Maragadham Balu, MD
Internal Medicine · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 9
- 2 carriers
- Office
- 1
Offices
1 location
Plans that list them
9 plans · 2 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Balu’s office at (408) 445-3400 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
9 of 9 plans
| Alignment Health Harmony (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes CalPlus (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Heart & Diabetes Choice (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Honor+ Plan (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health My Choice CalCare (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health the ONE (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Blue Shield Inspire (HMO) | Blue Shield of California | Listed | Aug 26, 2026 |
California Medical Board record
Licence A49852 · Current
Licensed to practise in California · since 1991 · expires 2027-06-30 · University of Madras, Madras Medical College.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Medicaid work
$298,232 in 2021
Medicaid paid $298,232 for 3,250 billed services this clinician did in 2021, up to 139 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.
| Clinic visit/encounter, all-inclusive | 840 | $295,955 |
| Short return visit (20+ min) | 1,054 | $1,846 |
| Short return visit | 177 | $235 |
| Screening for depression is documented as negative, a follow-up plan is not required | 266 | $99 |
| Handling and/or conveyance of specimen for transfer from physician office to laboratory | 310 | $51 |
| Return visit (30+ min) | 59 | $38 |
| Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) | 49 | $9 |
| Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, preservative free, 100 mcg/0.5 mL dosage; first dose | 12 | $0 |
| BODY MASS INDEX DOCD | 337 | $0 |
| Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD) | 29 | $0 |
| Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN, CKD, CAD) | 17 | $0 |
| Most recent systolic blood pressure greater than or equal to 140 mm Hg (HTN, CKD, CAD) (DM) | 12 | $0 |
| 2021 | 3,250 | 16 | 139 | $298,232 |
| 2020 | 1,524 | 6 | 80 | $155,970 |
| 2019 | 1,828 | 8 | 66 | $80,846 |
| 2018 | 423 | 2 | 85 | $65,360 |
See the largest Medicaid services in earlier years
2020
| Clinic visit/encounter, all-inclusive | 557 | $154,742 |
| Short return visit (20+ min) | 705 | $1,205 |
| Handling and/or conveyance of specimen for transfer from physician office to laboratory | 143 | $24 |
| BODY MASS INDEX DOCD | 47 | $0 |
| Return visit (30+ min) | 29 | $0 |
| Screening for depression is documented as negative, a follow-up plan is not required | 43 | $0 |
2019
| Clinic visit/encounter, all-inclusive | 573 | $78,081 |
| Short return visit (20+ min) | 673 | $2,329 |
| OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES | 41 | $154 |
| Handling and/or conveyance of specimen for transfer from physician office to laboratory | 344 | $143 |
| Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use | 19 | $100 |
| Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) | 53 | $40 |
| COLLECTION VENOUS BLOOD VENIPUNCTURE | 99 | $0 |
| Blood test, lipids (cholesterol and triglycerides) | 26 | $0 |
2018
| Clinic visit/encounter, all-inclusive | 249 | $48,996 |
| Short return visit (20+ min) | 174 | $16,364 |
Professional record
- NPI
- 1922034339
- Licence
- CA A49852California A49852: Current · expires 2027-06-30
More record details
- Sole proprietor
- No
- Taxonomy
- Internal medicine (207R00000X)
- Mailing address
- 1333 Meridian Ave, San Jose, CA, 95125
- NPI first listed
- 2006-06-25
- NPI last updated
- 2017-02-07
This is when the NPI record was last certified, not a medical board exam.