Gupta, Gopal

Gupta, Gopal was paid $42K by Medicaid between Jan 2018 and Mar 2023, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.

33Billing provider infoGUPTA, GOPAL
CAMBRIDGE, MA 02138

33aNPI1275513681assigned 01/20/2006

33bProvider typeNeonatal-Perinatal Medicine Physician

28Total paid$42K

24GClaims1,321

24DCodes billed9

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other Neonatal-Perinatal Medicine Physician providers in Massachusetts

Rank by total paid#5 of 15

Median peer was paid$5K

This provider vs. median7.6×

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	264	$5K
2019	269	$9K
2020	139	$6K
2021	197	$6K
2022	345	$12K
2023	107	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	45%	341	317	$19K
90460	Immunization administration through 18 years of age via any route, first or only component	28%	353	306	$12K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	8.5%	386	383	$4K
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	7.7%	29	29	$3K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.8%	14	14	$1K
90461		2.3%	26	26	$974.16
96110	Developmental screening, with scoring and documentation, per standardized instrument	2.3%	93	93	$955.11
99173		1.4%	27	27	$599.94
96127		1.3%	52	52	$534.04

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.