Rakesh Gupta Medical P.C.
Rakesh Gupta Medical P.C. was paid $507K by Medicaid between Jan 2018 and Sep 2023, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoRAKESH GUPTA MEDICAL P.C.
VALLEY STREAM, NY 11581
VALLEY STREAM, NY 11581
33aNPI1407944564assigned 10/11/2006
33bProvider typeSpecialist
28Total paid$507K
24GClaims8,197
24DCodes billed29
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Specialist providers in New York
Rank by total paid#234 of 1,221
Median peer was paid$45K
This provider vs. median11×
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 | 1,973 | $100K | |
| 2019 | 1,523 | $138K | |
| 2020 | 1,350 | $99K | |
| 2021 | 1,964 | $102K | |
| 2022 | 677 | $37K | |
| 2023 | 710 | $32K |
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 | 27% | 1,916 | 1,661 | $137K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 25% | 378 | 375 | $129K |
| 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 | 14% | 453 | 453 | $69K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 9.5% | 134 | 133 | $48K |
| 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 | 6.6% | 345 | 332 | $33K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.5% | 588 | 458 | $28K |
| 93000 | 3.9% | 1,674 | 1,590 | $20K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.5% | 638 | 508 | $13K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.8% | 164 | 154 | $9K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.3% | 281 | 249 | $7K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.1% | 144 | 132 | $5K |
| 88142 | <1% | 114 | 113 | $3K |
17 more codes
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 26 | $2K |
| 76770 | <1% | 26 | $1K | |
| 88341 | <1% | 24 | $836.83 | |
| 88313 | <1% | 24 | $647.44 | |
| 88342 | <1% | 24 | $442.41 | |
| 81002 | <1% | 191 | $378.00 | |
| 87210 | <1% | 84 | $285.60 | |
| 88312 | <1% | 12 | $262.13 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 152 | $197.70 |
| 87110 | <1% | 13 | $105.95 | |
| 91301 | <1% | 14 | $0.05 | |
| 91300 | <1% | 14 | $0.03 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 27 | $0.00 |
| 99072 | 0% | 486 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 72 | $0.00 |
| 76857 | 0% | 30 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 149 | $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.
From NPPES
Who's on the registration
Authorized officialGUPTA, NEVILLE (ADMINISTRATIVE ASSISTANT)