Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Somers › NPI 1245331057
Physician

Gupta, Urmil

Gupta, Urmil was paid $122K by Medicaid between Jan 2018 and Dec 2021, across 5 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 54% of everything it billed.

33Billing provider infoGUPTA, URMIL
SOMERS, NY 10589
33aNPI1245331057assigned 09/26/2006
28Total paid$122K
24GClaims2,094
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers

Next to other Geriatric Medicine (Internal Medicine) Physician providers in New York

Rank by total paid#40 of 201
Median peer was paid$12K
This provider vs. median10×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
2018755$21K
2019671$29K
2020412$37K
2021256$36K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 54% 482 431 $66K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21% 406 263 $26K
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 19% 259 198 $23K
93040 5.7% 860 599 $7K
99406 <1% 87 69 $837.57

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.