Medicare Enrolled

Dr. Vishal Bhalani, M.D.

Urology Physician · Cumming, GA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
960 SANDERS RD STE 500, Cumming, GA 30041
6783217227
In practice since 2007 (19 years)
NPI: 1902025596 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. Bhalani 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. Bhalani? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Bhalani

Dr. Vishal Bhalani is an urology physician in Cumming, GA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Bhalani performed 849 Medicare services across 627 unique beneficiaries.

Between the years covered by Open Payments, Dr. Bhalani received a total of $21,944 from 55 pharmaceutical and/or device companies across 400 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in urology 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. Bhalani 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 ▲ 849 Medicare services $21,944 industry payments

Medicare Practice Summary

Medicare Utilization ↗
849
Medicare services
Bottom 30% in GA for urology physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
627
Unique beneficiaries
$55
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~45 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
Automated urinalysis
An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine.
280 $2 $15
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.
131 $65 $163
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.
101 $92 $253
Leuprolide acetate (for depot suspension), 7.5 mg 63 $127 $338
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.
58 $119 $355
Bladder ultrasound after voiding
An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder.
49 $8 $56
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
39 $8 $10
Cystourethroscopy
A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract.
35 $178 $473
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
30 $78 $212
Subcutaneous or intramuscular chemotherapy injection
This procedure involves administering anti-cancer hormonal medication through an injection into the tissue under the skin or into a muscle.
21 $23 $56
Transrectal ultrasound of the pelvis
An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures.
17 $97 $307
Urinalysis, manual
A manual laboratory examination of a urine sample to check for various substances and cells.
14 $3 $10
Prostate gland biopsy
A procedure to remove small samples of tissue from the prostate gland for laboratory examination.
11 $163 $476
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 ↗
$21,944
Total received (2018-2024)
Avg $3,135/year across 7 years
Top 10% in GA for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
55
Companies
400
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
$13,622 (62.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$4,222 (19.2%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$4,100 (18.7%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,043
2023
$3,198
2022
$1,622
2021
$1,535
2020
$4,908
2019
$4,531
2018
$4,108

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$1,178
Axonics, Inc.
$483
Teleflex LLC
$131
Tolmar, Inc.
$83
Ferring Pharmaceuticals Inc.
$46
PFIZER INC.
$43
Sumitomo Pharma America, Inc.
$39
COLOPLAST CORP
$26
Olympus America Inc.
$15
Top 3 companies account for 87.7% of 2024 payments
All-time payments by company (2018-2024) ›
NeoTract Inc.
$8,033
Medtronic, Inc.
$2,349
Teleflex LLC
$1,783
PROCEPT BioRobotics Corporation
$1,301
Axonics, Inc.
$1,215
Medtronic USA, Inc.
$923
Intuitive Surgical, Inc.
$808
Endo Pharmaceuticals Inc.
$727
Boston Scientific Corporation
$617
Astellas Pharma US Inc
$520
PFIZER INC.
$315
Coloplast Corp
$308
Blue Earth Diagnostics Limited
$261
PALETTE LIFE SCIENCES, INC.
$246
Ethicon US, LLC
$211
Janssen Biotech, Inc.
$180
Avadel Specialty Pharmaceuticals, LLC
$150
Sumitomo Pharma America, Inc.
$148
Merck Sharp & Dohme Corporation
$123
Metuchen Pharmaceuticals
$121
C. R. Bard, Inc. & Subsidiaries
$118
UROVANT SCIENCES INC
$115
Tolmar, Inc.
$110
Myovant Sciences Inc.
$105
Janssen Scientific Affairs, LLC
$95
Myriad Genetic Laboratories, Inc.
$93
Bayer HealthCare Pharmaceuticals Inc.
$87
Rochester Medical Corporation
$68
Allergan, Inc.
$64
C. R. BARD, INC. & SUBSIDIARIES
$62
TOLMAR Pharmaceuticals, Inc.
$61
Antares Pharma, Inc.
$54
Dendreon Pharmaceuticals LLC
$54
ABBVIE INC.
$47
Ferring Pharmaceuticals Inc.
$46
Acerus Pharmaceuticals Corporation
$42
Kowa Pharmaceuticals America, Inc.
$32
EDAP TECHNOMED INC
$29
Ambu Inc.
$29
Baxter Healthcare
$29
MEDIVATION FIELD SOLUTIONS LLC
$29
180 Medical, Inc.
$27
COLOPLAST CORP
$26
AbbVie Inc.
$25
Amgen Inc.
$25
Davol Inc.
$19
AstraZeneca Pharmaceuticals LP
$19
Allergan Inc.
$17
Olympus America Inc.
$15
Mission Pharmacal Company
$13
AbbVie, Inc.
$12
Egalet US Inc
$12
Wilmington Medical Supply, Inc.
$11
Travere Therapeutics, Inc.
$10
Retrophin, Inc.
$5
Top 3 companies account for 55.4% of all-time payments
Associated products mentioned in payments ›
(815) Thiola · ADSTILADRIN · AMS · AMS 700 · AMS 700 CXR RTE Kit · AQUABEAM ROBOTIC SYSTEM · ARISTA AH FLEXITIP · ARTISS · Androgel · AquaBeam Robotic System · Aquoral · Axonics · Axumin · BOTOX · BRACANALYSIS CDX · Bulkamid · CERTUS 140 MICROWAVE ABLATION SYSTEM · Da Vinci Surgical System · ECHELON ENDOPATH Stapler · EDEX · ELIGARD · ENDOUROLOGY · ERLEADA · Echelon Flex · Erleada · GEMTESA · GENERAL BPH · GentleCath · INLAY · INTERSTIM · INTERSTIM ICON · KEYTRUDA · LYNPARZA · Luja Coude · Lynx System · MAGIC3 · MYRBETRIQ · Myrbetriq · NOCDURNA · Natesto · Noctiva · Non-Covered · Nubeqa · ORGOVYX · PREMARIN · PROLARIS · PROVENGE · Prolaris · Prolia · SPEEDICATH · SPRIX · SURGIFLO Hemostatic Matrix · Seglentis · SpaceOAR VUE System - 10mL · Stendra · Surgicel Powder · TOVIAZ · Thiola · Titan · UROLIFT · UroLift · UroLift System · WECK EFx Shield Port Site Closure System · XIAFLEX · XTANDI · XYOSTED · Xofigo · iTIND System
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 (62%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 10% for urology physician in GA.

Looking for an urology physician in Cumming?
Compare urology physicians in the Cumming area by procedure volume, costs, and industry payment transparency.
Browse urology physicians nearby

Geographic Context

Urology physicians within 10 mi
79
Per 100K population
30.4
County median income
$138,000
Nearest hospital
NORTHSIDE HOSPITAL FORSYTH
0.0 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. Bhalani is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 10% of GA peers, 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. Bhalani experienced with automated urinalysis?
Based on Medicare claims data, Dr. Bhalani performed 280 automated urinalysis 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. Bhalani receive payments from pharmaceutical companies?
Yes. Dr. Bhalani received a total of $21,944 from 55 companies across 400 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. Bhalani's costs compare to other urology physicians in Cumming?
Dr. Bhalani's average Medicare payment per service is $55. 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. Bhalani) 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. 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. 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 →