Internal Medicine, Endocrinology, Diabetes, & Metabolism · Little Rock, AR
NPI
1346400751
Since 2008
Specialty
Internal Medicine, Endocrinology, Diabetes, & Metabolism
Code 207RE0101X
Group practices
1
Medicare group memberships
Hospitals
3
Hospital affiliations
4301 W Markham St # 783
Little Rock, AR, 72205
Phone (501) 686-8000
Groups this clinician bills Medicare through
Medicare paid, 2024
$27K
374 services
Medicare patients, 2024
267
Average age 71
Drug cost, 2024
$1.2M
1,903 prescriptions
Company payments
-
None reported
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by Shyam Narayana was code 99214 (office e&m - established), 187 times for 158 patients. In total Shyam Narayana billed 374 services in 11 codes, and Medicare paid $27K.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2025-06-04.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| 99214 Office E&M - Established | Office | 187 | 158 | $68.18 | $13K |
| 99232 Hospital E&M - Subsequent | Facility | 41 | 24 | $59.93 | $2,457 |
| 99222 Hospital E&M - Initial | Facility | 36 | 36 | $98.95 | $3,562 |
| 99233 Hospital E&M - Subsequent | Facility | 35 | 15 | $89.64 | $3,138 |
| 99213 Office E&M - Established | Office | 30 | 30 | $47.31 | $1,419 |
| 99204 Office E&M - New | Office | 25 | 25 | $84.65 | $2,116 |
By year: 2022 $22K for 323 services; 2023 $32K for 428 services; 2024 $27K for 374 services.
Medicare prescription drug claims, 2024
In 2024, the drug Shyam Narayana prescribed most often to Medicare patients was Levothyroxine Sodium, with 306 prescriptions and refills. In total Shyam Narayana wrote 1,903 Medicare prescriptions that cost $1.2M.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Levothyroxine Sodium Generic | 306 | 650 | 70 | $2,315 |
| Methimazole Generic | 119 | 225 | 22 | $1,016 |
| Synthroid Levothyroxine Sodium | 118 | 278 | 26 | $7,849 |
| Metformin Hcl Er Metformin Hcl | 116 | 244 | 33 | $1,125 |
| Lantus Solostar Insulin Glargine,hum.Rec.Anlog | 106 | 201 | 27 | $15K |
| Trulicity Dulaglutide | 103 | 133 | 25 | $128K |
| Mounjaro Tirzepatide | 99 | 137 | 23 | $141K |
| Alendronate Sodium Generic | 62 | 96 | 14 | $384 |
| Ozempic Semaglutide | 55 | 93 | 16 | $81K |
| Hydrocortisone Generic | 54 | 105 | 15 | $2,520 |
| Metformin Hcl Generic | 49 | 118 | 13 | $422 |
| Jardiance Empagliflozin | 46 | 88 | 11 | $51K |
| Nano 2nd Gen Pen Needle Pen Needle, Diabetic | 39 | 73 | 13 | $3,537 |
| Fludrocortisone Acetate Generic | 35 | 59 | Under 11 | $854 |
| Basaglar Kwikpen U-100 Insulin Glargine,hum.Rec.Anlog | 33 | 63 | 11 | $15K |
Brand drugs: 809 claims; generic drugs: 978 claims.
Money and other things of value reported by the companies
No payments from drug or medical device companies to Shyam Narayana were reported in the years we have.
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.