Doctor profile · Federal record
Dr. Karai Balaji, M.D.
Internal Medicine Physician (CMS: Internal Medicine) · Avon, NY
- NPI 1225074909
- Accepts Medicare
- MIPS 80.2 / 100 · 2023
- 41 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
470 Collins St
Avon, NY 144141466
(585) 226-2640
fax (585) 226-2206 - Mailing address
-
601 Elmwood Ave, Box 278980
Rochester, NY 146420001
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- July 5, 2023
- Year of graduation
- 1985 — 41 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- New York #209758
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1225074909. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
474
Distinct HCPCS
3
Medicare allowed
$47,096
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 291 | 151 | $95 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 125 | 125 | $126 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 58 | 48 | $64 |
In context: peer comparison
Among 1 peers in Avon Internal Medicine Physician, average services per provider: 158. This provider delivers 3.0× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
4,068
Patients
1,232
Total drug cost
$73,442
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 605 | 187 | $11,128 |
| Amlodipine Besylate | Generic | 472 | 137 | $4,117 |
| Omeprazole | Generic | 392 | 117 | $7,121 |
| Levothyroxine Sodium | Generic | 379 | 104 | $8,906 |
| Losartan Potassium | Generic | 307 | 85 | $4,881 |
| Rosuvastatin Calcium | Generic | 260 | 84 | $9,373 |
| Metformin Hcl ER (Metformin Hcl) | Brand | 220 | 67 | $5,570 |
| Lisinopril | Generic | 215 | 64 | $2,019 |
| Gabapentin | Generic | 213 | 75 | $4,150 |
| Metoprolol Succinate | Generic | 187 | 55 | $5,079 |
Frequently asked questions
What is Dr. Karai Balaji's medical specialty?
Dr. Karai Balaji practices Internal Medicine Physician in Avon, NY.
Where does Dr. Karai Balaji practice?
Dr. Karai Balaji practices at 470 Collins St, Avon, NY 144141466. Office phone: 5852262640.
What is Dr. Karai Balaji's NPI?
Dr. Karai Balaji's National Provider Identifier (NPI) is 1225074909, issued by NPPES.
Does Dr. Karai Balaji accept Medicare assignment?
Yes. Dr. Karai Balaji accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Karai Balaji commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.