Doctor profile · Federal record
Dr. Pritesh Mutha, M.D., Dipablm, MPH
Gastroenterology Physician (CMS: Gastroenterology) · Internal Medicine Physician · Gastroenterology Physician · Student in an Organized Health Care Education/Training Program · Houston, TX
- NPI 1386871598
- Accepts Medicare
- MIPS 81.3 / 100 · 2023
- 20 yrs in practice
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
6400 Fannin St Ste 1400
Houston, TX 770301512
(713) 704-3450
fax (713) 704-9938
Credentials & registration
- NPI registered
- June 2009 — 17 yrs on file
- Profile last updated
- September 30, 2022
- Year of graduation
- 2006 — 20 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State licenses (3)
- Texas #T3831 · Pennsylvania #MT194941 · Virginia #0101257552
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1386871598. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
254
Distinct HCPCS
10
Medicare allowed
$31,294
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99204 |
New patient office or other outpatient visit, 45-59 minutes | 55 | 55 | $164 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 33 | 27 | $126 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 32 | 31 | $50 | |
43273 |
Exam of common bile and/or pancreatic duct using a flexible endoscope | 22 | 16 | $119 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 21 | 19 | $80 | |
43264 |
Removal of stone or debris from bile or pancreatic duct using a flexible endoscope | 17 | 15 | $118 | |
G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 17 | 17 | $178 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 16 | 16 | $88 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 15 | 15 | $256 | |
74328 |
Review by radiologist of image from tube placement into bile duct using an endoscope | 14 | 11 | $23 |
In context: peer comparison
Among 86 peers in this city , average services per provider: 77. This provider delivers 3.3× the peer median.Open Payments
Industry payments received
All-time total
$664
Transactions
13
Manufacturers
6
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 7 | $348.43 | |
| CONMED Corporation | 1 | $101.66 | |
| Alcresta Therapeutics, Inc. | 2 | $84.16 | |
| Medtronic, Inc. | 1 | $59.49 | |
| Olympus America Inc. | 1 | $54.97 | |
| ABBVIE INC. | 1 | $15.15 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
160
Patients
114
Total drug cost
$3,654
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Gavilyte-G (Peg3350/Sod Sulf,bicarb,cl/Kcl) | Brand | 77 | 73 | $1,213 |
| Pantoprazole Sodium | Generic | 57 | 28 | $821 |
| Peg-3350 And Electrolytes (Peg3350/Sod Sulf,bicarb,cl/Kcl) | Brand | 13 | 13 | $235 |
| Sucralfate | Generic | 13 | 0 | $1,385 |
Hospital affiliations
Frequently asked questions
What is Dr. Pritesh Mutha's medical specialty?
Dr. Pritesh Mutha practices Gastroenterology Physician in Houston, TX.
Where does Dr. Pritesh Mutha practice?
Dr. Pritesh Mutha practices at 6400 Fannin St Ste 1400, Houston, TX 770301512. Office phone: 7137043450.
What is Dr. Pritesh Mutha's NPI?
Dr. Pritesh Mutha's National Provider Identifier (NPI) is 1386871598, issued by NPPES.
Does Dr. Pritesh Mutha accept Medicare assignment?
Yes. Dr. Pritesh Mutha accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Pritesh Mutha commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99204); Established patient office or other outpatient visit (HCPCS 99214); Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS 43239). Source: CMS Medicare Physician & Other Practitioners file.