Physician
Gupta, Prasad
Gupta, Prasad was paid $139K by Medicaid between Oct 2020 and Dec 2024, across 8 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 45% of everything it billed.
33Billing provider infoGUPTA, PRASAD
DU BOIS, PA 15801
DU BOIS, PA 15801
33aNPI1659686970assigned 08/11/2010
33bProvider typeCardiovascular Disease Physician
28Total paid$139K
24GClaims7,091
24DCodes billed8
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Pennsylvania
Rank by total paid#33 of 592
Median peer was paid$3K
This provider vs. median44×
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 | |
|---|---|---|---|
| 2020 | 167 | $3K | |
| 2021 | 1,236 | $27K | |
| 2022 | 1,736 | $34K | |
| 2023 | 2,215 | $43K | |
| 2024incomplete | 1,737 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 45% | 1,489 | 1,464 | $62K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 15% | 3,024 | 2,888 | $21K |
| 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 | 14% | 602 | 585 | $20K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 753 | 735 | $18K |
| 93000 | 7.9% | 763 | 751 | $11K | |
| 93016 | 2.9% | 236 | 235 | $4K | |
| 93018 | 1.7% | 211 | 210 | $2K | |
| 93227 | <1% | 13 | 13 | $267.89 |
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.