Medicare Enrolled
Dr. Praveen Mambalam, M.D.
Pain Medicine · Edmonds, WA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Mambalam 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. Mambalam
Dr. Praveen Mambalam is a pain medicine specialist in Edmonds, WA, with 18 years of NPI registration. Based on federal Medicare data, Dr. Mambalam performed 950 Medicare services across 521 unique beneficiaries.
Between the years covered by Open Payments, Dr. Mambalam received a total of $33,242 from 47 pharmaceutical and/or device companies across 539 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pain medicine. 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. Mambalam 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.
✓ 18 years in practice
▲ Top 38% volume in WA
$33,242 industry payments
Medicare Practice Summary
Medicare Utilization ↗950
Medicare services
Top 38% in WA for pain medicine
521
Unique beneficiaries
$98
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~53 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 (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. |
371 | $88 | $471 |
| 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. |
166 | $68 | $321 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
75 | $10 | $300 |
| 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. |
57 | $111 | $540 |
| Spinal neurostimulator electrode insertion A procedure to place an electrode array into the spine through the skin. The electrode is used to deliver electrical stimulation to the nervous system. |
47 | $267 | $1,823 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
27 | $109 | $894 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
22 | $62 | $863 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
21 | $167 | $1,037 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
20 | $50 | $278 |
| Minimally invasive spine decompression, lower spine A minimally invasive procedure to remove bone from the lower spine to relieve pressure on nerve tissue, guided by imaging and accessed through the skin. |
18 | $489 | $5,000 |
| Electronic analysis of implanted neurostimulator This procedure involves electronically analyzing an implanted neurostimulator generator and performing simple programming for spinal cord or peripheral nerve stimulation. |
18 | $36 | $162 |
| Electronic analysis of implanted neurostimulator with complex programming This procedure involves the electronic evaluation of an implanted neurostimulator generator. It includes complex programming of spinal cord or peripheral nerve stimulators. |
17 | $39 | $250 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
15 | $94 | $486 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
14 | $79 | $432 |
| Spinal neurostimulator generator insertion Surgical placement of a spinal neurostimulator generator or receiver device. |
14 | $201 | $1,603 |
| Ultrasound-guided large joint aspiration or injection This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint. |
13 | $75 | $434 |
| New patient office visit, complex (60-74 min) | 12 | $174 | $675 |
| 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. |
12 | $130 | $635 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
11 | $77 | $420 |
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 ↗$33,242
Total received (2018-2024)
Avg $4,749/year across 7 years
Top 6% in WA for pain medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
47
Companies
539
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
$29,533 (88.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$3,709 (11.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,647
2023
$5,419
2022
$7,328
2021
$1,948
2020
$2,371
2019
$7,242
2018
$6,287
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
SI-BONE, INC.
$949
Nalu Medical, Inc.
$665
Nevro Corp.
$302
Medtronic, Inc.
$234
PAINTEQ LLC
$221
Abbott Laboratories
$104
Curonix LLC
$44
Averitas Pharma Inc.
$40
Vertos Medical, Inc.
$26
Collegium Pharmaceutical, Inc.
$24
Boston Scientific Corporation
$22
Virtus Pharmaceuticals LLC
$16
Top 3 companies account for 72.4% of 2024 payments
All-time payments by company (2018-2024) ›
Medtronic, Inc.
$6,987
Abbott Laboratories
$5,777
US WorldMeds, LLC
$3,720
Nevro Corp.
$3,316
SurGenTec
$1,988
BOSTON SCIENTIFIC CORPORATION
$1,714
SI-BONE, INC.
$1,397
Neuronetics, Inc.
$1,295
Vertiflex, Inc.
$1,137
SPR Therapeutics, Inc
$828
Medtronic USA, Inc.
$740
Boston Scientific Corporation
$705
Nalu Medical, Inc.
$687
Stimwave Technologies Incorporated
$602
Vertos Medical, Inc.
$279
PFIZER INC.
$227
PAINTEQ LLC
$221
SpineSmith Holdings, LLC
$197
Collegium Pharmaceutical, Inc.
