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Alex Balekian, MD

Pulmonary Disease · Daly City

NPI 1205912656

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
3

Offices

3 locations · Clarkian Hospitalist Corporation · Providence Medical Foundation · Livwell Healthcare Solutions PC

Looking this up.

Hospitals listed: Ahmc Seton Medical Center · Baylor Scott & White Medical Center - Marble Falls. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Balekian’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A96050 · Current

Licensed to practise in California · since 2006 · expires 2028-03-31 · University of California, San Diego School of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

State licence records

1 licence

  • Illinois 036154174Licensed Physician And Surgeon · since 2020 · expires 2029-07-31
    ActiveNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

Hospitals they work in

2 hospitals

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Ahmc Seton Medical CenterDaly City, CAAcute Care Hospital · Proprietary · Has an emergency departmentPatients rate it 3 of 5 · 59% would definitely recommend it
    Overall rating: 1 of 5 starsNo measure marked better or worse than the national rate
  • Baylor Scott & White Medical Center - Marble FallsMarble Falls, TXAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Baylor Scott and White Health, which runs 31 hospitalsPatients rate it 4 of 5 · 79% would definitely recommend it
    Overall rating: 4 of 5 starsNo measure marked better or worse than the national rate
See every measure and the patient survey for Ahmc Seton Medical Center

Behind the star rating — Deaths: 0 better, 6 the same, 0 worse of 6 measures. Safety: 1 better, 2 the same, 0 worse of 3 measures. Readmissions: 0 better, 5 the same, 2 worse of 7 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Ahmc Seton Medical Center
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.98 (0 to 2.04) · 229 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.91 (0.49 to 1.34)No differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths7.9 · 34 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths13.4 · 60 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths12.5 · 103 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths18.9 · 159 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths13.9 · 36 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths4.4 · 739 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.19 (0 to 0.41) · 1,636 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.3 (0.09 to 0.51) · 1,681 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.47 (1.02 to 5.93) · 355 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.64 (0 to 3.36) · 44 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.77 (1.1 to 4.43) · 361 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.62 (0 to 18.38) · 43 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.98 (1.71 to 10.25) · 43 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.72 (0.21 to 3.24) · 73 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.3 (0 to 1.23) · 1,387 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.5 · 30 casesNoneApr 2023 – Mar 2025
Clostridium Difficile (C.Diff)Infections0No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.9 · 77 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.5 · 190 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits22.4 · 53 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits26.4 · 110 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits63.8 · 154 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.9 · 258 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.4 · 53 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13 (9.6 to 17.6) · 48 casesNo differentJan 2022 – Dec 2024

What patients said (257 patients answered, 20% of those asked)

Patient survey stars by topic at Ahmc Seton Medical Center
Cleanliness2
Nurse communication3
Doctor communication4
Communication about medicines2
Discharge information3
Overall hospital rating2
Quietness2
Recommend hospital3
Share of patients giving the best answer at Ahmc Seton Medical Center
Room was "always" clean59%
Nurses "always" communicated well77%
Doctors "always" communicated well80%
Staff "always" explained56%
Yes, staff "did" give patients this information83%
Yes, staff "did" give patients information about help after discharge81%
Doctors "always" explained things so they could understand78%
Doctors "always" listened carefully77%
Doctors "always" treated them with courtesy and respect85%
Patients who gave a rating of "9" or "10" (high)59%
Staff "always" explained new medications68%
Nurses "always" explained things so they could understand70%
Nurses "always" listened carefully75%
Nurses "always" treated them with courtesy and respect86%
"Always" quiet at night44%
"YES", patients would definitely recommend the hospital59%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms86%
See every measure and the patient survey for Baylor Scott & White Medical Center - Marble Falls

Behind the star rating — Deaths: 0 better, 5 the same, 0 worse of 5 measures. Safety: 0 better, 3 the same, 0 worse of 3 measures. Readmissions: 1 better, 8 the same, 0 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Baylor Scott & White Medical Center - Marble Falls
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.27 (0.21 to 2.33) · 202 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.9 (0.44 to 1.35)No differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths9.8 · 117 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.4 · 107 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths17 · 147 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths12.1 · 63 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.5 · 833 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.2 (0 to 0.43) · 1,590 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.26 (0.05 to 0.47) · 1,555 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.15 (0.64 to 5.66) · 241 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.65 (0 to 3.37) · 71 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.25 (0.55 to 3.96) · 235 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.81 (0 to 18.68) · 63 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.02 (0.77 to 9.27) · 63 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths2.05 (0.54 to 3.56) · 61 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.41 (0 to 1.49) · 1,288 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.5 · 39 casesNoneApr 2023 – Mar 2025
Clostridium Difficile (C.Diff)Infections0.38No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.5 · 123 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits4.7 · 120 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-20.7 · 146 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.7 · 176 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.8 (3.9 to 8.3) · 110 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits11.3 (8.2 to 15) · 110 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.6 · 39 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.1 · 180 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.7 (10.7 to 17.8) · 1,442 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.1 (0.8 to 1.5) · 314 casesNo differentJan 2024 – Dec 2024

What patients said (483 patients answered, 23% of those asked)

Patient survey stars by topic at Baylor Scott & White Medical Center - Marble Falls
Cleanliness5
Nurse communication4
Doctor communication4
Communication about medicines5
Discharge information4
Overall hospital rating4
Quietness5
Recommend hospital5
Share of patients giving the best answer at Baylor Scott & White Medical Center - Marble Falls
Room was "always" clean85%
Nurses "always" communicated well83%
Doctors "always" communicated well81%
Staff "always" explained73%
Yes, staff "did" give patients this information92%
Yes, staff "did" give patients information about help after discharge90%
Doctors "always" explained things so they could understand77%
Doctors "always" listened carefully79%
Doctors "always" treated them with courtesy and respect89%
Patients who gave a rating of "9" or "10" (high)77%
Staff "always" explained new medications81%
Nurses "always" explained things so they could understand79%
Nurses "always" listened carefully80%
Nurses "always" treated them with courtesy and respect90%
"Always" quiet at night70%
"YES", patients would definitely recommend the hospital79%
Staff "always" explained possible side effects65%
Yes, staff "did" give patients information about possible symptoms93%

Original Medicare doctor bills

$38,185

Medicare paid this office $38,185 for 116 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Critical care, first 30-74 minutes51$19,236$183
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes42$10,142$105
Critical care, each additional 30 minutes32$3,046$92
Test to determine lung volumes using sensors17$163$10
Test to examine how well the lungs exchange gases17$122$7
See all 6 services
Every Original Medicare service billed
Critical care, first 30-74 minutes51$19,236$183
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes42$10,142$105
Critical care, each additional 30 minutes32$3,046$92
Test to determine lung volumes using sensors17$163$10
Test to examine how well the lungs exchange gases17$122$7
Test to measure expiratory airflow and volume changes before and after medication administration11$91$8

Who their Medicare patients are

116 Original Medicare patients in 2024. Average age 77 · Women 52% · Also on Medicaid 44% · Health risk score 2.31. Above the middle of the specialty; the typical pulmonary disease clinician is at 2.13.

Conditions among them: High blood pressure 75% · Coronary heart disease 55% · Diabetes 54% · Chronic kidney disease 47% · Heart failure 44% · Atrial fibrillation 41% · COPD 32% · Dementia 22% · Stroke 19% · Cancer 16% · Depression 16%.

The office billed $91,799, Medicare allowed $48,454 and paid $38,185; for 364 services of 32 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024116364772.31$91,799$38,185
2023107342753.01$167,066$47,126
2022296815772.35$185,740$77,950
20212841,031752.53$266,424$110,531
2020167478784.26$157,489$62,231
2019139292793.54$108,401$37,731
2018165260703.58$78,432$20,679
2017164299693.18$103,519$26,834
2016229526682.86$242,719$55,334
2015179347683.04$152,670$36,282
2014166346693.06$161,950$37,877
2013125249692.82$145,720$31,183

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 3 services

Original Medicare services billed in 2023
Critical care, first 30-74 minutes68$28,716$184
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes58$12,471$104
Critical care, each additional 30 minutes27$2,693$93

2022: 8 services

Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes109$17,028$64
Critical care, first 30-74 minutes51$16,815$191
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes92$11,208$119
Initial hospital care with moderate level of medical decision making at least 75 minutes53$9,594$174
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes61$8,707$88
Hospital discharge day management, more than 30 minutes41$3,910$95
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes28$3,248$35
Critical care, each additional 30 minutes14$1,537$96

2021: 7 services

Original Medicare services billed in 2021
Critical care, first 30-74 minutes120$42,429$196
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes129$24,003$92
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes82$21,437$63
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes65$7,841$117
Initial hospital care with moderate level of medical decision making at least 75 minutes22$3,877$176
Hospital discharge day management, more than 30 minutes28$2,680$92
Critical care, each additional 30 minutes16$2,356$94

2020: 6 services

Original Medicare services billed in 2020
Critical care, first 30-74 minutes101$35,520$187
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes92$16,694$89
Initial hospital care with moderate level of medical decision making at least 75 minutes18$3,154$175
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes26$2,691$63
Emergent insertion of breathing tube into windpipe using an endoscope14$2,092$123
Insertion of non-tunneled central venous tube for infusion (5 years or older)11$807$73

