Dr. Ajay Kottapalli, MD - Internal Medicine in Gallipolis, OH

Professional Overview & Biography Verified Profile Summary

Dr. Ajay Kottapalli, MD is a certified Internal Medicine practicing in Gallipolis, OH. With approximately 36 years of clinical experience since completing medical education in 1990, Dr. Kottapalli delivers high-quality medical care to the local community at 100 JACKSON PIKE.

Dr. Kottapalli is affiliated with Holzer Clinic Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, removal of impacted ear wax. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Jackson Pike

Gallipolis, OH 456311560

Telephone 7404465287

Fax 7404465854

Associated Practice Facility / Clinic

🏢 Holzer Clinic, Llc Facility NPI 1508817248

Medicare Profile & Education

Medical School

Other

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Gallipolis, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +13.3 yrs vs City Avg

City Avg: 22.7 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

20 Specialists

Practicing in Gallipolis, OH (5516 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kottapalli (36 Years) 36 Yrs

Gallipolis Specialty Average (22.7 Years) 22.7 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	289	244	$135.62	$93.03
99213 Established patient office or other outpatient visit, typically 15 minutes	257	220	$91.13	$63.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$319.06	$127.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$184.50	$78.63
69210 Removal of impacted ear wax	11	11	$240.00	$31.32

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	632	491	$131.43	$95.64
99213 Established patient office or other outpatient visit, typically 15 minutes	116	109	$84.00	$64.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	40	$293.12	$140.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$257.00	$69.79
69210 Removal of impacted ear wax	14	14	$240.00	$32.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$300.00	$130.91
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	11	11	$89.00	$8.00

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	742	554	$125.93	$97.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	55	55	$271.25	$144.62
99213 Established patient office or other outpatient visit, typically 15 minutes	45	45	$81.78	$66.40
99443 Telephone medical discussion with physician, 21-30 minutes	37	34	$151.00	$97.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	13	$245.00	$60.01
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	14	14	$85.00	$8.16

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	584	455	$119.64	$98.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	56	56	$189.00	$145.39
99213 Established patient office or other outpatient visit, typically 15 minutes	37	35	$83.57	$66.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$207.00	$135.28
69210 Removal of impacted ear wax	16	16	$220.75	$33.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$234.00	$53.69

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	475	396	$113.36	$79.40
99213 Established patient office or other outpatient visit, typically 15 minutes	30	28	$74.00	$51.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$185.00	$129.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$180.00	$112.22

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	668	514	$106.48	$78.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	121	121	$177.00	$128.10
81003 Automated urinalysis test	72	66	$33.00	$2.45
99213 Established patient office or other outpatient visit, typically 15 minutes	51	48	$71.00	$50.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	49	$172.00	$110.10
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	16	13	$40.00	$9.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$130.81	$75.67
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	11	11	$75.00	$8.46

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	670	489	$101.61	$77.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$171.14	$126.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$125.44	$75.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	64	63	$164.00	$108.72
81003 Automated urinalysis test	35	33	$32.00	$2.73
99213 Established patient office or other outpatient visit, typically 15 minutes	34	33	$70.06	$50.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	33	$146.00	$68.42

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	933	697	$96.00	$76.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$112.00	$75.21
99213 Established patient office or other outpatient visit, typically 15 minutes	78	78	$65.00	$49.82
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$86.00	$49.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	17	$174.52	$56.21
69210 Removal of impacted ear wax	14	14	$84.64	$31.32

Medical Specialties & State Licenses

CMS Verified: 2021-01-21

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35-07-4335

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.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License WV 18873

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

Medicaid State Provider ID

0080104000 (WV)

Medicaid State Provider ID

2088753 (OH)

Commercial Insurance / Payer ID Oh Medicaid Caresource

310917085049 (OH)

Commercial Insurance / Payer ID Molina Medicaid

2088753 (OH)

Commercial Insurance / Payer ID Unison Medicaid

000000185257 (OH)

Commercial Insurance / Payer ID Rr Medicare

110192508

Commercial Insurance / Payer ID Mountain State Bcbs

000357167

Commercial Insurance / Payer ID Anthem Bcbs

000000198554

Hospital & Practice Group Affiliations

Holzer Clinic Llc

100 Jackson Pike, Gallipolis, OH 456311560

Phone: 7404465050

Holzer Clinic Llc

2605 Jackson Ave, Point Pleasant, WV 255501615

Phone: 3046754498

Practice Associates & Co-Workers

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

3 Associated Practitioners

Florah Tackett , CNP

Nurse Practitioner - Family

NPI 1821313354

Certified Nurse Practitioner

Bethany Wolfe , FNP

Nurse Practitioner - Family

NPI 1871962985

Family Nurse Practitioner

Dr. Ben O'kelly , DO

Family Medicine

NPI 1912295338

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location January 21, 2021

Registered at 100 JACKSON PIKE, GALLIPOLIS, OH 456311560 (Tel: 7404465287)

✅

NPI Profile Active February 21, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 21, 2014

Registered at 90 JACKSON PIKE, GALLIPOLIS, OH 456311560 (Tel: 7404465287)

📍

Updated Business Mailing Address February 21, 2014

Registered at 90 JACKSON PIKE, GALLIPOLIS, OH 456311560 (Tel: 7404465287)

👤

Provider Name / Credentials Updated February 21, 2014

Recorded as AJAY KOTTAPALLI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2014

Internal Medicine (License #35-07-4335 in OH)

🟢

Initial NPI Registration & Enumeration May 31, 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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Dr. Ajay K. Kottapalli , MD

Professional Overview & Biography Verified Profile Summary

Practice Location & Contact Primary Location

Medicare Profile & Education

Specialty Benchmarks & Practice Insights

Clinical Seniority & Experience Comparison

Performed Procedures & Service Volume

Medical Specialties & State Licenses

Additional State Medicaid & Healthcare Payer Identifiers

Hospital & Practice Group Affiliations

Holzer Clinic Llc

Holzer Clinic Llc

Practice Associates & Co-Workers

Career & Practice History Timeline

Patient & Community Reviews

NPI Administrative Meta

Mailing Address