Medicare Enrolled

Dr. Niraj Badhiwala, M.D.

Surgery · Arlington, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
801 W I 20 STE 1, Arlington, TX 76017
8177848268
Registered in NPPES since 2013
NPI: 1912346024 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. Badhiwala 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. Badhiwala

Dr. Niraj Badhiwala is a surgery specialist in Arlington, TX, with 13 years of NPI registration. Based on federal Medicare data, Dr. Badhiwala performed 1,640 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Badhiwala received a total of $1,890 from 22 pharmaceutical and/or device companies across 49 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. Badhiwala 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.

✓ 13 years of NPI registration ▲ Top 5% volume in TX $1,890 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
1,640
Medicare services
Top 5% in TX for surgery
Not available
Unique patients (not deduplicated)
$45
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.
409 $88 $219
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.
292 $2 $7
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
111 $8 $10
Bladder ultrasound after voiding
An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder.
103 $7 $46
Urine culture, bacterial colony count
A laboratory test that measures the number of bacteria growing in a urine sample to help identify infections.
102 $8 $24
PSA test (prostate cancer screening) 86 $18 $51
Bacterial culture, aerobic
A laboratory test that grows and identifies bacteria capable of surviving in oxygen. The results help determine the presence of specific aerobic microorganisms.
68 $8 $24
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.
68 $111 $334
Antibiotic sensitivity test
A laboratory test that determines which antibiotics, antifungals, or antivirals are effective against a specific microorganism using microdilution or agar dilution methods.
62 $8 $24
Ceftriaxone antibiotic injection
This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered.
60 $0 $16
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.
48 $122 $295
Cystourethroscopy
A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract.
47 $172 $469
Urine culture, bacterial identification
A laboratory test that grows and identifies bacteria from a urine sample to detect infections.
44 $8 $23
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.
26 $54 $150
Free PSA test
A blood test that measures the amount of unbound prostate-specific antigen in the blood.
25 $18 $51
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.
16 $19 $67
Basic metabolic blood panel
A blood test that measures a group of basic chemicals, including total calcium levels.
16 $8 $24
Drug injection, under skin or into muscle
A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle.
15 $10 $54
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 $295 $1,048
Prostate gland biopsy
A procedure to remove small samples of tissue from the prostate gland for laboratory examination.
14 $181 $510
Ultrasound guidance for needle placement
Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure.
14 $41 $360
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.
0.9% high complexity
13.5% medium
85.6% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$1,890
Total received (2018-2024)
Avg $315/year across 6 years
Bottom 44% in TX for surgery
22
Companies
49
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
$1,168
2023
$15
2022
$165
2021
$36
2019
$328
2018
$178

Payments by company (2024)

Teleflex LLC
$692
PROCEPT BioRobotics Corporation
$87
ABBVIE INC.
$75
Ferring Pharmaceuticals Inc.
$69
COLOPLAST CORP
$53
Olympus America Inc.
$42
Innovation Technologies Inc
$25
Axonics, Inc.
$24
E.R. Squibb & Sons, L.L.C.
$21
Sumitomo Pharma America, Inc.
$20
ACCORD HEALTHCARE, INC.
$17
Antares Pharma, Inc.
$15
Boston Scientific Corporation
$15
Valencia Technologies Corporation
$13
Top 3 companies account for 73.1% of 2024 payments
All-time payments by company (2018-2024) ›
Teleflex LLC
$692
Boston Scientific Corporation
$205
Astellas Pharma US Inc
$159
Coloplast Corp
$133
ABBVIE INC.
$89
PROCEPT BioRobotics Corporation
$87
Ferring Pharmaceuticals Inc.
$69
COLOPLAST CORP
$53
Blue Earth Diagnostics Limited
$49
Merck Sharp & Dohme LLC
$47
Olympus America Inc.
$42
AbbVie, Inc.
$40
Dendreon Pharmaceuticals LLC
$39
AbbVie Inc.
$36
Innovation Technologies Inc
$25
Axonics, Inc.
$24
E.R. Squibb & Sons, L.L.C.
$21
Sumitomo Pharma America, Inc.
$20
ACCORD HEALTHCARE, INC.
$17
Avadel Specialty Pharmaceuticals, LLC
$16
Antares Pharma, Inc.
$15
Valencia Technologies Corporation
$13
Top 3 companies account for 55.8% of all-time payments
Associated products mentioned in payments ›
ADSTILADRIN · AMS · AQUABEAM SYSTEM · Axumin · BOTOX · Bulkamid · CAMCEVI · GENERAL BPH · General - Therapies · IRRISEPT · KEYTRUDA · LUPRON DEPOT · LithoVue · Luja Coude · Lupron Depot · MYRBETRIQ · Myrbetriq · Noctiva · OPDIVO · ORGOVYX · PROVENGE · SpeediCath · TITAN · XTANDI · XYOSTED · eCoin Device Kit · iTIND 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 →
Looking for a surgery specialist in Arlington?
Compare surgerists in the Arlington area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Surgerists in nearby ZIP areas
319
County median income
$81,905
Nearest hospital to ZIP centroid (approximate)
USMD HOSPITAL AT ARLINGTON L P
0.0 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. Badhiwala is a clinical cardiology specialist, with above-average Medicare volume (top 5% in TX).

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

Frequently Asked Questions

Is Dr. Badhiwala experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Badhiwala performed 409 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. Badhiwala receive payments from pharmaceutical companies?
Yes. Dr. Badhiwala received a total of $1,890 from 22 companies across 49 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. Badhiwala's costs compare to other surgerists in Arlington?
Dr. Badhiwala's average Medicare payment per service is $45. 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. Badhiwala) 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 →