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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Yudh Gupta (NPI 1215008982)

Field	Value
Entity Type	Individual
Organization	Yudh Gupta
Address	106 Irving St Nw
City	Washington
State	DC
ZIP	20010
Taxonomy	Nephrology Physician
NPI Enumerated	November 13, 2006

Payer Source	Total Paid
Medicare	$517.7K
Medicaid	$0

Key Findings

This provider’s lifetime billing is effectively single-payer: total Medicare revenue is $517.7K and there is no Medicaid billing on file. The absence of Medicaid activity means payer analysis and competitive benchmarking should focus on Medicare patterns rather than dual-payer mix effects.

Revenue is highly concentrated in a very small set of services: the precomputed top 3 Medicare codes (90960, 99232, 90961) account for 82.6% of the provider’s Medicare revenue. Individually those codes are $253.3K (90960, 49.0%), $137.5K (99232, 26.6%), and $36.4K (90961, 7.0%), so a small number of codes drive the majority of dollars.

The code mix indicates a nephrology practice operationally centered on ESRD management plus substantive inpatient E/M activity. Dominant ESRD monthly-management codes such as 90960, 90961, 90962, and 90966 appear alongside high-volume inpatient E/M codes 99232 and 99222, suggesting the provider manages recurring dialysis patients and also provides frequent hospital-based evaluation and management.

Several of the provider’s top codes are statistical outliers nationally, signaling atypically high volume relative to peers. In particular, 90960 ranks #24 of 6549 providers nationally (100th percentile; extreme outlier) and 99232 ranks #1388 of 177383 providers nationally (99th percentile; extreme outlier), while 99222 also ranks as an extreme outlier at #1012 of 117621 providers (99th percentile).

Not all ESRD-related codes show the same elevated standing: 90961 ($36.4K) ranks #546 of 6091 providers (91th percentile; typical, unremarkable volume) and 90966 ($14.6K) ranks #1536 of 2039 providers (24th percentile; typical, unremarkable volume). This mixed percentile profile suggests concentrated strength in specific monthly-management workflows rather than uniformly high volume across every ESRD service.

High claim counts for top services reinforce operational intensity: 90960 has 817 claims and 99232 shows 2K claims, showing consistent monthly-management encounters and substantial inpatient follow-up activity. Those claim volumes, combined with the revenue concentration in a few codes, imply a stable, repeat-visit population (likely chronic dialysis patients) driving throughput.

Procedural dialysis activity is also present and above typical for some codes: 90935 (hemodialysis) generated $18.5K from 293 claims and ranks #175 of 6114 providers nationally (97th percentile; notably above typical national volume). This indicates the provider is not only billing monthly ESRD management but is also involved in hands-on dialysis procedures at volumes above many peers.

The provider has a long enrollment history, with NPI enumerated 2006-11-13 (~20 years ago), consistent with an established practice footprint. Combined with the concentrated Medicare revenue and several extreme-percentile rankings, the tenure supports a durable, high-volume niche in ESRD management and hospital-based nephrology services.

Medicare: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	820	$310	$253.3K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	1,960	$70	$137.5K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	140	$260	$36.4K
99222	The 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…	310	$110	$35K
90935	Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…	290	$60	$18.5K
90966	The provider manages all the physician related services for one full month for the home dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal disease,…	60	$260	$14.6K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	90	$110	$9.3K
90962	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	40	$180	$7.5K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	40	$100	$3.9K
99231	The 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…	20	$40	$1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. District of Columbia Distribution

Yudh Gupta — 3 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90960	1	30	200	$310	$69K
90961	11	30	90	$250	$35.5K
90966	9	10	80	$250	$22.5K
99233	333	650	90	$100	$17.6K
90962	10	20	50	$170	$11.4K
99232	7	640	70	$70	$10K
99239	161	240	60	$100	$7.6K
90935	4	30	60	$60	$7.2K
99222	3	380	30	$110	$4K
99231	86	120	40	$40	$3.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Capital Area Renal Associates, PC	DC	Internal Medicine Physician	$0	$3.6M
Suvi Rasaiah	DC	Nephrology Physician	$239.8K	$0
Richard Palmer	DC	Nephrology Physician	$203.2K	$0
Roopali Gupta	DC	Nephrology Physician	$115.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital	DC	Children's Hospital	$0	$243.1M
Medstar Washington Hospital Center	DC	General Acute Care Hospital	$0	$239M
Children's Hospital	DC	Pediatrics Physician	$0	$115.3M
Whc Physician Group LLC	DC	General Practice Physician	$0	$93.8M
Medstar Medical Group Radiology, LLC	DC	Diagnostic Radiology Physician	$0	$17.5M
National Rehabilitation Hospital Inc	DC	Rehabilitation Hospital	$0	$16.9M
Hero Dental Of Washington Dc PC	DC	General Practice Dentistry	$0	$11.7M
Medstar Heart Institute LLC	DC	Surgery Physician	$0	$4.8M
Bio-medical Applications Of Columbia Heights, Inc.	DC	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.6M
Washington Hospital Center Corp	DC	General Practice Physician	$0	$3.7M

Yudh Gupta — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References