Medicare Enrolled

Dr. Divya Muthappa, M.D.

Internal Medicine · San Antonio, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
19260 STONE OAK PKWY STE 105, San Antonio, TX 78258
2104023456
In practice since 2009 (16 years)
NPI: 1689803124 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Muthappa from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Muthappa? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Muthappa

Dr. Divya Muthappa is an internal medicine specialist in San Antonio, TX, with 16 years of NPI registration. Based on federal Medicare data, Dr. Muthappa performed 1,169 Medicare services across 731 unique beneficiaries.

Between the years covered by Open Payments, Dr. Muthappa received a total of $13,816 from 55 pharmaceutical and/or device companies across 716 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Muthappa is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 16 years in practice ▲ Top 30% volume in TX $13,816 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,169
Medicare services
Top 30% in TX for internal medicine
731
Unique beneficiaries
$66
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~73 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (30-39 min) 643 $82 $233
Office visit, established patient (20-29 min) 119 $59 $165
Dexamethasone injection (steroid) 95 $0 $6
Drug injection, under skin or into muscle 66 $10 $29
Annual wellness visit, follow-up 50 $124 $276
Advance care planning consultation, first 30 min 48 $79 $209
New patient office visit (45-59 min) 40 $91 $339
Flu vaccine, quadrivalent 26 $76 $125
Flu vaccine administration 26 $30 $65
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 26 $1 $6
Electrocardiogram (EKG), 12-lead 16 $10 $34
Echocardiogram, transthoracic 14 $53 $320
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
1.2% high complexity
16.0% medium
82.8% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$13,816
Total received (2018-2024)
Avg $1,974/year across 7 years
Top 7% in TX for internal medicine
55
Companies
716
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$13,804 (99.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$12 (0.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$322
2023
$325
2022
$2,053
2021
$2,256
2020
$1,694
2019
$1,682
2018
$5,485

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Ironwood Pharmaceuticals, Inc
$2,797
Novo Nordisk Inc
$1,455
Lilly USA, LLC
$850
Amgen Inc.
$754
AstraZeneca Pharmaceuticals LP
$577
Janssen Pharmaceuticals, Inc
$548
Sunovion Pharmaceuticals Inc.
$536
PFIZER INC.
$468
AbbVie Inc.
$439
Merck Sharp & Dohme Corporation
$395
Amarin Pharma Inc.
$381
GlaxoSmithKline, LLC.
$378
ABBVIE INC.
$366
E.R. Squibb & Sons, L.L.C.
$353
Boehringer Ingelheim Pharmaceuticals, Inc.
$298
Takeda Pharmaceuticals U.S.A., Inc.
$270
Biohaven Pharmaceuticals, Inc.
$257
Avanir Pharmaceuticals, Inc.
$233
Allergan Inc.
$198
Allergan, Inc.
$186
Novartis Pharmaceuticals Corporation
$175
Biohaven Pharmaceutical Holding Company Ltd.
$165
SANOFI-AVENTIS U.S. LLC
$158
Radius Health, Inc.
$123
EISAI INC.
$111
AbbVie, Inc.
$95
Eisai Inc.
$89
Astellas Pharma US Inc
$82
Bausch Health US, LLC
$74
Merck Sharp & Dohme LLC
$73
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$73
Corcept Therapeutics
$72
Dexcom, Inc.
$63
Horizon Therapeutics plc
$62
BOSTON SCIENTIFIC CORPORATION
$61
Bayer Healthcare Pharmaceuticals Inc.
$61
GE HEALTHCARE
$60
Genentech USA, Inc.
$56
Abbott Laboratories
$50
Teva Pharmaceuticals USA, Inc.
$46
Amneal Pharmaceuticals LLC
$40
Pernix Therapeutics Holdings, Inc.
$34
Antares Pharma, Inc.
$29
Endo Pharmaceuticals Inc.
$28
ARBOR PHARMACEUTICALS, INC.
$28
Currax Pharmaceuticals LLC
$28
Althera Pharmaceuticals LLC
$24
Shire North American Group Inc
$18
Nalpropion Pharmaceuticals LLC
$17
Lundbeck LLC
$15
Daiichi Sankyo Inc.
$14
Biogen, Inc.
$14
Esperion Therapeutics, Inc.
$14
IBSA Pharma Inc.
$12
Kowa Pharmaceuticals America, Inc.
$11
Top 3 companies account for 36.9% of total payments
Associated products mentioned in payments ›
ADUHELM · AJOVY · APLENZIN · APTIOM · Aimovig · Amitiza · Androgel · BASAGLAR · BELSOMRA · BOTOX · BREZTRI · BYSTOLIC · Belviq · CHANTIX · COLOGUARD · CONTRAVE · DUZALLO · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · FARXIGA · FORTEO · FreeStyle Libre · GARDASIL 9 · Horizant · INVOKAMET · INVOKANA · JANUVIA · JARDIANCE · KRYSTEXXA · Kerendia · Korlym · LEQVIO · LINZESS · LONHALA MAGNAIR · LYRICA · Livalo · MIGRANAL · MOUNJARO · MYRBETRIQ · Movantik · Myrbetriq · NASCOBAL · NEXLETOL · NOCDURNA · NORTHERA · NUEDEXTA · NURTEC ODT · Neuromodulation Dspsbls and Accs · Nuedexta · Otezla · Ozempic · PREVNAR 13 · Prolia · QULIPTA · REYVOW · RYBELSUS · Repatha · Roszet · Rybelsus · SILENOR · SOLIQUA · SOLIQUA 100/33 · STEGLATRO · SYMBICORT · SYNTHROID · Saxenda · Synthroid · TOUJEO · TOVIAZ · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Tirosint · Tresiba · Trintellix · Tymlos · UBRELVY · UNITHROID · Utibron · VIBERZI · VIIBRYD · VRAYLAR · VYVANSE · Vascepa · Victoza · WATCHMAN · WELLBUTRIN · Wegovy · XARELTO · XIFAXAN · XYOSTED · Xofluza · Xultophy 100/3.6
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 7% for internal medicine in TX.

Equivalent to $1,182 per 100 Medicare services performed
Looking for an internal medicine specialist in San Antonio?
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Geographic Context

Internal medicine physicians within 10 mi
1,149
Per 100K population
56.4
County median income
$70,571
Nearest hospital
SOUTH TEXAS SPINE AND SURGICAL HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Muthappa is a clinical cardiology specialist, with above-average Medicare volume (top 30% in TX), with low-engagement industry engagement in the top 7% of TX peers, with 16 years of NPI registration.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Muthappa experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Muthappa performed 643 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Muthappa receive payments from pharmaceutical companies?
Yes. Dr. Muthappa received a total of $13,816 from 55 companies across 716 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Muthappa's costs compare to other internal medicine physicians in San Antonio?
Dr. Muthappa's average Medicare payment per service is $66. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Muthappa) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →