Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Gupta, Vivek

Gupta, Vivek was paid $1.39M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 22% of everything it billed.

33Billing provider infoGUPTA, VIVEK
CHICAGO, IL 60622
33aNPI1376632976assigned 10/12/2006
28Total paid$1.39M
24GClaims44,480
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Illinois

Rank by total paid#33 of 3,722
Median peer was paid$26K
This provider vs. median54×

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$20K$40K2018201920202021202220232024
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
201810,087$240K
20198,089$162K
20205,846$210K
20215,437$195K
20225,339$193K
20234,691$184K
2024incomplete4,991$204K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 22% 8,278 2,617 $300K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 21% 17,206 5,016 $294K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 18% 2,118 620 $247K
99223 Prolong inpt eval add15 m 11% 2,739 2,494 $147K
99308 Subsequent nursing facility care, per day, straightforward 8.1% 6,195 3,414 $112K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.3% 1,373 1,089 $60K
99309 Subsequent nursing facility care, per day, low to moderate complexity 3.5% 2,251 1,545 $48K
99239 Hospital discharge day management, more than 30 minutes 3.5% 1,292 1,166 $48K
99222 Initial hospital care, per day, moderate complexity 2.1% 508 472 $29K
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 1.6% 325 282 $22K
99306 Prolong nursin fac eval 15m 1.3% 394 368 $17K
99254 1.2% 265 257 $17K
11 more codes
99203 Doctor's office visit, new patient (routine) 1.2% 386 $16K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 470 $12K
99238 Hospital discharge day management, 30 minutes or less <1% 348 $7K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 49 $3K
99253 <1% 65 $3K
99305 <1% 33 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 42 $1K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 41 $803.90
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 19 $626.70
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 31 $519.80
99406 <1% 52 $247.50

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.