Medicare Enrolled

Dr. Valeska Balderas, MD

Gastroenterology · McAllen, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Speaking/Promotional
801 E NOLANA AVE, McAllen, TX 78504
9566862626
In practice since 2007 (18 years)
NPI: 1588866370 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. Balderas 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. Balderas

Dr. Valeska Balderas is a gastroenterology in McAllen, TX, with 18 years in practice. Based on federal Medicare data, Dr. Balderas performed 2,585 Medicare services across 1,053 unique beneficiaries.

Between the years covered by Open Payments, Dr. Balderas received a total of $19,652 from 30 pharmaceutical and/or device companies across 308 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Balderas is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 18 years in practice▲ Top 4% volume in TX$ $19,652 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,585
Medicare services
Top 4% in TX for gastroenterology
1,053
Unique beneficiaries
$42
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~144 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.

ProcedureVolumeAvg. paidAvg. submitted
Contrast dye for imaging (iodine-based)1,100$0$0
Tissue pathology examination, moderate complexity235$26$90
Office visit, established patient (20-29 min)227$58$150
Office visit, established patient (30-39 min)185$95$200
Special stained specimen slides to examine tissue including interpretation and report133$53$175
Special stained specimen slides to identify organisms including interpretation and report95$66$210
New patient office visit (45-59 min)95$104$225
Hospital follow-up visit, high complexity89$88$250
Upper GI endoscopy with biopsy76$84$750
New patient office visit (30-44 min)49$70$201
Colonoscopy with biopsy47$121$950
Initial hospital admission, moderate complexity44$99$250
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes41$54$200
Measurement of liver stiffness37$21$150
Removal of polyps or growths of large bowel using an endoscope with mechanical snare34$195$1,050
Complete ultrasound of abdomen and pelvis artery and vein blood flow23$199$525
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope22$83$600
Diagnostic exam of large bowel using a flexible endoscope21$110$900
Limited ultrasound scan of abdomen20$61$225
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk12$176$900
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.

Industry Payment Transparency

Open Payments through 2024 ↗
$19,652
Total received (2018-2024)
Avg $2,807/year across 7 years
Top 11% in TX for gastroenterology
30
Companies
308
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$15,752 (80.2%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$3,901 (19.8%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$854
2023
$959
2022
$571
2021
$422
2020
$250
2019
$2,725
2018
$13,871

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Takeda Pharmaceuticals U.S.A., Inc.
$15,863
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$963
ABBVIE INC.
$675
AbbVie Inc.
$658
AbbVie, Inc.
$255
Celgene Corporation
$169
Covidien LP
$144
Boston Scientific Corporation
$137
Madrigal Pharmaceuticals
$110
Ardelyx, Inc.
$97
Intercept Pharmaceuticals, Inc.
$87
Janssen Biotech, Inc.
$55
NESTLE HEALTHCARE NUTRITION INC.
$48
Allergan Inc.
$44
Synergy Pharmaceuticals Inc
$41
Prometheus Laboratories Inc.
$31
Ipsen Biopharmaceuticals, Inc
$29
BOSTON SCIENTIFIC CORPORATION
$27
AIMMUNE THERAPEUTICS, INC.
$27
PFIZER INC.
$25
Endogastric Solutions, Inc
$24
GENZYME CORPORATION
$22
Shire North American Group Inc
$18
AstraZeneca Pharmaceuticals LP
$17
Lilly USA, LLC
$16
CONMED Corporation
$16
Nestle HealthCare Nutrition Inc.
$16
Cumberland Pharmaceuticals, Inc.
$13
Merck Sharp & Dohme Corporation
$13
Gilead Sciences, Inc.
$12
Top 3 companies account for 89.1% of total payments
Associated products mentioned in payments ›
APRISO · Amitiza · Bravo · Bylvay · CAPTIVATOR II · CONMED Hemorrhoid Banding · CREON · Creon · DIFICID · DUPIXENT · Dexilant · ENTYVIO · ESOPHYX · Entyvio · GATTEX · GENERAL POLYPECTOMY · HUMIRA · Humira · IBSRELA · IQIRVO · LINZESS · Livdelzi · MAVYRET · MOTEGRITY · MOVANTIK · Motegrity · OCALIVA · OMVOH · Omeclamox · REZDIFFRA · RINVOQ · Resolution Clip · SKYRIZI · STELARA · Speedband Superview Super 7 · TREMFYA · TRULANCE · Trulance · VELSIPITY · VIBERZI · XIFAXAN · ZENPEP · ZEPOSIA
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 →

The majority of payments (80%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in gastroenterology and does not inherently indicate bias, but patients may wish to be aware.

Equivalent to $760 per 100 Medicare services performed
Looking for a gastroenterology in McAllen?
Compare gastroenterologys in the McAllen area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Gastroenterologys within 10 mi
15
Per 100K population
1.7
County median income
$52,281
Nearest hospital
SOUTH TEXAS HEALTH SYSTEM
3.4 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Balderas is a clinical cardiology specialist, with above-average Medicare volume (top 4% in TX), and high industry engagement (speaking/promotional, top 11%), with 18 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Balderas experienced with contrast dye for imaging (iodine-based)?
Based on Medicare claims data, Dr. Balderas performed 1,100 contrast dye for imaging (iodine-based) 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. Balderas receive payments from pharmaceutical companies?
Yes. Dr. Balderas received a total of $19,652 from 30 companies across 308 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. Balderas's costs compare to other gastroenterologys in McAllen?
Dr. Balderas's average Medicare payment per service is $42. 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. Balderas) 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 →
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. The Transparency Score measures 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. Payments from industry are legal and do not indicate wrongdoing. 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 →