Physician
NPI deactivated
Sanjiv Gupta M.D. P.S.C.
Sanjiv Gupta M.D. P.S.C. was paid $692K by Medicaid between Jan 2018 and Nov 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoSANJIV GUPTA M.D. P.S.C.
GRAYSON, KY 41143
GRAYSON, KY 41143
33aNPI1477562536assigned 08/07/2006
33bProvider typeAddiction Medicine (Internal Medicine) Physician
28Total paid$692K
24GClaims27,419
24DCodes billed44
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Addiction Medicine (Internal Medicine) Physician providers in Kentucky
Rank by total paid#6 of 13
Median peer was paid$671K
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 | 4,776 | $102K | |
| 2019 | 4,256 | $112K | |
| 2020 | 3,945 | $90K | |
| 2021 | 4,491 | $120K | |
| 2022 | 4,311 | $125K | |
| 2023 | 3,213 | $79K | |
| 2024incomplete | 2,427 | $65K |
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 | 34% | 7,010 | 5,440 | $236K |
| 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 | 33% | 4,931 | 4,086 | $227K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 9.0% | 171 | 156 | $62K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.9% | 1,816 | 1,506 | $27K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.3% | 989 | 897 | $23K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.7% | 1,628 | 1,485 | $19K |
| 80305 | 2.4% | 1,793 | 1,292 | $17K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.9% | 278 | 255 | $13K |
| 99407 | 1.7% | 639 | 533 | $11K | |
| 36415 | Collection of venous blood by venipuncture | 1.6% | 3,606 | 3,222 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 328 | 301 | $5K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 65 | 60 | $4K |
32 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 86 | $4K |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 762 | $4K |
| 90688 | <1% | 236 | $3K | |
| 95913 | <1% | 14 | $3K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 29 | $3K |
| 99201 | <1% | 74 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 25 | $2K |
| Q3014 | Telehealth originating site facility fee | <1% | 729 | $2K |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 254 | $2K |
| 90674 | <1% | 68 | $2K | |
| 99490 | Ccm add 20min | <1% | 63 | $1K |
| 99406 | <1% | 134 | $1K | |
| 76536 | <1% | 31 | $1K | |
| 90632 | <1% | 31 | $1K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 911 | $1K |
| 76775 | <1% | 14 | $839.70 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 15 | $822.25 |
| 90656 | <1% | 74 | $719.56 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | $712.32 |
| 96116 | <1% | 13 | $693.33 | |
| 0001A | <1% | 15 | $516.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 26 | $481.69 |
| 90686 | <1% | 26 | $424.84 | |
| 0064A | <1% | 14 | $344.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 181 | $264.65 |
| G0008 | Administration of influenza virus vaccine | <1% | 86 | $175.50 |
| 82044 | <1% | 28 | $116.86 | |
| 81003 | <1% | 58 | $55.93 | |
| 3008F | <1% | 87 | $0.69 | |
| 91300 | <1% | 20 | $0.14 | |
| 91306 | <1% | 15 | $0.07 | |
| 91301 | <1% | 32 | $0.07 |
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, SANJIV (PRESIDENT/OWNER)