Physician
Gupta, Sunil
Gupta, Sunil was paid $393K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
33Billing provider infoGUPTA, SUNIL
LEESBURG, VA 20176
LEESBURG, VA 20176
33aNPI1659357523assigned 12/21/2005
33bProvider typePediatrics Physician
28Total paid$393K
24GClaims9,006
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#156 of 817
Median peer was paid$29K
This provider vs. median13×
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 | 1,526 | $62K | |
| 2019 | 1,120 | $44K | |
| 2020 | 1,090 | $49K | |
| 2021 | 1,175 | $47K | |
| 2022 | 1,367 | $65K | |
| 2023 | 1,686 | $78K | |
| 2024incomplete | 1,042 | $49K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 51% | 2,408 | 2,088 | $202K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 28% | 915 | 758 | $110K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 742 | 678 | $41K |
| 90686 | 2.6% | 845 | 827 | $10K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.4% | 683 | 641 | $5K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 73 | 67 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 171 | 158 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 59 | 58 | $4K |
| 92551 | <1% | 410 | 404 | $4K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,774 | 1,694 | $3K |
| 99174 | <1% | 351 | 344 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 91 | 86 | $1K |
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.