Gupta, Rom

Gupta, Rom was paid $9K by Medicaid between Jul 2018 and Jan 2023, across 4 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 61% of everything it billed.

33Billing provider infoGUPTA, ROM
FRESH MEADOWS, NY 11366

33aNPI1013992528assigned 12/07/2005

33bProvider typeGastroenterology Physician

28Total paid$9K

24GClaims344

24DCodes billed4

24AFirst – last monthJul 2018 – Jan 2023

Compared with peers

Next to other Gastroenterology Physician providers in New York

Rank by total paid#355 of 656

Median peer was paid$12K

This provider vs. median0.8×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	112	$65.38
2021	48	$858.18
2022	167	$7K
2023	17	$805.09

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	61%	209	203	$6K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	24%	24	24	$2K
99244	Office or other outpatient consultation, moderate to high complexity	15%	12	12	$1K
99080		0%	99	25	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.