Medicare Enrolled
Dr. Raj Ballal, M.D.
Cardiovascular Disease · Edison, NJ
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. 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 20 years of NPI registration. Based on federal Medicare data, Dr. Ballal performed 2,973 Medicare services across 1,673 unique beneficiaries.
Between the years covered by Open Payments, Dr. Ballal received a total of $24,405 from 43 pharmaceutical and/or device companies across 519 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. 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. 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.
✓ 20 years in practice
▲ Top 44% volume in NJ
$24,405 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,973
Medicare services
Top 44% in NJ for cardiovascular disease
1,673
Unique beneficiaries
$48
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~149 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 |
|---|---|---|---|
| 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. A higher procedure volume generally indicates more experience with that procedure.
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
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
$22,908 (93.9%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$1,497 (6.1%)
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)
Consulting
Speaking
Meals & Travel
Research
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? 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 (94%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 9% for cardiovascular disease in NJ.
Geographic Context
Cardiologists within 10 mi
925
Per 100K population
107.4
County median income
$109,028
Nearest hospital
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY
4.9 mi
4.9 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. Ballal is a mixed practice specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 9% of NJ 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. Ballal experienced with ekg interpretation and report?
Based on Medicare claims data, Dr. Ballal performed 1,395 ekg interpretation and report 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. Ballal receive payments from pharmaceutical companies?
Yes. Dr. Ballal received a total of $24,405 from 43 companies across 519 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. 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 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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