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    OpenPayerNPI Medicare & MedicaidSummit Gupta
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    Summit Gupta — Billing Profile & Reimbursement Data

    NPI 1942485321 · Rockville, MD · Internal Medicine Physician

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    Summit Gupta is a internal medicine physician provider located in Rockville, Maryland. This profile covers 13 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSummit Gupta
    Address137 Bullard Cir
    CityRockville
    StateMD
    ZIP20850
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJanuary 4, 2008

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

    Payer SourceTotal Paid
    Medicare$294.5K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…700$90$62.6K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…730$60$44.5K
    11043The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…230$190$42.9K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…260$150$39.7K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.280$100$26.9K
    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…180$100$17.7K
    99213The 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…210$70$15.1K
    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…100$130$13.5K
    11046The provider uses surgical instruments to remove the dead tissue from the muscle and/or fascia, as well as the subcutaneous tissue layer, epidermis, and dermis if needed. She performs this service at…210$60$12.6K
    G0179Physician 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…320$40$11.4K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309221760340$80$48.5K
    99308169690220$60$30.5K
    1104365070$160$25.4K
    992144,62310,270150$90$24.1K
    993065239060$140$16K
    11046510180$50$15.5K
    992132,6849,280100$60$12.5K
    110422921090$80$11.7K
    992049025,38040$120$7.3K
    993077317060$30$4.3K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alignmed Partners, PCALGeriatric Medicine (Internal Medicine) Physician$0$16.8M
    Mohammad SuhailRIInternal Medicine Physician$126.3K$16M
    Christiana Care Health Services IncDEHospitalist Physician$0$13.6M
    M Medical Group, Inc.MDCritical Care Medicine (Internal Medicine) Physician$0$11.3M
    Mdics Rehabilitative Services LLCMDInternal Medicine Physician$0$6.2M
    Joseph AlessandroCTHospice and Palliative Medicine (Family Medicine) Physician$38.1K$1.3M
    Caitlin TrainorPAFamily Nurse Practitioner$1.3M$0
    Akindele MajekodunmiMAInternal Medicine Physician$404.3K$730.9K
    Shawna MurphyPAEmergency Medicine Physician$989.5K$0
    Kyongsook KimDCGerontology Nurse Practitioner$158K$716.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mep Health, LLCMDEmergency Medicine Physician$0$105.9M
    Montgomery County Public Schools ServicesMDCounselor$0$56.8M
    A Plus Adult Medical Day Care Center CorporationMDAdult Day Care Clinic/Center$0$30.1M
    Pediatrix Medical Group Of The Mid-atlantic PCMDMaternal & Fetal Medicine Physician$0$28.4M
    Adult Day Health, Inc.MDAdult Day Care Clinic/Center$0$17M
    Jarher IncorporatedMDAdult Day Care Clinic/Center$0$12M
    Cornerstone Montgomery, Inc.MDCommunity/Behavioral Health Agency$0$11.6M
    Asthma & Allergy Center LLCMDAllergy & Immunology Physician$0$11.5M
    Montgomery Hospice IncMDCommunity Based Hospice Care Agency$0$10.3M
    Adventist Healthcare, Inc.MDGeneral Acute Care Hospital$0$9.7M

    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. Maryland Distribution
    Summit Gupta — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland