Medicare Enrolled
Dr. Natalya Malley, MD
Internal Medicine · Fresno, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Malley 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. Malley
Dr. Natalya Malley is an internal medicine specialist in Fresno, CA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Malley performed 6,526 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Malley received a total of $20,173 from 82 pharmaceutical and/or device companies across 850 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Malley 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 of NPI registration
▲ Top 4% volume in CA
$20,173 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗6,526
Medicare services
Top 4% in CA for internal medicine
Not available
Unique patients (not deduplicated)
$39
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 |
|---|---|---|---|
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
796 | $47 | $134 |
| Blood glucose level test A test that measures the amount of sugar in your blood. |
780 | $4 | $16 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
773 | $13 | $55 |
| 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. |
764 | $93 | $405 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
746 | $10 | $40 |
| 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. |
464 | $63 | $285 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
263 | $135 | $413 |
| Annual depression screening | 261 | $19 | $59 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
225 | $32 | $69 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
224 | $72 | $183 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
200 | $2 | $9 |
| Assessment of emotional or behavioral problems An evaluation to identify and understand emotional or behavioral issues. This process involves reviewing symptoms and behaviors to determine the nature of the concerns. |
142 | $4 | $15 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
123 | $11 | $69 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
111 | $1 | $18 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
107 | $41 | $230 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
97 | $16 | $50 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
56 | $38 | $116 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
56 | $32 | $45 |
| Stool test for blood A laboratory test that checks a stool sample for hidden blood using a chemical reaction. This test helps detect bleeding in the digestive tract. |
41 | $4 | $13 |
| Pelvic and clinical breast exam for cancer screening A physical examination of the pelvis and breasts to screen for cervical or vaginal cancer. This procedure involves a clinical assessment performed by a healthcare provider. |
29 | $41 | $122 |
| Pneumococcal vaccine, 23-valent A vaccine that protects against 23 types of pneumococcal bacteria. It is used to prevent infections caused by these bacteria. |
27 | $131 | $378 |
| Hemoglobin blood test A blood test that measures the amount of hemoglobin, the protein in red blood cells that carries oxygen. |
25 | $2 | $17 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
25 | $35 | $176 |
| Pap smear screening test A screening test to collect and prepare a cervical or vaginal sample for laboratory analysis. |
25 | $46 | $137 |
| Pneumococcal conjugate vaccine (PCV15) An intramuscular injection of the 15-valent pneumococcal conjugate vaccine. This vaccine protects against 15 types of pneumococcal bacteria. |
24 | $241 | $739 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
23 | $16 | $50 |
| Prostate cancer screening; digital rectal examination A physical exam where a healthcare provider inserts a gloved, lubricated finger into the rectum to check the prostate gland for abnormalities. |
19 | $14 | $75 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
19 | $172 | $524 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
18 | $11 | $76 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
18 | $17 | $72 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
16 | $172 | $523 |
| Ear wax removal by washing This procedure involves the removal of impacted ear wax using a washing technique. |
15 | $12 | $49 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
14 | $46 | $350 |
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. These counts do not measure clinical quality or years of experience.
Industry Payment Transparency
Open Payments through 2024 ↗$20,173
Total received (2018-2024)
Avg $2,882/year across 7 years
Top 6% in CA for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
82
Companies
850
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,600
2023
$1,708
2022
$2,890
2021
$3,089
2020
$2,205
2019
$4,166
2018
$3,515
Payments by company (2024)
Amgen Inc.
$447
Lilly USA, LLC
$344
ABBVIE INC.
$229
AstraZeneca Pharmaceuticals LP
$210
Phathom Pharmaceuticals, Inc.
$141
Boehringer Ingelheim Pharmaceuticals, Inc.
$122
Incyte Corporation
$121
Abbott Laboratories
$112
ABIOMED
$106
Novo Nordisk Inc
$81
Esperion Therapeutics, Inc.
$76
Otsuka America Pharmaceutical, Inc.
