Medicaid Provider Spending

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

GUPTA AND GUPTA PEDIATRICS MD PA

NPI: 1730118415 · MIDLAND, TX 79701 · Pediatrics Physician · NPI assigned 07/03/2006

$4.87M
Total Medicaid Paid
121,303
Total Claims
96,784
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGUPTA, PREM (PRESIDENT)
NPI Enumeration Date07/03/2006

Related Entities

Other providers sharing the same authorized official: GUPTA, PREM

ProviderCityStateTotal Paid
LITTLE ELM FRISCO CHILDREN'S CLINIC FRISCO TX $622K
PREM PRAKASH GUPTA M.D P.C FERNDALE NY $181K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 32 $1K
2019 14 $393.70
2020 5,573 $192K
2021 37,342 $1.30M
2022 35,060 $1.48M
2023 23,429 $1.02M
2024 19,853 $870K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 38,712 27,767 $1.81M
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 8,567 7,721 $633K
S8301 Infection control supplies, not otherwise specified 21,680 15,684 $507K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 19,045 16,014 $506K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 8,910 7,891 $403K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,524 2,497 $193K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,427 2,329 $180K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,122 2,110 $171K
99215 Prolong outpt/office vis 2,241 1,909 $161K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,855 3,416 $122K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,084 1,062 $91K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,846 3,132 $30K
99381 347 321 $25K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,469 1,305 $18K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 103 95 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 671 460 $7K
87634 66 63 $4K
87807 302 266 $3K
81002 663 565 $2K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 118 111 $1K
96160 344 344 $572.76
J0696 Injection, ceftriaxone sodium, per 250 mg 555 376 $357.70
99072 18 16 $0.00
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) 1,477 1,195 $0.00
99401 157 135 $0.00