Medicare Enrolled

Dr. Akila Balasubramanian, MD

Family Medicine · Casselberry, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
985 STATE ROAD 436, Casselberry, FL 32707
4078315252
In practice since 2006 (19 years)
NPI: 1245250174 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Balasubramanian from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Balasubramanian? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Balasubramanian

Dr. Akila Balasubramanian is a family medicine in Casselberry, FL, with 19 years in practice. Based on federal Medicare data, Dr. Balasubramanian performed 4,451 Medicare services across 2,685 unique beneficiaries.

Between the years covered by Open Payments, Dr. Balasubramanian received a total of $5,622 from 49 pharmaceutical and/or device companies across 275 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Balasubramanian is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice▲ Top 7% volume in FL$ $5,622 industry payments

Medicare Practice Summary

Medicare Utilization ↗
4,451
Medicare services
Top 7% in FL for family medicine
2,685
Unique beneficiaries
$44
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~234 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (30-39 min)440$85$139
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional262$14$26
Complete blood count (CBC) with differential256$8$15
Comprehensive metabolic blood panel241$10$20
Chronic care management, first 20 min/month237$48$77
Lipid panel (cholesterol and triglycerides)231$13$25
Thyroid stimulating hormone (TSH) test220$16$31
Nursing facility visit, moderate complexity216$82$116
Ldl cholesterol level194$10$18
Home visit, established patient, moderate complexity169$97$164
Office visit, established patient (20-29 min)168$61$95
Steroid injection (triamcinolone)144$1$10
Vitamin B-12 level test131$15$27
Hemoglobin A1c test (diabetes monitoring)126$10$18
Flu vaccine, quadrivalent125$76$100
Flu vaccine administration124$30$35
Annual depression screening118$18$23
Annual wellness visit, follow-up113$125$167
Vitamin D level test91$29$52
Nursing facility visit, low complexity75$56$89
Home visit, established patient, low complexity69$53$108
Automated urinalysis62$2$5
Drug injection, under skin or into muscle55$10$30
Chronic care management, additional 20 min/month55$35$57
Office visit, established patient, complex (40-54 min)53$127$186
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg48$1$11
Joint injection, major joint42$43$80
Transitional care management services for problem of high complexity35$213$356
Basic metabolic blood panel33$8$16
Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes31$143$265
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional28$33$85
Urine microalbumin (protein) analysis27$6$9
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use26$281$330
Bone density scan (DEXA)25$36$123
Detection test by nucleic acid for multiple types influenza virus22$94$125
COVID-19 vaccine (Pfizer bivalent)22$128$170
Chest X-ray, 2 views20$25$39
Electrocardiogram (EKG), 12-lead19$10$24
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen17$50$100
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes16$146$229
COVID-19 vaccine administration15$40$52
Administration of vaccine14$15$32
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)13$41$54
Pneumonia vaccine administration12$30$35
Removal of impacted ear wax11$24$64
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$5,622
Total received (2018-2024)
Avg $803/year across 7 years
Top 9% in FL for family medicine
49
Companies
275
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,312 (94.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$310 (5.5%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,083
2023
$804
2022
$770
2021
$575
2020
$544
2019
$1,005
2018
$842

