Active NPI 1013114305 Individual Practitioner Male Practitioner

Dr. Prashant Baliga , MD

Internal Medicine • Thomasville, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Prashant Baliga, MD is a certified Internal Medicine practicing in Thomasville, GA. With approximately 22 years of clinical experience since completing medical education in 2004, Dr. Baliga delivers high-quality medical care to the local community at 915 GORDON AVE.

Dr. Baliga maintains professional affiliations with Southland Bainbridge Hospitalist Group, Llc, Southland Hospitalist Group, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

915 Gordon Ave

Thomasville, GA 317926614

Telephone 2292288575

Associated Practice Facility / Clinic

🏢 South Georgia Anesthesia Associates, Pc Facility NPI 1285605733

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Thomasville, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs -1.3 yrs vs City Avg

City Avg: 23.3 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

21 Specialists

Practicing in Thomasville, GA (4065 Statewide)

Telehealth Adoption Rate

4.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Baliga (22 Years) 22 Yrs

Thomasville Specialty Average (23.3 Years) 23.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	417	180	$258.00	$114.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	287	119	$183.00	$76.19
99239 Hospital discharge day management, more than 30 minutes	146	139	$277.00	$109.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	78	76	$427.00	$167.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$312.00	$123.72
99497 Advance care planning, first 30 minutes	17	16	$227.20	$72.99
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th	14	14	$220.00	$29.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	449	192	$271.97	$115.97
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	258	130	$184.04	$76.74
99239 Hospital discharge day management, more than 30 minutes	150	144	$279.62	$110.67
99497 Advance care planning, first 30 minutes	113	108	$227.20	$73.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	75	74	$427.00	$168.51
99291 Critical care, first 30-74 minutes	46	34	$858.00	$208.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$312.00	$125.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	287	152	$319.46	$99.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	220	124	$225.64	$69.20
99239 Hospital discharge day management, more than 30 minutes	95	94	$347.33	$100.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	52	51	$427.00	$191.22
99226 Subsequent observation care, typically 35 minutes per day	49	30	$217.00	$97.71
99291 Critical care, first 30-74 minutes	40	30	$858.00	$212.94
99497 Advance care planning, first 30 minutes	33	33	$227.20	$75.23
99217 Hospital observation care on day of discharge	26	25	$209.31	$68.88
99225 Subsequent observation care, typically 25 minutes per day	19	14	$146.00	$68.46
99220 Hospital observation care, typically 70 minutes	15	15	$419.00	$172.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	459	207	$258.00	$99.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	272	128	$183.00	$68.91
99239 Hospital discharge day management, more than 30 minutes	115	109	$277.00	$101.50
99226 Subsequent observation care, typically 35 minutes per day	63	44	$217.00	$99.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	45	$427.00	$192.23
99217 Hospital observation care on day of discharge	38	38	$189.00	$68.89
99291 Critical care, first 30-74 minutes	29	23	$858.00	$213.46
99225 Subsequent observation care, typically 25 minutes per day	29	14	$146.00	$69.02
99497 Advance care planning, first 30 minutes	27	24	$227.20	$75.38
99220 Hospital observation care, typically 70 minutes	22	22	$419.00	$174.92
99238 Hospital discharge day management, 30 minutes or less	18	18	$196.00	$68.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$312.00	$129.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	512	215	$258.00	$102.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	251	114	$183.00	$70.84
99239 Hospital discharge day management, more than 30 minutes	130	129	$277.00	$103.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	96	93	$427.00	$197.97
99291 Critical care, first 30-74 minutes	88	56	$858.00	$219.83
99497 Advance care planning, first 30 minutes	52	48	$227.20	$77.83
99217 Hospital observation care on day of discharge	44	44	$189.00	$70.85
99226 Subsequent observation care, typically 35 minutes per day	40	26	$217.00	$102.30
99220 Hospital observation care, typically 70 minutes	34	34	$419.00	$176.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$312.00	$134.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	566	234	$258.00	$100.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	342	142	$183.00	$70.95
99239 Hospital discharge day management, more than 30 minutes	199	187	$277.00	$102.36
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	116	114	$427.00	$195.07
99291 Critical care, first 30-74 minutes	74	45	$858.00	$218.75
99217 Hospital observation care on day of discharge	34	33	$189.00	$70.85
99226 Subsequent observation care, typically 35 minutes per day	29	22	$217.00	$102.07
99220 Hospital observation care, typically 70 minutes	27	27	$419.00	$177.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	648	279	$258.00	$97.97
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	448	170	$183.00	$68.50
99239 Hospital discharge day management, more than 30 minutes	217	207	$277.00	$99.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	135	130	$427.00	$190.50
99291 Critical care, first 30-74 minutes	110	65	$858.00	$210.93
99217 Hospital observation care on day of discharge	30	30	$189.00	$68.49
99226 Subsequent observation care, typically 35 minutes per day	19	15	$217.00	$98.92
99220 Hospital observation care, typically 70 minutes	18	18	$419.00	$175.81
99356 Prolonged inpatient or observation hospital service, first hour	11	11	$292.00	$85.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	554	264	$258.00	$96.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	470	173	$183.00	$66.41
99291 Critical care, first 30-74 minutes	168	71	$858.00	$206.87
99239 Hospital discharge day management, more than 30 minutes	166	161	$277.00	$98.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	104	103	$427.00	$188.69
99217 Hospital observation care on day of discharge	40	40	$189.00	$66.82
99356 Prolonged inpatient or observation hospital service, first hour	30	29	$292.00	$84.82
99220 Hospital observation care, typically 70 minutes	28	27	$419.00	$171.21
99226 Subsequent observation care, typically 35 minutes per day	12	12	$217.00	$96.61

Medical Specialties & State Licenses

CMS Verified: 2022-03-11

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME122015

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License GA 64756

Hospital & Practice Group Affiliations

Southland Bainbridge Hospitalist Group, Llc

1500 E Shotwell St, Bainbridge, GA 398194256

Phone: 2292360831

Southland Hospitalist Group, Llc

915 Gordon Ave, Thomasville, GA 317926614

Phone: 2292282000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Asif Shah , MBBS

Internal Medicine

NPI 1144479726

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. Muhammad Khan , MBBS

Internal Medicine

NPI 1669621215

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 27, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 27, 2012

Registered at 915 GORDON AVE, THOMASVILLE, GA 317926614 (Tel: 2292288575)

📍

Updated Business Mailing Address February 27, 2012

Registered at 2801 CHANCELLORSVILLE DR, APT 118, TALLAHASSEE, FL 323124815 (Tel: 9899062397)

👤

Provider Name / Credentials Updated February 27, 2012

Recorded as PRASHANT BALIGA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2012

Internal Medicine (License #64756 in GA)

🟢

Initial NPI Registration & Enumeration June 29, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013114305

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 29, 2007

Last Update: March 11, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2801 Chancellorsville Dr, Apt 118

Tallahassee, FL 323124815

Phone: 9899062397

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.