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    OpenPayerNPI Medicare & MedicaidRakesh Gupta
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    Rakesh Gupta — Billing Profile & Reimbursement Data

    NPI 1972554020 · Toms River, NJ · Interventional Cardiology Physician

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    Rakesh Gupta is a interventional cardiology physician provider located in Toms River, New Jersey. This profile covers 27 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
    OrganizationRakesh Gupta
    Address20 Hospital Dr
    CityToms River
    StateNJ
    ZIP08755
    TaxonomyInterventional Cardiology Physician
    NPI EnumeratedMay 13, 2006

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

    Payer SourceTotal Paid
    Medicare$584.5K
    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…310$380$119.4K
    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…1,260$70$90.9K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…620$130$78.8K
    J2785Injection, regadenoson, 0.1 mg1,210$40$53.3K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…740$70$49K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…200$180$34.5K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…340$100$34.1K
    93923Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…310$90$27.6K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…220$110$23.8K
    92928The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…40$480$17.8K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9330642990220$100$25.8K
    992338714,270110$100$22.5K
    78452865060$240$19.9K
    992325226,220120$70$18.4K
    992912231,97050$180$16.1K
    9921314514,090100$70$13.1K
    J27855300190$40$12.4K
    929283018020$450$12.1K
    A950019720070$110$9.6K
    934589224040$200$9K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Parag PatelNJInterventional Cardiology Physician$462.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Medical Center IncNJGeneral Acute Care Hospital$0$88.3M
    Preferred Behavioral Health Of NjNJCommunity/Behavioral Health Agency$0$18.3M
    Community Surgical Supply Of Toms River LLCNJOxygen Equipment & Supplies (DME)$0$17M
    Spring Oak Of Toms River Alp LLCNJAssisted Living Facility$0$10.1M
    Magnolia Gardens South LPNJAssisted Living Facility$0$8.1M
    Jersey Innovative Services LLCNJCommunity/Behavioral Health Agency$0$7.9M
    The Residence At Lakeridge LLCNJAssisted Living Facility$0$7.6M
    Ocean County Eye Associates LLCNJAmbulatory Surgical Clinic/Center$3.4M$0
    Mohammedyusuf HajeeNJRetina Specialist (Ophthalmology) Physician$2.6M$0
    Haris AminNJRetina Specialist (Ophthalmology) Physician$2.1M$0

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Jersey Distribution
    Rakesh Gupta — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey