Dr. Arvind Balavenkataraman, MD

  • Jacksonville, FL
  • Pulmonologist
NPI1275813354PAC ID0648496463
Medicare services, 2024
83
Medicare patients, 2024
104
Part D claims, 2024
248
Publications
13
MIPS score, 2024
84
Practice address
4500 San Pablo Rd, Jacksonville, FL 32224
Practice phone
Call (904) 953-2000
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Mayo Clinic Hospital

Hospital · Jacksonville, Florida

See all 4 affiliations

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Dr. Arvind Balavenkataraman is a pulmonologist in Jacksonville, Florida

Dr. Balavenkataraman practices at Mayo Clinic Hospital in Jacksonville, Florida, part of Mayo Clinic.

Dr. Balavenkataraman's NPI, 1275813354, was assigned on August 22, 2011. Dr. Balavenkataraman graduated from Other in 2009. Dr. Balavenkataraman holds Florida license ME149843.

NPI and contact details
Medicare PAC ID
0648496463
NPI enumeration date
August 22, 2011
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(904) 953-2000
Professional email
Get email
Personal email
Get email
Mobile number
Get number
Sex
Male
Estimated age
43
Medical school graduation
2009

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Arvind Balavenkataraman practices at Mayo Clinic Hospital in Jacksonville, Florida

Dr. Balavenkataraman's primary practice is Mayo Clinic Hospital, at 4500 San Pablo Rd, Jacksonville, FL 32224 in Duval County. The practice phone is (904) 953-2000.

  • Mayo Clinic Hospital
    4500 San Pablo Rd, Jacksonville, FL 32224 · Duval CountyPhone(904) 953-2000

Source: Dmand AI Affiliation Data

Dr. Arvind Balavenkataraman is affiliated with 2 sites of care and 2 medical groups

Dr. Balavenkataraman's primary practice is Mayo Clinic Hospital in Jacksonville, Florida, part of Mayo Clinic. Dr. Balavenkataraman is also affiliated with UF Health Jacksonville. The medical group on file is UF Jacksonville Physicians, Inc. Dmand AI also links Dr. Balavenkataraman to 1 more medical group, named with a free account.

See all 4 affiliations for Dr. Balavenkataraman

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Arvind Balavenkataraman's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Balavenkataraman practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Mayo Clinic HospitalAvailable with a free account
+1 more site and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Arvind Balavenkataraman is one of 934 pulmonologists in Florida

Pulmonary disease is Dr. Balavenkataraman's primary specialty in the NPI Registry, under taxonomy code 207RP1001X. Dr. Balavenkataraman is board certified in critical care medicine by the American Board of Internal Medicine. Dmand AI has Dr. Balavenkataraman's licenses on file in 2 states: Florida and Illinois.

Specialties and state licenses

  • Pulmonary disease, FloridaPrimaryLicense ME149843 · 2021 to 2027 · taxonomy 207RP1001X
  • Illinois license2014 to 2023

Clinical focus

Dmand AI lists asthma, bronchitis, chronic lung disease, chronic obstructive pulmonary disease (COPD), pulmonary heart disease and upper respiratory infection (URI) among the conditions Dr. Balavenkataraman treats.

Pulmonologists near Dr. Balavenkataraman

Counts of pulmonologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Arvind Balavenkataraman billed Medicare for 83 services in 2024

CMS data shows 83 Medicare services from Dr. Balavenkataraman across 3 procedure codes in 2024, for 104 Medicare patients. Medicare paid $12,101 for them.

Medicare services, 202483
Medicare patients104
Paid by Medicare$12,101
Procedure codes3

Dr. Balavenkataraman's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 622024: 8334%

Where Dr. Balavenkataraman's Medicare services took place, 2024

  • In an office3542%
  • In a facility4858%

Dr. Balavenkataraman compared with the Florida median for pulmonologists, 2024

  • Dr. Balavenkataraman
  • Florida median
Medicare services
83vs 1,00292% below
Medicare patients
104vs 40875% below
Part D claims
157vs 63775% below

Medians across 895 pulmonologists in Florida with Dmand AI profiles that report each measure.

Dr. Balavenkataraman's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Balavenkataraman

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Arvind Balavenkataraman treated 104 Medicare patients in 2024, average age 73

CMS counts 104 Medicare patients who saw Dr. Balavenkataraman in 2024. The largest group is 65 to 74, with 42 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 21% are also on Medicaid. Their average risk score is 2.16, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Balavenkataraman's median patient age at 69, with 60% women.

Medicare patients, 2024104
Average age73
Average risk score2.16
Also on Medicaid21%

Dr. Balavenkataraman's Medicare patients by age, 2024

Dr. Balavenkataraman's Medicare patients by sex, 2024

  • Women4644%
  • Men5856%

Chronic conditions among Dr. Balavenkataraman's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis63%
  4. COPD57%
  5. Ischemic heart disease54%
  6. Anxiety41%
  7. Chronic kidney disease40%
  8. Heart failure39%

Share of Medicare patients with each condition. A patient can have several.

Dr. Balavenkataraman's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 69

Patient panel by sex, all payers

  • Women60%
  • Men39%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Arvind Balavenkataraman wrote 248 Medicare Part D claims in 2024

In 2024, Dr. Balavenkataraman wrote 248 Medicare Part D claims for 72 patients. 55% of them were for generic drugs. CMS names the drug for 157 of them, across 10 drugs with 11 or more claims each, at $22,594 in total drug cost. In 2023, CMS named 64 claims across 4 drugs.

Part D claims, 2024248
Drugs named by CMS10
Total drug cost$22,594
Part D patients72

Dr. Balavenkataraman's Part D claims by kind of drug, 2024

  • Generic136 claims55%
  • Brand-name112 claims45%

Dr. Balavenkataraman's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Balavenkataraman's Part D claims, 2024

  • Antibiotics8%20 of 248 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 642024: 157145%

Drugs named by CMS: 10 in 2024, 4 in 2023.

See all prescribing by Dr. Balavenkataraman

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Arvind Balavenkataraman scored 84 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 84 out of 100 for Dr. Balavenkataraman for performance year 2024, reported as part of a group. Dr. Balavenkataraman accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Balavenkataraman's MIPS scores, performance year 2024

  • 84of 100Final score
  • 74.8of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 73of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. Arvind Balavenkataraman has 13 publications on record

Dmand AI links 13 papers to Dr. Balavenkataraman, published from 2012 to 2025. 2024 was the busiest year, with 5. The most frequent topics are COVID-19 and Plasma Volume. Dr. Balavenkataraman has published most often in Lung India. Dr. Balavenkataraman's most frequent co-authors are Prasanth Balasubramanian, MD, Scott A. Helgeson, MD and Neal Mahesh Patel, MD.

Papers13
Years published2012 to 2025

Dr. Balavenkataraman's papers by year, 2012 to 2025

Topics Dr. Balavenkataraman writes about most

  • COVID-19
  • Plasma Volume

Dr. Balavenkataraman's most frequent co-authors

Recent publications by Dr. Balavenkataraman

See all 13 publications and co-authors

See who Dr. Balavenkataraman researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Balavenkataraman works with, so you can find a warm path to the right pulmonologists.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Arvind Balavenkataraman received $154 in industry payments from 2022 to 2025

CMS Open Payments shows 4 general payments to Dr. Balavenkataraman from 4 drug and device companies from 2022 to 2025. Food and beverage make up the largest share, 100% of the total. Regeneron Pharmaceuticals, Inc. paid the most, $104.

General payments to Dr. Balavenkataraman by program year, 2022 to 2025

Companies that paid Dr. Balavenkataraman the most, 2022 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Balavenkataraman

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Arvind Balavenkataraman graduated from Other

Dr. Balavenkataraman graduated from Other in 2009.

  1. Medical schoolOther
  2. Board certified in critical care medicineAmerican Board of Internal Medicine
  3. Board certified in internal medicineAmerican Board of Internal Medicine
  4. Board certified in pulmonary diseaseAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Dr. Arvind Balavenkataraman accepts plans from 7 insurance carriers

Dr. Balavenkataraman is in network with 7 carriers, including Elevance, Aetna and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 4. Check the plan with the practice before a visit.

  • Elevance
  • Aetna
  • Blue Cross Blue Shield of Michigan
  • United Healthcare
  • Blue Cross and Blue Shield of Kansas City
  • CMS Medicare
  • HCSC

Plan types Dr. Balavenkataraman accepts, by number of carriers

  1. Medicare4
  2. POS4
  3. PPO4
  4. EPO3
  5. HMO3
  6. Medicaid1

Source: Dmand AI Insurance Network Data

Sources for Dr. Arvind Balavenkataraman's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Arvind Balavenkataraman

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Arvind Balavenkataraman's NPI number?

Dr. Arvind Balavenkataraman's NPI number is 1275813354. It was assigned on August 22, 2011, and it is active in the NPI Registry.

What kind of doctor is Dr. Arvind Balavenkataraman?

Dr. Arvind Balavenkataraman is a pulmonologist in Jacksonville, Florida. The primary specialty in the NPI Registry is Pulmonary Disease Physician (taxonomy code 207RP1001X).

Where does Dr. Arvind Balavenkataraman practice?

Dr. Balavenkataraman practices at 4500 San Pablo Rd, Jacksonville, FL 32224. Dr. Balavenkataraman's primary practice is Mayo Clinic Hospital in Jacksonville, Florida, part of Mayo Clinic. Dmand AI also links Dr. Balavenkataraman to 1 medical group.

What is Dr. Arvind Balavenkataraman's office phone number?

The practice phone on file for Dr. Balavenkataraman is (904) 953-2000.

What is Dr. Arvind Balavenkataraman's medical license number?

Dr. Balavenkataraman holds Florida license ME149843, one of the licenses on file in 2 states.

Which states has Dr. Arvind Balavenkataraman been licensed in?

Dmand AI has state licenses on file for Dr. Balavenkataraman in Florida (2021 to 2027) and Illinois (2014 to 2023).

Which hospitals is Dr. Arvind Balavenkataraman affiliated with?

Dr. Balavenkataraman practices at Mayo Clinic Hospital in Jacksonville, Florida. Dr. Balavenkataraman is also affiliated with UF Health Jacksonville.

What medical group is Dr. Arvind Balavenkataraman part of?

Dr. Balavenkataraman is linked to UF Jacksonville Physicians, Inc. Dmand AI links Dr. Balavenkataraman to 1 more medical group.

Does Dr. Arvind Balavenkataraman accept Medicare?

Yes. CMS data shows Dr. Balavenkataraman billed Medicare for 83 services in 2024, and Dr. Balavenkataraman accepts Medicare assignment.

What is Dr. Arvind Balavenkataraman's MIPS score?

Dr. Balavenkataraman's MIPS final score for performance year 2024 is 84 out of 100, reported as part of a group.

Show 10 more questionsShow fewer questions

How many Medicare patients does Dr. Arvind Balavenkataraman see?

CMS counts 104 Medicare patients who saw Dr. Balavenkataraman in 2024, with an average age of 73.

Is Dr. Arvind Balavenkataraman board certified?

Yes. Dr. Balavenkataraman is board certified in critical care medicine by the American Board of Internal Medicine.

What services does Dr. Arvind Balavenkataraman bill to Medicare?

In 2024, Dr. Balavenkataraman's most billed Medicare services were critical care (99291), office visit, established patient (99215) and office visit, established patient (99214).

Where did Dr. Arvind Balavenkataraman go to medical school?

Dr. Balavenkataraman graduated from Other in 2009.

What drugs does Dr. Arvind Balavenkataraman prescribe most?

In 2024 Medicare Part D data, Dr. Balavenkataraman's most prescribed drugs by claims were Prednisone, Mycophenolate Mofetil and Ventolin Hfa.

Has Dr. Arvind Balavenkataraman received payments from drug or device companies?

CMS Open Payments shows $154 in general payments to Dr. Balavenkataraman from 4 companies from 2022 to 2025. The largest total came from Regeneron Pharmaceuticals, Inc.

How long has Dr. Arvind Balavenkataraman been practicing?

Dr. Balavenkataraman graduated from medical school in 2009, 17 years ago.

Does Dr. Arvind Balavenkataraman do research?

Dmand AI links 13 publications to Dr. Balavenkataraman, published from 2012 to 2025.

Who does Dr. Arvind Balavenkataraman publish with?

Dr. Balavenkataraman's most frequent co-authors are Prasanth Balasubramanian, MD (5 shared papers), Scott A. Helgeson, MD (5 shared papers) and Neal Mahesh Patel, MD (5 shared papers).

What insurance does Dr. Arvind Balavenkataraman accept?

Dr. Balavenkataraman is in network with 7 carriers, including Elevance, Aetna and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 4. Check the plan with the practice before a visit.

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