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Karthik Balakrishnan, MD, MPH

Pediatric Otolaryngology · Palo Alto

NPI 1528070844

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
6
3 carriers
Office
1

Offices

1 location

Plans that list them

6 plans · 3 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Balakrishnan’s office at (650) 497-8000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

6 of 6 plans

Plans whose provider directory lists this clinician
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence C165904 · Current

Licensed to practise in California · since 2019 · expires 2027-10-31 · Johns Hopkins University School of Medicine.

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

State licence records

1 licence

  • Washington MDRE.ML.20008190Physician And Surgeon Residency Limited License · since 2005 · expires 2012-07-31
    ExpiredNo 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.

Medicaid work

$22,985 in 2024

Medicaid paid $22,985 for 253 billed services this clinician did in 2024, up to 24 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 2024
OFF/OP CNSLTJ NEW/EST MOD 4052$7,068
Return visit (30+ min)58$6,941
Short return visit (20+ min)57$4,267
Service17$2,562
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES19$1,173
Injection, propofol, 10 mg13$474
Service12$320
Injection, dexamethasone sodium phosphate, 1 mg13$112
Injection, ondansetron hydrochloride, per 1 mg12$67
Medicaid work by year
2024253924$22,985
2023237517$19,677
2022116321$7,343
2021278621$19,056
2020135518$9,544
201844212$12
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
OFF/OP CNSLTJ NEW/EST MOD 4067$8,401
Short return visit (20+ min)72$4,060
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES55$3,301
Return visit (30+ min)30$2,670
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure)13$1,244

2022

Largest Medicaid services in 2022
Short return visit (20+ min)72$4,159
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES32$2,009
Return visit (30+ min)12$1,176

2021

Largest Medicaid services in 2021
Short return visit (20+ min)128$7,089
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES86$5,249
OFF/OP CNSLTJ NEW/EST MOD 4014$2,040
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES23$1,831
IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES13$1,585
Diagnostic flexible fiberoptic laryngoscopy14$1,261

2020

Largest Medicaid services in 2020
OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES28$3,004
OFF/OP CNSLTJ NEW/EST MOD 4018$2,518
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES32$1,740
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES41$1,432
Short return visit (20+ min)16$851

2018

Largest Medicaid services in 2018
Injection, propofol, 10 mg29$12
Injection, dexamethasone sodium phosphate, 1 mg15$0

Money from drug and device companies

$80 in 2025

Industry payments by year
202523None$80
202111None$25

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
Smith+NephewHalo$52
2 payments
  • Meals for Halo · 2025-12-12 · $25
  • Meals for Halo · 2025-11-08 · $27
Novartis PharmaceuticalsVijoice$28
1 payment
  • Meals for Vijoice · 2025-02-05 · $28
See all 3 published payments
Every published payment
Smith+NephewMeals · 2025-12-12Halo$25
Smith+NephewMeals · 2025-11-08Halo$27
Novartis PharmaceuticalsMeals · 2025-02-05Vijoice$28
See earlier years (2021)

2021: $25

Payments by company in 2021
Intuitive SurgicalDa Vinci Surgical System$25
1 payment
  • Meals for Da Vinci Surgical System · 2021-11-30 · $25

Professional record

NPI
1528070844
Licence
CA C165904, MN 57963, OH 35.098513, WA ML20008190, WI 68843California C165904: Current · expires 2027-10-31Washington MDRE.ML.20008190: Expired
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207YP0228X (207YP0228X); Otolaryngology (207Y00000X)
Mailing address
725 Welch Rd, Palo Alto, CA, 94304
NPI first listed
2006-08-13
NPI last updated
2024-04-28
NPI record certified
2024-04-28

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

Extra NPI addresses: 730 Welch Rd, Palo Alto, CA, 94304