Dr. Pragathi Balakrishna, MD
3011 E Barnett Rd, Medford, OR 97504 • +1-916-555-3027
Medical Education: Accredited U.S. Medical School (Class of 1996)
What This Doctor Actually Performs: CMS Medicare Utilization & Medford Percentiles
NPI #1295112118 • CBSA Regional • Hematology-Oncology
Operating out of Medford, OR (3011 E Barnett Rd), Hematology-Oncology clinician Dr. Pragathi Balakrishna, MD (accredited MD/DO training, 1996) maintains a mid-cohort balanced caseload (41.67th Medford percentile) (31.25th OR percentile; Z-score -0.41σ across 1,588 documented services) with sub-specialty concentration in 13 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Pragathi Balakrishna (97504) place 99214 at the top of the practice ledger (715 yearly units, 41.67th metro rank), rounded out by 99213 and 93000.
For out-of-network patients contacting +1-916-555-3027, Dr. Balakrishna's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.64/5 composite reality score over 7 submissions).
Credentialed as an MD specialist with 30 years post-graduation experience since completing medical school at an LCME/COCA institution (1996), Dr. Balakrishna coordinates 13 Active CMS HCPCS Codes workups from 3011 E Barnett Rd (+1-916-555-3027).
Compared against Medford, OR Hematology-Oncology peers
1,588 annual services across 327 beneficiaries
Standard deviations from OR Hematology-Oncology 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 | 715 | 41.67th | $114 – $156 |
| 99213 | Established Preventive & Chronic Care Visit | 413 | 45.67th | $87 – $119 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 206 | 42.67th | $42 – $57 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 159 | 39.67th | $134 – $183 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 95 | 42.67th | $159 – $217 |
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Dr. Pragathi Balakrishna, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Balakrishna National Provider Identifier | NPI #1295112118 (MD) | CMS NPPES Registry (97504) |
| Dr. Balakrishna Medford CMS Volume Rank | 41.67th Pct (1,588 CMS svcs; Z -0.414σ) | CMS Medicare Part B (OR Hematology-Oncology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Medford, OR) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 7 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.61/5 Listening • 4.93/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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