Balaji Venkat, DO
Emergency Medicine · Los Gatos
- 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
- 2
Offices
2 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group
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. Venkat’s office to ask if they take your plan before you enroll.
Original Medicare doctor bills
$12,987
Medicare paid this office $12,987 for 111 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| New patient visit (30+ min) | 42 | $4,475 | $107 |
| Short return visit (20+ min) | 39 | $3,181 | $82 |
| New patient visit (45+ min) | 12 | $1,907 | $159 |
Who their Medicare patients are
111 Original Medicare patients in 2024. Average age 76 · Women 62% · Health risk score 0.99. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.
Conditions among them: High blood pressure 69% · Coronary heart disease 29% · Cancer 18% · Diabetes 17% · Atrial fibrillation 14% · Chronic kidney disease 12% · Depression 10%.
The office billed $42,462, Medicare allowed $16,261 and paid $12,987; for 151 services of 26 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
| 2024 | 111 | 151 | 76 | 0.99 | $42,462 | $12,987 |
| 2023 | 17 | 21 | 76 | 0.70 | $4,953 | $1,532 |
| 2019 | 14 | 14 | 67 | 3.34 | $4,081 | $865 |
| 2018 | 17 | 18 | 68 | 2.51 | $6,830 | $1,461 |
| 2017 | 11 | 11 | 70 | 1.36 | $4,676 | $968 |
| 2016 | 15 | 15 | 67 | 1.48 | $4,499 | $834 |
| 2015 | 32 | 32 | 71 | 2.32 | $10,911 | $2,320 |
| 2014 | 38 | 40 | 63 | 1.65 | $14,850 | $2,577 |
| 2013 | 66 | 81 | 75 | 1.47 | $33,655 | $6,701 |
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
2015: 1 service
| Emergency department visit with moderate level of medical decision making | 18 | $1,759 | $98 |
2014: 1 service
| Emergency department visit with moderate level of medical decision making | 18 | $1,586 | $83 |
2013: 3 services
| Emergency department visit with high level of medical decision making | 27 | $3,572 | $132 |
| Emergency department visit with moderate level of medical decision making | 24 | $2,239 | $93 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 13 | $85 | $7 |
Medicaid work
$74 in 2021
Medicaid paid $74 for 18 billed services this clinician did in 2021, up to 18 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.
| EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP | 18 | $74 |
| 2021 | 18 | 1 | 18 | $74 |
Money from drug and device companies
$93 in 2019
A payment is not proof that care is biased.
| Ekos | Ekosonic | $93 | 1 payment
|
See the published payment
| Ekos | Meals · 2019-03-14 | Ekosonic | $93 |
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 84.9 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1639319916
- Licence
- CA 20A11767
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 207P00000X (207P00000X)
- Mailing address
- 325 Distel Cir, Los Altos, CA, 94022
- NPI first listed
- 2009-02-26
- NPI last updated
- 2023-09-13
- NPI record certified
- 2023-09-13
This is when the NPI record was last certified, not a medical board exam.
This office lists an electronic records connection.