VISHAL GUPTA, MD
Gastroenterology Physician · ORANGE CITY, FL
Individual Active NPI 1255449179
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 687 | 9,798 | $2,531,679 | $525,461 | $416,216 |
| 2023 | 796 | 21,132 | $3,189,250 | $738,011 | $588,868 |
| 2022 | 855 | 22,924 | $3,366,451 | $824,039 | $647,420 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1,416 | $33 | $26 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 423 | $115 | $92 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 315 | $35 | $28 |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 280 | $66 | $53 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 278 | $80 | $64 |
| 45384 | Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery | 242 | $76 | $64 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 218 | $206 | $173 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 190 | $22 | $18 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 175 | $124 | $92 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 173 | $16 | $13 |
| 43251 | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare | 133 | $161 | $126 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 131 | $88 | $63 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | ME 85093 | FL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.