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    OpenPayerNPI Medicare & MedicaidAbhishek Gupta
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    Abhishek Gupta — Billing Profile & Reimbursement Data

    NPI 1154731396 · Stony Brook, NY · Pain Medicine (Anesthesiology) Physician

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    Abhishek Gupta is a pain medicine (anesthesiology) physician provider located in Stony Brook, New York. This profile covers 27 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAbhishek Gupta
    Address101 Nicolls Rd
    CityStony Brook
    StateNY
    ZIP11794
    TaxonomyPain Medicine (Anesthesiology) Physician
    NPI EnumeratedApril 28, 2014

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

    Payer SourceTotal Paid
    Medicare$384.4K
    Medicaid$3.4K

    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,110$110$125.7K
    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…220$150$32.4K
    77002The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to…250$110$28.1K
    J7324Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose240$100$23.5K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.50$420$22.3K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…260$80$19.3K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…70$250$16.6K
    27096The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…80$190$15.7K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…60$250$14.2K
    0275TN/A20$560$13.4K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    0275T123020$2,170$60.8K
    J330461601,380$10$29.9K
    646355924030$430$19.9K
    9921456530,45090$100$19K
    6448323941050$220$17.9K
    J732426150100$100$16.6K
    2061150874080$90$15.9K
    6232314439050$190$15.4K
    6449314537040$200$13.2K
    9921326,69731,44080$70$12.1K

    Showing 1–10 of 27

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…420$10$3.4K
    G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care…40$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New York median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…6,42416,550220$90$186.8K
    G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care…9721,60050$10$1.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Yi LinNYAnesthesiology Physician$105.8K$0
    Enrique GoytizoloNYAnesthesiology Physician$87.9K$0
    Uchenna UmehNYAnesthesiology Physician$83.7K$0
    Daniel MaaloufNYAnesthesiology Physician$81.8K$0
    Mark WellerNYAnesthesiology Physician$79.7K$0
    Michael SingletonNYAnesthesiology Physician$76.9K$0
    Lila BaakliniNYAnesthesiology Physician$76.2K$0
    Stephanie ChengNYAnesthesiology Physician$75.5K$0
    Ellen SoffinNYAnesthesiology Physician$72.6K$0
    Jiabin LiuNYAnesthesiology Physician$71.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Hospital At Stony BrookNYGeneral Acute Care Hospital$0$105.3M
    Stony Brook Children's Service, University Faculty Practice CorporatioNYPediatrics Physician$0$24.1M
    Dinko FranceschiNYNuclear Radiology Physician$1.8M$73.6K
    William CaldwellNYPain Medicine (Anesthesiology) Physician$788K$5.1K
    Matthew ComitoNYDiagnostic Radiology Physician$642.6K$67K
    Jordan SlutskyNYMOHS-Micrographic Surgery Physician$605.1K$0
    Roger FanNYCardiovascular Disease Physician$539.3K$100
    Travis BenchNYCardiovascular Disease Physician$471.2K$200
    Lachlan SmithNYDiagnostic Radiology Physician$416.1K$46.6K
    Jason KimNYUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician$418.6K$5.9K

    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. New York Distribution
    Abhishek Gupta — 2 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Abhishek Gupta — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York