Active NPI 1295709251 Individual Practitioner Female Practitioner

Dr. Padmapriya Balakrishna , MD

Internal Medicine • Prospect, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Padmapriya Balakrishna, MD is a certified Internal Medicine practicing in Prospect, KY. With approximately 26 years of clinical experience since graduating from University Of Louisville School Of Medicine in 2000, Dr. Balakrishna delivers high-quality medical care to the local community at 9517 US HIGHWAY 42 STE 410.

Dr. Balakrishna maintains professional affiliations with Sn Kentuckiana Rehab, Llc, Greater Louisville Internal Medicine Psc and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, influenza vaccine split virus, preservative free, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9517 Us Highway 42 Ste 410

Prospect, KY 400599237

Telephone 5025870521

Fax 5025873887

Associated Practice Facility / Clinic

🏢 Greater Louisville Internal Medicine Psc Facility NPI 1407820533

Medicare Profile & Education

Medical School

University Of Louisville School Of Medicine

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Prospect, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs -4.1 yrs vs City Avg

City Avg: 30.1 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

17 Specialists

Practicing in Prospect, KY (1608 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

20.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Balakrishna (26 Years) 26 Yrs

Prospect Specialty Average (30.1 Years) 30.1 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
36415 Insertion of needle into vein for collection of blood sample	113	65	$12.00	$8.50
90662 Influenza vaccine split virus, preservative free	45	44	$78.00	$76.34
G0008 Administration of influenza virus vaccine	45	44	$32.00	$29.41
83036 Hemoglobin A1C level	44	28	$52.00	$9.30
81002 Urinalysis, manual test	41	25	$10.00	$3.33
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	39	33	$23.00	$7.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	23	$132.00	$115.19
G0442 Annual alcohol misuse screening, 5 to 15 minutes	23	23	$10.00	$9.37
99497 Advance care planning, first 30 minutes	16	16	$0.01	$0.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$130.00	$119.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	108	67	$12.00	$8.09
90662 Influenza vaccine split virus, preservative free	59	59	$70.00	$67.44
G0008 Administration of influenza virus vaccine	59	59	$32.00	$28.12
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	50	38	$23.00	$7.31
83036 Hemoglobin A1C level	33	24	$52.00	$8.65
81002 Urinalysis, manual test	31	25	$10.00	$3.41
G0442 Annual alcohol misuse screening, 5 to 15 minutes	23	23	$10.00	$9.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$132.00	$99.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	106	61	$12.00	$2.91
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	53	41	$23.00	$7.55
G0008 Administration of influenza virus vaccine	48	48	$32.00	$25.82
90662 Influenza vaccine split virus, preservative free	47	47	$70.00	$65.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	33	$132.00	$117.89
83036 Hemoglobin A1C level	37	24	$52.00	$8.82
81002 Urinalysis, manual test	25	21	$10.00	$3.44
G0442 Annual alcohol misuse screening, 5 to 15 minutes	24	24	$10.00	$8.98
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$90.00	$84.95
G0009 Administration of pneumococcal vaccine	11	11	$32.00	$27.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	159	81	$12.00	$2.95
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	75	44	$23.00	$7.36
G0008 Administration of influenza virus vaccine	72	72	$26.00	$15.62
90662 Influenza vaccine split virus, preservative free	72	72	$70.00	$64.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	38	$132.00	$113.19
83036 Hemoglobin A1C level	46	24	$52.00	$9.11
81002 Urinalysis, manual test	40	30	$10.00	$3.31
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$88.46	$85.20
80305 Testing for presence of drug, read by direct observation	11	11	$22.00	$12.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	148	77	$12.00	$2.93
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	80	49	$23.00	$7.64
G0008 Administration of influenza virus vaccine	80	78	$26.00	$15.41
90662 Influenza vaccine split virus, preservative free	75	73	$56.00	$54.07
83036 Hemoglobin A1C level	47	32	$52.00	$9.45
81002 Urinalysis, manual test	38	25	$10.00	$3.46
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$80.00	$67.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$132.00	$97.74
G0009 Administration of pneumococcal vaccine	11	11	$26.00	$15.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	195	93	$12.00	$2.90
83036 Hemoglobin A1C level	89	46	$52.00	$10.23
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	86	52	$23.00	$8.46
99213 Established patient office or other outpatient visit, typically 15 minutes	70	53	$80.00	$67.36
G0008 Administration of influenza virus vaccine	61	60	$26.00	$15.31
90662 Influenza vaccine split virus, preservative free	60	60	$50.00	$47.37
81002 Urinalysis, manual test	57	40	$10.00	$3.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	32	$132.00	$97.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	214	101	$12.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	187	102	$80.00	$66.26
83036 Hemoglobin A1C level	120	58	$52.00	$11.75
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	98	59	$23.00	$9.40
G0008 Administration of influenza virus vaccine	70	69	$26.00	$18.17
90662 Influenza vaccine split virus, preservative free	70	68	$50.00	$47.59
81002 Urinalysis, manual test	52	34	$10.00	$3.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	34	$132.00	$97.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	26	26	$130.00	$105.48
90471 Administration of 1 vaccine	18	14	$26.00	$16.20
82947 Blood glucose (sugar) level	17	15	$14.00	$4.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$49.00	$39.54
82044 Urine microalbumin (protein) analysis	12	11	$20.00	$6.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	300	117	$78.78	$65.72
36415 Insertion of needle into vein for collection of blood sample	174	91	$12.00	$2.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	99	99	$130.00	$104.13
G0008 Administration of influenza virus vaccine	89	89	$26.00	$22.90
90662 Influenza vaccine split virus, preservative free	88	88	$46.93	$45.63
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	87	60	$23.00	$10.45
83036 Hemoglobin A1C level	75	47	$52.00	$12.89
82947 Blood glucose (sugar) level	38	31	$14.00	$4.30
81002 Urinalysis, manual test	25	22	$10.00	$3.23
81000 Manual urinalysis test with examination using microscope, non-automated	25	20	$19.00	$4.26
G0009 Administration of pneumococcal vaccine	15	15	$26.00	$22.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$49.00	$39.09

