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Provider profile

BALAKRISHNAN, GAUTAM MD

Pulmonary Disease · NPI 1609214519 · SAINT JOSEPH, MO

1
Groups
21
Codes · 2024
2,157
Disclosed services

BALAKRISHNAN, GAUTAM is a Pulmonary Disease in SAINT JOSEPH, MO, a member of 1 medical group, who billed 21 distinct codes to Medicare Part B in 2024.

Groups: HEARTLAND REGIONAL MEDICAL CENTER (SAINT JOSEPH, MO)

Year: 2024 · 2023 · 2022 🔒 · 2021 🔒 · 2020 🔒

Provider overview · all codes · CY2024

2,157
disclosed services
21
codes billed to Medicare Part B
Prior year · CY2023 1,975 disclosed services

This provider's disclosed Medicare payments across all codes were in CY2024.

Dollars, place-of-service mix, business mix and national standing are part of the market analytics platform — built, not launched yet. Notify me at launch →

All figures are disclosed (CMS suppresses fewer-than-11-beneficiary rows) Medicare Part B fee-for-service — a subset, never complete totals; volumes are personal to this NPI, not attributed to any group. Standing is a billed-volume position among specialty peers with disclosed billing (national percentile; a provider's true standing can only be higher, never lower), not a statement about care. See Methods & Sources.

Procedures billed to Medicare Part B (2024)

Medicare Part B FFS · CY2024 · as published by CMS
This provider's Medicare volumes — services, beneficiary-episodes, and charges — are part of the market analytics platform — built, not launched yet. Notify me at launch →
CodeDescription Services Beneficiary-episodes Avg charge Avg Medicare payment
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
99291 Critical care, first 30-74 minutes
94726 Test to determine lung volumes using sensors
94729 Test to examine how well the lungs exchange gases
94060 Test to measure expiratory airflow and volume changes before and after medication administration
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
31624 Irrigation and suction of lung airways to obtain cells using an endoscope
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
31645 Aspiration of initial secretion of lung airway using an endoscope
31654 Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
31629 Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope
31627 Computer-assisted image-guided navigation of lung airways using an endoscope
31628 Biopsy of lobe of lung using an endoscope, 1 lobe
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
31652 Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes

These are this provider's own Medicare Part B fee-for-service volumes (CMS public data). CMS suppresses rows with fewer than 11 beneficiaries, so low-volume codes may be missing entirely — absence is not zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average charge and average Medicare payment are weighted by service volume across office and facility settings. Volumes on this page are personal to the NPI and are not attributed to any physician group. See Methods & Sources.