Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GUPTA, PRAVEEN

NPI: 1093801060 · ROCKVILLE, MD 20852 · Family Medicine Physician · NPI assigned 10/05/2006

$117K
Total Medicaid Paid
9,974
Total Claims
8,502
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 366 $7K
2019 424 $9K
2020 2,765 $30K
2021 2,994 $32K
2022 1,322 $12K
2023 809 $13K
2024 1,294 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,037 899 $64K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 729 612 $33K
1036F 875 761 $6K
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 580 464 $2K
G8754 Most recent diastolic blood pressure < 90 mmhg 830 677 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 14 12 $2K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,115 931 $1K
1126F 650 570 $908.67
3008F 572 498 $855.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 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) 63 54 $691.30
1170F 124 104 $577.03
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 117 87 $319.55
1125F 125 107 $263.83
90688 25 24 $248.42
4040F 12 12 $247.59
G0444 Annual depression screening, 5 to 15 minutes 231 204 $218.88
G8510 Screening for depression is documented as negative, a follow-up plan is not required 186 166 $170.31
1101F 37 36 $170.13
99490 Ccm add 20min 16 16 $163.03
G8752 Most recent systolic blood pressure < 140 mmhg 790 643 $143.07
3074F 239 211 $140.00
96127 28 27 $119.43
90686 13 12 $117.48
1160F 490 421 $51.28
96160 25 16 $22.16
94760 27 23 $16.38
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 99 92 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 61 60 $0.00
92548 24 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 21 14 $0.00
3078F 473 406 $0.00
99401 39 37 $0.00
99497 78 76 $0.00
99408 16 16 $0.00
G0008 Administration of influenza virus vaccine 13 12 $-52.88