Medicare Enrolled

Dr. Laura Balmain, MD

Optician · Texarkana, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
1920 MOORES LN, Texarkana, TX 75503
9037928030
In practice since 2005 (20 years)
NPI: 1386642692 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. Balmain 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 →
Are you Dr. Balmain? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Balmain

Dr. Laura Balmain is an optician in Texarkana, TX, with 20 years in practice. Based on federal Medicare data, Dr. Balmain performed 11,132 Medicare services across 1,947 unique beneficiaries.

Between the years covered by Open Payments, Dr. Balmain received a total of $6,671 from 36 pharmaceutical and/or device companies across 470 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optician. 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. Balmain 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.

✓ 20 years in practice▲ Top 5% volume in TX$ $6,671 industry payments

Medicare Practice Summary

Medicare Utilization ↗
11,132
Medicare services
Top 5% in TX for optician
1,947
Unique beneficiaries
$38
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~557 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
Vedolizumab infusion (Entyvio)6,300$17$50
Chronic care management, additional 20 min/month1,887$37$92
Chronic care management, first 20 min/month1,117$49$122
Removal of polyps or growths of large bowel using an endoscope with mechanical snare327$201$1,017
Office visit, established patient (30-39 min)225$88$156
Remote patient monitoring management, 20 min/month205$38$94
Remote patient monitoring device, 30 days175$38$95
Upper GI endoscopy with biopsy164$75$700
Colonoscopy with biopsy137$89$804
New patient office visit (45-59 min)130$110$261
Office visit, established patient (20-29 min)74$60$120
Hospital follow-up visit, moderate complexity69$62$109
Colorectal cancer screening; colonoscopy on individual at high risk55$170$1,559
Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 6-11 targets44$258$657
Diagnostic exam of large bowel using a flexible endoscope33$130$723
Initial hospital admission, moderate complexity28$99$220
Stool analysis for blood, by fecal hemoglobin determination by immunoassay25$16$56
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk24$178$723
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope23$80$547
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less22$47$172
Initial hospital admission, high complexity21$136$306
New patient office visit (30-44 min)20$65$184
Measurement of liver stiffness14$8$125
Insertion of guide wire with dilation of esophagus using a flexible endoscope13$109$750
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.
56.8% high complexity
3.4% medium
39.8% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$6,671
Total received (2018-2024)
Avg $953/year across 7 years
Top 22% in TX for optician
36
Companies
470
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
$6,609 (99.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$62 (0.9%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$871
2023
$1,032
2022
$985
2021
$1,225
2020
$742
2019
$1,034
2018
$782

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
AbbVie Inc.
$1,145
Gilead Sciences, Inc.
$726
Janssen Biotech, Inc.
$619
AbbVie, Inc.
$614
ABBVIE INC.
$614
PFIZER INC.
$599
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$500
Takeda Pharmaceuticals U.S.A., Inc.
$462
GENZYME CORPORATION
$239
Allergan Inc.
$152
Ardelyx, Inc.
$116
Celgene Corporation
$89
Ironwood Pharmaceuticals, Inc
$80
Lilly USA, LLC
$72
Braintree Laboratories, Inc.
$69
INTERCEPT PHARMACEUTICALS, INC.
$68
Boston Scientific Corporation
$48
Nestle HealthCare Nutrition Inc.
$44
Regeneron Healthcare Solutions, Inc.
$38
Medtronic, Inc.
$38
Merck Sharp & Dohme Corporation
$36
RedHill Biopharma Inc.
$36
Phathom Pharmaceuticals, Inc.
$36
Merck Sharp & Dohme LLC
$35
Amgen Inc.
$29
Myriad Genetic Laboratories, Inc.
$21
Boehringer Ingelheim Pharmaceuticals, Inc.
$20
Madrigal Pharmaceuticals
$20
NESTLE HEALTHCARE NUTRITION INC.
$19
EVOKE PHARMA, INC.
$16
Shionogi Inc
$14
Axonics Modulation Technologies, Inc.
$13
UCB, Inc.
$13
Allergan, Inc.
$12
Intercept Pharmaceuticals, Inc.
$11
Sirtex Medical Inc
$6
Top 3 companies account for 37.3% of total payments
Associated products mentioned in payments ›
AVSOLA · Amitiza · Axonics r-SNM System · BYVALSON · CAPTIVATOR COLD · CREON · Cimzia · Creon · DIFICID · DUPIXENT · Dexilant · ENDOFLIP · ENTYVIO · EOHILIA · Entyvio · GI Genius · GIMOTI · HUMIRA · Humira · IBSRELA · INFLECTRA · LINZESS · Linzess · MAVYRET · MOTEGRITY · MOTOFEN · Mulpleta · OCALIVA · OMVOH · REMICADE · RESMETIROM · RINVOQ · SIR-Spheres Microspheres · SKYRIZI · STELARA · SUPREP · SUTAB · TRULANCE · Talicia · UCERIS TABLETS · VELSIPITY · VIBERZI · VOQUEZNA · XELJANZ · XIFAXAN · ZENPEP · ZEPATIER · ZEPOSIA · myRisk · talicia
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 (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $60 per 100 Medicare services performed
Looking for a optician in Texarkana?
Compare opticians in the Texarkana area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Opticians within 10 mi
24
Per 100K population
26.0
County median income
$59,295
Nearest hospital
CHRISTUS ST MICHAEL HEALTH SYSTEM
0.0 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. Balmain is a clinical cardiology specialist, with above-average Medicare volume (top 5% in TX), and low-engagement industry engagement, with 20 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. Balmain experienced with vedolizumab infusion (entyvio)?
Based on Medicare claims data, Dr. Balmain performed 6,300 vedolizumab infusion (entyvio) 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. Balmain receive payments from pharmaceutical companies?
Yes. Dr. Balmain received a total of $6,671 from 36 companies across 470 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. Balmain's costs compare to other opticians in Texarkana?
Dr. Balmain's average Medicare payment per service is $38. 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. Balmain) 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 →