$173
Foundation Fusion Solutions, LLC
$162
Daiichi Sankyo Inc.
$150
Flowonix Medical Incorporated
$125
Indivior Inc.
$96
ABBVIE INC.
$93
Heron Therapeutics, Inc.
$90
Assertio Therapeutics, Inc.
$75
Bioventus LLC
$61
Curonix LLC
$44
Biohaven Pharmaceutical Holding Company Ltd.
$42
Averitas Pharma Inc.
$40
Zyla Life Sciences, Inc.
$31
RedHill Biopharma Inc.
$21
Ferring Pharmaceuticals Inc.
$21
Egalet US Inc
$20
Supernus Pharmaceuticals, Inc.
$18
Virtus Pharmaceuticals LLC
$16
Teva Pharmaceuticals USA, Inc.
$16
ASSERTIO THERAPEUTICS, Inc.
$16
GRT US Holding, Inc.
$15
Avanir Pharmaceuticals, Inc.
$14
Purdue Pharma L.P.
$14
Pernix Therapeutics Holdings, Inc.
$14
Kaleo, Inc.
$13
Sentynl Therapeutics, Inc.
$12
DePuy Synthes Sales Inc.
$12
AbbVie Inc.
$12
Zyla Life Sciences
$12
Top 3 companies account for 49.6% of all-time payments
Associated products mentioned in payments ›
AJOVY · ASCENDA · Axium INS DRG IPG · Belbuca · CFNS StimQ Peripheral Nerve StimulatorSystem · CLINICAL TRIAL PRODUCT · Cambia · DRG IPGs · Durolane · EUFLEXXA · EVZIO · FIXATE · GENERAL THERAPIES · GENERAL PAIN MANAGEMENT · GENERAL - PAIN MANAGEMENT · GENERAL - THERAPIES · GENERAL PAIN MANAGEMENT · GENERAL THERAPIES · Gralise · IFUSE IMPLANT SYSTEM · INTELLIS · INTELLIS ADAPTIVESTIM · INTERSTIM · ION Facet Screw · KYPHON EXPRESS II KYPHOPAK TRAY · LEVORPHANOL TARTRATE · LYRICA · Levorphanol Tartrate · Lucemyra · Lucemyra/Lofexidine · Morphabond ER · Movantik · NEUROSTAR TMS THERAPY SYSTEM · NURTEC ODT · Nalu Neurostimulation System · ONZETRA Xsail · ORTHOVISC · OSTEOCOOL RF ABLATION SYSTEM · PAINTEQ · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PRECISION · PROCLAIM · Penta SCS Leads · Proclaim Family of SCS IPGs · Proclaim IPG · Prodigy Family of SCS IPGs · Prometra II · Protege Family of SCS IPGs · QUTENZA · Qutenza · SCS leads · SPECIFY · SPECTRA WAVEWRITER · SPRINT PNS System · SPRIX · SUBLOCADE · SUPERION · SYNCHROMED · SYNCHROMEDII · Senza · Senza Spinal Cord Stimulation System · SlimTip lead DRG Lead · Superion ISS · TARGETSTIM · TROKENDI XR · UBRELVY · V-LOC 180 · VANTA ADAPTIVESTIM · VECTRIS · Vanta · WAVEWRITER ALPHA · WaveWriter Alpha Prime 16 · XTAMPZA · XTAMPZAER · Xtampza ER · ZOHYDRO ER · Zipsor · Zynrelef · mild Device Kit
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 (89%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 6% for pain medicine in WA.
Geographic Context
Pain medicines within 10 mi
59
Per 100K population
7.1
County median income
$107,982
Nearest hospital
SWEDISH EDMONDS HOSPITAL
0.0 mi
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. Mambalam is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 6% of WA peers, with 18 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. Mambalam experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Mambalam performed 371 office visit, established patient (30-39 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. Mambalam receive payments from pharmaceutical companies?
Yes. Dr. Mambalam received a total of $33,242 from 47 companies across 539 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. Mambalam's costs compare to other pain medicines in Edmonds?
Dr. Mambalam's average Medicare payment per service is $98. 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. Mambalam) 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 →
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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.
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