$68
Lundbeck LLC
$58
Novartis Pharmaceuticals Corporation
$57
PFIZER INC.
$55
AIMMUNE THERAPEUTICS, INC.
$54
Biosense Webster, Inc.
$44
Merck Sharp & Dohme LLC
$29
Exact Sciences Corporation
$29
Ardelyx, Inc.
$24
Dynavax Technologies Corporation
$24
Radius Health, Inc.
$21
SCPHARMACEUTICALS INC.
$21
Daiichi Sankyo Inc.
$20
GlaxoSmithKline, LLC.
$20
Neurocrine Biosciences, Inc.
$20
Otsuka Pharmaceutical Development & Commercialization, Inc.
$19
Astellas Pharma US Inc
$18
Dexcom, Inc.
$16
Seqirus USA Inc
$14
Top 3 companies account for 39.2% of 2024 payments
All-time payments by company (2018-2024) ›
Amgen Inc.
$5,580
AstraZeneca Pharmaceuticals LP
$1,156
ABBVIE INC.
$942
SANOFI-AVENTIS U.S. LLC
$831
Novo Nordisk Inc
$724
Lilly USA, LLC
$699
Janssen Pharmaceuticals, Inc
$597
GlaxoSmithKline, LLC.
$573
Boehringer Ingelheim Pharmaceuticals, Inc.
$547
Esperion Therapeutics, Inc.
$491
AbbVie Inc.
$477
Astellas Pharma US Inc
$461
PFIZER INC.
$460
Novartis Pharmaceuticals Corporation
$433
Abbott Laboratories
$397
Amarin Pharma Inc.
$360
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$325
Bayer HealthCare Pharmaceuticals Inc.
$320
E.R. Squibb & Sons, L.L.C.
$309
Neurocrine Biosciences, Inc.
$300
Allergan Inc.
$251
Incyte Corporation
$245
Lupin Inc.
$234
AbbVie, Inc.
$193
Takeda Pharmaceuticals U.S.A., Inc.
$168
Gilead Sciences, Inc.
$160
Intercept Pharmaceuticals, Inc.
$159
Genentech USA, Inc.
$144
Phathom Pharmaceuticals, Inc.
$141
Eisai Inc.
$130
Philips Electronics North America Corporation
$125
Merck Sharp & Dohme Corporation
$124
Alkermes, Inc.
$118
Ironwood Pharmaceuticals, Inc
$113
Merck Sharp & Dohme LLC
$112
Otsuka America Pharmaceutical, Inc.
$107
ABIOMED
$106
Dynavax Technologies Corporation
$104
Lundbeck LLC
$102
Biohaven Pharmaceuticals, Inc.
$70
SANOFI PASTEUR INC.
$66
Kowa Pharmaceuticals America, Inc.
$64
Boston Scientific Corporation
$64
Bayer Healthcare Pharmaceuticals Inc.
$64
IRONWOOD PHARMACEUTICALS, INC
$64
Otsuka Pharmaceutical Development & Commercialization, Inc.
$61
ACADIA Pharmaceuticals Inc
$55
AIMMUNE THERAPEUTICS, INC.
$54
Alexion Pharmaceuticals, Inc.
$50
Biosense Webster, Inc.
$44
Sunovion Pharmaceuticals Inc.
$42
BOSTON SCIENTIFIC CORPORATION
$39
Medtronic, Inc.
$38
UROVANT SCIENCES INC
$32
Teva Pharmaceuticals USA, Inc.
$30
Shionogi Inc
$30
Exact Sciences Corporation
$29
ARBOR PHARMACEUTICALS, INC.
$28
IDORSIA PHARMACEUTICALS US INC
$27
Ardelyx, Inc.
$24
Corcept Therapeutics
$23
BioCryst US Sales Co., LLC
$22
Vertos Medical, Inc.
$21
Radius Health, Inc.
$21
SCPHARMACEUTICALS INC.
$21
Daiichi Sankyo Inc.
$20
Becton, Dickinson and Company
$20
SUN PHARMACEUTICAL INDUSTRIES INC.
