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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSunil Gupta
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    Sunil Gupta — Billing Profile & Reimbursement Data

    NPI 1093886657 · Cumberland, MD · Internal Medicine Physician

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    Sunil Gupta is a internal medicine physician provider located in Cumberland, Maryland. This profile covers 24 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
    OrganizationSunil Gupta
    Address625 Kent Ave Ste 101
    CityCumberland
    StateMD
    ZIP21502
    TaxonomyInternal Medicine Physician
    NPI EnumeratedNovember 13, 2006

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

    Payer SourceTotal Paid
    Medicare$468.9K
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…1,760$60$102K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…1,210$80$100.5K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit540$130$69.7K
    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…1,020$60$61.4K
    99316The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.290$100$29.5K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…140$150$19.9K
    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…180$100$18.2K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…170$110$18.1K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…270$60$16.5K
    90682This code represents a quadrivalent flu vaccine given by injection into the muscle. The vaccine is made using recombinant DNA technology and contains only a protein from the virus. It does not…170$60$10.8K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309109760340$80$48.5K
    9930842690220$60$30.5K
    992144,47010,270150$90$24.1K
    9132260868090$140$19.4K
    G0439272,32090$130$16K
    9930611439060$140$16K
    992132159,280100$60$12.5K
    993056832060$100$11.2K
    9934828731080$50$8.6K
    904809361,080100$40$6.4K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Upmc Western Maryland CorporationMDRadiology Clinic/Center$917.4K$7.3M
    Yousuf GaffarCOHematology & Oncology Physician$1.5M$0
    Sumit BhutaniMDInfectious Disease Physician$327.7K$328.8K
    Joshua AaronMDPulmonary Disease Physician$443.6K$44.6K
    Jonathan KoffMDGastroenterology Physician$475.7K$0
    Abbas OmaisMDPulmonary Disease Physician$454.3K$9K
    Qamar ZamanMDHematology & Oncology Physician$319.4K$127.4K
    Kathryn KirkMDGastroenterology Physician$431.9K$0
    Alan ChanalesMDPulmonary Disease Physician$105.9K$306.7K
    Riaz JanjuaMDNeurology Physician$334.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Archway Station IncMDRehabilitation Psychologist$0$18.5M
    Board Of Education Of Allegany CountyMDAudiologist$0$17.2M
    Associated Catholic CharitiesMDMental Health Clinic/Center (Including Community Mental Health Center)$0$17M
    Allegany County Health Department/joseph S Massie UnitMDSubstance Abuse Rehabilitation Facility$0$16.3M
    Committed To Change, P.C.MDMental Health Clinic/Center (Including Community Mental Health Center)$0$13.3M
    Ats Of Cecil County, Inc.MDMethadone Clinic$0$11.9M
    Committed To Change, P.C.MDMental Health Clinic/Center (Including Community Mental Health Center)$0$10.2M
    Wmrs IncMDMethadone Clinic$230.8K$9M
    Cumberland Covenant House LLCMDAdult Day Care Clinic/Center$0$8.2M
    Allegany County Health DepartmentMDMental Health Clinic/Center (Including Community Mental Health Center)$0$7.6M

    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
    Sunil Gupta — 4 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland