Medicare Enrolled

Dr. Eduardo Balbona, M.D.

Internal Medicine · Jacksonville, FL
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
2257 OAK ST, Jacksonville, FL 32204
9043889202
Registered in NPPES since 2005
NPI: 1073506168 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. Balbona 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 →
Are you Dr. Balbona? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Balbona

Dr. Eduardo Balbona is an internal medicine specialist in Jacksonville, FL, with 21 years of NPI registration. Based on federal Medicare data, Dr. Balbona performed 1,923 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Balbona received a total of $5,147 from 39 pharmaceutical and/or device companies across 277 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. Balbona 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.

✓ 21 years of NPI registration ▲ Top 23% volume in FL $5,147 industry payments

Florida License Status

FL DOH · MQA
1
Active license
None
Board action on record
0
Recent admin complaints
Profession License # Status Expires Board Action
Medical Doctor 61191 Clear January 31, 2027
Data from Florida Department of Health Medical Quality Assurance. License records are public under Chapter 119, Florida Statutes. Verify directly on FL DOH →

Medicare Practice Summary — 2023

Medicare Utilization ↗
1,923
Medicare services
Top 23% in FL for internal medicine
Not available
Unique patients (not deduplicated)
$90
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
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.
1,243 $83 $255
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
346 $130 $358
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
96 $126 $257
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.
90 $55 $181
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.
67 $11 $33
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.
55 $95 $335
New patient office visit, complex (60-74 min) 13 $153 $442
Home health plan of care certification
Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians.
13 $37 $104
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 ↗
$5,147
Total received (2018-2024)
Avg $735/year across 7 years
Top 14% in FL for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
39
Companies
277
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
$941
2023
$979
2022
$678
2021
$880
2020
$745
2019
$568
2018
$356

Payments by company (2024)

Corcept Therapeutics
$323
AstraZeneca Pharmaceuticals LP
$204
Boehringer Ingelheim Pharmaceuticals, Inc.
$118
Lilly USA, LLC
$52
Exact Sciences Corporation
$52
Astellas Pharma US Inc
$49
ABBVIE INC.
$36
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$32
Metacel Pharmaceuticals LLC
$17
Novo Nordisk Inc
$16
Takeda Pharmaceuticals U.S.A., Inc.
$15
Merck Sharp & Dohme LLC
$14
Phathom Pharmaceuticals, Inc.
$14
Top 3 companies account for 68.5% of 2024 payments
All-time payments by company (2018-2024) ›
Corcept Therapeutics
$666
AstraZeneca Pharmaceuticals LP
$643
Boehringer Ingelheim Pharmaceuticals, Inc.
$577
Lilly USA, LLC
$533
Novo Nordisk Inc
$305
AbbVie Inc.
$298
Supernus Pharmaceuticals, Inc.
$238
Amarin Pharma Inc.
$200
Takeda Pharmaceuticals U.S.A., Inc.
$188
Astellas Pharma US Inc
$163
Alnylam Pharmaceuticals Inc.
$135
iRhythm Technologies, Inc.
$117
Exact Sciences Corporation
$97
AbbVie, Inc.
$83
ABBVIE INC.
$83
Janssen Biotech, Inc.
$80
PFIZER INC.
$78
Xeris Pharmaceuticals, Inc.
$67
Novartis Pharmaceuticals Corporation
$66
Biohaven Pharmaceuticals, Inc.
$45
IDORSIA PHARMACEUTICALS US INC
$42
Merck Sharp & Dohme Corporation
$39
Amgen Inc.
$39
Medtronic MiniMed, Inc.
$38
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$32
Metacel Pharmaceuticals LLC
$32
Biohaven Pharmaceutical Holding Company Ltd.
$32
E.R. Squibb & Sons, L.L.C.
$31
Merck Sharp & Dohme LLC
$30
Abbott Laboratories
$24
Kowa Pharmaceuticals America, Inc.
$24
PhotoniCare Inc
$22
ABIOMED
$18
EISAI INC.
$16
Horizon Therapeutics plc
$15
Dexcom, Inc.
$14
Phathom Pharmaceuticals, Inc.
$14
Allergan, Inc.
$13
Endo Pharmaceuticals Inc.
$12
Top 3 companies account for 36.6% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · Aimovig · BASAGLAR · BELSOMRA · BEVESPI AEROSPHERE · BREZTRI · BREZTRI AEROSPHERE · CAPLYTA · CHANTIX · Cologuard Collection Kit · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · ERLEADA · FARXIGA · FREESTYLE LIBRE 2 · GARDASIL · GVOKE PFS · Guardian Connect · Humira · Impella · JANUVIA · JARDIANCE · KRYSTEXXA · Korlym · LYRICA · Livalo · MOUNJARO · NASCOBAL · NURTEC ODT · OFEV · ONPATTRO · OtoSight Middle Ear Scope · Ozempic · Ozobax · PAXLOVID · QULIPTA · QUVIVIQ · RYBELSUS · Rybelsus · SPIRIVA RESPIMAT · TRINTELLIX · TROKENDI XR · TRULICITY · Trintellix · UBRELVY · VOQUEZNA · VRAYLAR · Vascepa · Veozah · ZIO Patch · iPro2
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 →
Looking for an internal medicine specialist in Jacksonville?
Compare internal medicine physicians in the Jacksonville area by procedure volume, costs, and industry payment transparency.
Browse internal medicine physicians nearby

Geographic Context

Internal medicine physicians in nearby ZIP areas
941
County median income
$68,447
Nearest hospital to ZIP centroid (approximate)
ASCENSION ST VINCENT'S RIVERSIDE
0.0 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. Balbona is a clinical cardiology specialist, with above-average Medicare volume (top 23% in FL), with 21 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. Balbona experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Balbona performed 1,243 office visit, established patient (30-39 min) 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. Balbona receive payments from pharmaceutical companies?
Yes. Dr. Balbona received a total of $5,147 from 39 companies across 277 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. Balbona's costs compare to other internal medicine physicians in Jacksonville?
Dr. Balbona's average Medicare payment per service is $90. 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. Balbona) 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 →
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.

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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →