Gupta, Prem

Gupta, Prem was paid $110K by Medicaid between Jan 2018 and May 2023, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.

33Billing provider infoGUPTA, PREM
FERNDALE, NY 12734

33aNPI1295706281assigned 01/30/2006

33bProvider typeNeurology Physician

28Total paid$110K

24GClaims2,886

24DCodes billed3

24AFirst – last monthJan 2018 – May 2023

Compared with peers

Next to other Neurology Physician providers in New York

Rank by total paid#123 of 623

Median peer was paid$9K

This provider vs. median12×

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	347	$5K
2019	399	$7K
2020	522	$14K
2021	710	$34K
2022	651	$34K
2023	257	$17K

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	72%	2,331	2,195	$79K
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	28%	543	530	$31K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	12	12	$64.92

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.