Active NPI 1821160938 Individual Practitioner Male Practitioner

Dr. Thilina Praneethbogategedara Marasinghe , MD

Internal Medicine • San Antonio, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Thilina Marasinghe, MD is a certified Internal Medicine practicing in San Antonio, TX. With approximately 31 years of clinical experience since completing medical education in 1995, Dr. Marasinghe delivers high-quality medical care to the local community at 2455 NE LOOP 410.

Dr. Marasinghe maintains professional affiliations with Wellmed Medical Group Pa, Usacs Integrated Acute Care Services Of Texas, Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, subsequent hospital care with moderate levelof 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

2455 Ne Loop 410
Suite 100

San Antonio, TX 782175649

Telephone 2105996000

Fax 2106575586

Associated Practice Facility / Clinic

🏢 Avanindra Jain, M.d.p.a. Facility NPI 1184742041

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in San Antonio, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +8.3 yrs vs City Avg

City Avg: 22.7 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

681 Specialists

Practicing in San Antonio, TX (9538 Statewide)

Telehealth Adoption Rate

16.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

75.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Marasinghe (31 Years) 31 Yrs

San Antonio 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
36415 Insertion of needle into vein for collection of blood sample	175	91	$13.95	$8.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	140	81	$184.11	$122.58
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	122	68	$536.00	$111.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	33	$373.00	$75.15
99213 Established patient office or other outpatient visit, typically 15 minutes	33	27	$131.06	$86.66
99239 Hospital discharge day management, more than 30 minutes	28	28	$685.00	$108.81
96127 Assessment of emotional or behavioral problems	28	28	$7.00	$4.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$1042.00	$164.47
G0008 Administration of influenza virus vaccine	14	14	$46.00	$31.03
90661 Influenza vaccine, trivalent derived from cell cultures	12	12	$55.00	$36.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	132	57	$12.33	$8.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	54	$187.17	$122.72
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	106	61	$536.00	$112.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	74	45	$373.00	$76.03
99213 Established patient office or other outpatient visit, typically 15 minutes	40	29	$132.00	$84.79
G0008 Administration of influenza virus vaccine	15	15	$46.00	$29.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$1042.00	$166.64
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	15	15	$49.00	$33.49
99238 Hospital discharge day management, 30 minutes or less	12	12	$417.00	$77.51

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	193	110	$536.00	$98.12
36415 Insertion of needle into vein for collection of blood sample	125	60	$5.01	$2.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	59	$189.15	$124.22
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$133.09	$86.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	18	$373.00	$68.36
99238 Hospital discharge day management, 30 minutes or less	20	20	$417.00	$68.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$1042.00	$190.17
G0008 Administration of influenza virus vaccine	12	12	$44.00	$28.38
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	11	11	$45.00	$31.63

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	205	110	$685.07	$99.14
36415 Insertion of needle into vein for collection of blood sample	155	66	$5.01	$2.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	60	$185.36	$124.56
99213 Established patient office or other outpatient visit, typically 15 minutes	55	33	$131.82	$89.05
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	29	$435.00	$69.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$1370.97	$193.71
99238 Hospital discharge day management, 30 minutes or less	28	27	$490.50	$69.82

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	212	119	$741.10	$102.66
36415 Insertion of needle into vein for collection of blood sample	175	72	$5.01	$2.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	70	$160.00	$106.20
99213 Established patient office or other outpatient visit, typically 15 minutes	43	31	$109.95	$73.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	24	$512.49	$70.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$1439.50	$199.48
99238 Hospital discharge day management, 30 minutes or less	21	21	$515.00	$71.47
G0008 Administration of influenza virus vaccine	19	19	$25.26	$16.20
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	18	18	$44.00	$29.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	228	96	$5.01	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	178	94	$159.88	$105.53
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	150	98	$741.10	$101.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	108	68	$512.49	$71.30
99213 Established patient office or other outpatient visit, typically 15 minutes	43	37	$108.86	$70.65
99238 Hospital discharge day management, 30 minutes or less	33	33	$515.00	$71.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$1439.50	$198.24
G0008 Administration of influenza virus vaccine	19	18	$30.00	$15.90
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	19	18	$27.00	$17.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	231	101	$5.01	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	109	$157.99	$100.73
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	122	84	$741.10	$109.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	119	73	$512.49	$76.53
99213 Established patient office or other outpatient visit, typically 15 minutes	51	38	$107.00	$67.97
G0008 Administration of influenza virus vaccine	37	33	$30.00	$19.51
99238 Hospital discharge day management, 30 minutes or less	37	37	$515.00	$75.93
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	33	30	$27.00	$17.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$1439.50	$206.73
71046 X-ray of chest, 2 views	17	16	$45.00	$28.09
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$25.00	$15.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	150	70	$5.00	$2.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	138	98	$735.72	$96.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	135	91	$509.63	$66.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	63	$156.83	$98.68
99213 Established patient office or other outpatient visit, typically 15 minutes	62	40	$106.90	$66.49
99238 Hospital discharge day management, 30 minutes or less	43	42	$512.58	$66.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$1432.34	$186.37
G0008 Administration of influenza virus vaccine	22	21	$36.95	$23.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$157.00	$99.04
71020 X-ray of chest, 2 views, front and side	14	14	$41.00	$25.21
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$27.00	$17.48
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$25.00	$15.39

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX M4871

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

199419602 (TX)

Commercial Insurance / Payer ID Rr Medicare

P00379667 (TX)

Commercial Insurance / Payer ID Wellmed Medicaid

199419603 (TX)

Commercial Insurance / Payer ID Bcbs

8W9000 (TX)

Commercial Insurance / Payer ID Wellmed Medicare

TXB158721 (TX)

Hospital & Practice Group Affiliations

Usacs Integrated Acute Care Services Of Texas, Pllc

111 Dallas St, San Antonio, TX 782051201

Phone: 2102977195

Wellmed Medical Group Pa

2455 Ne Loop 410, San Antonio, TX 782175650

Phone: 2105996000

Usacs Integrated Acute Care Services Of Texas, Pllc

260 Cully Dr, Kerrville, TX 780285950

Phone: 8302587747

Wellmed Medical Group Pa

6157 Nw Loop 410, San Antonio, TX 782383302

Phone: 2105231411

Practice Associates & Co-Workers

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

17 Associated Practitioners

Brady Harrison , PA

Physician Assistant - Medical

NPI 1033116736

Physician Assistant

Hugh Lothery , PA

Physician Assistant - Medical

NPI 1073510806

Physician Assistant

Dr. Dennis Willis , MD

Family Medicine

NPI 1093712705

Doctor of Medicine (M.D.)

Dr. Norma Valles-Lebron , MD

Internal Medicine

NPI 1144292467

Doctor of Medicine (M.D.)

Dr. Melanie Musselman , DO

Internal Medicine

NPI 1255913570

Doctor of Osteopathic Medicine (D.O.)

Wendy Vandyke , GNP-BC

Nurse Practitioner - Gerontology

NPI 1275804197

GNPBC

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 17, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 17, 2016

Registered at 2455 NE LOOP 410, SUITE 100, SAN ANTONIO, TX 782175649 (Tel: 2105996000)

📍

Updated Business Mailing Address October 17, 2016

Registered at 2455 NE LOOP 410, SUITE 100, SAN ANTONIO, TX 782175649 (Tel: 2105996000)

👤

Provider Name / Credentials Updated October 17, 2016

Recorded as THILINA MARASINGHE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2016

Internal Medicine (License #M4871 in TX)

🟢

Initial NPI Registration & Enumeration November 14, 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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NPI Administrative Meta

NPI Number: 1821160938

Entity Type:

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

Enumeration Date: November 14, 2006

Last Update: October 17, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2455 Ne Loop 410, Suite 100

San Antonio, TX 782175649

Phone: 2105996000

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.