Active NPI 1770545501 Individual Practitioner Female Practitioner

Dr. Uthra Kodiyalam , MD

Internal Medicine • Springfield, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Uthra Kodiyalam, MD is a certified Internal Medicine practicing in Springfield, NJ. With approximately 34 years of clinical experience since completing medical education in 1992, Dr. Kodiyalam delivers high-quality medical care to the local community at 55 MORRIS AVE.

Dr. Kodiyalam is affiliated with Optum Medical Care Of New Jersey Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

55 Morris Ave
Suite 300

Springfield, NJ 070811426

Telephone 9733799601

Fax 9734676779

Associated Practice Facility / Clinic

🏢 Diane Chazen, Llc Facility NPI 1053549907

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Springfield, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +2.4 yrs vs City Avg

City Avg: 31.6 Yrs

State Avg: 30.1 Yrs

Regional Practice Density

11 Specialists

Practicing in Springfield, NJ (4957 Statewide)

Telehealth Adoption Rate

18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kodiyalam (34 Years) 34 Yrs

Springfield Specialty Average (31.6 Years) 31.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	267	104	$430.00	$118.85
99213 Established patient office or other outpatient visit, typically 15 minutes	40	34	$305.00	$86.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	22	22	$435.00	$112.64
G0008 Administration of influenza virus vaccine	20	19	$105.00	$35.50
90662 Influenza vaccine split virus, preservative free	17	17	$220.00	$81.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	231	91	$373.94	$138.54
99213 Established patient office or other outpatient visit, typically 15 minutes	58	45	$260.52	$99.06
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$388.05	$136.61
G0008 Administration of influenza virus vaccine	17	15	$95.29	$33.97
90662 Influenza vaccine split virus, preservative free	13	11	$210.00	$71.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	251	98	$360.00	$136.86
99213 Established patient office or other outpatient visit, typically 15 minutes	187	85	$245.00	$99.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	70	70	$380.00	$143.87
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	20	18	$100.00	$45.67
G0008 Administration of influenza virus vaccine	18	18	$50.00	$33.73
90662 Influenza vaccine split virus, preservative free	17	17	$90.00	$64.32
93000 Routine ekg using at least 12 leads including interpretation and report	13	12	$55.00	$16.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	333	109	$360.00	$138.25
99213 Established patient office or other outpatient visit, typically 15 minutes	87	56	$245.00	$100.13
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	65	65	$380.00	$149.10
G0008 Administration of influenza virus vaccine	41	41	$50.00	$18.58
90662 Influenza vaccine split virus, preservative free	39	39	$90.00	$61.91
99442 Telephone medical discussion with physician, 11-20 minutes	20	15	$160.00	$103.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	249	135	$360.00	$119.12
99213 Established patient office or other outpatient visit, typically 15 minutes	193	95	$245.00	$81.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	80	80	$380.00	$128.48
G0008 Administration of influenza virus vaccine	37	37	$50.00	$19.01
99442 Telephone medical discussion with physician, 11-20 minutes	32	21	$124.38	$77.93
90662 Influenza vaccine split virus, preservative free	29	29	$90.00	$58.88
G0009 Administration of pneumococcal vaccine	26	26	$30.00	$18.21
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	24	18	$85.00	$13.42
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	19	14	$15.00	$1.82
90670 Pneumococcal vaccine for injection into muscle	16	16	$200.00	$186.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$360.00	$121.57
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$55.00	$19.42
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$150.00	$98.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	367	145	$215.33	$116.93
99213 Established patient office or other outpatient visit, typically 15 minutes	83	57	$167.17	$80.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	79	79	$234.68	$128.48
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	42	30	$47.02	$18.34
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	30	18	$19.33	$1.74
G0008 Administration of influenza virus vaccine	30	28	$44.67	$18.67
G0009 Administration of pneumococcal vaccine	22	22	$30.00	$18.67
90670 Pneumococcal vaccine for injection into muscle	19	19	$236.84	$201.27
90653 Vaccine for influenza for injection into muscle	12	11	$125.00	$53.48
93000 Routine ekg using at least 12 leads including interpretation and report	12	11	$81.25	$19.13
90662 Influenza vaccine split virus, preservative free	11	11	$140.00	$50.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	538	140	$175.00	$118.85
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	107	35	$30.00	$23.37
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	98	31	$20.00	$1.97
99213 Established patient office or other outpatient visit, typically 15 minutes	81	59	$150.00	$80.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	80	80	$175.00	$129.59
G0008 Administration of influenza virus vaccine	43	42	$40.00	$23.23
93000 Routine ekg using at least 12 leads including interpretation and report	42	39	$90.00	$19.10
90662 Influenza vaccine split virus, preservative free	36	36	$184.44	$51.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	29	$200.00	$160.08
G0009 Administration of pneumococcal vaccine	24	23	$30.00	$23.23
90670 Pneumococcal vaccine for injection into muscle	16	16	$228.13	$198.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	536	117	$175.00	$118.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	167	36	$30.00	$29.16
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	163	35	$20.00	$3.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	65	65	$175.00	$128.27
93000 Routine ekg using at least 12 leads including interpretation and report	61	56	$90.00	$19.08
G0008 Administration of influenza virus vaccine	44	41	$40.00	$29.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	32	$200.00	$158.99
90662 Influenza vaccine split virus, preservative free	37	36	$90.00	$48.05
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$150.00	$80.91
G0009 Administration of pneumococcal vaccine	18	18	$30.00	$29.01
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$100.00	$95.78
G0444 Annual depression screening, 5 to 15 minutes	15	15	$50.00	$20.24
71020 X-ray of chest, 2 views, front and side	15	14	$120.00	$31.74

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NJ MA066933

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License

MA066933 (NJ)

Hospital & Practice Group Affiliations

Optum Medical Care Of New Jersey Pc

324 Palisade Ave, Jersey City, NJ 073071791

Phone: 2013861400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Daniel Preston , MD

Internal Medicine

NPI 1144295668

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 02, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location September 02, 2010

Registered at 55 MORRIS AVE, SUITE 300, SPRINGFIELD, NJ 070811426 (Tel: 9733799601)

📍

Updated Business Mailing Address September 02, 2010

Registered at 21 PRINCETON DR, NEW PROVIDENCE, NJ 079741219 (Tel: 9082860265)

👤

Provider Name / Credentials Updated September 02, 2010

Recorded as UTHRA KODIYALAM, M.D.,

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2010

Internal Medicine (License #MA066933 in NJ)

🟢

Initial NPI Registration & Enumeration April 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770545501

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 05, 2006

Last Update: September 02, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

21 Princeton Dr

New Providence, NJ 079741219

Phone: 9082860265

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.