Medical Specialties & State Licenses

CMS Verified: 2021-12-02

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License KY 37367

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64060429 (KY)

Commercial Insurance / Payer ID Npi

1295709251 (KY)

Hospital & Practice Group Affiliations

Sn Kentuckiana Rehab, Llc

12613 Taylorsville Rd, Louisville, KY 402995496

Phone: 5022671480

Greater Louisville Internal Medicine Psc

9517 Us Hwy 42, Prospect, KY 400599237

Phone: 50258705218

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Harry Renco , MD

Internal Medicine

NPI 1124093075

Doctor of Medicine (M.D.)

Dr. Gregory Ciliberti , MD

Internal Medicine

NPI 1285657585

Doctor of Medicine (M.D.)

Dr. Isabelita Wijangco , MD

Internal Medicine

NPI 1659392991

Doctor of Medicine (M.D.)

Dr. Salvatore Ciliberti , MD

Internal Medicine

NPI 1770506073

Doctor of Medicine (M.D.)

Dr. Jeffrey Omer , MD

Internal Medicine

NPI 1821062605

Doctor of Medicine (M.D.)

Dr. Jennifer Walden-Fain , MD

Internal Medicine

NPI 1841211174

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location December 02, 2021

Registered at 9517 US HIGHWAY 42 STE 410, PROSPECT, KY 400599237 (Tel: 5025870521)

📍

Updated Business Mailing Address December 02, 2021

Registered at 9517 US HIGHWAY 42, PROSPECT, KY 400599237 (Tel: 5025870521)

✅

NPI Profile Active October 08, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 08, 2013

Registered at 250 E LIBERTY ST, SUITE 410, LOUISVILLE, KY 402021530 (Tel: 5025870521)

📍

Updated Business Mailing Address October 08, 2013

Registered at 5516 MERRIBROOK LN, PROSPECT, KY 400597622 (Tel: 5025870521)

👤

Provider Name / Credentials Updated October 08, 2013

Recorded as PADMAPRIYA BALAKRISHNA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2013

Internal Medicine (License #37367 in KY)

🟢

Initial NPI Registration & Enumeration February 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1295709251

Entity Type:

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

Enumeration Date: February 15, 2006

Last Update: December 02, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9517 Us Highway 42

Prospect, KY 400599237

Phone: 5025870521

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.