.0K
Beneficiaries
242.5K
Services
2.84x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$15.5M
Specialty median$193.1K

📋 Key Findings

1Billed $15.5M over 10 years
22.84x markup ratio (above median)
399th percentile in Cardiology by payments
497 services/day — unusually high
55 procedures with >3x markup

This provider averages 97 services per working day

Based on 242.5K total services over 10 years (250 working days/year). Learn about impossible service volumes →

🔎 Data Analysis

This provider's $15.5M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.

Averaging 97 services per working day raises questions about billing patterns.

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$256.30$88.062.91x$168.24$1.6M25.0K19.2K
2015$253.00$87.732.88x$165.27$1.7M27.0K20.6K
2016$238.85$79.842.99x$159.01$1.6M25.1K19.6K
2017$222.14$73.213.03x$148.93$1.4M22.4K18.4K
2018$228.75$82.042.79x$146.71$1.3M21.8K17.1K
2019$228.78$85.792.67x$142.99$1.3M21.1K16.4K
2020$236.36$83.932.82x$152.43$1.2M18.2K14.1K
2021$205.68$81.302.53x$124.38$1.5M21.1K16.1K
2022$223.41$87.922.54x$135.49$1.9M27.6K18.5K
2023$210.08$82.752.54x$127.33$2.1M33.1K18.0K

Top Procedures (20)

93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function⚠ 3.2x markup
$2.6M
19.4K services$135.94/svc3.17x markup
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies
$2.6M
6.4K services$400.48/svc2.93x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$2.4M
27.7K services$87.05/svc2.28x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$1.1M
19.8K services$56.48/svc2.80x markup
A9500Technetium tc-99m sestamibi, diagnostic, per study dose
$633.2K
6.4K services$98.81/svc2.53x markup
99490Chronic care management services at least 20 minutes per calendar month
$455.6K
10.1K services$45.00/svc2.22x markup
99204New patient office or other outpatient visit, typically 45 minutes
$409.2K
3.4K services$121.25/svc2.40x markup
93925Ultrasound study of arteries and arterial grafts of both legs
$358.9K
1.8K services$203.11/svc1.80x markup
93229Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days
$332.8K
503 services$661.53/svc2.27x markup
93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart⚠ 3.2x markup
$309.6K
1.3K services$241.69/svc3.20x markup
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck
$307.5K
1.9K services$161.58/svc2.29x markup
99457Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; first 20 minutes
$301.8K
7.6K services$39.68/svc2.77x markup
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
$293.1K
6.7K services$43.94/svc2.96x markup
99215Established patient office or other outpatient, visit typically 40 minutes
$214.3K
1.7K services$123.29/svc2.07x markup
93017Exercise or drug-induced heart and blood vessel stress test with EKG tracing and monitoring⚠ 4.1x markup
$192.6K
7.9K services$24.44/svc4.12x markup
99233Subsequent hospital inpatient care, typically 35 minutes per day
$160.9K
1.9K services$82.87/svc2.51x markup
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers
$159.4K
1.1K services$151.48/svc2.39x markup
93978Ultrasound scan of vena cava or groin graft or vessel blood flow
$150.0K
1.0K services$149.07/svc2.51x markup
93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report⚠ 8.9x markup
$139.9K
22.1K services$6.34/svc8.86x markup
93016Exercise or drug-induced heart and blood vessel stress test with EKG monitoring and physician supervision⚠ 3.2x markup
$138.8K
7.8K services$17.72/svc3.24x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function19.4K$2.6M$135.943.17x
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies6.4K$2.6M$400.482.93x
99214Established patient office or other outpatient, visit typically 25 minutes27.7K$2.4M$87.052.28x
99213Established patient office or other outpatient visit, typically 15 minutes19.8K$1.1M$56.482.80x
A9500Technetium tc-99m sestamibi, diagnostic, per study dose6.4K$633.2K$98.812.53x
99490Chronic care management services at least 20 minutes per calendar month10.1K$455.6K$45.002.22x
99204New patient office or other outpatient visit, typically 45 minutes3.4K$409.2K$121.252.40x
93925Ultrasound study of arteries and arterial grafts of both legs1.8K$358.9K$203.111.80x
93229Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days503$332.8K$661.532.27x
93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart1.3K$309.6K$241.693.20x
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck1.9K$307.5K$161.582.29x
99457Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; first 20 minutes7.6K$301.8K$39.682.77x
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days6.7K$293.1K$43.942.96x
99215Established patient office or other outpatient, visit typically 40 minutes1.7K$214.3K$123.292.07x
93017Exercise or drug-induced heart and blood vessel stress test with EKG tracing and monitoring7.9K$192.6K$24.444.12x
99233Subsequent hospital inpatient care, typically 35 minutes per day1.9K$160.9K$82.872.51x
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers1.1K$159.4K$151.482.39x
93978Ultrasound scan of vena cava or groin graft or vessel blood flow1.0K$150.0K$149.072.51x
93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report22.1K$139.9K$6.348.86x
93016Exercise or drug-induced heart and blood vessel stress test with EKG monitoring and physician supervision7.8K$138.8K$17.723.24x

Markup Analysis

Charge-to-Payment Ratio

2.84x

This provider submits charges 2.84 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.84x means for every $100 Medicare pays, this provider initially charges $284. This is higher than the national average.

Location

Imperial, 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.

Vachaspathi Palakodeti (you)
$15.5M
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