Medicare Enrolled

Dr. Gaurav Bhalla, M.D.

Internal Medicine · Fort Gratiot, MI
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
4190 24TH AVE STE 201, Fort Gratiot, MI 48059
8102164200
Registered in NPPES since 2012
NPI: 1457616120 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. Bhalla 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. Bhalla

Dr. Gaurav Bhalla is an internal medicine specialist in Fort Gratiot, MI, with 14 years of NPI registration. Based on federal Medicare data, Dr. Bhalla performed 1,220 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Bhalla received a total of $12,708 from 50 pharmaceutical and/or device companies across 661 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. Bhalla 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.

✓ 14 years of NPI registration ▲ Top 21% volume in MI $12,708 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
1,220
Medicare services
Top 21% in MI for internal medicine
Not available
Unique patients (not deduplicated)
$59
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.
489 $85 $373
Blood glucose test using hand-held instrument
A test that measures the level of sugar in the blood using a portable device. The result helps monitor blood glucose levels.
221 $3 $10
Continuous glucose monitoring with interpretation
This procedure involves monitoring blood sugar levels in tissue fluid using a sensor placed under the skin, along with the interpretation and reporting of the results.
125 $25 $103
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
98 $61 $225
Office visit for established patient
An office visit for an existing patient that may not require the healthcare professional to be present.
65 $16 $66
Obesity behavioral counseling, 15 minutes
A 15-minute face-to-face session focused on behavioral counseling to help manage obesity.
43 $25 $77
Initial hospital admission, moderate complexity
Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter.
41 $100 $395
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.
39 $110 $489
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.
31 $127 $528
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.
30 $59 $264
Continuous glucose monitoring, sensor under skin
This procedure involves continuous monitoring of blood sugar levels in tissue fluid using a sensor placed under the skin with provider-supplied equipment.
22 $95 $415
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.
16 $134 $580
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 ↗
$12,708
Total received (2018-2024)
Avg $1,815/year across 7 years
Top 6% in MI for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
50
Companies
661
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
$1,157
2023
$1,556
2022
$1,706
2021
$1,621
2020
$1,241
2019
$2,949
2018
$2,478

Payments by company (2024)