2019: 4 services

Original Medicare services billed in 2019
Critical care, first 30-74 minutes66$21,559$189
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes57$7,403$89
Initial hospital care with moderate level of medical decision making at least 75 minutes19$3,297$174
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes29$2,808$62

2018: 6 services

Original Medicare services billed in 2018
New patient visit (45+ min)39$4,021$103
Return visit (30+ min)49$3,974$63
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes36$3,902$62
Critical care, first 30-74 minutes12$2,746$183
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes16$2,040$89
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes19$831$33

2017: 5 services

Original Medicare services billed in 2017
Critical care, first 30-74 minutes22$6,791$184
Return visit (30+ min)62$6,230$66
New patient visit (45+ min)44$4,734$108
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes39$3,623$61
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes14$2,307$89

2016: 10 services

Original Medicare services billed in 2016
Critical care, first 30-74 minutes71$28,444$185
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes66$5,875$59
Return visit (30+ min)53$5,427$59
New patient visit (45+ min)35$3,674$105
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes17$1,928$113
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes15$1,640$86
Insertion of non-tunneled central venous tube for infusion (5 years or older)13$1,321$102
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes15$1,260$84
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes18$816$33
Insertion of artery tube for blood sampling or infusion through skin11$469$43

2015: 5 services

Original Medicare services billed in 2015
Critical care, first 30-74 minutes45$15,716$189
Return visit (30+ min)58$5,999$62
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes32$3,379$61
New patient visit (45+ min)24$2,653$111
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes17$2,019$112

2014: 5 services

Original Medicare services billed in 2014
Critical care, first 30-74 minutes56$18,942$186
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes66$6,574$60
Return visit (30+ min)28$2,719$59
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes12$1,381$115
New patient visit (45+ min)12$1,313$109

2013: 3 services

Original Medicare services billed in 2013
Critical care, first 30-74 minutes61$21,957$176
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes27$3,071$58
Return visit (30+ min)16$1,583$63

Medicaid work

$6,726 in 2023

Medicaid paid $6,726 for 141 billed services this clinician did in 2023, up to 16 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2023
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes100$6,071
Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service)13$353
New patient visit (30+ min)28$302
Medicaid work by year
2023141316$6,726
2022327325$9,003
2021657424$27,977
202074214$4,171
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES83$3,381
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES212$2,922
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes32$2,700

2021

Largest Medicaid services in 2021
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes326$19,921
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES218$3,888
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES42$2,089
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES71$2,079

2020

Largest Medicaid services in 2020
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes50$3,342
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES24$829

Money from drug and device companies

$45 in 2025

Industry payments by year
202511None$45
202122None$47
201911None$26

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)Lifevest$45
1 payment
  • Meals for Lifevest · 2025-10-16 · $45
See the published payment
Every published payment
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)Meals · 2025-10-16Lifevest$45
See earlier years (2021, 2019)

2021: $47

Payments by company in 2021
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)Lifevest$26
1 payment
  • Meals for Lifevest · 2021-06-21 · $26
Boston ScientificGeneral Pain Management$21
1 payment
  • Meals for General Pain Management · 2021-09-23 · $21

2019: $26

Payments by company in 2019
Philips Electronics North AmericaTrilogy 100$26
1 payment
  • Meals for Trilogy 100 · 2019-01-08 · $26

Professional record

NPI
1205912656
Licence
CA A96050, IL 036154174, NY 307042California A96050: Current · expires 2028-03-31Illinois 036154174: Active
Trained
University of California, San Diego School of Medicine, 2003
Group
Clarkian Hospitalist Corporation · Providence Medical Foundation · Livwell Healthcare Solutions PC
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 207RC0200X (207RC0200X); Federal specialty code 207RP1001X (207RP1001X)
Mailing address
24040 Camino Del Avion Ste E321, Dana Point, CA, 92629
NPI first listed
2006-10-28
NPI last updated
2026-08-11
NPI record certified
2026-08-11

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 305 W Jackson St Ste 301, Carbondale, IL, 62901 · 105 Marys Ave, Kingston, NY, 12401 · 396 Broadway, Kingston, NY, 12401 · 26800 Crown Valley Pkwy Ste 205, Mission Viejo, CA, 92691 · 18300 Roscoe Blvd, North Ridge, CA, 91325 · 3700 W 203rd St Ste 204, Olympia Fields, IL, 60461 · 241 North Rd, Poughkeepsie, NY, 12601

This office lists an electronic records connection.