Gupta, Harsh

Gupta, Harsh was paid $152K by Medicaid between Jan 2018 and Jul 2024, across 10 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 44% of everything it billed.

33Billing provider infoGUPTA, HARSH
EVANSTON, IL 60202

33aNPI1295727436assigned 08/15/2005

33bProvider typeGastroenterology Physician

28Total paid$152K

24GClaims3,441

24DCodes billed10

24AFirst – last monthJan 2018 – Jul 2024

Compared with peers

Next to other Gastroenterology Physician providers in Illinois

Rank by total paid#48 of 370

Median peer was paid$16K

This provider vs. median9.4×

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	167	$2K
2019	555	$13K
2020	456	$16K
2021	580	$32K
2022	1,088	$57K
2023	397	$18K
2024incomplete	198	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	44%	439	382	$67K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	28%	2,018	867	$43K
99222	Initial hospital care, per day, moderate complexity	11%	395	369	$17K
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	6.1%	271	245	$9K
45380	Colonoscopy, flexible; with biopsy, single or multiple	6.0%	68	66	$9K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	2.0%	44	39	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.4%	78	66	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	25	24	$655.13
99152		<1%	33	19	$255.58
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)	<1%	70	68	$211.33

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.