Medicare Enrolled

Dr. Thomas Balshi, M.D.

Procedural Dermatology Physician · Delray Beach, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
4665 W ATLANTIC AVE, Delray Beach, FL 33445
5612726000
In practice since 2005 (20 years)
NPI: 1063400646 verify on NPPES ↗
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. Balshi 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. Balshi

Dr. Thomas Balshi is a procedural dermatology physician in Delray Beach, FL, with 20 years in practice. Based on federal Medicare data, Dr. Balshi performed 2,954 Medicare services across 2,037 unique beneficiaries.

Between the years covered by Open Payments, Dr. Balshi received a total of $2,832 from 25 pharmaceutical and/or device companies across 124 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in procedural dermatology physician. 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. Balshi is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years in practice▲ 2,954 Medicare services$ $2,832 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,954
Medicare services
Bottom 38% in FL for procedural dermatology physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
2,037
Unique beneficiaries
$92
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~148 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.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (20-29 min)691$65$100
Destruction of precancerous skin growths, 2-14327$5$10
Destruction of precancer skin growth, 15 or more growths314$134$175
Shaving of skin growth of body, arms, or legs, more than 2.0 cm191$112$170
Destruction of precancerous skin growth, 1176$39$80
Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm162$69$160
Complicated or multiple drainage of skin abscess117$170$230
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm109$97$180
Office visit, established patient (10-19 min)97$41$60
New patient office visit (30-44 min)94$75$120
Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm79$239$355
Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm65$177$315
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm63$79$165
Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm59$142$220
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm57$239$355
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, more than 2.0 cm54$145$210
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm35$54$145
Shaving of skin growth of scalp, neck, hands, feet, or genitals, more than 2.0 cm29$91$180
Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm28$96$190
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm24$117$215
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm23$198$335
New patient office or other outpatient visit, 15-29 minutes23$54$90
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm22$64$155
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm21$324$435
Destruction of skin growths (warts/lesions), 1-1417$71$120
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm15$140$250
Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm14$129$275
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm13$142$310
Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm12$169$250
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 3.1-4.0 cm12$269$380
Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm11$122$200
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.

Industry Payment Transparency

Open Payments through 2024 ↗
$2,832
Total received (2018-2024)
Avg $405/year across 7 years
Top 28% in FL for procedural dermatology physician
25
Companies
124
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
$2,732 (96.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$100 (3.5%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,113
2023
$633
2022
$363
2021
$204
2020
$168
2019
$228
2018
$124

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
GENZYME CORPORATION
$384
Merz North America, Inc.
$340
MERZ NORTH AMERICA, INC.
$310
ABBVIE INC.
$259
AbbVie Inc.
$218
PFIZER INC.
$201
Janssen Biotech, Inc.
$181
Regeneron Healthcare Solutions, Inc.
$147
Incyte Corporation
$144
Biofrontera Inc.
$144
Allergan, Inc.
$107
Amgen Inc.
$60
Lilly USA, LLC
$58
Galderma Laboratories, L.P.
$48
LEO Pharma Inc.
$36
Allergan Inc.
$27
Boehringer Ingelheim Pharmaceuticals, Inc.
$25
Musculoskeletal Transplant Foundation Inc.
$22
Dermavant Sciences, Inc.
$22
Celgene Corporation
$21
Ortho Dermatologics, a division of Bausch Health US, LLC
$19
Nobel Biocare USA
$19
E.R. Squibb & Sons, L.L.C.
$13
Pierre Fabre Pharmaceuticals, Inc.
$12
STRATA Skin Sciences, Inc.
$11
Top 3 companies account for 36.5% of total payments
Associated products mentioned in payments ›
ADBRY · AMELUZ · BOTOX COSMETIC · CIBINQO · Cabtreo · DUPIXENT · EUCRISA · NOBELACTIVE · OPZELURA · Otezla · REMICADE · RINVOQ · SKYRIZI · SOOLANTRA · SPEVIGO · Sotyktu · TALTZ · TREMFYA · VTAMA · XEOMIN · XTRAC · Xeomin
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 (96%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $96 per 100 Medicare services performed
Looking for a procedural dermatology physician in Delray Beach?
Compare procedural dermatology physicians in the Delray Beach area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Procedural Dermatology Physicians within 10 mi
8
Per 100K population
0.5
County median income
$81,115
Nearest hospital
DELRAY MEDICAL CENTER
1.6 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Balshi is a clinical cardiology specialist, with moderate Medicare volume, and low-engagement industry engagement, with 20 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Balshi experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Balshi performed 691 office visit, established patient (20-29 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. Balshi receive payments from pharmaceutical companies?
Yes. Dr. Balshi received a total of $2,832 from 25 companies across 124 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. Balshi's costs compare to other procedural dermatology physicians in Delray Beach?
Dr. Balshi's average Medicare payment per service is $92. 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. Balshi) 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 →
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. The Transparency Score measures 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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →