Medicare Enrolled

Dr. Reuben Walia, M.D

Sleep Medicine (Family Medicine) Physician · Bellevue, WA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
1100 112TH AVE NE STE 320, Bellevue, WA 98004
4252893000
In practice since 2011 (15 years)
NPI: 1770877094 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. Walia 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. Walia? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Walia

Dr. Reuben Walia is a sleep medicine physician in Bellevue, WA, with 15 years of NPI registration. Based on federal Medicare data, Dr. Walia performed 692 Medicare services across 630 unique beneficiaries.

Between the years covered by Open Payments, Dr. Walia received a total of $3,553 from 11 pharmaceutical and/or device companies across 63 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in sleep medicine (family medicine) physician. 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. Walia 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.

✓ 15 years in practice ▲ Top 50% volume in WA $3,553 industry payments

Medicare Practice Summary

Medicare Utilization ↗
692
Medicare services
Top 50% in WA for sleep medicine (family medicine) physician
630
Unique beneficiaries
$183
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~46 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
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.
249 $142 $501
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.
194 $91 $357
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.
77 $131 $462
Sleep study in sleep lab (age 6+)
An overnight test conducted in a sleep laboratory to monitor sleep patterns and bodily functions in patients aged 6 years or older.
71 $580 $1,815
Positive pressure ventilator therapy
A therapy procedure that uses a positive pressure ventilator to assist with breathing.
36 $54 $181
Sleep study with continuous airway pressure, age 6+
A sleep study conducted in a sleep lab that monitors breathing and other body functions while administering continuous airway pressure. This test is performed on patients aged 6 years or older.
24 $606 $1,895
New patient office visit, complex (60-74 min) 22 $191 $610
Home sleep test with portable monitor
An unattended sleep study performed at home using a portable monitor that records breathing, heart rate, and oxygen levels.
19 $83 $291
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 ↗
$3,553
Total received (2018-2024)
Avg $592/year across 6 years
Top 33% in WA for sleep medicine (family medicine) physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
11
Companies
63
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
$3,553 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$916
2022
$140
2021
$1,099
2020
$284
2019
$658
2018
$456

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
JAZZ PHARMACEUTICALS INC.
$394
Inspire Medical Systems, Inc.
$147
Avadel CNS Pharmaceuticals, LLC
$121
IDORSIA PHARMACEUTICALS US INC
$108
Axsome Therapeutics, Inc.
$100
HARMONY BIOSCIENCES LLC
$46
Top 3 companies account for 72.4% of 2024 payments
All-time payments by company (2018-2024) ›
Inspire Medical Systems, Inc.
$1,358
JAZZ PHARMACEUTICALS INC.
$1,111
Jazz Pharmaceuticals Inc.
$263
Fisher & Paykel Healthcare Inc
$169
Harmony Biosciences LLC
$139
Avadel CNS Pharmaceuticals, LLC
$121
IDORSIA PHARMACEUTICALS US INC
$108
Axsome Therapeutics, Inc.
$100
Vanda Pharmaceuticals Inc.
$99
HARMONY BIOSCIENCES LLC
$46
ARBOR PHARMACEUTICALS, INC.
$41
Top 3 companies account for 76.9% of all-time payments
Associated products mentioned in payments ›
HETLIOZ · Hetlioz · Horizant · INSPIRE · Inspire Upper Airway Stimulation System · LUMRYZ · Obstructive Sleep Apnea Device or Hospital Respiratory Equipment · QUVIVIQ · SUNOSI · Sunosi · WAKIX · Wakix · XYREM · XYWAV · Xyrem
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 (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for a sleep medicine physician in Bellevue?
Compare sleep medicine physicians in the Bellevue area by procedure volume, costs, and industry payment transparency.
Browse sleep medicine physicians nearby

Geographic Context

Sleep medicine physicians within 10 mi
1
Per 100K population
0.0
County median income
$122,148
Nearest hospital
OVERLAKE HOSPITAL MEDICAL CENTER
0.0 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. Walia is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement, with 15 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. Walia experienced with office visit, established patient, complex (40-54 min)?
Based on Medicare claims data, Dr. Walia performed 249 office visit, established patient, complex (40-54 min) 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. Walia receive payments from pharmaceutical companies?
Yes. Dr. Walia received a total of $3,553 from 11 companies across 63 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. Walia's costs compare to other sleep medicine physicians in Bellevue?
Dr. Walia's average Medicare payment per service is $183. 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. Walia) 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. 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. 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 →