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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKamal Gupta
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    Kamal Gupta — Billing Profile & Reimbursement Data

    NPI 1164415105 · Brownstown Twp, MI · Ophthalmology Physician

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    Kamal Gupta is a ophthalmology physician provider located in Brownstown Twp, Michigan. This profile covers 16 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
    OrganizationKamal Gupta
    Address19335 Allen Rd
    CityBrownstown Twp
    StateMI
    ZIP48183
    TaxonomyOphthalmology Physician
    NPI EnumeratedAugust 24, 2005

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

    Payer SourceTotal Paid
    Medicare$289.4K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg200$690$135.2K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…80$440$34.1K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.390$80$32.4K
    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…280$70$18.3K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.380$30$11.7K
    J3590Unclassified biologics250$40$9.4K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…20$610$9.1K
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…80$110$9K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…110$80$8.7K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.30$250$8.2K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017897110680$690$630.2K
    6698421848070$470$69.5K
    6702883160440$90$57.6K
    6698210513030$630$22.2K
    J35902780140$80$19.6K
    920144891,080100$80$14.8K
    6682118831040$230$13.4K
    9921411,78015,47080$80$11.4K
    J9035323070$50$9.5K
    922352710040$100$7.8K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Blue Sky Vision Eye Care, P.CMIOphthalmology Physician$0$9.4M
    Parin GohelMIOphthalmology Physician$1.6M$0
    Joseph TanMIOphthalmology Physician$1.1M$0
    Yosef GindzinMIOphthalmology Physician$897.2K$0
    Gregory KatzMIOphthalmology Physician$293.4K$0
    Barry FullerMIOphthalmology Physician$173.3K$0
    Jae KimMIOphthalmology Physician$153.5K$0
    Ronald HesslerWIOphthalmology Physician$147.7K$0
    Ronald SwendrisFLGlaucoma Specialist (Ophthalmology) Physician$122.7K$0
    Ian HuiIAOptometrist$33.4K$21.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Oakwood Healthcare, Inc.MIGeneral Acute Care Hospital$0$23.2M
    Robert DickasonMIColon & Rectal Surgery Physician$1.2M$0
    Mohammed OgailyMIMedical Oncology Physician$434.2K$0
    Jonathan LovyMIInternal Medicine Physician$378.5K$0
    Reza RahmaniMIOphthalmology Physician$322.2K$0
    Razmig HaladjianMIInterventional Pain Medicine Physician$298.9K$0
    Patricia MoesnerMIAnesthesiology Physician$281.4K$0
    Sami AbbasiMIDermatology Physician$221.1K$0
    Steven PappMIUrology Physician$202.6K$0
    Pritpal SandhuMIInternal Medicine Physician$175.4K$0

    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. Michigan Distribution
    Kamal Gupta — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan