Gupta, Praveen

Gupta, Praveen was paid $117K by Medicaid between Jan 2018 and Nov 2024, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.

33Billing provider infoGUPTA, PRAVEEN
ROCKVILLE, MD 20852

33aNPI1093801060assigned 10/05/2006

33bProvider typeFamily Medicine Physician

28Total paid$117K

24GClaims9,974

24DCodes billed36

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in Maryland

Rank by total paid#129 of 287

Median peer was paid$78K

This provider vs. median1.5×

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	366	$7K
2019	424	$9K
2020	2,765	$30K
2021	2,994	$32K
2022	1,322	$12K
2023	809	$13K
2024incomplete	1,294	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	55%	1,037	899	$64K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	28%	729	612	$33K
1036F		5.0%	875	761	$6K
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	2.1%	580	464	$2K
G8754	Most recent diastolic blood pressure < 90 mmhg	2.1%	830	677	$2K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	1.3%	14	12	$2K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	1.1%	1,115	931	$1K
1126F		<1%	650	570	$908.67
3008F		<1%	572	498	$855.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	<1%	200	178	$750.79
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 single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	63	54	$691.30
1170F		<1%	124	104	$577.03

24 more codes

G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	117	$319.55
1125F		<1%	125	$263.83
90688		<1%	25	$248.42
4040F		<1%	12	$247.59
G0444	Annual depression screening, 5 to 15 minutes	<1%	231	$218.88
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	186	$170.31
1101F		<1%	37	$170.13
99490	Ccm add 20min	<1%	16	$163.03
G8752	Most recent systolic blood pressure < 140 mmhg	<1%	790	$143.07
3074F		<1%	239	$140.00
96127		<1%	28	$119.43
90686		<1%	13	$117.48
1160F		<1%	490	$51.28
96160		<1%	25	$22.16
94760		<1%	27	$16.38
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	0%	99	$0.00
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	0%	61	$0.00
92548		0%	24	$0.00
G0136	Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months	0%	21	$0.00
3078F		0%	473	$0.00
99401		0%	39	$0.00
99497		0%	78	$0.00
99408		0%	16	$0.00
G0008	Administration of influenza virus vaccine	0%	13	$-52.88

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.