Active NPI 1720211840 Individual Practitioner Male Practitioner

Dr. Vivek Biala , MD

Internal Medicine • Crystal, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Vivek Biala, MD is a certified Internal Medicine practicing in Crystal, MN. With approximately 21 years of clinical experience since completing medical education in 2005, Dr. Biala delivers high-quality medical care to the local community at 5109 36TH AVE N.

Dr. Biala is affiliated with Fairview Health Services 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

5109 36th Ave N

Crystal, MN 554222007

Telephone 7635877900

Fax 7635877989

Associated Practice Facility / Clinic

🏢 North Clinic, Pa Facility NPI 1134374523

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Crystal, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -13.7 yrs vs City Avg

City Avg: 34.7 Yrs

State Avg: 23.6 Yrs

Regional Practice Density

5 Specialists

Practicing in Crystal, MN (2726 Statewide)

Telehealth Adoption Rate

40.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Biala (21 Years) 21 Yrs

Crystal Specialty Average (34.7 Years) 34.7 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	194	88	$297.31	$73.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	97	53	$429.69	$109.90
99239 Hospital discharge day management, more than 30 minutes	59	59	$425.53	$106.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	44	$710.00	$159.59
99238 Hospital discharge day management, 30 minutes or less	20	20	$305.90	$75.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$491.41	$120.27

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	151	90	$355.81	$112.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	146	79	$251.52	$74.72
99239 Hospital discharge day management, more than 30 minutes	80	78	$369.38	$108.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	62	61	$698.90	$161.71
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	12	$130.35	$46.91
99238 Hospital discharge day management, 30 minutes or less	14	14	$244.57	$77.22

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	218	111	$345.46	$98.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	82	59	$241.73	$68.48
99239 Hospital discharge day management, more than 30 minutes	67	67	$358.19	$101.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	55	54	$670.27	$190.41
99220 Hospital observation care, typically 70 minutes	18	18	$609.50	$172.00
99217 Hospital observation care on day of discharge	11	11	$242.00	$69.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	123	109	$249.00	$90.78
96127 Assessment of emotional or behavioral problems	77	60	$16.00	$4.72
36415 Insertion of needle into vein for collection of blood sample	70	49	$19.00	$3.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	59	$364.00	$128.81
80048 Blood test, basic group of blood chemicals (calcium, total)	57	43	$15.00	$8.46
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	46	46	$80.00	$35.33
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	30	27	$12.00	$6.47
81001 Manual urinalysis test with examination using microscope, automated	22	20	$6.00	$3.17
71046 X-ray of chest, 2 views	19	17	$106.00	$32.70
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$81.00	$14.66
84443 Blood test, thyroid stimulating hormone (TSH)	12	12	$30.00	$16.80

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	289	146	$376.37	$102.57
99239 Hospital discharge day management, more than 30 minutes	97	96	$391.54	$105.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	53	52	$736.40	$198.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	35	$263.02	$71.26
99291 Critical care, first 30-74 minutes	46	29	$844.43	$217.28

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	391	160	$358.63	$101.06
99239 Hospital discharge day management, more than 30 minutes	126	125	$372.83	$104.78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	70	70	$696.17	$196.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	23	$250.72	$70.65
99291 Critical care, first 30-74 minutes	32	21	$938.97	$211.71
99217 Hospital observation care on day of discharge	16	15	$252.44	$71.28
99220 Hospital observation care, typically 70 minutes	11	11	$638.45	$180.37

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	248	105	$347.27	$101.66
99239 Hospital discharge day management, more than 30 minutes	100	98	$360.80	$105.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	58	57	$671.12	$197.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	27	$238.16	$70.94
99291 Critical care, first 30-74 minutes	14	14	$902.79	$215.18

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	312	140	$325.53	$100.35
99239 Hospital discharge day management, more than 30 minutes	99	97	$344.00	$103.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	93	47	$227.19	$69.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	59	56	$630.98	$196.53
99217 Hospital observation care on day of discharge	29	29	$224.17	$71.04
99220 Hospital observation care, typically 70 minutes	28	28	$575.57	$180.73
99291 Critical care, first 30-74 minutes	24	19	$877.33	$215.01

Medical Specialties & State Licenses

CMS Verified: 2021-09-02

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MN 58297

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.

Hospital & Practice Group Affiliations

Fairview Health Services

2450 Riverside Ave, Minneapolis, MN 554541450

Phone: 6122737838

Secondary Practice Locations

15655 37th Ave N Ste 100

Plymouth, MN 554464003

Phone: 7635877900

Practice Associates & Co-Workers

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

40 Associated Practitioners

Katherine Clark , PA-C

Physician Assistant

NPI 1003683509

Physician Assistant (Certified)

Dr. Kathryn Flory , MD

Obstetrics & Gynecology

NPI 1013953488

Doctor of Medicine (M.D.)

Dr. Tiffany Panait , MD

Colon & Rectal Surgery

NPI 1023276789

Doctor of Medicine (M.D.)

Dr. Caitlin Kuck , MD

Obstetrics & Gynecology

NPI 1033521059

Doctor of Medicine (M.D.)

Dr. Kristin Kipka , DO

Family Medicine

NPI 1063779973

Doctor of Osteopathic Medicine (D.O.)

Dr. Asim Khan , MD

Internal Medicine - Rheumatology

NPI 1073557641

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location December 02, 2020

Registered at 5109 36TH AVE N, CRYSTAL, MN 554222007 (Tel: 7635877900)

📍

Updated Business Mailing Address December 02, 2020

Registered at 5109 36TH AVE N, CRYSTAL, MN 554222007 (Tel: 7635877900)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2020

Internal Medicine (License #58297 in MN)

✅

NPI Profile Active August 24, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location August 24, 2009

Registered at 3001 HOSPITAL DR, PRINCE GEORGES HOSPITAL CENTER, CHEVERLY, MD 207851189 (Tel: 3016182000)

📍

Updated Business Mailing Address August 24, 2009

Registered at 9348 CHERRY HILL RD, APARTMENT 516, COLLEGE PARK, MD 207401241 (Tel: 2402979556)

👤

Provider Name / Credentials Updated August 24, 2009

Recorded as VIVEK BIALA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2009

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration August 24, 2009

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: 1720211840

Entity Type:

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

Enumeration Date: August 24, 2009

Last Update: September 02, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5109 36th Ave N

Crystal, MN 554222007

Phone: 7635877900

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.