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    OpenPayerNPI Medicare & MedicaidVinay Gupta
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    Vinay Gupta — Billing Profile & Reimbursement Data

    NPI 1013971365 · Rosedale, MD · Surgical Oncology Physician

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    Vinay Gupta is a surgical oncology physician provider located in Rosedale, Maryland. This profile covers 11 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationVinay Gupta
    Address9103 Franklin Square Dr Ste 2200
    CityRosedale
    StateMD
    ZIP21237
    TaxonomySurgical Oncology Physician
    NPI EnumeratedApril 13, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$45.3K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    47563The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease. She injects dye and…20$510$9.6K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…100$60$6.3K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…30$180$5.5K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…40$130$5.4K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…100$40$4.3K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…40$110$3.7K
    38525The provider surgically removes the lymph nodes in the deep axilla through an open incision. He may send them to the laboratory for analysis. The provider performs the procedure as an investigation…10$330$3.6K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…30$100$2.9K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…40$40$1.7K
    99221The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…20$70$1.1K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992148,54010,270150$90$24.1K
    992134,6389,280100$60$12.5K
    4756321020$470$8.5K
    992042,5675,38040$120$7.3K
    38525425020$280$7.2K
    992058081,91030$160$6.5K
    992033,2803,63040$80$5K
    992221,0542,26030$100$4.8K
    9923140794040$40$3K
    992123932,36030$40$2.7K

    Showing 1–10 of 11

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Vinay Gupta, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jeffrey LandisMDRheumatology Physician$1.7M$0
    Paul TortolaniMDOrthopaedic Surgery Physician$418.3K$0
    Salman MalikMDClinical Cardiac Electrophysiology Physician$386.4K$0
    Jeremy PollockMDCardiovascular Disease Physician$355.9K$0
    Shaun BhattyOHClinical Cardiac Electrophysiology Physician$341.6K$0
    Kevin BrownMDVascular Surgery Physician$247K$0
    Dawn KershnerMDCardiovascular Disease Physician$231.3K$0
    Suzanne KoolMDVascular Surgery Physician$223K$0
    Brian MillerSCClinical Cardiac Electrophysiology Physician$201.8K$0
    Linz AudainVAInternal Medicine Physician$200.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Vinay Gupta, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Riverside Treatment Services LLCMDMethadone Clinic$1M$56.3M
    Thrive Behavioral Health, LLCMDCommunity/Behavioral Health Agency$0$51.8M
    Medstar Health Visiting Nurse Association, Inc.MDHome Health Agency$0$26.2M
    Medstar Franklin Square Physicians LLCMDGeneral Practice Physician$0$15.8M
    Amedisys Hospice, LLCMDCommunity Based Hospice Care Agency$0$15.6M
    Mosaic Community Services, Inc.MDComprehensive Outpatient Rehabilitation Facility (CORF)$0$13.9M
    Advance Adult Day Care L.L.C.MDAdult Day Care Clinic/Center$0$7.9M
    Franklin Square Hospital Center, IncMDGeneral Acute Care Hospital$0$7.2M
    Medstar Medical Group IiMDPsychiatry Physician$0$6.4M
    Edwin F. Aguilar, M.d., P.C.MDPediatrics Physician$0$5.6M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Maryland Distribution
    Vinay Gupta — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland