Medicaid Provider Spending

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

GUPTA, ROOP

NPI: 1184600991 · MORTON GROVE, IL 60053 · Gastroenterology Physician · NPI assigned 12/22/2005

$1.30M
Total Medicaid Paid
20,821
Total Claims
10,378
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,584 $212K
2019 5,918 $385K
2020 3,355 $187K
2021 837 $58K
2022 1,897 $161K
2023 2,412 $231K
2024 818 $67K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 6,276 1,022 $507K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,565 3,310 $165K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,004 976 $159K
44376 638 589 $150K
99292 2,782 838 $81K
99233 Prolong inpt eval add15 m 3,573 865 $65K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 383 367 $61K
99223 Prolong inpt eval add15 m 1,127 1,039 $41K
45380 Colonoscopy, flexible; with biopsy, single or multiple 361 347 $31K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 701 658 $14K
99255 107 85 $8K
99245 33 27 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 181 171 $5K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 28 27 $4K
99205 Prolong outpt/office vis 13 13 $2K
45381 12 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) 37 32 $320.68