Active NPI 1821067778 Individual Practitioner Male Practitioner

Dr. Balakrishna R Prabhakar , MD

Internal Medicine • Katy, TX

Professional Overview & Biography Verified Profile Summary

Dr. Balakrishna Prabhakar, MD is a registered healthcare professional specializing in Internal Medicine in Katy, TX. Practice services are available at 1259 FM 1463 RD STE 400 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, annual depression screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1259 Fm 1463 Rd Ste 400

Katy, TX 774945480

Telephone 7134294550

Fax 8323976426

Associated Practice Facility / Clinic

🏢 Trinity Primary Care, Pllc Facility NPI 1790035061

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Katy, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 26.3 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

55 Specialists

Practicing in Katy, TX (9538 Statewide)

Telehealth Adoption Rate

47.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$223.86	$114.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	177	85	$201.14	$127.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	66	66	$319.55	$127.60
99213 Established patient office or other outpatient visit, typically 15 minutes	66	44	$161.76	$90.96
G0444 Annual depression screening, 5 to 15 minutes	61	61	$27.46	$18.48
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	11	$36.45	$14.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	91	$171.86	$131.68
G0444 Annual depression screening, 5 to 15 minutes	84	84	$25.00	$19.30
99443 Telephone medical discussion with physician, 21-30 minutes	81	51	$149.00	$132.88
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	78	78	$170.00	$136.30
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	50	15	$36.00	$14.75
99442 Telephone medical discussion with physician, 11-20 minutes	47	36	$129.00	$94.88
99213 Established patient office or other outpatient visit, typically 15 minutes	41	29	$140.15	$91.86
G0008 Administration of influenza virus vaccine	32	32	$38.00	$28.43
90662 Influenza vaccine split virus, preservative free	32	32	$96.06	$68.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	197	97	$150.84	$132.17
99213 Established patient office or other outpatient visit, typically 15 minutes	93	56	$124.12	$93.92
G0444 Annual depression screening, 5 to 15 minutes	87	87	$25.00	$19.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	82	82	$170.00	$139.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	74	17	$36.00	$14.04
99443 Telephone medical discussion with physician, 21-30 minutes	67	51	$143.33	$133.22
99442 Telephone medical discussion with physician, 11-20 minutes	62	48	$122.97	$94.04
G0008 Administration of influenza virus vaccine	43	43	$38.00	$16.47
90662 Influenza vaccine split virus, preservative free	43	43	$87.00	$65.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	266	100	$147.00	$111.01
99213 Established patient office or other outpatient visit, typically 15 minutes	128	58	$119.00	$75.36
G0444 Annual depression screening, 5 to 15 minutes	71	71	$25.00	$18.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	69	69	$170.00	$121.36
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	49	15	$36.00	$14.86
90662 Influenza vaccine split virus, preservative free	29	29	$78.00	$60.98
G0008 Administration of influenza virus vaccine	29	29	$28.00	$16.22
93923 Complete ultrasound study of arm and leg arteries	16	16	$189.00	$137.20
99443 Telephone medical discussion with physician, 21-30 minutes	14	11	$129.00	$113.83
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$230.00	$174.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$157.00	$112.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	261	103	$147.00	$110.67
99213 Established patient office or other outpatient visit, typically 15 minutes	117	56	$117.97	$75.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	89	12	$100.00	$74.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	76	76	$170.00	$118.60
G0444 Annual depression screening, 5 to 15 minutes	68	68	$25.00	$18.44
G0008 Administration of influenza virus vaccine	58	58	$28.00	$16.82
90662 Influenza vaccine split virus, preservative free	42	42	$68.00	$54.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	14	$249.00	$206.58
99238 Hospital discharge day management, 30 minutes or less	21	12	$100.00	$74.65
93922 Ultrasound study of arm and leg arteries	20	20	$149.00	$88.24
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	16	$24.00	$18.65
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$35.00	$17.38
99220 Hospital observation care, typically 70 minutes	11	11	$225.00	$189.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	290	106	$147.00	$108.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	158	20	$100.00	$73.98
99213 Established patient office or other outpatient visit, typically 15 minutes	106	55	$129.00	$73.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	70	70	$190.00	$118.33
G0444 Annual depression screening, 5 to 15 minutes	53	53	$25.00	$18.23
G0008 Administration of influenza virus vaccine	53	51	$28.00	$20.73
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	50	11	$36.00	$20.84
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	37	35	$24.00	$18.65
93923 Complete ultrasound study of arm and leg arteries	29	29	$189.00	$139.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	18	$240.72	$206.09
99238 Hospital discharge day management, 30 minutes or less	25	20	$100.00	$74.33
90662 Influenza vaccine split virus, preservative free	16	16	$68.00	$52.30
93000 Routine ekg using at least 12 leads including interpretation and report	14	13	$35.00	$17.20
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	11	$85.00	$54.54
99220 Hospital observation care, typically 70 minutes	12	12	$225.00	$189.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$157.00	$109.49

