Medicare Enrolled

Dr. Atul Balwally, MD

Otolaryngology · Dayton, OH
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
1222 S PATTERSON BLVD, Dayton, OH 45402
9374962600
Registered in NPPES since 2006
NPI: 1760461073 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. Balwally 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. Balwally

Dr. Atul Balwally is an otolaryngology specialist in Dayton, OH, with 20 years of NPI registration. Based on federal Medicare data, Dr. Balwally performed 1,673 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Balwally received a total of $11,065 from 27 pharmaceutical and/or device companies across 191 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. Balwally 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 of NPI registration ▲ Top 8% volume in OH $11,065 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
1,673
Medicare services
Top 8% in OH for otolaryngology
Not available
Unique patients (not deduplicated)
$81
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.
697 $86 $200
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.
224 $56 $127
Impacted earwax removal by physician
Removal of impacted earwax from one or both ears by a physician on the same day as audiologic testing.
202 $36 $70
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.
154 $109 $300
Ear wax removal
A procedure to remove impacted ear wax from the ear canal.
89 $30 $80
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.
75 $64 $200
Nasal endoscopy
A diagnostic procedure that uses a thin, lighted tube to examine the inside of the nasal passages.
52 $138 $340
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.
42 $114 $275
Endoscopic nasal polyp biopsy or removal
A procedure to remove or sample nasal polyps or tissue using an endoscope. The endoscope allows the provider to view the nasal passages during the procedure.
34 $254 $1,075
Vocal cord movement assessment with endoscope
This procedure uses an endoscope to examine the movement of the vocal cords. It allows for the visual assessment of how the vocal cord flaps function.
27 $141 $470
Voice and resonance analysis
Evaluation of how voice and resonance are produced. This procedure assesses the mechanics of sound generation without specifying a clinical purpose.
23 $84 $240
Flexible laryngoscopy
A diagnostic exam of the voice box using a flexible endoscope to visualize the larynx.
20 $90 $260
CT scan of face, without contrast
A computed tomography scan that creates detailed images of the facial structures. This procedure is performed without the use of intravenous contrast dye.
18 $54 $425
Simple control of nosebleed
A procedure to stop a nosebleed using basic methods. It involves direct pressure or simple packing to control bleeding from the nasal passages.
16 $107 $225
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 ↗
$11,065
Total received (2018-2024)
Avg $1,581/year across 7 years
Top 5% in OH for otolaryngology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
27
Companies
191
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
$4,502
2023
$2,828
2022
$845
2021
$646
2020
$173
2019
$1,011
2018
$1,061

Payments by company (2024)

GENZYME CORPORATION
$2,757
GlaxoSmithKline, LLC.
$392
Phathom Pharmaceuticals, Inc.
$380
Regeneron Pharmaceuticals, Inc.
$370
Regeneron Healthcare Solutions, Inc.
$218
AERIN MEDICAL INC.
$161
Medtronic, Inc.
$92
Optinose US, Inc.
$67
Surgical Specialties Corporation (us), Inc. (dba Corza Medical)
$25
Acclarent, Inc
$24
Hikma Pharmaceuticals USA
$15
Top 3 companies account for 78.4% of 2024 payments
All-time payments by company (2018-2024) ›
GENZYME CORPORATION
$5,631
Regeneron Pharmaceuticals, Inc.
$649
GlaxoSmithKline, LLC.
$627
Regeneron Healthcare Solutions, Inc.
$484
Stryker Corporation
$473
Phathom Pharmaceuticals, Inc.
$380
Acclarent, Inc
$296
Arrinex, Inc.
$259
Smith & Nephew, Inc.
$242
Intersect ENT, Inc.
$241
Davol Inc.
$230
Optinose US, Inc.
$209
OptiNose US, Inc.
$206
Smith+Nephew, Inc.
$191
AERIN MEDICAL INC.
$161
Medtronic USA, Inc.
$152
ARBOR PHARMACEUTICALS, INC.
$130
Mallinckrodt Enterprises LLC
$123
Aerin Medical Inc.
$92
Medtronic, Inc.
$92
Genentech USA, Inc.
$88
Surgical Specialties Corporation (us), Inc. (dba Corza Medical)
$25
Merck Sharp & Dohme LLC
$23
Phadia US Inc.
$16
Takeda Pharmaceuticals U.S.A., Inc.
$15
Hikma Pharmaceuticals USA
$15
Novartis Pharmaceuticals Corporation
$13
Top 3 companies account for 62.4% of all-time payments
Associated products mentioned in payments ›
ACCLARENT Balloon Inflation Device · Acclarent Aera · Acclarent ENT Navigation System · Clarifix · Coblation - Tonsil Wands · Coblation Wands · DUPIXENT · ENTELLUS - FOCESS HD WIRELESS CAMERA · ENTELLUS - XPRESS ENT DILATION SYSTEM · ENTELLUS - XPRESS OFFICE START-UP KITS · ImmunoCAP · LIGASURE · NUCALA · NUVENT · OFIRMEV · Otovel · PROPEL · Progel · RELIEVA SPINPLUS Balloon Sinuplasty System · Ryaltris · SCOPIS ENT · SINUVA · SPIROX - LATERA · TULA · TruDi NAV Cable · TruDi Navigation System · VIVAER STYLUS · VOQUEZNA · Vivaer RF Stylus · XOLAIR · Xhance · Xolair
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 otolaryngology specialist in Dayton?
Compare otolaryngologists in the Dayton area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Otolaryngologists in nearby ZIP areas
38
County median income
$64,403
Nearest hospital to ZIP centroid (approximate)
KETTERING HEALTH DAYTON
2.3 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. Balwally is a clinical cardiology specialist, with above-average Medicare volume (top 8% in OH), 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. Balwally experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Balwally performed 697 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. Balwally receive payments from pharmaceutical companies?
Yes. Dr. Balwally received a total of $11,065 from 27 companies across 191 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. Balwally's costs compare to other otolaryngologists in Dayton?
Dr. Balwally's average Medicare payment per service is $81. 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. Balwally) 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 →