Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MD › Mount Rainer › NPI 1154411197
Physician

Gupta, Suresh

Gupta, Suresh was paid $1K by Medicaid between Mar 2019 and Jun 2020, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 104% of everything it billed.

33Billing provider infoGUPTA, SURESH
MOUNT RAINER, MD 20712
33aNPI1154411197assigned 10/13/2006
28Total paid$1K
24GClaims604
24DCodes billed4
24AFirst – last monthMar 2019 – Jun 2020
Compared with peers

Next to other Pulmonary Disease Physician providers in Maryland

Rank by total paid#23 of 27
Median peer was paid$21K
This provider vs. median0.1×

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

$0$200$4002018201920202021202220232024
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
YearClaimsPaid
2019382$260.92
2020222$976.39
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 104% 200 169 $1K
99490 Ccm add 20min 1.5% 362 337 $18.94
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). 0% 28 26 $0.00
36410 0% 14 13 $-65.50

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.