Active NPI 1104076389 Individual Practitioner Female Practitioner

Dr. Supraja R. Gulla , MD

Internal Medicine • Georgetown, TX

Professional Overview & Biography Verified Profile Summary

Dr. Supraja Gulla, MD is a registered healthcare professional specializing in Internal Medicine in Georgetown, TX. Practice services are available at 4945 WILLIAMS DR under active NPI credentials.

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, new patient outpatient office visit. 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 3179622894

Associated Practice Facility / Clinic

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

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Georgetown, TX

Active Practitioner

Practitioner Clinical Experience

Active

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

In-Person Office Visits Only

Medicare Pricing Discount

54.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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	509	268	$209.00	$92.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	165	129	$280.00	$137.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	119	119	$219.00	$123.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$322.00	$127.32
99213 Established patient office or other outpatient visit, typically 15 minutes	43	39	$142.00	$62.97
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$399.00	$173.31
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	12	11	$32.29	$15.75

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	163	119	$209.00	$93.58
99213 Established patient office or other outpatient visit, typically 15 minutes	69	62	$142.00	$63.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$322.00	$128.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$219.00	$123.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	177	69	$721.13	$99.04
99239 Hospital discharge day management, more than 30 minutes	45	44	$742.34	$101.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	529	186	$741.10	$100.34
99239 Hospital discharge day management, more than 30 minutes	141	140	$763.71	$103.04
99497 Advance care planning, first 30 minutes	58	57	$562.59	$76.24
99217 Hospital observation care on day of discharge	17	17	$517.52	$67.06
99226 Subsequent observation care, typically 35 minutes per day	17	14	$746.13	$100.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$1439.50	$194.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	655	245	$741.10	$101.91
99239 Hospital discharge day management, more than 30 minutes	181	176	$763.71	$104.91
99497 Advance care planning, first 30 minutes	77	75	$562.59	$77.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	67	47	$512.49	$71.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	63	62	$1439.50	$198.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	16	$278.86	$38.64
99220 Hospital observation care, typically 70 minutes	19	19	$1318.91	$180.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	766	290	$741.10	$101.60
99239 Hospital discharge day management, more than 30 minutes	229	217	$763.71	$104.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	178	96	$512.49	$71.11
99497 Advance care planning, first 30 minutes	111	106	$443.27	$77.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	54	18	$278.86	$38.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	40	$1439.50	$197.80
99291 Critical care, first 30-74 minutes	22	13	$1587.72	$217.85
99217 Hospital observation care on day of discharge	14	14	$517.52	$71.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	506	207	$741.10	$100.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	287	146	$512.49	$70.42
99239 Hospital discharge day management, more than 30 minutes	194	185	$763.71	$103.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	63	61	$1439.50	$193.47
99497 Advance care planning, first 30 minutes	59	56	$194.70	$76.25
99231 Follow-up hospital inpatient care per day, typically 15 minutes	42	21	$278.86	$37.93
99291 Critical care, first 30-74 minutes	33	29	$1587.72	$215.47
99220 Hospital observation care, typically 70 minutes	25	25	$1318.91	$180.24
99217 Hospital observation care on day of discharge	25	25	$517.52	$70.55
99226 Subsequent observation care, typically 35 minutes per day	23	21	$746.13	$101.67
99225 Subsequent observation care, typically 25 minutes per day	17	13	$517.52	$70.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	468	160	$737.51	$99.91
99239 Hospital discharge day management, more than 30 minutes	110	108	$761.11	$103.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	81	51	$510.57	$69.17
99291 Critical care, first 30-74 minutes	21	11	$1584.15	$216.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$1434.10	$195.76

Medical Specialties & State Licenses

CMS Verified: 2023-07-27

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX T4929

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 IL 125.054210

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License IN 01069786A

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License IN 01069786A

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

201037090 (IN)

Practice Associates & Co-Workers

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

40 Associated Practitioners

Amanda Trout , PA-C

Physician Assistant

NPI 1033583323

Physician Assistant (Certified)

Dr. Jeffrey Farmer , MD

Internal Medicine

NPI 1043479348

Doctor of Medicine (M.D.)

Dr. Allyson Thomas , MD

Internal Medicine

NPI 1053571778

Doctor of Medicine (M.D.)

Dr. Mark Kandary , MD

Internal Medicine

NPI 1104277235

Doctor of Medicine (M.D.)

Dr. Atif Zafar , MD

Hospitalist

NPI 1144279340

Doctor of Medicine (M.D.)

Alaina Mcsherry , NP

Nurse Practitioner - Family

NPI 1144456286

Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location July 27, 2023

Registered at 4945 WILLIAMS DR, GEORGETOWN, TX 786332008 (Tel: 3179622894)

📍

Updated Business Mailing Address July 27, 2023

Registered at PO BOX 844658, DALLAS, TX 752844658

✅

NPI Profile Active February 04, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 04, 2014

Registered at 1800 N. CAPITOL AVENUE, SUITE E140, INDIANAPOLIS, IN 46202 (Tel: 3179622894)

📍

Updated Business Mailing Address February 04, 2014

Registered at 250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 462194959

👤

Provider Name / Credentials Updated February 04, 2014

Recorded as SUPRAJA GULLA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2014

Internal Medicine (License #01069786A in IN)

🟢

Initial NPI Registration & Enumeration September 24, 2008

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: 1104076389

Entity Type:

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

Enumeration Date: September 24, 2008

Last Update: July 27, 2023

Sole Proprietor: No

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.