Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidNitin Gupta
    Ask Trek AI about this page

    Nitin Gupta — Billing Profile & Reimbursement Data

    NPI 1457647646 · Lone Tree, CO · Critical Care Medicine (Internal Medicine) Physician

    Customize your policy alerts

    Sign up for Nitin Gupta — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Nitin Gupta is a critical care medicine (internal medicine) physician provider located in Lone Tree, Colorado. This profile covers 14 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNitin Gupta
    Address9362 Teddy Ln Ste 105
    CityLone Tree
    StateCO
    ZIP80124
    TaxonomyCritical Care Medicine (Internal Medicine) Physician
    NPI EnumeratedJune 26, 2011

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

    Payer SourceTotal Paid
    Medicare$97.5K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…220$160$36.4K
    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…190$100$18.6K
    99233The 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…120$90$11.3K
    94375The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to…280$30$7K
    94618The provider performs pulmonary stress testing to evaluate lung function and to diagnose certain lung disorders. The stress component may include a six–minute walk test or other form of exercise.190$30$4.9K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…30$140$3.6K
    94726The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…120$20$2.9K
    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…20$130$2.9K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.120$20$2.8K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$140$2.7K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,0178,16080$80$11.3K
    992336381,89070$90$11K
    99291301,23040$170$9.8K
    992152,1523,23040$110$8.1K
    992231,3131,90030$130$6.7K
    992042,1433,67030$110$4.7K
    99292678030$80$3.4K
    9437546060$20$2.4K
    9476293030$20$2.3K
    947293015050$20$1.7K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eid Nevada Critical Care PLLCNVCritical Care Medicine (Internal Medicine) Physician$0$16.2M
    Magnolia Medical CompanyCOClinical Medical Laboratory$0$5.3M
    Hays Medical Center, Inc.KSRural Health Clinic/Center$0$2.3M
    Don WynnTXPulmonary Disease Physician$1.4M$0
    Jay RobinowKSRadiation Oncology Physician$1.2M$0
    Hays Medical Center, Inc.KSInternal Medicine Physician$0$1.1M
    Asher ShahzadNVInfectious Disease Physician$437.5K$483.4K
    Uma GunigantiOKCardiovascular Disease Physician$797.5K$0
    Hays Medical Center IncKSGeneral Acute Care Hospital$0$595.8K
    Matthew MalloryARRadiation Oncology Physician$570.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cochlear AmericasCODurable Medical Equipment & Medical Supplies$27.4M$134.9M
    Home Medical Supplies, Inc.CODurable Medical Equipment & Medical Supplies$0$10.1M
    Mountain View Pain SpecialistsCOPain Medicine (Physical Medicine & Rehabilitation) Physician$0$9.9M
    Patrick EulittCOMedical Oncology Physician$2.4M$0
    Lone Tree Surgery Center, LLCCOAmbulatory Surgical Clinic/Center$2.3M$20.8K
    Insight Surgery Center, LLCCOAmbulatory Surgical Clinic/Center$1.4M$79.2K
    The Surgery Center At Lone Tree, LLCCOAmbulatory Surgical Clinic/Center$572.7K$704.7K
    Colorado Urologic Surgery Center, LLCCOAmbulatory Surgical Clinic/Center$950.6K$17.3K
    Denver Cyberknife, LLCCORadiation Oncology Clinic/Center$805.8K$0
    Healthone Ridge View Endoscopy Center, LLCCOAmbulatory Surgical Clinic/Center$670.4K$32K

    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. Colorado Distribution
    Nitin Gupta — 2 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado