Dr. Sumana Ketha , MD
Internal Medicine • Irving, TX
Professional Overview & Biography Verified Profile Summary
Dr. Sumana Ketha, MD is a certified Internal Medicine practicing in Irving, TX. With approximately 28 years of clinical experience since graduating from Pennsylvania State University College Of Medicine in 1998, Dr. Ketha delivers high-quality medical care to the local community at 2925 SKYWAY CIR N.
Dr. Ketha maintains professional affiliations with Sumana Ketha Md Pa, Dfw Medical Home Pllc, Dfw Primary Care Pllc and does not directly accept Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.
Frequently performed procedures and clinical services include chronic care management services for two or more chronic conditions, additional, chronic care management services, first, complex chronic care management services for two or more chronic conditions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.
Practice Location & Contact Primary Location
2925 Skyway Cir N
Irving, TX 750383510
Medicare Profile & Education
Pennsylvania State University College Of Medicine
1998
Not Specified
Telehealth Services Available
Specialty Benchmarks & Practice Insights
Comparative analytics for Internal Medicine in Irving, TX
Practicing in Irving, TX (9538 Statewide)
✓ Offers Virtual Consultations
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99439
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
|
2,926 | 437 | $82.60 | $46.85 |
|
99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
|
1,857 | 504 | $113.51 | $61.05 |
|
99489
Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month
|
1,224 | 89 | $117.00 | $71.18 |
|
99350
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes
|
749 | 279 | $298.99 | $180.77 |
|
99487
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month
|
612 | 89 | $217.00 | $132.24 |
|
G0181
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow
|
595 | 154 | $175.00 | $102.63 |
|
99458
Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute
|
549 | 42 | $64.00 | $38.70 |
|
99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
|
526 | 127 | $174.43 | $104.95 |
|
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
|
312 | 154 | $69.00 | $41.21 |
|
99457
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes
|
276 | 42 | $79.00 | $48.21 |
|
99454
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
|
264 | 41 | $81.00 | $46.57 |
|
99349
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
|
241 | 152 | $212.00 | $124.17 |
|
99497
Advance care planning, first 30 minutes
|
207 | 206 | $141.00 | $79.89 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
188 | 188 | $220.00 | $126.80 |
|
99497
Advance care planning, first 30 minutes
|
61 | 61 | $141.00 | $72.87 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
58 | 58 | $220.00 | $127.20 |
|
99306
Initial nursing facility visit, typically 45 minutes per day
|
53 | 53 | $296.40 | $175.59 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
50 | 17 | $215.00 | $120.34 |
|
99308
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
|
43 | 27 | $128.63 | $72.54 |
|
99496
Transitional care management services for problem of high complexity
|
43 | 38 | $453.33 | $184.38 |
|
93922
Ultrasound study of arm and leg arteries
|
38 | 38 | $144.89 | $78.89 |
|
95923
Testing of autonomic (sympathetic) nervous system function
|
38 | 38 | $249.39 | $117.24 |
|
95921
Testing of autonomic nervous system function and heart rate response to deep breathing
|
38 | 38 | $156.84 | $84.47 |
|
99310
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
|
36 | 36 | $289.83 | $150.27 |
|
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
|
33 | 30 | $89.00 | $52.27 |
|
99345
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes
|
26 | 26 | $359.00 | $197.16 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
26 | 23 | $157.04 | $87.26 |
|
99307
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes
|
25 | 15 | $80.08 | $39.31 |
|
99453
Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment
|
13 | 13 | $32.00 | $19.39 |
|
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
|
11 | 11 | $26.42 | $16.15 |
Medical Specialties & State Licenses
CMS Verified: 2023-05-10NUCC Taxonomy Code: 207R00000X
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
Hospital & Practice Group Affiliations
Daiya Healthcare Pllc
5515 Glen Lakes Dr, Dallas, TX 752314309
Phone: 8018911038
Sumana Ketha Md Pa
9525 Greenville Ave, Dallas, TX 752434116
Phone: 2143552600
Dfw Primary Care Pllc
2925 Skyway Circle N, Irving, TX 750383510
Phone: 9722473060
Dfw Medical Home Pllc
2925 Skyway Circle N, Irving, TX 750383510
Phone: 9726757313
Dfw Medical Home Pllc
2925 Skyway Cir N, Irving, TX 750383510
Dfw Primary Care Pllc
2925 Skyway Cir N, Irving, TX 750383510
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner - Primary Care
Family Nurse Practitioner (Certified)
Nurse Practitioner - Psychiatric/Mental Health
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 2925 SKYWAY CIR N, IRVING, TX 750383510 (Tel: 9722473060)
Registered at 2925 SKYWAY CIR N, IRVING, TX 750383510 (Tel: 9729292270)
Recorded as SUMANA KETHA, MD
Internal Medicine (License #K7311 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2925 Skyway Cir N
Irving, TX 750383510
Phone: 9726395838
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