Medicare Enrolled
Dr. Shiva Maralani, MD
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician · St Clair Shores, MI
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Maralani 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. Maralani
Dr. Shiva Maralani is an urogynecology and reconstructive pelvic surgery physician in St Clair Shores, MI, with 20 years of NPI registration. Based on federal Medicare data, Dr. Maralani performed 7,690 Medicare services across 5,008 unique beneficiaries.
Between the years covered by Open Payments, Dr. Maralani received a total of $7,881 from 23 pharmaceutical and/or device companies across 139 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in urogynecology and reconstructive pelvic surgery (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. Maralani 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.
✓ 20 years in practice
▲ Top 50% volume in MI
$7,881 industry payments
Medicare Practice Summary
Medicare Utilization ↗7,690
Medicare services
Top 50% in MI for urogynecology and reconstructive pelvic surgery (urology) physician
5,008
Unique beneficiaries
$48
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~384 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. |
1,956 | $2 | $6 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
1,202 | $8 | $30 |
| 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. |
785 | $98 | $144 |
| 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. |
439 | $64 | $103 |
| Complete ultrasound of retroperitoneum An ultrasound examination of the structures located behind the abdominal cavity. |
267 | $39 | $142 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
267 | $51 | $70 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
259 | $190 | $405 |
| 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. |
209 | $126 | $225 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
178 | $8 | $105 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
171 | $71 | $100 |
| Complex urodynamic pressure flow study A test that measures the pressure of urine flow in the bladder during voiding to evaluate how well the bladder and urethra are functioning. |
141 | $287 | $595 |
| Abdominal device insertion with pressure and urine flow study A procedure involving the placement of a device into the abdomen, accompanied by a study to measure pressure and urine flow rate. |
126 | $157 | $324 |
| Non-needle muscle activity measurement of bladder and bowel openings This procedure measures and records the electrical activity of muscles at the bladder and bowel openings without using needles. |
115 | $26 | $325 |
| Electronic assessment of bladder emptying A test that uses electronic monitoring to evaluate how well the bladder empties urine. |
110 | $6 | $150 |
| 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. |
66 | $66 | $102 |
| PSA test (prostate cancer screening) | 64 | $18 | $35 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
56 | $8 | $40 |
| Liver function blood test panel | 52 | $8 | $75 |
| 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. |
52 | $108 | $165 |
| Cardiac enzyme level (CK-MB) test A blood test that measures the total level of creatine kinase, specifically the cardiac enzyme fraction, to help evaluate heart muscle damage. |
51 | $6 | $21 |
| Lactate dehydrogenase (LDH) level test A blood test that measures the amount of lactate dehydrogenase, an enzyme found in many body tissues. It helps assess tissue damage or disease. |
51 | $6 | $18 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
50 | $7 | $20 |
| Urine calcium level test A laboratory test that measures the amount of calcium present in a urine sample. This test helps evaluate calcium metabolism and kidney function. |
49 | $6 | $15 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
49 | $5 | $19 |
| Body fluid pH level test A laboratory test that measures the acidity or alkalinity of a body fluid sample. |
49 | $4 | $5 |
| Phosphate level test A blood test that measures the amount of phosphate in your body. Phosphate is a mineral that helps keep bones and teeth strong. |
49 | $5 | $15 |
| Urine phosphate level | 49 | $6 | $12 |
| Urine potassium level test A laboratory test that measures the amount of potassium in a urine sample. This test helps evaluate kidney function and electrolyte balance. |
49 | $5 | $8 |
| Urine sodium level test A laboratory test that measures the amount of sodium in a urine sample. This test helps evaluate electrolyte balance and kidney function. |
49 | $5 | $12 |
| Uric acid level test A blood test that measures the amount of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines found in certain foods and drinks. |
49 | $5 | $18 |
| Fitting and insertion of vaginal support device A procedure to measure, fit, and insert a device designed to support vaginal structures. |
48 | $50 | $120 |
| Parathyroid hormone level test A blood test that measures the amount of parathyroid hormone in your body. This hormone helps regulate calcium levels in the blood and bones. |
48 | $40 | $65 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
48 | $4 | $15 |
| Lower leg neurostimulator electrode insertion A procedure to place an electrode in the lower leg for neurostimulation therapy. |
46 | $88 | $200 |
| Limited retroperitoneal ultrasound A focused ultrasound exam of the area behind the abdominal cavity to evaluate specific structures. |
46 | $22 | $116 |
| Total calcium level test A blood test that measures the total amount of calcium in your body. |
45 | $5 | $24 |
