GAUTAM BALAKRISHNAN, MD
Pulmonary Disease Physician · SAINT JOSEPH, MO
Individual Active NPI 1609214519
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 645 | 2,292 | $635,464 | $190,241 | $147,610 |
| 2023 | 578 | 2,111 | $529,722 | $179,263 | $139,064 |
| 2022 | 529 | 2,104 | $424,626 | $162,488 | $125,991 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 540 | $74 | $59 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 401 | $91 | $69 |
| 99291 | Critical care, first 30-74 minutes | 200 | $201 | $159 |
| 94726 | Test to determine lung volumes using sensors | 126 | $11 | $8 |
| 94729 | Test to examine how well the lungs exchange gases | 125 | $8 | $6 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 120 | $9 | $7 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 95 | $62 | $44 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 89 | $16 | $12 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 79 | $111 | $89 |
| 31624 | Irrigation and suction of lung airways to obtain cells using an endoscope | 67 | $49 | $39 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 62 | $122 | $92 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 51 | $125 | $90 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 2016023333 | MO |
| Internal Medicine Physician | 207R00000X | R9809 | IA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in Missouri
- NPI 1225680630
- NPI 1205067154
- NPI 1891083382
- NPI 1134140270
- NPI 1326069469
- NPI 1598011694
- NPI 1336171701
- NPI 1609808781
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.