Medicare Enrolled

Dr. Balaji Shanmugam, MD

Interventional Cardiology · Lake Mary, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
209 BELLE FONTAINE CIR, Lake Mary, FL 32746
9176833516
In practice since 2015 (11 years)
NPI: 1851786164 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. Shanmugam 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. Shanmugam

Dr. Balaji Shanmugam is an interventional cardiology in Lake Mary, FL, with 11 years in practice. Based on federal Medicare data, Dr. Shanmugam performed 2,463 Medicare services across 1,578 unique beneficiaries.

Between the years covered by Open Payments, Dr. Shanmugam received a total of $8,134 from 25 pharmaceutical and/or device companies across 106 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in interventional cardiology. 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. Shanmugam 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.

✓ 11 years in practice▲ Top 43% volume in FL$ $8,134 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,463
Medicare services
Top 43% in FL for interventional cardiology
1,578
Unique beneficiaries
$104
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~224 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 (30-39 min)613$94$353
Hospital follow-up visit, high complexity602$94$361
Initial hospital admission, high complexity266$137$690
Critical care, first 30-74 min258$170$1,009
Echocardiogram, transthoracic159$147$1,059
Electrocardiogram (EKG), 12-lead123$11$103
Hospital follow-up visit, moderate complexity82$62$253
Heart muscle strain imaging71$28$160
New patient office visit, complex (60-74 min)60$163$691
Office visit, established patient, complex (40-54 min)46$134$479
Heart rhythm recording, analysis, report, review, and interpretation of continous external ekg over more than 48 hours up to 7 days33$195$1,012
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes29$10$205
Ultrasonic guidance for blood vessel access26$12$138
Office visit, established patient (20-29 min)23$67$233
Cardiac catheterization22$178$4,000
New patient office visit (45-59 min)18$101$550
Heart rhythm recording continous external ekg over more than 48 hours up to 7 days16$8$60
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days16$18$100
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.
7.3% high complexity
2.9% medium
89.8% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$8,134
Total received (2018-2024)
Avg $1,356/year across 6 years
Bottom 48% in FL for interventional cardiology
25
Companies
106
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
$7,501 (92.2%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$633 (7.8%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$180
2023
$466
2022
$5,690
2021
$834
2019
$493
2018
$470

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$4,321
Abbott Laboratories
$950
Inari Medical, Inc.
$421
Boston Scientific Corporation
$358
AstraZeneca Pharmaceuticals LP
$334
Medtronic Vascular, Inc.
$285
CARDIVA MEDICAL, INC.
$219
Astellas Pharma US Inc
$154
Boehringer Ingelheim Pharmaceuticals, Inc.
$147
Philips Electronics North America Corporation
$145
PFIZER INC.
$135
Edwards Lifesciences Corporation
$127
E.R. Squibb & Sons, L.L.C.
$125
Merck Sharp & Dohme LLC
$69
BOSTON SCIENTIFIC CORPORATION
$67
Pulmonx Corporation
$64
ShockWave Medical, Inc
$27
Kestra Medical Technology Services, Inc.
$26
ViiV Healthcare Company
$26
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$25
Lexicon Pharmaceuticals, Inc.
$25
Sobi, Inc
$22
Novartis Pharmaceuticals Corporation
$21
Lilly USA, LLC
$21
Novo Nordisk Inc
$18
Top 3 companies account for 70.0% of total payments
Associated products mentioned in payments ›
(7881) US Und · AMPLATZER · Assure WCD · Azure · BASAGLAR · BELSOMRA · BRILINTA · CARDIOMEMS · CARDIVA VASCADE MVP VVCS 6-12F · CHARTIS CATHETER · CardioMEMS HF System · Claria MRI · DIAMONDBACK CORONARY · EMBLEM · ENSITE PRECISION · ENTRESTO · EnSite Precision Cardiac Mapping System · Evera · FARXIGA · FLOWTRIEVER CATHETER · IN.PACT ADMIRAL · Inpefa · JARDIANCE · LUX DX · LifeVest · Optis Coronary Imaging System · Ozempic · RESOLUTE ONYX · RUKOBIA · Resolute · S · SAPIEN 3 Ultra RESILIA · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · TEGSEDI · VERQUVO · VYNDAMAX · VersaCross Access Solution · WATCHMAN Access System · XIENCE SIERRA
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 (92%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $330 per 100 Medicare services performed
Looking for a interventional cardiology in Lake Mary?
Compare interventional cardiologys in the Lake Mary area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Interventional Cardiologys within 10 mi
25
Per 100K population
5.3
County median income
$83,030
Nearest hospital
CENTRAL FLORIDA LAKE MONROE HOSPITAL
3.7 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. Shanmugam is a clinical cardiology specialist, with moderate Medicare volume, and low-engagement industry engagement.

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. Shanmugam experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Shanmugam performed 613 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. Shanmugam receive payments from pharmaceutical companies?
Yes. Dr. Shanmugam received a total of $8,134 from 25 companies across 106 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. Shanmugam's costs compare to other interventional cardiologys in Lake Mary?
Dr. Shanmugam's average Medicare payment per service is $104. 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. Shanmugam) 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 →