Medicare Enrolled
Dr. Akila Balasubramanian, MD
Family Medicine · Casselberry, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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 specialist in Casselberry, FL, with 19 years of NPI registration. 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
Florida License Status
FL DOH · MQA1
Active license
None
Board action on record
0
Recent admin complaints
| Profession | License # | Status | Expires | Board Action |
|---|---|---|---|---|
| Medical Doctor | 94679 | Clear | January 31, 2028 | — |
Data from Florida Department of Health Medical Quality Assurance.
License records are public under Chapter 119, Florida Statutes.
Verify directly on FL DOH →
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.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
440 | $85 | $139 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
262 | $14 | $26 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
256 | $8 | $15 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
241 | $10 | $20 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
237 | $48 | $77 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
231 | $13 | $25 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
220 | $16 | $31 |
| Nursing facility visit, moderate complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes. |
216 | $82 | $116 |
| LDL cholesterol level test A blood test that measures the amount of low-density lipoprotein (LDL) cholesterol in your blood. LDL is often referred to as "bad" cholesterol. |
194 | $10 | $18 |
| Home visit, established patient, moderate complexity A home visit for an established patient involving moderate medical decision making. The visit requires at least 40 minutes of time if time is used to determine the level of service. |
169 | $97 | $164 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
168 | $61 | $95 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
144 | $1 | $10 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
131 | $15 | $27 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
126 | $10 | $18 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
125 | $76 | $100 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
124 | $30 | $35 |
| Annual depression screening | 118 | $18 | $23 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
113 | $125 | $167 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
91 | $29 | $52 |
| Nursing facility visit, low complexity A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care. |
75 | $56 | $89 |
| Home visit, established patient, low complexity A physician visits an existing patient at their residence to provide care involving a low level of medical decision making. The visit lasts at least 30 minutes. |
69 | $53 | $108 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
62 | $2 | $5 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
55 | $10 | $30 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
55 | $35 | $57 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
53 | $127 | $186 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
48 | $1 | $11 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
42 | $43 | $80 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
35 | $213 | $356 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
33 | $8 | $16 |
| Initial nursing facility care, high complexity An initial visit by a healthcare provider to a patient in a nursing facility involving a high level of medical decision making, lasting at least 45 minutes. |
31 | $143 | $265 |
| Behavioral health care management, 20+ minutes This service involves clinical staff time directed by a healthcare professional to manage behavioral health conditions. It requires at least 20 minutes of dedicated clinical staff time. |
28 | $33 | $85 |
| Urine microalbumin test A laboratory test that measures the amount of a specific protein called microalbumin in a urine sample. This analysis helps assess kidney function. |
27 | $6 | $9 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
26 | $281 | $330 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
25 | $36 | $123 |
| Influenza virus nucleic acid detection test A laboratory test that uses nucleic acid technology to detect multiple types of influenza virus. |
22 | $94 | $125 |
| COVID-19 vaccine (Pfizer bivalent) Administration of a 30 mcg dose of the SARS-CoV-2 vaccine via intramuscular injection. |
22 | $128 | $170 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
20 | $25 | $39 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
19 | $10 | $24 |
| COVID-19 amplified DNA/RNA probe detection A laboratory test that uses amplified DNA or RNA probes to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) antigen. |
17 | $50 | $100 |
| Home visit, established patient, high complexity A home visit for an established patient involving high-level medical decision making, lasting at least 60 minutes. |
16 | $146 | $229 |
| COVID-19 vaccine administration Administration of a single dose of the coronavirus vaccine. |
15 | $40 | $52 |
| Vaccine administration The process of giving a vaccine to a patient. This code covers the administration service only and does not include the cost of the vaccine itself. |
14 | $15 | $32 |
| COVID-19 immunoassay detection test A laboratory test that uses an immunoassay method to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) through direct visual observation. |
13 | $41 | $54 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
12 | $30 | $35 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
11 | $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
Geographic Context
Family medicine physicians within 10 mi
922
Per 100K population
194.1
County median income
$83,030
Nearest hospital
OVIEDO MEDICAL CENTER
7.2 mi
7.2 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/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), with low-engagement industry engagement in the top 9% of FL peers, with 19 years of NPI registration.
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 medicine physicians 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 →
Explore related providers
Specialty guide
Understanding Family Medicine
Common procedures, typical costs, and what industry payments mean in family medicine.
Same specialty & city
Family Medicine Physicians in Casselberry
Browse family medicine physicians in Casselberry ranked by procedure volume and transparency data.
Highest volume
Top Family Medicine Physicians in FL
Family medicine physicians ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Family Medicine Physicians in FL
Which FL family medicine physicians receive the most from drug and device companies.
By company
Astellas Pharma US Inc Payments to Doctors
See all physicians who received payments from Astellas Pharma US Inc.
By company
Janssen Pharmaceuticals, Inc Payments to Doctors
See all physicians who received payments from Janssen Pharmaceuticals, Inc.
By company
Amgen Inc. Payments to Doctors
See all physicians who received payments from Amgen Inc.
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