George Edward Manoukian, M.D.
Internal Medicine, Clinical Cardiac Electrophysiology (M.D.) with Heart Rhythm Associates, P.A., practicing in Shenandoah, Texas. Their prescriptions cost Medicare Part D more than their services did: $506,542 for 1,597 claims, against $251,056 paid for services in 2024. Abbott Laboratories was the largest of 10 companies reporting payments in 2025, $79,882 in all, mostly consulting fees. Lists HCA Houston Healthcare Conroe and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1619265485 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jul 14, 2011 |
| Last updated in NPPES | Sep 16, 2024 |
| Certified by provider | Sep 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Clinical Cardiac Electrophysiology Primary | 207RC0001X | P0434 | TX |
| Internal Medicine | 207R00000X | P0434 | TX |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | P0434 | TX |
| Hospitalist | 208M00000X | P0434 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Cardiac Electrophysiology (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 377 |
|---|---|
| Services billed | 1,953 across 61 procedure codes |
| Paid by Medicare | $251,056 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,597 · 2,667 30-day fills |
|---|---|
| Patients | 382 |
| Total drug cost | $506,542 |
| Generic share | 66% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Cardiac Electrophysiology |
| Secondary specialties | Cardiovascular Disease (Cardiology) |
Medical group
- Heart Rhythm Associates, P.A.Shenandoah, TX · 7 clinicians
Hospital affiliations
- HCA Houston Healthcare ConroeConroe, TX
- HCA Houston Healthcare TomballTomball, TX
- Memorial Hermann Hospital SystemHouston, TX
- St Luke's Hospital at the VintageHouston, TX
Industry payments (Open Payments)
- 2025$79,882 · 181 payments from 10 companies
- 2024$109,415 · 208 payments from 11 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbott Laboratories | $67,656 | 121 |
| Biosense Webster, Inc. | $10,412 | 39 |
| Ebr Systems, Inc. | $1,166 | 4 |
| Medtronic, Inc. | $219.97 | 5 |
| Kestra Medical Technology Services, Inc. | $155.90 | 5 |
What the 2025 payments were for
- Consulting Fee$66,175 · 50 payments
- Travel and Lodging$7,693 · 23 payments
- Food and Beverage$6,014 · 108 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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