What is Raj Ballal's specialty?

Raj Ballal (NPI 1386645638) is a Medicare-billing provider whose primary specialty is Cardiology in Edison, NJ.

Where does Raj Ballal practice?

Raj Ballal practices in Edison, NJ, based on the location reported in the CMS Medicare provider datasets for NPI 1386645638.

How much does Medicare pay Raj Ballal?

Raj Ballal (NPI 1386645638) received approximately $128K in total Medicare Part B payments, serving 1,397 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1386645638

Raj BallalM.D.

CardiologyEdison, NJI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,673

Unique beneficiaries

—

Total services

2,802

Distinct HCPCS

Medicare payment

$122K

Peer benchmark

Total Medicare services vs. 891 Cardiology providers in NJ — below median (cohort median 2,933).

PRESCRIBING · PART D · 2024

No data available for this provider in 2024.

QUALITY · MIPS · 2024

Final MIPS score

81.3

Quality

66.4

Cost

71.4

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.27%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$6K

Payment records

133

By payment type

Food and Beverage$6K

Top paying entities

Food and Beverage$6K

REFERRAL NETWORK

Where Raj Ballal's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 118 inbound referrers · 261 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Gabriel Pivawer Diagnostic Radiology · Edison, NJ	178	560
Eric Schmell Diagnostic Radiology · Edison, NJ	169	464
Bhudev Sharma Cardiology · Edison, NJ	156	1,116
Christopher Pierpont Diagnostic Radiology · Edison, NJ	149	430
Hank Freeman Interventional Radiology · Edison, NJ	119	422
Amit Aggarwal Diagnostic Radiology · Edison, NJ	90	296
Joseph Crawley Emergency Medicine · Passaic, NJ	87	178
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, INC	83	273
Julia Dippl Internal Medicine · Hockessin, DE	78	162
Murray Weissmann Diagnostic Radiology · Warren, OH	78	199
COMMUNITY HOSPITAL GROUP INC	77	251
Mitchell Heller Emergency Medicine · Montclair, NJ	75	143

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
COMMUNITY HOSPITAL GROUP INC	646	2,321
Christopher Pierpont Diagnostic Radiology · Edison, NJ	205	537
Mohammad Jilani Diagnostic Radiology · Edison, NJ	176	459
Mohammad Memon Cardiology · Edison, NJ	175	1,563
Louis George Diagnostic Radiology · Edison, NJ	168	409
Noam Eshkar Diagnostic Radiology · Edison, NJ	147	346
Israel Rebarber Diagnostic Radiology · Edison, NJ	145	393
Bhudev Sharma Cardiology · Edison, NJ	142	746
Robert Friedman Diagnostic Radiology · Edison, NJ	141	304
Amit Aggarwal Diagnostic Radiology · Edison, NJ	136	307
Hank Freeman Interventional Radiology · Edison, NJ	120	279
Gabriel Pivawer Diagnostic Radiology · Edison, NJ	117	342

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events