I don't have the experience to know if this is actually the case, but it seems completely plausible that different countries have different regulations (or enforcement thereof) such that US companies have to care about PCI more than Indian companies.
> These $100B in annual sales aren't processed by script kiddies, it's a very large and mature industry.
Those are less connected than you think; loads of companies run obscenely large monetary transactions and essential business processes with horrifying hacked-up systems (50k LoC files, 20-year-old Perl scripts that nobody understands, Solaris 2.x desktop in the maintenance closet...); utility and good code are less correlated than we wish.