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 Indiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Indiana 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. Indiana (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.

Ajay Gupta (NPI 1487651873)

Field	Value
Entity Type	Individual
Organization	Ajay Gupta
Address	7956 W Jefferson Blvd
City	Fort Wayne
State	IN
ZIP	46804
Taxonomy	Neurology Physician
NPI Enumerated	June 30, 2005

Payer Source	Total Paid
Medicare	$106.9K
Medicaid	$0

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
J0585	Injection, onabotulinumtoxina, 1 unit	11,430	$10	$57.1K
99213	The 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…	330	$60	$18.6K
99214	The 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…	140	$80	$11.2K
99204	The 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…	50	$110	$6K
99203	The provider sees a new 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 provider…	50	$80	$4.1K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	50	$70	$3.2K
95874	In this add–on procedure, the provider uses needle electromyography guidance for a chemodenervation injection. Chemodenervation is a process of injecting a neurotoxin like ethyl alcohol or Botox®…	60	$50	$3.1K
95909	In this procedure, the provider performs five or six nerve conduction studies, a diagnostic test to evaluate the function, especially the ability of electrical conduction of the motor and sensory…	30	$90	$2.5K
95885	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction studies. The provider performs…	50	$40	$2.2K
95911	In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	10	$130	$1.6K

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. Indiana Distribution

Ajay Gupta — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	27	80	8,460	$1	$51K
99214	4,537	10,540	110	$80	$15.5K
99213	1,072	10,820	80	$50	$7.6K
95886	99	150	80	$60	$7K
99204	1,291	4,690	30	$100	$4.9K
95911	46	50	30	$140	$4.5K
99203	1,031	3,490	30	$70	$3.1K
95874	7	20	40	$50	$2.9K
95909	42	100	20	$90	$2.8K
95885	10	30	30	$40	$1.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jody Neer	IN	Neurology Physician	$741.1K	$0
Loi Phuong	IN	Neurological Surgery Physician	$227K	$0
Robert Meneghini	IN	Adult Reconstructive Orthopaedic Surgery Physician	$215.3K	$0
Isa Canavati	IN	Neurological Surgery Physician	$210.5K	$0
Marlene Bultemeyer	IN	Neurology Physician	$142.3K	$0
Paul Later	IN	Neurology Physician	$81.3K	$54.2K
Madhav Bhat	IN	Neurology Physician	$131.2K	$0
Walter Jacobsen	WI	Neurological Surgery Physician	$123K	$0
Daniel Krach	IN	Ophthalmology Physician	$113.9K	$0
Peter Hogg	IN	Orthopaedic Surgery Physician	$111.7K	$0

Ajay Gupta — Billing Profile & Reimbursement Data

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

Ajay Gupta — Billing Profile & Reimbursement Data

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

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References