Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Delaware for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Delaware only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Delaware (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Monika Gupta (NPI 1073622072)

Field	Value
Entity Type	Individual
Organization	Monika Gupta
Address	314 E Main St
City	Newark
State	DE
ZIP	19711
Taxonomy	Specialist
NPI Enumerated	August 30, 2006

Payer Source	Total Paid
Medicare	$106.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	610	$80	$50.2K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	240	$130	$31.8K
99213	The 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…	250	$60	$15.2K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	$170	$4K
G0402	Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	$170	$3.4K
99204	The 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…	20	$130	$1.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

Monika Gupta — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	258	1,830	150	$80	$25.5K
G0439	86	490	90	$120	$17.2K
99213	499	1,810	120	$60	$13.6K
99204	820	950	30	$110	$6.5K
G0438	39	90	20	$150	$4.8K
G0402	38	110	20	$160	$3.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dr Monika Gupta PA	DE	Family Medicine Physician	$0	$193K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chimes Metro, Inc.	DE	Intellectual & Developmental Disabilities Psychologist	$0	$173.9M
Newark Emergency Center	DE	Emergency Medicine Physician	$0	$6.8M
Connections Community Support Programs, Inc	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.9M
Option Care Enterprises Inc	DE	Home Infusion Therapy Pharmacy	$0	$2.8M
Connections Community Support Programs, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.5M
Connections Community Support Programs, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.3M
Connections Community Support Programs, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.2M
Connections Community Support Programs, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.2M
Bancroft Behavioral Health	DE	Psychiatric/Mental Health Nurse Practitioner	$0	$1.8M
American Homepatient, Inc.	DE	Durable Medical Equipment & Medical Supplies	$0	$1.6M

Monika Gupta — Billing Profile & Reimbursement Data

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Monika Gupta — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References