Physician
Sunil Gupta MD LLC
Sunil Gupta MD LLC was paid $421K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 36% of everything it billed.
33Billing provider infoSUNIL GUPTA MD LLC
PENSACOLA, FL 32503
PENSACOLA, FL 32503
33aNPI1588610075assigned 05/26/2006
33bProvider typeOphthalmology Physician
28Total paid$421K
24GClaims31,490
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in Florida
Rank by total paid#21 of 262
Median peer was paid$9K
This provider vs. median49×
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 | 5,032 | $44K | |
| 2019 | 6,002 | $69K | |
| 2020 | 5,341 | $87K | |
| 2021 | 4,951 | $62K | |
| 2022 | 4,559 | $66K | |
| 2023 | 3,108 | $39K | |
| 2024incomplete | 2,497 | $53K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 36% | 1,295 | 828 | $154K |
| 67028 | Intravitreal injection of a pharmacologic agent | 21% | 8,546 | 5,196 | $90K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 19% | 6,826 | 4,671 | $79K |
| J2778 | Injection, ranibizumab, 0.1 mg | 7.8% | 553 | 254 | $33K |
| 92134 | 7.8% | 10,715 | 7,289 | $33K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 5.5% | 976 | 730 | $23K |
| J9035 | Injection, bevacizumab, 10 mg | 1.6% | 465 | 354 | $7K |
| 92226 | <1% | 1,693 | 1,131 | $1K | |
| 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 | <1% | 18 | 15 | $655.13 |
| J7999 | Compounded drug, not otherwise classified | <1% | 286 | 146 | $367.42 |
| 92202 | 0% | 23 | 17 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 94 | 64 | $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, SUNIL (MANAGING MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Premier Heart and Vascular Center, PA | Zephyrhills, FL | $2.82M |
| Bay Eyes Cataract and Laser Center, INC. | Fairhope, AL | $374K |
| Sunil K. Gupta, M.D., P.A. | Cumberland, MD | $309K |
| Westchester Putnam Gastroenterology P.C. | Carmel, NY | $296K |
| Sunils Hospitalists of Corpus Christi | Corpus Christi, TX | $32K |
| PHVC Ekg LLC | Zephyrhills, FL | $5K |
| Sunil Gupta MD LLC | Panama City Beach, FL | $0.00 |
| Sunil Gupta MD LLC | Panama City, FL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.