Active NPI 1578765863 Individual Practitioner Female Practitioner

Dr. Mini Balaji , MD

Internal Medicine • Dover, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mini Balaji, MD is a certified Internal Medicine practicing in Dover, NJ. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. Balaji delivers high-quality medical care to the local community at 400 W BLACKWELL ST.

Dr. Balaji is affiliated with Rwjbh Emergency Medicine Associates, 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, hospital discharge day management. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 W Blackwell St
Vital Medical Forces

Dover, NJ 078012525

Telephone 9739893000

Associated Practice Facility / Clinic

🏢 Saint Clare's Hospital Inc. Facility NPI 1033106968

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Dover, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs -3.4 yrs vs City Avg

City Avg: 33.4 Yrs

State Avg: 30.1 Yrs

Regional Practice Density

14 Specialists

Practicing in Dover, NJ (4957 Statewide)

Telehealth Adoption Rate

21.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Balaji (30 Years) 30 Yrs

Dover Specialty Average (33.4 Years) 33.4 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	645	296	$755.00	$122.97
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	260	140	$502.00	$79.26
99239 Hospital discharge day management, more than 30 minutes	198	195	$734.00	$119.78
99238 Hospital discharge day management, 30 minutes or less	37	36	$521.00	$86.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	30	$1103.00	$176.42

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	220	$778.35	$125.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	444	195	$458.66	$83.58
99239 Hospital discharge day management, more than 30 minutes	179	173	$726.48	$120.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	51	51	$1221.20	$182.40
99238 Hospital discharge day management, 30 minutes or less	29	29	$499.69	$87.32
99291 Critical care, first 30-74 minutes	11	11	$2393.45	$227.37
99497 Advance care planning, first 30 minutes	11	11	$469.27	$81.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	81	49	$400.96	$92.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	24	$564.38	$109.86
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	13	$649.00	$107.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	26	26	$575.85	$62.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	12	$452.00	$77.27
93000 Routine ekg using at least 12 leads including interpretation and report	15	13	$64.80	$15.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	142	77	$356.45	$78.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	71	$503.41	$106.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$545.19	$44.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$179.61	$56.59
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$74.00	$16.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	46	27	$209.00	$79.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	26	$304.00	$117.72

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	188	101	$250.00	$112.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	103	62	$200.00	$79.07
99239 Hospital discharge day management, more than 30 minutes	63	62	$250.00	$117.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$440.00	$219.85

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	551	235	$157.00	$77.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	132	88	$227.64	$112.33
99238 Hospital discharge day management, 30 minutes or less	127	125	$159.00	$78.70
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	36	$85.00	$42.20
99217 Hospital observation care on day of discharge	40	36	$159.00	$79.05
99221 Initial hospital inpatient care per day, typically 30 minutes	33	33	$220.03	$109.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$442.00	$218.53
99225 Subsequent observation care, typically 25 minutes per day	24	22	$157.00	$78.51
99239 Hospital discharge day management, more than 30 minutes	20	19	$234.00	$114.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$300.00	$147.29
99219 Hospital observation care, typically 50 minutes	18	18	$295.00	$146.48
99356 Prolonged inpatient or observation hospital service, first hour	13	13	$201.00	$99.33

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NJ 25MA08316100

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

Rwjbh Emergency Medicine Associates, Llc

110 Rehill Ave, Somerville, NJ 088762519

Phone: 9086852200

Practice Associates & Co-Workers

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

6 Associated Practitioners

Ilyse Berger , RD

Dietitian, Registered

NPI 1154510964

Registered Dietitian

Jenna Devita , BSN, RN

Registered Nurse

NPI 1376162636

Bachelor of Science in Nursing, Registered Nurse

Aleksandra Dontsova , AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1497297063

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Emely Felipe

Student in an Organized Health Care Education/Training Program

NPI 1851135362

Pamela Trumbull , PA-C

Physician Assistant

NPI 1881767143

Physician Assistant (Certified)

Gabriel Perez , APN, CCRN

Nurse Practitioner

NPI 1902644479

Advanced Practice Nurse, CCRN

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 16, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 16, 2012

Registered at 400 W BLACKWELL ST, VITAL MEDICAL FORCES, DOVER, NJ 078012525 (Tel: 9739893000)

📍

Updated Business Mailing Address May 16, 2012

Registered at 12 BERNADETTE CIR, MONMOUTH JUNCTION, MONMOUTH JUNCTION, NJ 088522681

👤

Provider Name / Credentials Updated May 16, 2012

Recorded as MINI BALAJI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2012

Internal Medicine (License #25MA08316100 in NJ)

🟢

Initial NPI Registration & Enumeration May 31, 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: 1578765863

Entity Type:

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

Enumeration Date: May 31, 2007

Last Update: May 16, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

12 Bernadette Cir, Monmouth Junction

Monmouth Junction, NJ 088522681

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.