Physician
Gupta, Prem
Gupta, Prem was paid $232K by Medicaid between Oct 2020 and May 2023, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoGUPTA, PREM
FRISCO, TX 75033
FRISCO, TX 75033
33aNPI1386677250assigned 07/07/2006
33bProvider typePediatrics Physician
28Total paid$232K
24GClaims11,723
24DCodes billed30
24AFirst – last monthOct 2020 – May 2023
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#621 of 1,136
Median peer was paid$329K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2020 | 958 | $12K | |
| 2021 | 4,849 | $95K | |
| 2022 | 4,230 | $84K | |
| 2023 | 1,686 | $40K |
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 | 42% | 2,703 | 2,573 | $97K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 3,132 | 1,352 | $29K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 312 | 312 | $24K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.8% | 279 | 279 | $20K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.3% | 238 | 237 | $19K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.7% | 149 | 148 | $13K |
| 92551 | 3.1% | 758 | 758 | $7K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.1% | 112 | 111 | $5K |
| 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 | 2.0% | 90 | 89 | $5K |
| 90461 | 1.8% | 810 | 705 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 218 | 109 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 342 | 342 | $3K |
18 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 116 | $2K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 112 | $211.14 |
| 90697 | <1% | 62 | $0.61 | |
| 90658 | <1% | 52 | $0.01 | |
| 90657 | 0% | 31 | $0.00 | |
| 90686 | 0% | 225 | $0.00 | |
| 90651 | 0% | 93 | $0.00 | |
| 90680 | 0% | 53 | $0.00 | |
| 90723 | 0% | 54 | $0.00 | |
| 90716 | 0% | 13 | $0.00 | |
| 90633 | 0% | 15 | $0.00 | |
| 99173 | 0% | 738 | $0.00 | |
| 90648 | 0% | 116 | $0.00 | |
| 90670 | 0% | 266 | $0.00 | |
| 99072 | 0% | 557 | $0.00 | |
| 90734 | 0% | 38 | $0.00 | |
| 90715 | 0% | 27 | $0.00 | |
| 90707 | 0% | 12 | $0.00 |
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.