Medicare Enrolled
Dr. Adel El-Bialy, M.D.
Cardiovascular Disease · Newhall, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. El-Bialy 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. El-Bialy
Dr. Adel El-Bialy is a cardiovascular disease specialist in Newhall, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. El-Bialy performed 4,990 Medicare services across 2,536 unique beneficiaries.
Between the years covered by Open Payments, Dr. El-Bialy received a total of $6,823 from 22 pharmaceutical and/or device companies across 260 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. El-Bialy 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.
✓ 19 years in practice
▲ Top 19% volume in CA
$6,823 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,990
Medicare services
Top 19% in CA for cardiovascular disease
2,536
Unique beneficiaries
$98
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~263 Medicare services per year of practice
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 |
|---|---|---|---|
| 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. |
1,864 | $102 | $201 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
936 | $100 | $350 |
| 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. |
539 | $12 | $100 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
283 | $173 | $509 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
252 | $143 | $599 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
143 | $128 | $400 |
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
135 | $7 | $50 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
110 | $45 | $200 |
| Stress echocardiogram with ECG monitoring An ultrasound of the heart performed while monitoring heart rhythm during rest, exercise, or medication-induced stress, followed by a review and report of the findings. |
110 | $192 | $750 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
87 | $10 | $180 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
85 | $20 | $100 |
| Critical care, first 30-74 min Emergency medical care for a critically ill or injured patient lasting between 30 and 74 minutes. This service involves direct patient care and medical decision making to stabilize the patient. |
83 | $177 | $750 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while an electrocardiogram is monitored under physician supervision. |
61 | $17 | $50 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle while at rest and during stress. The procedure uses special cameras to create images of the heart's function. |
55 | $54 | $266 |
| Cardiac catheterization | 49 | $158 | $3,500 |
| Coronary stent placement A procedure to insert a stent into a coronary artery or its branch to keep it open, using balloon dilation during the process. |
45 | $390 | $1,650 |
| Pacemaker system evaluation Assessment of a pacemaker device, including single, dual, multiple lead, or leadless systems. |
30 | $50 | $250 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
28 | $170 | $750 |
| New patient office visit, complex (60-74 min) | 22 | $172 | $450 |
| Radiologist review of arm or leg artery image A radiologist reviews images of the arteries in the arm or leg. This process involves analyzing the visual data to assess the blood vessels. |
20 | $67 | $1,000 |
| Continuous external EKG monitoring, 8-15 days This procedure involves recording heart rhythm continuously using an external EKG device over a period of 8 to 15 days. |
19 | $11 | $60 |
| External EKG monitoring, 8-15 days Continuous external electrocardiogram recording and review over a period of 8 to 15 days to monitor heart rhythm. |
19 | $22 | $100 |
| Removal of plaque, insertion of stent and/or balloon dilation of single coronary artery, branch or bypass graft | 15 | $527 | $1,660 |
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. A higher procedure volume generally indicates more experience with that procedure.
10.7% high complexity
5.1% medium
84.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$6,823
Total received (2018-2024)
Avg $975/year across 7 years
Top 34% in CA for cardiovascular disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
22
Companies
260
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$6,823 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$577
2023
$815
2022
$905
2021
$1,018
2020
$668
2019
$710
2018
$2,130
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$213
Boston Scientific Corporation
$167
Novartis Pharmaceuticals Corporation
$54
E.R. Squibb & Sons, L.L.C.
$40
Biosense Webster, Inc.
$32
ABIOMED
$28
Amgen Inc.
$23
Boehringer Ingelheim Pharmaceuticals, Inc.
$20
Top 3 companies account for 75.2% of 2024 payments
All-time payments by company (2018-2024) ›
Abbott Laboratories
$3,451
AstraZeneca Pharmaceuticals LP
$1,188
Novartis Pharmaceuticals Corporation
$434
PFIZER INC.
$337
Boston Scientific Corporation
$330
Janssen Pharmaceuticals, Inc
$190
E.R. Squibb & Sons, L.L.C.
$163
Amgen Inc.
$137
Merck Sharp & Dohme Corporation
$135
Amarin Pharma Inc.
$114
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$54
Regeneron Healthcare Solutions, Inc.
$44
Biosense Webster, Inc.
$32
Cardiovascular Systems Inc.
$31
Edwards Lifesciences Corporation
$30
iRhythm Technologies, Inc.
$29
ABIOMED
$28
Novo Nordisk Inc
$23
Boehringer Ingelheim Pharmaceuticals, Inc.
$20
Chiesi USA, Inc.
$20
Merck Sharp & Dohme LLC
$17
Bayer HealthCare Pharmaceuticals Inc.
$16
Top 3 companies account for 74.4% of all-time payments
Associated products mentioned in payments ›
AVVIGO Guidance System · Asahi Fielder coronary guide wire · BRILINTA · CAMZYOS · CARTO 3 · CONFIRM RX · CROSSBOSS · Confirm Rx · Corlanor · DIAMONDBACK CORONARY · DRAGONFLY OPSTAR · Dragonfly OCT · ELIQUIS · ENTRESTO · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · Ellipse ICD · FARXIGA · Fortify Assura · GALLANT · GENERAL STENTS · HI-TORQUE BALANCE · Impella · JARDIANCE · JOT DX · KENGREAL · Kerendia · LEQVIO · LifeVest · MINI TREK · MULTI-LINK MINI VISION · Merlin Connectivity and Remote · NC TREK NEO · Ozempic · PRALUENT · PRESSUREWIRE · Perclose ProStyle · Peripheral Orbital Atherectomy System · Quadra Assura CRT Defibrillator · ROTAPRO · Repatha · VERQUVO · VYNDAMAX · VYNDAQEL · Vascepa · XARELTO · XIENCE SIERRA · XIENCE SKYPOINT · Xience V coronary stent system · ZIO XT Patch
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. 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 →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Cardiologists within 10 mi
396
Per 100K population
4.0
County median income
$87,760
Nearest hospital
HENRY MAYO NEWHALL HOSPITAL
5.4 mi
5.4 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | 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. El-Bialy is a clinical cardiology specialist, with above-average Medicare volume (top 19% in CA), with low-engagement industry engagement, with 19 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. El-Bialy experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. El-Bialy performed 1,864 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. El-Bialy receive payments from pharmaceutical companies?
Yes. Dr. El-Bialy received a total of $6,823 from 22 companies across 260 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. 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. El-Bialy's costs compare to other cardiologists in Newhall?
Dr. El-Bialy's average Medicare payment per service is $98. 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. El-Bialy) 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 a long track record of practice, Medicare participation, and industry disclosure. 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?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): 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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