Has Alejandra Balen, MD received payments from drug or device companies?

Yes. Drug and device makers reported $27,093 in general payments to Alejandra Balen, MD across 58 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Alejandra Balen, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Alejandra Balen, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Alejandra Balen, MD

Urology · Salem, MANPI 1508214412

Payments from drug & device makers

What this record shows

This record is dominated by consulting fees: $22,874 of the $27,093 with a category attached, or 84.4%. Boston Scientific accounts for 62.4% of it on its own, with 8 other manufacturers making up the rest. 2025 is the largest year on record at $12,607, more than ten times the $98 reported in 2022. Among urology clinicians in MA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$27,093in general payments, 2019–2025

Across 58 payments — averaging $467.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Boston Scientific$17K
Ambu Inc.$5K
Medtronic$3K
Olympus Medical Systems Corporation$2K
Calyxo, Inc.$634
Procept Biorobotics Corporation$138
plus $173 from 3 others

What the payments were for

Consulting fees$22,87484%
Travel & lodging$2,0688%
Food & beverage$2,1518%

General payments by program year

Who reported the general payments

Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.

Company	Payments	Total
Boston Scientific	33	$16,907
Ambu Inc.	2	$4,967
Medtronic	10	$2,655
Olympus Medical Systems Corporation	1	$1,620
Calyxo, Inc.	8	$634
Procept Biorobotics Corporation	1	$138
Teleflex LLC	1	$123
Agiliti Surgical, Inc.	1	$32
Urogen Pharma, Inc.	1	$18

What the payments were tied to

Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.

How this compares

$27,093 in reported general payments places this provider in the 90th percentile of 327 urology providers in Massachusetts.

See all urology providers in Massachusetts →

Medicare billing

Part B allowed, 2024

$262,673

Medicare patients

594

Services billed

6,249

What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.

Most prescribed under Part D

Drug	Claims	Cost to plans & patients
MyrbetriqMirabegron	246	$140,373
GemtesaVibegron	77	$59,158
Mirabegron ErMirabegron	29	$15,116
Estradiol	188	$12,175
PremarinEstrogens, Conjugated	21	$9,398
Trospium Chloride ErTrospium Chloride	48	$8,590
Tamsulosin Hcl	301	$4,650
Trospium Chloride	83	$3,940
Methenamine Hippurate	46	$2,908
Cefpodoxime Proxetil	87	$2,818
Finasteride	138	$2,216
Oxybutynin Chloride ErOxybutynin Chloride	43	$1,424
Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst	88	$1,385
Potassium Citrate ErPotassium Citrate	11	$1,019
NitrofurantoinNitrofurantoin Macrocrystal	33	$635

Paid to pharmacies, not to this prescriber.

Other urology in Salem

Christopher CutieBoston$3.5M
Brian EisnerBoston$424K
David StaskinBrighton$407K
Liam HurleyNorth Andover$319K
Stephen DretlerBoston$298K
Abraham MorgentalerChestnut Hill$290K
Louis LiouCambridge$278K
Tony LuongoBoston$265K
Ricardo MunarrizBoston$118K
Andrew KramerHyannis$108K

See the full list for Massachusetts →

Where these figures come from

Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
Identity: NPPES NPI Registry, July 2026.

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