Medicare Enrolled
Dr. Raj Ballal, M.D.
Cardiovascular Disease · Edison, NJ
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Ballal 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. Ballal
Dr. Raj Ballal is a cardiovascular disease specialist in Edison, NJ, with 21 years of NPI registration. Based on federal Medicare data, Dr. Ballal performed 2,973 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Ballal received a total of $24,405 from 43 pharmaceutical and/or device companies across 519 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. Ballal 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 47% volume in NJ
$24,405 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗2,973
Medicare services
Top 47% in NJ for cardiovascular disease
Not available
Unique patients (not deduplicated)
$48
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 |
|---|---|---|---|
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
1,395 | $7 | $30 |
| 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. |
928 | $67 | $241 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
296 | $103 | $344 |
| 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. |
119 | $105 | $441 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
75 | $57 | $229 |
| 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. |
53 | $146 | $633 |
| Cardiac catheterization | 41 | $209 | $955 |
| Ultrasound guidance for blood vessel access Use of ultrasound imaging to help locate and access a blood vessel. This guidance assists healthcare providers in performing procedures such as inserting IV lines or drawing blood. |
21 | $12 | $47 |
| Intravascular ultrasound of heart vessel, initial An ultrasound procedure used to evaluate a blood vessel within the heart during a diagnostic or treatment procedure. |
17 | $61 | $235 |
| Ultrasound of heart blood vessel or graft An ultrasound exam to evaluate blood flow in a heart blood vessel or graft, including a radiologist's review of the initial vessel. |
15 | $80 | $307 |
| Coronary stent placement A procedure to insert a stent into a coronary artery or its branch to keep it open, using balloon dilation during the process. |
13 | $499 | $1,898 |
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.
4.3% high complexity
1.8% medium
93.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$24,405
Total received (2018-2024)
Avg $3,486/year across 7 years
Top 9% in NJ for cardiovascular disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
43
Companies
519
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
$5,793
2023
$2,767
2022
$5,001
2021
$5,569
2020
$1,177
2019
$1,704
2018
$2,393
Payments by company (2024)
Abbott Laboratories
$1,130
AstraZeneca Pharmaceuticals LP
$805
ShockWave Medical, Inc
$415
Medtronic, Inc.
$401
Novartis Pharmaceuticals Corporation
$337
E.R. Squibb & Sons, L.L.C.
$318
ABIOMED
$289
Inari Medical, Inc.
$241
Boston Scientific Corporation
$229
HEARTFLOW, INC.
$212
Boehringer Ingelheim Pharmaceuticals, Inc.
$160
BIOTRONIK INC.
$132
Janssen Pharmaceuticals, Inc
$126
GlaxoSmithKline, LLC.
$125
Lexicon Pharmaceuticals, Inc.
$125
ViiV Healthcare Company
$125
Impulse Dynamics (USA) Inc.
$125
CVRx, Inc.
$124
Vital Connect, Inc
$106
SCPHARMACEUTICALS INC.
$104
Novo Nordisk Inc
$97
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$19
AngioDynamics, Inc.
$17
Penumbra, Inc.
$17
Kiniksa Pharmaceuticals International, plc
$15
Top 3 companies account for 40.6% of 2024 payments
All-time payments by company (2018-2024) ›
Abbott Laboratories
$5,166
AstraZeneca Pharmaceuticals LP
$2,609
Impulse Dynamics (USA) Inc.
$1,622
Medtronic, Inc.
$1,498
Boston Scientific Corporation
$1,249
Boehringer Ingelheim Pharmaceuticals, Inc.
$1,108
Janssen Pharmaceuticals, Inc
$895
ABIOMED
$856
BIOTRONIK INC.
$852
CVRx, Inc.
$766
Medtronic Vascular, Inc.
$757
E.R. Squibb & Sons, L.L.C.
$731
ShockWave Medical, Inc
$578
Novartis Pharmaceuticals Corporation
$556
BOSTON SCIENTIFIC CORPORATION
$513
Novo Nordisk Inc
$506
SANOFI-AVENTIS U.S. LLC
$462
Amgen Inc.
$401
GlaxoSmithKline, LLC.
$375
Shockwave Medical, Inc
$285
Inari Medical, Inc.
