Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GMED HEALTHCARE PC

NPI: 1508169160 · CLIFTON, NJ 07013 · Family Medicine Physician · NPI assigned 12/20/2010

$2.59M
Total Medicaid Paid
187,329
Total Claims
158,647
Beneficiaries
82
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGUPTA, VIKRAM (OWNER)
NPI Enumeration Date12/20/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,068 $247K
2019 10,225 $284K
2020 12,645 $253K
2021 16,036 $326K
2022 39,257 $456K
2023 49,382 $557K
2024 51,716 $462K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 30,322 24,508 $2.22M
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 396 389 $44K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 2,203 1,872 $40K
G0444 Annual depression screening, 5 to 15 minutes 2,873 2,735 $39K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 2,991 2,739 $36K
99233 Prolong inpt eval add15 m 2,035 845 $34K
93000 3,304 3,086 $33K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 213 206 $25K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,602 1,508 $18K
90686 1,154 1,105 $17K
99490 Ccm add 20min 4,313 3,843 $13K
99454 2,560 2,129 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 914 634 $11K
99497 366 302 $9K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 74 73 $8K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 48 43 $3K
90715 98 97 $3K
82962 4,786 3,899 $3K
90653 79 74 $2K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 583 380 $2K
90656 106 106 $2K
99441 90 84 $1K
99457 643 498 $1K
90694 86 75 $1K
99223 Prolong inpt eval add15 m 59 58 $968.74
99239 Hospital discharge day management, more than 30 minutes 39 38 $914.68
99406 71 64 $779.84
99439 457 368 $765.90
G0008 Administration of influenza virus vaccine 217 207 $639.15
90688 50 49 $610.09
99232 Subsequent hospital care, per day, moderate complexity 43 24 $431.35
99309 Subsequent nursing facility care, per day, low to moderate complexity 67 29 $360.47
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 85 71 $353.36
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 265 215 $243.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 13 12 $125.83
99458 147 97 $93.17
96127 14 14 $40.42
99453 17 17 $32.02
99072 733 675 $17.50
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 25,656 21,614 $10.00
94760 14 13 $5.68
3008F 14,914 12,846 $3.00
1159F 15,622 13,023 $2.00
1160F 15,572 12,984 $2.00
1170F 4,286 3,765 $1.00
3044F 2,490 2,228 $1.00
3061F 1,246 1,091 $1.00
3079F 2,318 2,056 $0.00
1101F 1,053 947 $0.00
1125F 1,504 1,340 $0.00
3014F 206 193 $0.00
3074F 4,446 3,905 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 4,687 3,886 $0.00
3075F 1,681 1,506 $0.00
1036F 4,296 3,959 $0.00
4010F 3,192 2,666 $0.00
0509F 105 97 $0.00
1126F 817 742 $0.00
1006F 317 276 $0.00
3060F 260 222 $0.00
1030F 382 355 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 89 71 $0.00
3017F 143 142 $0.00
2023F 278 246 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 1,273 1,112 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 33 27 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 14 12 $0.00
3288F 876 793 $0.00
3078F 4,472 3,910 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 3,894 3,250 $0.00
3051F 803 700 $0.00
1090F 2,696 2,361 $0.00
2022F 954 819 $0.00
4040F 143 136 $0.00
3077F 366 323 $0.00
G8482 Influenza immunization administered or previously received 136 134 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 745 627 $0.00
1100F 92 80 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 716 675 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 357 289 $0.00
G0030 Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user 38 27 $0.00
4004F 31 31 $0.00