$19
Ultragenyx Pharmaceutical Inc.
$19
Assertio Therapeutics, Inc.
$18
Nevro Corp.
$17
Medtronic USA, Inc.
$16
EISAI INC.
$16
Allergan, Inc.
$16
Dexcom, Inc.
$16
Vertiflex, Inc.
$15
Purdue Pharma L.P.
$14
Avanir Pharmaceuticals, Inc.
$14
Seqirus USA Inc
$14
Synergy Pharmaceuticals Inc
$13
MannKind Corporation
$12
Horizon Therapeutics plc
$12
Top 3 companies account for 38.1% of all-time payments
Associated products mentioned in payments ›
AFREZZA · AIRSUPRA · AJOVY · ANORO ELLIPTA · AREXVY · AUSTEDO · AVYCAZ · Aimovig · Amitiza · BAQSIMI · BD SurePath · BELSOMRA · BREZTRI · BREZTRI AEROSPHERE · BROVANA · BYSTOLIC · CHANTIX · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · COMIRNATY · CREON · Cologuard Collection Kit · Crysvita · DUZALLO · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · Edarbi · Enbrel · FARXIGA · FASENRA · FLUZONE HIGH-DOSE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FUROSCIX · Fluad · FreeStyle Libre 2 · FreeStyle Libre Pro · GARDASIL · GEMTESA · General - Pain Management · HUMALOG · HUMIRA · Health&WellnessUndiv · Heplisav-B · IBSRELA · INGREZZA · INJECTAFER · INTELLIS ADAPTIVESTIM · Impella · JANUVIA · JARDIANCE · KAPSPARGO · KRYSTEXXA · Kerendia · Korlym · LEQVIO · LINZESS · LONHALA MAGNAIR · LUPRON DEPOT · LYBALVI · LYRICA · Linzess · Livalo · Lupron Depot · MAVYRET · MENVEO · MOUNJARO · MYRBETRIQ · Mavyret · Mulpleta · NEXLETOL · NEXLIZET · NUPLAZID · NURTEC ODT · Nuedexta · OCALIVA · OPZELURA · Omnia · Orladeyo · Otezla · Ozempic · PNEUMOVAX 23 · PRALUENT · PREMARIN · PREVNAR 13 · PREVNAR 20 · Proclaim Family of SCS IPGs · Prolia · QDOT MICRO Catheter · QULIPTA · QUVIVIQ · REXULTI · RYBELSUS · Repatha · Respiratoriy Care Undiv · Rybelsus · SCS IPGs · SHINGRIX · SOLOSEC · SOLOSEC-CEEK · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · STRENSIQ · SUPERION · SYMBICORT · SYMPROIC · SYNCHROMED · Superion · Superion ISS · Synthroid · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULANCE · TRULICITY · Tresiba · Trintellix · Trulance · UBRELVY · VIBERZI · VOQUEZNA · VRAYLAR · VYEPTI · Vascepa · Veozah · Victoza · WATCHMAN · WAVEWRITER ALPHA · WaveWriter Alpha Prime 16 · Wegovy · XARELTO · XIFAXAN · Xofluza · ZENPEP · ZEPBOUND · ZIPSOR · inCourage · mild Device Kit
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Internal medicine physicians in nearby ZIP areas
491
County median income
$71,434
Nearest hospital to ZIP centroid (approximate)
FRESNO SURGICAL HOSPITAL
4.0 mi
4.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | 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. Malley is a clinical cardiology specialist, with above-average Medicare volume (top 4% in CA), 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. Malley experienced with chronic care management, first 20 min/month?
Based on Medicare claims data, Dr. Malley performed 796 chronic care management, first 20 min/month services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Malley receive payments from pharmaceutical companies?
Yes. Dr. Malley received a total of $20,173 from 82 companies across 850 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Malley's costs compare to other internal medicine physicians in Fresno?
Dr. Malley's average Medicare payment per service is $39. 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. Malley) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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.
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