$273
Edwards Lifesciences Corporation
$257
ViiV Healthcare Company
$250
HEARTFLOW, INC.
$212
Kowa Pharmaceuticals America, Inc.
$164
Penumbra, Inc.
$157
Philips Electronics North America Corporation
$149
Lexicon Pharmaceuticals, Inc.
$143
Siemens Medical Solutions USA, Inc.
$121
ZOLL Respicardia, Inc.
$119
Vital Connect, Inc
$106
SCPHARMACEUTICALS INC.
$104
Astellas Pharma US Inc
$100
Medicure Pharma Inc.
$99
Terumo Medical Corporation
$98
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$86
Cardiovascular Systems Inc.
$58
PFIZER INC.
$47
AngioDynamics, Inc.
$17
Daiichi Sankyo Inc.
$16
Merck Sharp & Dohme LLC
$15
Kiniksa Pharmaceuticals International, plc
$15
Relypsa, Inc.
$12
Top 3 companies account for 38.5% of all-time payments
Associated products mentioned in payments ›
(6571) Eagle Eye · ALPHAVAC · AMVIA EDGE · ANGIOJET · ARCTIC FRONT ADVANCE · AREXVY · AVEIR · Acticor · Acticor 7 VR-T DX · Aggrastat (tirofiban HCl) · AngioSeal · Arcalyst · Artis pheno · Azur CX Detachable · Azure · BIOMONITOR · BRILINTA · Barostim Neo System · BioMonitor · CABENUVA · CAMZYOS · CARDIOMEMS · CHANTIX · COMET · COROFLOW · Comet · CoreValve Evolut · Corlanor · Diamondback Coronary · ELIQUIS · ELUVIA · EMBLEM · EMERGE · ENTRESTO · EUPHORA · Edwards SAPIEN 3 Transcatheter Heart Valve · Euphora · FARXIGA · FASENRA · FFRct · FLOWTRIEVER CATHETER · FREESTYLE LIBRE 2 · FUROSCIX · GALLANT · GENERAL - STENTS · GLIDESHEATH SLENDER · GUIDEZILLA · General - Angioplasty · Guidezilla · HeartMate Touch · INJECTAFER · Impella · Indigo System · Inpefa · JARDIANCE · JOT DX · LEQVIO · LEXISCAN · LOKELMA · LifeVest · Livalo · MICRA · MITRACLIP · MOMENTUM · MULTAQ · Merlin Connectivity and Remote · Mitra Clip system · MitraClip System · ONYX FRONTIER · OPTIS · Optimizer · Optimizer Smart System · Ozempic · PCI Optimization · PERCLOSE PROGLIDE · PRALUENT · Quadra Assura CRT Defibrillator · RESOLUTE ONYX · RESONATE · Repatha · Resolute · Rivacor · Rybelsus · S · SHOCKWAVE INTRAVASCULAR LITHOTRIPSY (IVL) SYSTEM WITH THE SHOCKWAVE C2+ CORONARY · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · STRETCH · SYMPLICITY G3 · SYNERGY · Seglentis · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · Shockwave Intravascular Lithotripsy (IVL) System with the Shockwave C2+ Coronary · Solia · SpiderFX · TELESCOPE · TRELEGY ELLIPTA · Telescope · VERQUVO · VITALPATCH RTM · Veltassa · WAINUA · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX · Wegovy · XARELTO · XIENCE SIERRA · XIENCE SKYPOINT · Xience Sierra Coronary Stent · Xience Sierra Coronary Stent System · remede System
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 →
Geographic Context
Cardiologists in nearby ZIP areas
925
County median income
$109,028
Nearest hospital to ZIP centroid (approximate)
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY
4.9 mi
4.9 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. Ballal is a mixed practice specialist, with moderate Medicare volume, 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. Ballal experienced with ekg interpretation and report?
Based on Medicare claims data, Dr. Ballal performed 1,395 ekg interpretation and report 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. Ballal receive payments from pharmaceutical companies?
Yes. Dr. Ballal received a total of $24,405 from 43 companies across 519 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. Ballal's costs compare to other cardiologists in Edison?
Dr. Ballal'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. Ballal) 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 →
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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.
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