Active NPI 1093931974 Individual Practitioner Female Practitioner

Mithula Rao Gopalam

Internal Medicine • Georgetown, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Mithula Gopalam is a certified Internal Medicine practicing in Georgetown, TX. With approximately 21 years of clinical experience since completing medical education in 2005, Mithula Gopalam delivers high-quality medical care to the local community at 4945 WILLIAMS DR.

Mithula Gopalam is affiliated with Scott And White Clinic and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

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, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4945 Williams Dr

Georgetown, TX 786332008

Telephone 5128190500

Fax 5128190520

Associated Practice Facility / Clinic

🏢 Baylor Scott & White Health Enterprises, Inc. Facility NPI 1003984071

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Georgetown, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +3.0 yrs vs City Avg

City Avg: 18.0 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

38 Specialists

Practicing in Georgetown, TX (9538 Statewide)

Telehealth Adoption Rate

42.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

56.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gopalam (21 Years) 21 Yrs

Georgetown Specialty Average (18.0 Years) 18.0 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	531	362	$209.00	$92.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	448	304	$280.00	$137.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	409	409	$219.00	$123.65
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	212	169	$32.29	$15.73
99213 Established patient office or other outpatient visit, typically 15 minutes	175	148	$142.00	$62.93
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	32	30	$126.00	$50.91
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	29	18	$98.00	$39.78
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	16	15	$61.77	$29.86
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$391.00	$124.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$85.00	$33.74
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$331.00	$157.59

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	561	382	$209.00	$93.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	420	295	$280.00	$137.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	402	402	$219.00	$123.58
99213 Established patient office or other outpatient visit, typically 15 minutes	166	147	$142.00	$63.47
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	41	41	$399.00	$166.42
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	25	22	$126.00	$49.97
99443 Telephone medical discussion with physician, 21-30 minutes	22	22	$178.00	$93.24
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	22	22	$391.00	$125.59
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$331.00	$158.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$85.00	$34.25

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	546	353	$209.00	$95.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	446	336	$280.00	$140.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	327	327	$219.00	$126.48
99213 Established patient office or other outpatient visit, typically 15 minutes	158	138	$142.00	$64.53
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	61	61	$399.00	$177.29
99443 Telephone medical discussion with physician, 21-30 minutes	32	32	$177.81	$95.34
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	21	$126.00	$51.09
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	15	12	$98.00	$39.55
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$391.00	$129.01

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	368	228	$209.00	$96.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	274	185	$280.00	$142.19
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	240	240	$219.00	$128.57
99213 Established patient office or other outpatient visit, typically 15 minutes	171	144	$142.00	$65.73
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	120	49	$261.00	$130.71
99443 Telephone medical discussion with physician, 21-30 minutes	95	71	$177.74	$97.69
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	90	43	$175.00	$88.11
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	81	29	$175.00	$88.11
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	71	27	$261.00	$130.71
99336 Established patient assisted living visit, typically 40 minutes	67	43	$260.00	$131.41
99306 Initial nursing facility visit, typically 45 minutes per day	60	60	$325.00	$161.17
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	57	45	$126.00	$51.39
99335 Established patient assisted living visit, typically 25 minutes	49	33	$183.00	$92.77
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	41	26	$98.00	$39.84
99316 Nursing facility discharge management, more than 30 minutes	30	30	$203.00	$101.60
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	25	15	$163.00	$81.26
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	21	13	$169.08	$66.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$85.00	$35.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$322.00	$132.40
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	18	16	$247.00	$125.01
99306 Initial nursing facility visit, typically 45 minutes per day	14	14	$325.00	$161.17

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	524	264	$209.00	$78.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	243	243	$219.00	$114.58
99213 Established patient office or other outpatient visit, typically 15 minutes	157	126	$142.00	$51.12
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	127	57	$261.00	$134.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	120	102	$280.00	$111.61
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	105	50	$175.00	$90.63
99335 Established patient assisted living visit, typically 25 minutes	86	45	$183.00	$95.38
99336 Established patient assisted living visit, typically 40 minutes	81	46	$260.00	$134.88
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	74	58	$126.00	$52.59
99443 Telephone medical discussion with physician, 21-30 minutes	56	49	$108.28	$78.76
99306 Initial nursing facility visit, typically 45 minutes per day	52	50	$325.00	$166.37
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	38	19	$169.08	$68.58
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	36	25	$175.00	$91.24
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	33	17	$98.00	$40.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$322.00	$128.31
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	29	19	$163.00	$83.89
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	22	15	$247.00	$128.48
99337 Established patient assisted living visit, typically 60 minutes	12	11	$373.00	$194.86

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	501	249	$209.41	$77.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	232	232	$219.00	$113.60
99213 Established patient office or other outpatient visit, typically 15 minutes	193	138	$142.00	$50.27
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	133	52	$175.00	$90.00
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	108	53	$261.00	$133.38
99336 Established patient assisted living visit, typically 40 minutes	105	58	$260.00	$134.09
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	60	47	$126.00	$51.35
99335 Established patient assisted living visit, typically 25 minutes	56	39	$183.00	$94.18
99306 Initial nursing facility visit, typically 45 minutes per day	55	53	$325.00	$164.51
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	42	28	$169.08	$67.67
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	28	20	$98.00	$40.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$322.00	$127.26
99337 Established patient assisted living visit, typically 60 minutes	15	14	$373.00	$192.31
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	14	13	$117.00	$59.87
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$399.00	$166.05

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	355	184	$209.00	$76.49
99213 Established patient office or other outpatient visit, typically 15 minutes	311	185	$142.00	$50.04
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	171	171	$219.00	$112.32
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	153	39	$175.00	$89.02
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	115	39	$169.08	$67.44
99335 Established patient assisted living visit, typically 25 minutes	74	43	$183.00	$93.12
99336 Established patient assisted living visit, typically 40 minutes	64	35	$260.00	$133.16
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	55	40	$126.00	$51.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$322.00	$126.29
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	40	20	$261.00	$132.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$85.00	$24.53
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	18	15	$117.00	$58.66
99306 Initial nursing facility visit, typically 45 minutes per day	18	15	$325.00	$162.60
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	16	13	$98.00	$40.09
99496 Transitional care management services for problem of high complexity	14	11	$450.00	$156.21
99337 Established patient assisted living visit, typically 60 minutes	13	12	$373.00	$188.75
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$331.00	$165.67

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	311	196	$209.00	$76.32
99213 Established patient office or other outpatient visit, typically 15 minutes	233	156	$142.00	$49.45
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	184	58	$159.74	$66.57
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	148	51	$175.00	$88.14
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	106	39	$152.20	$66.68
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	89	36	$175.00	$88.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	66	66	$219.00	$110.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$322.00	$126.05
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	43	24	$86.00	$43.11
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	35	20	$86.00	$43.03
99336 Established patient assisted living visit, typically 40 minutes	29	15	$260.00	$132.25
99306 Initial nursing facility visit, typically 45 minutes per day	28	26	$325.00	$161.44
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	25	22	$126.00	$51.34
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	19	12	$261.00	$131.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$85.00	$24.72

Medical Specialties & State Licenses

CMS Verified: 2021-12-16

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX N3685

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.

Hospital & Practice Group Affiliations

Scott And White Clinic

1701 E Pflugerville Pkwy, Pflugerville, TX 786608990

Phone: 5122596000

Practice Associates & Co-Workers

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

37 Associated Practitioners

Dr. Jennifer Clark , MD

Internal Medicine

NPI 1003876095

Doctor of Medicine (M.D.)

Lillie Grantham , PA

Physician Assistant

NPI 1023818143

Physician Assistant

Dr. Jennifer Tsou , OD

Optometrist

NPI 1033171509

Doctor of Optometry

Dr. Anita D'mello , MD

Internal Medicine

NPI 1043236581

Doctor of Medicine (M.D.)

Dr. Matthew Walters , DC

Chiropractor

NPI 1063888923

Doctor of Chiropractic

Dr. Omer Yavuz , MD

Internal Medicine

NPI 1073076204

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location August 28, 2019

Registered at 4945 WILLIAMS DR, GEORGETOWN, TX 786332008 (Tel: 5128190500)

📍

Updated Business Mailing Address August 28, 2019

Registered at PO BOX 844658, DALLAS, TX 752844658

✅

NPI Profile Active April 04, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location April 04, 2012

Registered at 2401 S 31ST ST, DEPT. OF MEDICINE CHAIRMAN'S OFFICE, TEMPLE, TX 765080001 (Tel: 2542150600)

📍

Updated Business Mailing Address April 04, 2012

Registered at 513 CENTERBROOK PL, ROUND ROCK, TX 786651453 (Tel: 5125652533)

👤

Provider Name / Credentials Updated April 04, 2012

Recorded as MITHULA GOPALAM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2012

Internal Medicine (License #N3685 in TX)

🟢

Initial NPI Registration & Enumeration April 18, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1093931974

Entity Type:

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

Enumeration Date: April 18, 2007

Last Update: December 16, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 844658

Dallas, TX 752844658

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.