| Carbon dioxide level test A blood test that measures the amount of carbon dioxide in your blood, which helps evaluate your body's acid-base balance and kidney function. |
45 | $5 | $15 |
| Blood chloride level test A laboratory test that measures the amount of chloride in a blood sample. Chloride is an electrolyte that helps maintain fluid balance and acid-base levels in the body. |
45 | $5 | $15 |
| Blood creatinine level test A blood test that measures the amount of creatinine, a waste product from muscle wear and tear, to help assess kidney function. |
45 | $5 | $17 |
| 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. |
38 | $86 | $145 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
33 | $42 | $70 |
| Imaging of urinary tract with contrast An imaging test of the urinary tract performed after a contrast agent is injected to enhance visibility of the structures. |
32 | $20 | $225 |
| Endoscopic removal of foreign body, stone, or stent from urethra or bladder A procedure to remove a foreign object, stone, or stent from the urethra or bladder using an endoscope. The endoscope is a thin tube with a camera inserted into the urinary tract to locate and extract the item. |
23 | $265 | $700 |
| Vaginal defect repair using endoscope A surgical procedure to repair a defect in the vagina using an endoscope, which is a thin, lighted tube inserted into the body to visualize the area. |
20 | $831 | $2,500 |
| Injection of implant material into bladder or urethra A procedure where implant material is injected beneath the lining of the bladder and/or urethra using an endoscope. |
17 | $141 | $525 |
| Sacral nerve stimulator electrode insertion A procedure to place an electrode array in the sacral area to deliver electrical stimulation to the nerves. |
15 | $264 | $2,343 |
| Ureteral stone crushing with stent insertion An endoscope is used to break up a stone in the ureter, followed by the placement of a stent to keep the ureter open. |
14 | $346 | $1,500 |
| Cystoscopy with chemical ablation of bladder A procedure where a camera is used to examine the bladder and a chemical agent is applied to destroy abnormal tissue. |
12 | $136 | $1,000 |
| Urethral sling procedure for female incontinence A surgical procedure that creates a supportive sling around the urethra to help control urinary leakage in women. |
11 | $433 | $2,500 |
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.
0.6% high complexity
20.3% medium
79.0% routine
Industry Payment Transparency
Open Payments through 2024 ↗$7,881
Total received (2018-2024)
Avg $1,126/year across 7 years
Top 0% in MI for urogynecology and reconstructive pelvic surgery (urology) physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
23
Companies
139
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
$7,618 (96.7%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$263 (3.3%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,795
2023
$1,263
2022
$1,942
2021
$255
2020
$375
2019
$622
2018
$1,629
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$1,493
ABBVIE INC.
$187
Sumitomo Pharma America, Inc.
$35
Merck Sharp & Dohme LLC
$33
Astellas Pharma US Inc
$21
180 Medical, Inc.
$19
INTUITIVE SURGICAL, INC.
$8
Top 3 companies account for 95.5% of 2024 payments
All-time payments by company (2018-2024) ›
Medtronic, Inc.
$3,509
Intuitive Surgical, Inc.
$1,912
Medtronic USA, Inc.
$528
Astellas Pharma US Inc
$327
Ferring Pharmaceuticals Inc.
$278
Axonics, Inc.
$244
ABBVIE INC.
$238
Teleflex LLC
$236
PROCEPT BioRobotics Corporation
$145
Coloplast Corp
$86
Merck Sharp & Dohme LLC
$78
Sumitomo Pharma America, Inc.
$55
Avadel Specialty Pharmaceuticals, LLC
$54
Caldera Medical, Inc
$42
Blue Earth Diagnostics Limited
$24
Olympus America Inc.
$22
Zyla Life Sciences
$19
180 Medical, Inc.
$19
Dendreon Pharmaceuticals LLC
$16
Endo Pharmaceuticals Inc.
$14
Janssen Scientific Affairs, LLC
$13
AbbVie, Inc.
$13
INTUITIVE SURGICAL, INC.
$8
Top 3 companies account for 75.5% of all-time payments
Associated products mentioned in payments ›
ALTIS · AQUABEAM ROBOTIC SYSTEM · Androgel · Axonics · Axumin · BOTOX · Bulkamid · Da Vinci Surgical System · Desara · FIRMAGON · GEMTESA · INTERSTIM · INTERSTIM ICON · KEYTRUDA · MYRBETRIQ · Noctiva · PROVENGE · SPEEDICATH · SPRIX · UROLIFT · UroPass · XIAFLEX · XTANDI · Xtandi
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 (97%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 0% for urogynecology and reconstructive pelvic surgery (urology) physician in MI.
Geographic Context
Urogynecology and reconstructive pelvic surgery physicians within 10 mi
2
Per 100K population
0.2
County median income
$76,399
Nearest hospital
HENRY FORD HEALTH ST JOHN HOSPITAL
5.0 mi
5.0 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. Maralani is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 0% of MI peers, with 20 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. Maralani experienced with automated urinalysis?
Based on Medicare claims data, Dr. Maralani performed 1,956 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. Maralani receive payments from pharmaceutical companies?
Yes. Dr. Maralani received a total of $7,881 from 23 companies across 139 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. Maralani's costs compare to other urogynecology and reconstructive pelvic surgery physicians in St Clair Shores?
Dr. Maralani's average Medicare payment per service is $48. 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. Maralani) 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 →
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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.
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