Novo Nordisk Inc
$226
ABBVIE INC.
$194
Lilly USA, LLC
$156
Corcept Therapeutics
$91
Xeris Pharmaceuticals, Inc.
$83
Boehringer Ingelheim Pharmaceuticals, Inc.
$80
Tandem Diabetes Care, Inc.
$50
SANOFI-AVENTIS U.S. LLC
$48
Abbott Laboratories
$42
Bayer Healthcare Pharmaceuticals Inc.
$36
Radius Health, Inc.
$22
Amneal Pharmaceuticals LLC
$22
Insulet Corporation
$21
RECORDATI_RARE_DISEASES_INC.
$20
Amgen Inc.
$20
BETA BIONICS, INC.
$16
Tolmar, Inc.
$15
Alexion Pharmaceuticals, Inc.
$14
Top 3 companies account for 49.9% of 2024 payments
All-time payments by company (2018-2024) ›
Medtronic MiniMed, Inc.
$1,590
Novo Nordisk Inc
$1,447
Tandem Diabetes Care, Inc.
$1,195
Lilly USA, LLC
$854
Amgen Inc.
$747
SANOFI-AVENTIS U.S. LLC
$644
AstraZeneca Pharmaceuticals LP
$506
Boehringer Ingelheim Pharmaceuticals, Inc.
$491
Abbott Laboratories
$467
Corcept Therapeutics
$457
Radius Health, Inc.
$402
Amneal Pharmaceuticals LLC
$348
AbbVie Inc.
$345
Xeris Pharmaceuticals, Inc.
$327
Merck Sharp & Dohme Corporation
$322
ABBVIE INC.
$314
Senseonics, Incorporated
$303
Janssen Pharmaceuticals, Inc
$215
Bayer HealthCare Pharmaceuticals Inc.
$206
Bayer Healthcare Pharmaceuticals Inc.
$174
Insulet Corporation
$160
RECORDATI_RARE_DISEASES_INC.
$104
Alexion Pharmaceuticals, Inc.
$103
Mannkind Corporation
$100
Amarin Pharma Inc.
$98
Shire North American Group Inc
$85
Dexcom, Inc.
$79
AbbVie, Inc.
$63
Horizon Therapeutics plc
$58
EUSA Pharma (US) LLC
$49
Nevro Corp.
$46
Ipsen Biopharmaceuticals, Inc
$38
DEXCOM, INC.
$35
MannKind Corporation
$33
Becton, Dickinson and Company
$33
Amryt Pharma Holdings Ltd
$31
VIVUS LLC
$23
Companion Medical, Inc.
$22
Novartis Pharmaceuticals Corporation
$21
Alvogen Inc
$20
PFIZER INC.
$19
CeQur Corporation
$17
Ascendis Pharma Inc
$16
BETA BIONICS, INC.
$16
Ultragenyx Pharmaceutical Inc.
$15
Tolmar, Inc.
$15
Medtronic, Inc.
$15
IBSA Pharma Inc.
$15
Esperion Therapeutics, Inc.
$14
Takeda Pharmaceuticals U.S.A., Inc.
$11
Top 3 companies account for 33.3% of all-time payments
Associated products mentioned in payments ›
AFREZZA · BAQSIMI · BD Nano · BD Nano 2nd Gen Pen Needle · CeQur Simplicity · Corlanor · DEXCOM CGM · DEXCOM G6 CGM SYSTEM · DEXCOM G6 TRANSMITTER · Dexcom CGM · EVENITY · Eversense · FARXIGA · FIASP · FORTEO · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre · FreeStyle Libre 2 · FreeStyle Libre Pro · FreeStyle Libre blood glucose Flash Monitoring System · GVOKE HYPOPEN · GVOKE PFS · Guardian Connect · HUMULIN · HUMULIN R 500 · HUMULIN U · INVOKANA · ISTURISA · InPen · JANUVIA · JARDIANCE · JATENZO · Kerendia · Korlym · LEQVIO · Levemir · MINIMED 780G · MOUNJARO · MYCAPSSA · Minimed 670G System · Minimed 770G System · NATPARA · NATPARA (PARATHYROID HORMONE) · NEXLETOL · NovoLog · Omnia · Omnipod · Ozempic · PANCREAZE · PRALUENT · PROCLAIM · Prolia · RECORLEV · RYBELSUS · Repatha · Rybelsus · SIGNIFOR LAR · SOLIQUA · SOLIQUA 100/33 · SOMATULINE DEPOT · SOMAVERT · STEGLATRO · STEGLUJAN · STRENSIQ · SYNTHROID · Saxenda · Strensiq · Sylvant · Synthroid · TEPEZZA · TERIPARATIDE · TOUJEO · TRADJENTA · TRULICITY · TZIELD · Tirosint · Tresiba · Tymlos · UNITHROID · Vascepa · Victoza · Wegovy · XARELTO · iLet Bionic Pancreas · t-slim insulin pump · t:slim X2 Insulin Pump with Control-IQ · t:slim X2 insulin pump
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 Fort Gratiot?
Compare internal medicine physicians in the Fort Gratiot area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal medicine physicians in nearby ZIP areas
26
County median income
$69,349
Nearest hospital to ZIP centroid (approximate)
LAKE HURON MEDICAL CENTER
7.4 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. Bhalla is a clinical cardiology specialist, with above-average Medicare volume (top 21% in MI).

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Bhalla experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Bhalla performed 489 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. Bhalla receive payments from pharmaceutical companies?
Yes. Dr. Bhalla received a total of $12,708 from 50 companies across 661 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. Bhalla's costs compare to other internal medicine physicians in Fort Gratiot?
Dr. Bhalla's average Medicare payment per service is $59. 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. Bhalla) 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 →