What is Karai Balaji's specialty?

Karai Balaji (NPI 1225074909) is a Medicare-billing provider whose primary specialty is Internal Medicine in Avon, NY.

Where does Karai Balaji practice?

Karai Balaji practices in Avon, NY, based on the location reported in the CMS Medicare provider datasets for NPI 1225074909.

How much does Medicare pay Karai Balaji?

Karai Balaji (NPI 1225074909) received approximately $39K in total Medicare Part B payments, serving 141 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1225074909

Karai BalajiM.D.

Internal MedicineAvon, NYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

382

Unique beneficiaries

—

Total services

638

Distinct HCPCS

Medicare payment

$36K

Peer benchmark

Total Medicare services vs. 7,864 Internal Medicine providers in NY — above median (cohort median 552).

PRESCRIBING · PART D · 2024

Total Rx claims

9,378

Beneficiaries

—

Total drug cost

$961K

Distinct drugs

139

Brand share

22.7%

Top prescribed drugs

Atorvastatin Calcium630 claims

Amlodipine Besylate461 claims

Omeprazole423 claims

Levothyroxine Sodium385 claims

Rosuvastatin Calcium323 claims

QUALITY · MIPS · 2024

Final MIPS score

89.8

Quality

68.4

Cost

81.1

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.62%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

Hospice

Hospital

Hospital

Hospital

REFERRAL NETWORK

Where Karai Balaji's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 4 inbound referrers · 7 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
UNIVERSITY OF ROCHESTER	101	901
Shantonu Ghosh Internal Medicine · Avon, NY	25	170
Mark Durkin Podiatry · Lakeville, NY	13	94
Ronald Gmerek Podiatry · Avon, NY	12	38

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
HIGHLAND HOSPITAL OF ROCHESTER	164	1,537
UNIVERSITY OF ROCHESTER	144	1,367
Shantonu Ghosh Internal Medicine · Avon, NY	22	169
Ronald Gmerek Podiatry · Avon, NY	17	52
NICHOLAS H. NOYES MEMORIAL HOSPITAL	16	178
Mark Durkin Podiatry · Lakeville, NY	14	87
QURESHI, ARIF	12	94

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history