Dr. Sangeetha Balasubramanian, MD
50 E Hamilton Ave Ste 200, Campbell, CA 95008 • +1-673-555-1918
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & Campbell Percentiles
NPI #1265640874 • CBSA Regional • Rheumatology
Dr. Sangeetha Balasubramanian, MD (NPI #1265640874) practices Rheumatology in Campbell, CA (95008) with sub-specialty concentration in 36 Active CMS HCPCS Codes, recording 41,045 annual CMS services across 408 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (40th Campbell percentile) (-0.06σ vs CA state mean, 72.05th statewide percentile).
Fee-schedule auditing of NPI 1265640874 highlights 872 annual claims for 99214 (40th Campbell percentile; $52–$71 self-pay corridor) plus 398 encounters under 20610 and 284 under 96413.
Direct cash-pay transparency modeling sets Dr. Balasubramanian's baseline new-consult rate near $239.00 in Campbell, CA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 16-minute average reception wait).
Credentialed as an MD specialist with 17 years post-graduation experience since completing medical school at an LCME/COCA institution (2009), Dr. Balasubramanian coordinates 36 Active CMS HCPCS Codes workups from 50 E Hamilton Ave Ste 200 (+1-673-555-1918).
Compared against Campbell, CA Rheumatology peers
41,045 annual services across 408 beneficiaries
Standard deviations from CA Rheumatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Autoimmune Arthritis & Biologic/DMARD Safety Evaluation | 872 | 40th | $52 – $71 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 398 | 41th | $41 – $56 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 284 | 43th | $71 – $97 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 190 | 40th | $54 – $74 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 152 | 44th | $71 – $97 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (36 HCPCS billing breadth) | 39,149 | 40th | $45 – $65 |
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Dr. Sangeetha Balasubramanian, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Balasubramanian National Provider Identifier | NPI #1265640874 (MD) | CMS NPPES Registry (95008) |
| Dr. Balasubramanian Campbell CMS Volume Rank | 40.00th Pct (41,045 CMS svcs; Z -0.062σ) | CMS Medicare Part B (CA Rheumatology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Campbell, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 16 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.96/5 Listening • 4.40/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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