Robert Balk, MD
Pulmonary Disease · Chicago, ILNPI 1134173503
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $29,350 of the $46,760 with a category attached, or 62.8%. 7 manufacturers reported payments, led by Dompe US, Inc. at 39.8% of the total. Reporting peaked in 2021 at $18,633 and has fallen 94.6% since, to $1,000 in 2025. Among pulmonary disease clinicians in IL 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.
Across 31 payments — averaging $1508.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Dompe US, Inc.$19K
- Biomerieux Inc$12K
- Merck$10K
- Roche Diagnostics Corporation$3K
- Roche Molecular Systems, Inc.$3K
- Astrazeneca UK Limited$1K
- plus $33 from 1 others
Across 2 payments — averaging $281.92 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Ferring International Pharmascience Center US$511
- Insmed, Inc.$53
What the payments were for
- Consulting fees$15,35033%
- Speaking & faculty fees$29,35063%
- Travel & lodging$1,7144%
- Food & beverage$3131%
- Education$330%
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 |
|---|---|---|
| Dompe US, Inc. | 6 | $18,600 |
| Biomerieux Inc | 6 | $11,562 |
| Merck | 13 | $10,279 |
| Roche Diagnostics Corporation | 1 | $2,750 |
| Roche Molecular Systems, Inc. | 3 | $2,536 |
| Astrazeneca UK Limited | 1 | $1,000 |
| Paratek Pharmaceuticals, Inc. | 1 | $33 |
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
$46,760 in reported general payments places this provider in the 90th percentile of 539 pulmonary disease providers in Illinois.
Medicare billing
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 |
|---|---|---|
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 197 | $157,580 |
| Dupixent SyringeDupilumab | 11 | $42,089 |
| Spiriva HandihalerTiotropium Bromide | 30 | $30,741 |
| Anoro ElliptaUmeclidinium Brm/Vilanterol Tr | 40 | $28,126 |
| Breztri AerosphereBudesonide/Glycopyr/Formoterol | 33 | $27,001 |
| Breo ElliptaFluticasone/Vilanterol | 36 | $24,007 |
| Incruse ElliptaUmeclidinium Bromide | 43 | $21,133 |
| Stiolto RespimatTiotropium Br/Olodaterol Hcl | 24 | $18,145 |
| Spiriva RespimatTiotropium Bromide | 26 | $17,481 |
| SymbicortBudesonide/Formoterol Fumarate | 46 | $12,149 |
| Budesonide-Formoterol FumarateBudesonide/Formoterol Fumarate | 29 | $8,769 |
| Albuterol Sulfate HfaAlbuterol Sulfate | 169 | $5,620 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 20 | $4,523 |
| Ventolin HfaAlbuterol Sulfate | 40 | $3,498 |
| Tiotropium Bromide | 12 | $3,227 |
Paid to pharmacies, not to this prescriber.
Other pulmonary disease in Chicago
- Douglas HogarthChicago$2.9M
- Steven WhiteChicago$970K
- Momen WahidiChicago$779K
- Septimiu MurguChicago$633K
- Ayodeji AdegunsoyeChicago$561K
- Ravi KalhanChicago$375K
- Brian GaribaldiChicago$356K
- Manu JainChicago$187K
- Richard WunderinkChicago$178K
- Rade TomicChicago$70K
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.