Active NPI 1407056906 Individual Practitioner Male Practitioner

Dr. Krishnakumar R Muthu , MD

Internal Medicine • Dallas, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Krishnakumar Muthu, MD is a certified Internal Medicine practicing in Dallas, TX. With approximately 28 years of clinical experience since completing medical education in 1998, Dr. Muthu delivers high-quality medical care to the local community at 12221 MERIT DRIVE.

Dr. Muthu maintains professional affiliations with Hospitalist Medicine Physicians Of Texas - Burnet Pllc, Hospitalist Medicine Physicians Of Texas Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12221 Merit Drive
Suite 1500

Dallas, TX 752512202

Telephone 2142171911

Fax 2142171912

Associated Practice Facility / Clinic

🏢 Questcare Obstetrics Pllc Facility NPI 1124291661

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Dallas, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +6.7 yrs vs City Avg

City Avg: 21.3 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

989 Specialists

Practicing in Dallas, TX (9538 Statewide)

Telehealth Adoption Rate

20.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

84.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Muthu (28 Years) 28 Yrs

Dallas Specialty Average (21.3 Years) 21.3 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	506	471	$956.91	$164.27
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	33	20	$671.06	$113.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	18	$474.87	$75.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$828.80	$122.14
99497 Advance care planning, first 30 minutes	17	17	$546.00	$72.00
99239 Hospital discharge day management, more than 30 minutes	16	16	$689.63	$108.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	524	490	$792.69	$166.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	55	$655.32	$124.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	28	$279.09	$76.46
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	34	19	$662.53	$116.30
99239 Hospital discharge day management, more than 30 minutes	14	14	$485.50	$111.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	514	494	$797.00	$189.76
99220 Hospital observation care, typically 70 minutes	37	37	$1609.11	$171.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$650.00	$129.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	16	$485.75	$69.61
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	14	$691.74	$99.50
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$482.00	$95.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	655	612	$793.50	$192.60
99220 Hospital observation care, typically 70 minutes	71	71	$1578.35	$175.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	67	67	$603.55	$129.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	30	$93.85	$69.59
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	43	37	$313.57	$100.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	632	600	$806.15	$198.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	123	121	$652.62	$134.91
99220 Hospital observation care, typically 70 minutes	106	106	$1610.51	$181.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	26	$327.17	$71.46
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	21	$477.92	$103.54
99219 Hospital observation care, typically 50 minutes	13	13	$1182.00	$133.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	586	553	$795.92	$196.06
99220 Hospital observation care, typically 70 minutes	189	187	$1611.40	$179.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	172	170	$650.00	$133.13
99219 Hospital observation care, typically 50 minutes	63	62	$1182.00	$132.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	34	$196.23	$71.33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	32	24	$299.17	$101.83
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	14	14	$1896.00	$211.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	614	582	$741.00	$191.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	161	159	$565.11	$128.35
99220 Hospital observation care, typically 70 minutes	148	147	$1442.90	$175.01
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	132	119	$41.41	$8.29
99219 Hospital observation care, typically 50 minutes	52	52	$673.26	$126.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	21	$362.38	$69.50
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$441.70	$95.38
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	15	$546.04	$100.18
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	14	14	$1656.01	$206.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	411	395	$751.61	$189.69
99220 Hospital observation care, typically 70 minutes	155	151	$1531.50	$174.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	111	110	$593.15	$128.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	39	$402.86	$68.22
99219 Hospital observation care, typically 50 minutes	42	42	$1030.55	$128.03
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	36	29	$530.37	$98.46
99221 Initial hospital inpatient care per day, typically 30 minutes	24	24	$330.19	$96.29
99239 Hospital discharge day management, more than 30 minutes	18	18	$592.82	$101.16

Medical Specialties & State Licenses

CMS Verified: 2023-06-09

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX N6517

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.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License SD 7091

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License TX N6517

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

6005702 (SD)

Medicaid State Provider ID

6005700 (SD)

Medicaid State Provider ID

46022474331 (NE)

Medicaid State Provider ID

140756906 (IA)

Commercial Insurance / Payer ID Sd Blue Cross

4992481 (SD)

Commercial Insurance / Payer ID Rr Medicare

P00450058 (SD)

Commercial Insurance / Payer ID Dakotacare

7091 (SD)

Hospital & Practice Group Affiliations

Hospitalist Medicine Physicians Of Texas - Burnet Pllc

5016 S Us Hwy 75, Denison, TX 750204584

Phone: 9034164000

Hospitalist Medicine Physicians Of Texas Pllc

1500 S Main St, Fort Worth, TX 761044917

Phone: 8177023431

Secondary Practice Locations

800 E Dawson St

Tyler, TX 757012036

Phone: 9036067264

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Matthew Tice , MD

Emergency Medicine

NPI 1003175233

Doctor of Medicine (M.D.)

Simone Hesson , PA

Physician Assistant

NPI 1003209925

Physician Assistant

Michael Harris , PA

Physician Assistant

NPI 1013295948

Physician Assistant

Dr. David Woodkotch , MD

Emergency Medicine

NPI 1023308178

Doctor of Medicine (M.D.)

Jose Rodriguez , PA

Physician Assistant

NPI 1033198866

Physician Assistant

Paul Clair , PA

Physician Assistant

NPI 1043587066

Physician Assistant

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2023

Hospitalist (License #7091 in SD)

✅

NPI Profile Active March 04, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 04, 2015

Registered at 12221 MERIT DRIVE, SUITE 1500, DALLAS, TX 752512202 (Tel: 2142171911)

📍

Updated Business Mailing Address March 04, 2015

Registered at 12221 MERIT DRIVE, SUITE 1500, DALLAS, TX 752512202 (Tel: 2142171911)

👤

Provider Name / Credentials Updated March 04, 2015

Recorded as KRISHNAKUMAR MUTHU, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2015

Internal Medicine (License #N6517 in TX)

🟢

Initial NPI Registration & Enumeration July 23, 2007

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: 1407056906

Entity Type:

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

Enumeration Date: July 23, 2007

Last Update: June 09, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

12221 Merit Drive, Suite 1500

Dallas, TX 752512202

Phone: 2142171911

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.