Gupta, Sumit

Gupta, Sumit was paid $126K by Medicaid between Jan 2018 and Jun 2020, across 5 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 57% of everything it billed.

33Billing provider infoGUPTA, SUMIT
COLUMBIA, MO 65201

33aNPI1225382302assigned 10/29/2012

33bProvider typePediatric Orthopaedic Surgery Physician

28Total paid$126K

24GClaims1,819

24DCodes billed5

24AFirst – last monthJan 2018 – Jun 2020

Compared with peers

Next to other Pediatric Orthopaedic Surgery Physician providers in Missouri

Rank by total paid#1 of 12

Median peer was paid$10K

This provider vs. median13×

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	818	$57K
2019	787	$54K
2020	214	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	57%	802	787	$72K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	29%	695	663	$36K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	5.9%	192	189	$7K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	5.7%	116	116	$7K
25600		2.5%	14	14	$3K

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.