SANDEEPKUMAR GUPTA, M.D.
Rheumatology Physician · DURHAM, NC
Individual Active NPI 1528485729
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 225 | 48,067 | $3,038,982 | $1,129,143 | $893,208 |
| 2023 | 186 | 9,576 | $350,469 | $172,057 | $135,797 |
| 2022 | 370 | 40,269 | $2,836,341 | $709,460 | $553,669 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J0717 | Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 18,400 | $5 | $4 |
| 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 | 427 | $15 | $12 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 356 | $119 | $87 |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 109 | $118 | $94 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 106 | $155 | $103 |
| 96401 | Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle | 95 | $65 | $52 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 62 | $169 | $126 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 24 | $162 | $122 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 21 | $206 | $146 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ✓ | 2020-04827 | NC |
| Internal Medicine Physician | 207R00000X | 81788 | GA | |
| Internal Medicine Physician | 207R00000X | 56620 | TN | |
| Hospitalist Physician | 208M00000X | 2020-04827 | NC |
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.