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    OpenPayerNPI Medicare & MedicaidChampalal Gupta
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    Champalal Gupta — Billing Profile & Reimbursement Data

    NPI 1962418236 · Milwaukee, WI · Internal Medicine Physician

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    Champalal Gupta is a internal medicine physician provider located in Milwaukee, Wisconsin. This profile covers 5 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)

    FieldValue
    Entity TypeIndividual
    OrganizationChampalal Gupta
    Address5300 W Villard Ave
    CityMilwaukee
    StateWI
    ZIP53218
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJuly 31, 2006

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

    Payer SourceTotal Paid
    Medicare$12K
    Medicaid$790

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…90$110$10.1K
    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…40$30$1.1K
    94664The provider educates a patient on the use of an aerosol device, nebulizer, metered dose inhaler, or IPPB device and then has the patient demonstrate her understanding. He does this as part of the…40$10$460
    99406The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.20$10$270
    82962Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…50$1$140

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992155983,32030$110$6.3K
    G0179102030$30$1.6K
    9466421030$10$360
    99406174020$10$280
    82962328040$1$200

    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 CodeDescriptionClaimsAvg PaidRevenue
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…20$40$790

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Wisconsin median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…308350210$60$95.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Milwaukee Internal Medicine Associates IncWIMulti-Specialty Clinic/Center$0$2M
    Krishna PandeyWIInternal Medicine Physician$376.6K$0
    Alok GoyalWIInternal Medicine Physician$359.8K$0
    Adnan NazirWIInternal Medicine Physician$349.1K$0
    Julie ChicksWIAddiction Medicine (Internal Medicine) Physician$6.8K$301.5K
    Kamal AminWINephrology Physician$246.2K$1.4K
    Kyungsook YoonWIGerontology Nurse Practitioner$115.1K$0
    Lindsey MenaWINurse Practitioner$107.5K$0
    Alison TopczewskiWIFamily Nurse Practitioner$71.4K$0
    Juliana BuddWIFamily Nurse Practitioner$37.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Personalized Plus Home Health Care, LLCWIHome Health Agency$0$8.4M
    Metro Home Health Services, Inc.WIHome Health Agency$0$8.2M
    We Care Services LLCWICase Management Agency$0$2.8M
    New Life Prenatal Care Services LLCWICase Management Agency$0$2.4M
    Generation Of Excellence TrendsettersWICase Management Agency$0$2.4M
    Wisconsin Family ServicesWICase Management Agency$0$1.5M

    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. Wisconsin Distribution
    Champalal Gupta — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin
    Medicaid Revenue by Year vs. Wisconsin Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    Champalal Gupta — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin