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Medicare + 7 Networks
Telehealth
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About Dr. Venkataraman Balaraman
Background and practice information
Dr. Venkataraman Balaraman is a pediatrician with over 45 years of clinical experience serving patients in the Honolulu, HI area. He completed his medical training at Other and has been in practice since 1981. He currently practices at Kapiolani Medical Specialists.
Dr. Venkataraman Balaraman's clinical practice focuses on providing patient consultations.
Dr. Venkataraman Balaraman has received a strong quality rating of 85.8 out of 100 from Medicare's quality assessment program, reflecting a commitment to evidence-based care. Dr. Venkataraman Balaraman is in-network with 7 insurance providers, including Aetna, BCBS Hawaii, Cigna, and 4 more. Patients are encouraged to verify coverage with his office before scheduling an appointment.
At a Glance
Education
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Claim this profilePractice Locations
2 locations
Kapiolani Medical Specialists
Primary1319 Punahou St
Honolulu, HI 96826
(808) 983-6000
Kapiolani Medical Specialists
1401 S Beretania St
Honolulu, HI 96814
(808) 983-6633
Affiliations
Hospital and facility affiliations
Treatment & Experience
Clinical practice and procedure experience for Dr. Venkataraman Balaraman
Services & Procedures
Dr. Venkataraman Balaraman's clinical practice encompasses office visits.
Office Visits
14 servicesDr. Venkataraman Balaraman provides patient consultations ranging from routine follow-ups to comprehensive evaluations, with new patient visit being a key part of his practice. Medicare patients typically pay significantly less than the standard charge for these services, with Medicare-approved rates averaging 73% below the billed amount.
Source: CMS Medicare Provider Utilization and Payment Data, 2023.
Insurance Networks
Accepted insurance plans and networks
Dr. Venkataraman Balaraman accepts 40 plans from 7 insurers, including Cigna, UnitedHealthcare, Aetna.
Source: CMS Transparency in Coverage filings (March 2026). Network participation may change — verify with the provider's office before scheduling.
Quality & Safety
CMS quality performance and patient safety measures
High Performing
CMS Quality Score · Out of 100
Dr. Balaraman received a quality score of 85.8 out of 100 from the Centers for Medicare & Medicaid Services (CMS), which evaluates pediatricians on clinical quality, patient safety, and use of health information technology. A score above 75 is considered high-performing by CMS standards. This score reflects Dr. Balaraman's commitment to maintaining strong standards of care for patients in Honolulu, HI.
Clinical Quality
83.0/100Measures the quality of care provided based on clinical outcomes and patient safety
Cost Efficiency
69.7/100Evaluates how efficiently healthcare resources are used while maintaining quality
Health IT Adoption
100.0/100Measures adoption of electronic health records and patient access to health information
Care Improvement
40.0/40Reflects participation in activities that improve clinical practice and patient engagement
Source: CMS Merit-based Incentive Payment System
Research & Academic Activity
Dr. Venkataraman Balaraman has contributed to medical research, participating in 1 clinical trial and receiving $0.6M in NIH research funding across 1 grant.
Clinical Trials
NIH Research Funding
HAWAII CLINICAL RESEARCH NETWORK FOR HEALTH EQUITY
Sources: ClinicalTrials.gov, NIH RePORTER. Name-based matching may include other researchers with similar names.
Patient Reviews
Reviews and ratings from patients
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About Pediatric Medicine
Specialty overview and common conditions
A pediatrician is a medical doctor (M.D. or D.O.) who specializes in the health, growth, and development of children from birth through adolescence, typically until age 18-21. Pediatricians provide preventive care, diagnose and treat childhood illnesses, monitor developmental milestones, and offer g...
Common conditions treated by pediatric medicine specialists:
- Upper Respiratory Infections (URIs) and Common Cold
- Ear Infections (Otitis Media)
- Asthma
- Gastroenteritis (Stomach Flu)
Frequently Asked Questions
Common questions about Venkataraman Balaraman
Does Dr. Balaraman accept Medicare?
Yes, Dr. Balaraman accepts Medicare assignment. Patients with Medicare coverage can see Dr. Balaraman and typically pay less out of pocket when using a provider who accepts Medicare assignment.
What insurance does Dr. Balaraman accept?
Dr. Balaraman is in-network with 7 insurance providers, including Aetna, BCBS Hawaii, Cigna, Medicare, Oxford Health Plans (UHC), and 2 more. Insurance networks can change, so patients should verify their specific plan coverage directly with Dr. Balaraman's office before scheduling.
Does Dr. Balaraman offer telehealth or virtual appointments?
Dr. Balaraman does not currently list telehealth services. For virtual care options, contact the office directly or consider other pediatric medicine providers in Honolulu who offer telehealth.
What conditions does Dr. Balaraman treat?
As a pediatric medicine specialist, Dr. Balaraman commonly treats conditions including upper respiratory infections (uris) and common cold, ear infections (otitis media), asthma, gastroenteritis (stomach flu), skin conditions (eczema, diaper rash, rashes), and other related health concerns. Contact the office to discuss your specific healthcare needs.
What is Dr. Balaraman's quality rating?
Dr. Balaraman has received a strong quality score of 85.8 out of 100 from the Centers for Medicare & Medicaid Services (CMS) through the Merit-based Incentive Payment System (MIPS). This score reflects performance across quality measures, promoting interoperability, improvement activities, and cost efficiency.
Where did Dr. Balaraman go to medical school?
Dr. Balaraman completed medical training at Other and has been practicing since 1981, bringing over 45 years of clinical experience.
Where is Dr. Balaraman's office located?
Dr. Balaraman practices at 1319 PUNAHOU ST, Honolulu, HI 96826 at KAPIOLANI MEDICAL SPECIALISTS. You can reach the office by calling (808) 983-6000.
How do I make an appointment with Dr. Balaraman?
To schedule an appointment with Dr. Balaraman, call the office at (808) 983-6000. New patients should have their insurance information and medical records ready when calling.
Data source: CMS National Provider Registry ·
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Medical Disclaimer: This content is for informational purposes only and is not a substitute for professional medical advice. Learn more about our editorial standards