Gupta, Sushma
Gupta, Sushma was paid $60K by Medicaid between Jan 2018 and Aug 2019, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoGUPTA, SUSHMA
COVINGTON, LA 70433
COVINGTON, LA 70433
33aNPI1366414658assigned 02/02/2006
33bProvider typeSpecialist
28Total paid$60K
24GClaims1,734
24DCodes billed4
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers
Next to other Specialist providers in Louisiana
Rank by total paid#115 of 228
Median peer was paid$60K
This provider vs. median1.0×
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 | 1,180 | $40K | |
| 2019 | 554 | $20K |
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 | 52% | 696 | 603 | $31K |
| 94060 | 38% | 547 | 464 | $23K | |
| 95117 | 7.1% | 478 | 205 | $4K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 3.1% | 13 | 12 | $2K |
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.