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    OpenPayerNPI Medicare & MedicaidShailesh Gupta
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    Shailesh Gupta — Billing Profile & Reimbursement Data

    NPI 1467424382 · Deerfield Beach, FL · Retina Specialist (Ophthalmology) Physician

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    Shailesh Gupta is a retina specialist (ophthalmology) physician provider located in Deerfield Beach, Florida. This profile covers 29 Medicare and 10 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
    OrganizationShailesh Gupta
    Address2001 W Sample Rd Ste 320
    CityDeerfield Beach
    StateFL
    ZIP33064
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedFebruary 3, 2006

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

    Payer SourceTotal Paid
    Medicare$508.1K
    Medicaid$43.1K

    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.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg120$700$80.6K
    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.530$90$46.5K
    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…430$90$38.2K
    76512The provider uses B–scan ultrasound imaging, with or without a non–qualitative A–scan superimposed, to examine the intraocular and orbital structures.890$40$34.8K
    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…300$110$32.2K
    J3490Unclassified drugs100$290$28.3K
    93890N/A120$220$27.2K
    93886The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow…120$220$26.4K
    92242The provider injects two different special dyes into one or both eyes that cause the blood vessels to stand out in photographic images timed so that multiple frames are taken in rapid succession. He…110$210$23.4K
    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.780$30$23.3K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178231250800$690$817.6K
    67028172300710$90$91.1K
    J34906718070$280$87.5K
    92242720100$200$54.6K
    67042528020$1,180$36.5K
    920145672,180160$80$28.5K
    J330016202,340$1$26.3K
    67041324020$1,160$25.4K
    6876115240070$90$17.5K
    920123071,170110$60$16.7K

    Showing 1–10 of 29

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…130$210$25.8K
    76512The provider uses B–scan ultrasound imaging, with or without a non–qualitative A–scan superimposed, to examine the intraocular and orbital structures.970$10$10.6K
    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.30$210$5.8K
    93886The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow…10$40$600
    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.120$1$490
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…40$10$230
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.20$0$0
    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…30$0$0
    93890N/A10$0$0
    93892The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He does not injection a microbubble of saline or…10$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Florida median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…631980270$60$85.1K
    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.6680320$50$59.6K
    76512The provider uses B–scan ultrasound imaging, with or without a non–qualitative A–scan superimposed, to examine the intraocular and orbital structures.720550$10$20.4K
    93886The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow…192090$60$14.5K
    93892The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He does not injection a microbubble of saline or…81070$50$14.1K
    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…203070$30$11K
    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.103170200$10$10.5K
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.9481,040390$1$5.4K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…145190130$10$5.4K
    93890N/A91090$20$5.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Marco GonzalezFLOphthalmology Physician$3.7M$0
    Brendan GirschekAZOphthalmology Physician$3.2M$0
    Walid MangalFLRetina Specialist (Ophthalmology) Physician$2.5M$0
    Stuart BurgessFLRetina Specialist (Ophthalmology) Physician$1.7M$0
    Kin YeeCAOphthalmology Physician$1.5M$0
    Tirso LaraFLOphthalmology Physician$1.5M$0
    Sharel OngchinWAOphthalmology Physician$1.3M$0
    Rekha KishoreVADiagnostic Radiology Physician$1.1M$0
    Aker Kasten Eye CenterFLOphthalmology Physician$1M$0
    Carl DanzigFLOphthalmology Physician$834.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Fi-broward Nursing, LLCFLSkilled Nursing Facility$0$14.5M
    Prima Food CorpFLHome Delivered Meals$0$11.4M
    Affinity Home Care Inc.FLAttendant Care Provider$0$10.7M
    North Broward Hospital DistrictFLGeneral Acute Care Hospital$0$10.5M
    Marmed, Inc.FLDurable Medical Equipment & Medical Supplies$0$8.8M
    Clarity Lab Solutions, LLCFLClinical Medical Laboratory$899.1K$2.5M
    Paul RodriguezFLPain Medicine Physician$884.5K$0
    Todd KupfermanFLOtolaryngology Physician$564.1K$0
    Rand Surgical Pavillion CorpFLAmbulatory Surgical Clinic/Center$531.5K$0
    Cassandra ListFLPhysical Medicine & Rehabilitation Physician$469.5K$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. Florida Distribution
    Shailesh Gupta — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida
    Medicaid Revenue by Year vs. Florida Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Shailesh Gupta — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida