Dr. Karai Balaji, MD
470 Collins St, Avon, NY 14414 • +1-634-555-2883
Medical Education: Accredited U.S. Medical School (Class of 2012)
What This Doctor Actually Performs: CMS Medicare Utilization & Avon Percentiles
NPI #1225074909 • CBSA Regional • Internal Medicine
Within the Avon, NY (CBSA local) Internal Medicine cohort, Dr. Karai Balaji, MD with sub-specialty concentration in 19 Active CMS HCPCS Codes ranks at the 99th municipal percentile and 13.2th NY percentile (-0.21σ Z-score) based on 771 billed procedures for 141 patients.
Among 5 tracked CMS fee-schedule codes for Dr. Balaji (averaging 5.5 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (347 encounters), paired with 99213 (200x).
Cash-pay intake data for NPI 1225074909 (470 Collins St, Avon) indicates $232.00 typical out-of-pocket visit spend against a $232.00 locality benchmark, paired with 21-minute average reception wait and 4.84/5 biomarker openness.
Clinical background for Dr. Balaji (MD, NPI #1225074909) includes accredited doctoral training (2012, 14 yrs in practice) and virtual + in-office availability across NY.
Top 10% Internal Medicine volume leader in Avon, NY
771 annual services across 141 beneficiaries
Standard deviations from NY Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 347 | 99th | $114 – $156 |
| 99213 | Established Preventive & Chronic Care Visit | 200 | 96th | $87 – $119 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 100 | 94th | $42 – $57 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 77 | 96th | $134 – $183 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 46 | 97th | $158 – $217 |
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Dr. Karai Balaji, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Balaji National Provider Identifier | NPI #1225074909 (MD) | CMS NPPES Registry (14414) |
| Dr. Balaji Avon CMS Volume Rank | 99.00th Pct (771 CMS svcs; Z -0.209σ) | CMS Medicare Part B (NY Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Avon, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 21 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.89/5 Listening • 4.84/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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