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	487	75	$100.00	$73.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	312	108	$127.71	$107.94
99213 Established patient office or other outpatient visit, typically 15 minutes	103	53	$115.68	$73.04
99238 Hospital discharge day management, 30 minutes or less	93	72	$100.00	$73.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	73	60	$240.00	$205.03
G0008 Administration of influenza virus vaccine	52	52	$28.00	$25.60
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	47	47	$24.00	$18.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	47	47	$190.00	$116.76
99220 Hospital observation care, typically 70 minutes	47	38	$225.00	$187.91
99217 Hospital observation care on day of discharge	32	26	$95.00	$73.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	29	$182.81	$138.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$200.00	$165.99
G0444 Annual depression screening, 5 to 15 minutes	19	19	$25.00	$18.15

Medical Specialties & State Licenses

CMS Verified: 2024-05-01

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX N 1075

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 WV 19872

Pediatrics

NUCC Taxonomy Code: 208000000X

State License TX N 1075

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License WV 19872

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

6000462000 (WV)

Commercial Insurance / Payer ID Medical License

N1075 (TX)

Commercial Insurance / Payer ID Ms Bcbs

001720356 (WV)

Secondary Practice Locations

1259 Fm 1463 Rd Ste 400

Katy, TX 774945480

Phone: 8326959400

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Diana Franco Corso , MD

Internal Medicine - Gastroenterology

NPI 1033468699

Doctor of Medicine (M.D.)

Ami Patel

Physician Assistant

NPI 1184357634

Dr. Ranga Kattegummula , MD

Internal Medicine

NPI 1275516577

Doctor of Medicine (M.D.)

Dr. Richard Lacamera , MD

Internal Medicine - Gastroenterology

NPI 1427006659

Doctor of Medicine (M.D.)

Juhina Farooki , MPH, RD, LD

Dietitian, Registered

NPI 1578192456

Master of Public Health, Registered Dietitian, Licensed Dietitian

Dove Cruz , MSN, FNP-C

Nurse Practitioner - Family

NPI 1588356166

Master of Science in Nursing, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

10 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2024

Internal Medicine (License #19872 in WV)

📍

Updated Practice Location September 15, 2023

Registered at 1259 FM 1463 RD STE 400, KATY, TX 774945480 (Tel: 7134294550)

📍

Updated Business Mailing Address September 15, 2023

Registered at 8806 N NAVARRO ST STE 600, VICTORIA, TX 779041564 (Tel: 3614852695)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2023

Pediatrics (License #19872 in WV)

✅

NPI Profile Active September 17, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 17, 2012

Registered at 701 S FRY RD, SUITE 207, KATY, TX 774502255 (Tel: 8323213955)

📍

Updated Business Mailing Address September 17, 2012

Registered at 701 S FRY RD, SUITE 207, KATY, TX 774502255 (Tel: 8323213955)

👤

Provider Name / Credentials Updated September 17, 2012

Recorded as BALAKRISHNA PRABHAKAR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2012

Internal Medicine (License #N 1075 in TX)

🟢

Initial NPI Registration & Enumeration March 14, 2006

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: 1821067778

Entity Type:

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

Enumeration Date: March 14, 2006

Last Update: May 01, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

8806 N Navarro St Ste 600

Victoria, TX 779041564

Phone: 3614852695

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.