Gupta, Roop

Gupta, Roop was paid $1.30M by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 39% of everything it billed.

33Billing provider infoGUPTA, ROOP
MORTON GROVE, IL 60053

33aNPI1184600991assigned 12/22/2005

33bProvider typeGastroenterology Physician

28Total paid$1.30M

24GClaims20,821

24DCodes billed17

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Gastroenterology Physician providers in Illinois

Rank by total paid#3 of 370

Median peer was paid$16K

This provider vs. median81×

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	5,584	$212K
2019	5,918	$385K
2020	3,355	$187K
2021	837	$58K
2022	1,897	$161K
2023	2,412	$231K
2024incomplete	818	$67K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	39%	6,276	1,022	$507K
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	13%	3,565	3,310	$165K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	12%	1,004	976	$159K
44376		12%	638	589	$150K
99292		6.2%	2,782	838	$81K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	5.0%	3,573	865	$65K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	4.7%	383	367	$61K
99223	Prolong inpt eval add15 m	3.2%	1,127	1,039	$41K
45380	Colonoscopy, flexible; with biopsy, single or multiple	2.4%	361	347	$31K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.1%	701	658	$14K
99255		<1%	107	85	$8K
99245		<1%	33	27	$6K

5 more codes

99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	181	$5K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	<1%	28	$4K
99205	Prolong outpt/office vis	<1%	13	$2K
45381		<1%	12	$962.15
G0500	Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate)	<1%	37	$320.68

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.