Sanjiv Gupta — Billing Profile & Reimbursement Data
NPI 1487761243 · Grayson, KY · Internal Medicine Physician
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Sanjiv Gupta is a internal medicine physician provider located in Grayson, Kentucky. This profile covers 41 Medicare and 1 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Sanjiv Gupta |
| Address | 300 State Highway 1947 |
| City | Grayson |
| State | KY |
| ZIP | 41143 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | August 25, 2006 |
| NPI Deactivated | March 21, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $183.8K |
| Medicaid | $660 |
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.
41 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 600 | $80 | $50K |
| 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… | 720 | $60 | $39.4K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 120 | $120 | $14.8K |
| 90694 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL… | 120 | $80 | $8.7K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 210 | $40 | $7.3K |
| 99348 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30… | 100 | $60 | $5.7K |
| 99349 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 60 | $100 | $5.6K |
| Q3014 | Telehealth originating site facility fee | 260 | $20 | $5.1K |
| 76536 | The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review. | 60 | $70 | $4.5K |
| 99496 | The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact… | 20 | $190 | $4.2K |
Showing 1–10 of 41
Medicare: Competitive Analysis & Benchmarks
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 41 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
41 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 93306 | 318 | 330 | 240 | $60 | $16K |
| 99214 | 413 | 7,230 | 110 | $70 | $14.1K |
| 99349 | 123 | 190 | 110 | $70 | $13.8K |
| 99490 | 288 | 290 | 170 | $30 | $11.9K |
| G0439 | 361 | 1,570 | 60 | $110 | $9.3K |
| 99350 | 77 | 80 | 50 | $110 | $9.2K |
| 99213 | 158 | 7,250 | 80 | $50 | $7.7K |
| 99215 | 887 | 1,440 | 30 | $110 | $6.3K |
| 90694 | 104 | 610 | 40 | $70 | $4.9K |
| 93880 | 220 | 220 | 40 | $50 | $4.4K |
Showing 1–10 of 41
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 20 | $40 | $650 |
Medicaid: Competitive Analysis & Benchmarks
How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kentucky median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 3,158 | 3,340 | 1,020 | $30 | $296K |
Nearby Providers
Other providers in the same ZIP code as Sanjiv Gupta, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Stephanie Williams | KY | Community/Behavioral Health Agency | $0 | $14.7M |
| Carter Co Emergency Ambulance Service District | KY | Ambulance | $462.1K | $2M |
| Nathana Hall | KY | Family Nurse Practitioner | $29.7K | $15K |
| Mary West | KY | Optometrist | $27.5K | $0 |
| Patricia Wortley | KY | Audiologist | $2.7K | $0 |
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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