Loading...
NPI 1740621051 · Brockton, MA · Family Medicine Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Maulshree Gupta is a family medicine physician provider located in Brockton, Massachusetts. This profile covers 9 Medicare and 17 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 | Maulshree Gupta |
| Address | 130 Quincy Ave |
| City | Brockton |
| State | MA |
| ZIP | 02302 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | July 15, 2013 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $134.2K |
| Medicare | $105.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 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… | 1,140 | $70 | $78.5K |
| 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… | 200 | $40 | $9K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 50 | $130 | $6.2K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 500 | $10 | $4K |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review… | 70 | $40 | $2.7K |
| 99406 | The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes. | 100 | $10 | $1.2K |
| 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… | 20 | $80 | $1.2K |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and… | 30 | $30 | $1K |
| G0296 | Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) | 40 | $30 | $1K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
17 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… | 1,850 | $50 | $85.3K |
| 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… | 250 | $60 | $15.7K |
| 99392 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 190 | $60 | $10.9K |
| 99391 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 140 | $60 | $7.8K |
| 90472 | This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection. | 340 | $20 | $5.8K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 560 | $10 | $5K |
| 99395 | The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39. | 20 | $60 | $1.2K |
| 87880 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab. | 110 | $10 | $1.1K |
| 99051 | The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday. | 30 | $30 | $680 |
| 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,… | 20 | $30 | $560 |
Showing 1–10 of 17
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
17 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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,… | 776 | 950 | 90 | $100 | $212.9K |
| 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… | 2,330 | 5,040 | 200 | $70 | $209.5K |
| 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… | 942 | 5,300 | 230 | $60 | $164.5K |
| 99391 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 292 | 550 | 160 | $90 | $122.2K |
| 99392 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 311 | 630 | 190 | $90 | $110.3K |
| 99395 | The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39. | 277 | 360 | 80 | $90 | $88.5K |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 302 | 350 | 440 | $1 | $55K |
| 81025 | The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout. | 292 | 360 | 280 | $10 | $20.1K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 220 | 1,190 | 90 | $10 | $16K |
| 90472 | This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection. | 90 | 250 | 120 | $1 | $10.8K |
Showing 1–10 of 17
Other providers in the same ZIP code as Maulshree Gupta, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Commonwealth Of Massachusetts-dmh | MA | Community/Behavioral Health Agency | $0 | $208.3M |
| Beyond Independent Living LLC | MA | Foster Care Agency | $0 | $29.2M |
| Adult Day Health, Inc. | MA | Adult Day Care Clinic/Center | $0 | $8.8M |
| Commonwealth Of Massachusetts-dmh | MA | Case Management Agency | $0 | $7.4M |
| Hathaway Road Dental, PC | MA | General Practice Dentistry | $0 | $6.1M |
| Apothecare Pharmacy LLC | MA | Long Term Care Pharmacy | $14.8K | $1.2M |
| Shields Signature Imaging, LLC | MA | Mobile Radiology Clinic/Center | $755K | $490.3K |
| Charles King | MA | Podiatrist | $219.8K | $263.7K |
| Alex Teixeira | MA | Gastroenterology Physician | $170.3K | $0 |
| Ahmed Chaudhary | MA | Radiation Oncology Physician | $140.6K | $0 |
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.