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Astellas Pharma US Inc
$598
Janssen Pharmaceuticals, Inc
$446
Amgen Inc.
$283
PFIZER INC.
$280
Novartis Pharmaceuticals Corporation
$272
ACADIA Pharmaceuticals Inc
$259
Sunovion Pharmaceuticals Inc.
$231
Sumitomo Pharma America, Inc.
$215
Lilly USA, LLC
$201
Eisai Inc.
$191
Boehringer Ingelheim Pharmaceuticals, Inc.
$178
Teva Pharmaceuticals USA, Inc.
$169
Abbott Laboratories
$145
Amarin Pharma Inc.
$134
GlaxoSmithKline, LLC.
$133
Daiichi Sankyo Inc.
$124
AstraZeneca Pharmaceuticals LP
$124
Gilead Sciences, Inc.
$122
Otsuka America Pharmaceutical, Inc.
$120
Bayer Healthcare Pharmaceuticals Inc.
$119
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$110
Merck Sharp & Dohme LLC
$107
Merck Sharp & Dohme Corporation
$104
AbbVie Inc.
$104
Lundbeck LLC
$96
Avanir Pharmaceuticals, Inc.
$80
Exact Sciences Corporation
$63
Scilex Pharmaceuticals Inc.
$61
Xeris Pharmaceuticals, Inc.
$47
SANOFI-AVENTIS U.S. LLC
$42
Nestle HealthCare Nutrition Inc.
$41
ABBVIE INC.
$40
Sun Pharmaceutical Industries Inc.
$39
Bayer HealthCare Pharmaceuticals Inc.
$38
Collegium Pharmaceutical, Inc.
$37
Novo Nordisk Inc
$35
Allergan Inc.
$31
Acclarent, Inc
$24
NESTLE HEALTHCARE NUTRITION INC.
$23
Corcept Therapeutics
$20
Radius Health, Inc.
$19
VIVUS LLC
$18
Endo Pharmaceuticals Inc.
$18
UROVANT SCIENCES INC
$16
SANOFI PASTEUR INC.
$15
Grifols USA, LLC
$13
EISAI INC.
$13
Purdue Pharma L.P.
$12
SUN PHARMACEUTICAL INDUSTRIES INC.
$12
Top 3 companies account for 23.6% of total payments
Associated products mentioned in payments ›
AIRSUPRA · AJOVY · APTIOM · AUSTEDO · Acclarent Aera · Aimovig · Austedo XR · BASAGLAR · BELSOMRA · BREZTRI · CHANTIX · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · Cologuard Collection Kit · Dayvigo · ELIQUIS · ENTRESTO · EUCRISA · EVENITY · Epclusa · FARXIGA · FLUZONE QUADRIVALENT · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · GARDASIL 9 · GEMTESA · GVOKE PFS · INJECTAFER · INVOKANA · JANUVIA · JARDIANCE · KAPSPARGO · KRYSTEXXA · Kerendia · Korlym · LEQVIO · LOKELMA · LONHALA MAGNAIR · Leqembi · MYRBETRIQ · Myrbetriq · NASCOBAL · NUEDEXTA · NUPLAZID · Nuedexta · ODOMZO · OFEV · OXYCONTIN · Otezla · Ozempic · PNEUMOVAX 23 · Prolastin-C Liquid · Prolia · QULIPTA · Qsymia · RELISTOR · REXULTI · Repatha · Riomet (Metformin HCl Oral Solution) · SHINGRIX · SOLIQUA 100/33 · SPRAVATO · TEZSPIRE · TRELEGY ELLIPTA · TRULICITY · TZIELD · UBRELVY · Utibron · VERQUVO · VESICARE · VRAYLAR · VYNDAMAX · Vascepa · Veozah · XARELTO · XIFAXAN · XTAMPZA · XTAMPZAER · ZENPEP · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (94%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 9% for family medicine in FL.

Equivalent to $126 per 100 Medicare services performed
Looking for a family medicine in Casselberry?
Compare family medicines in the Casselberry area by procedure volume, costs, and industry payment transparency.
Browse family medicines nearby

Geographic Context

Family Medicines within 10 mi
922
Per 100K population
194.1
County median income
$83,030
Nearest hospital
OVIEDO MEDICAL CENTER
7.2 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Balasubramanian is a clinical cardiology specialist, with above-average Medicare volume (top 7% in FL), and high industry engagement (low-engagement, top 9%), with 19 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Balasubramanian experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Balasubramanian performed 440 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Balasubramanian receive payments from pharmaceutical companies?
Yes. Dr. Balasubramanian received a total of $5,622 from 49 companies across 275 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Balasubramanian's costs compare to other family medicines in Casselberry?
Dr. Balasubramanian's average Medicare payment per service is $44. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Balasubramanian) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →