Physician
Gupta and Gupta Pediatrics MD PA
Gupta and Gupta Pediatrics MD PA was paid $4.87M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoGUPTA AND GUPTA PEDIATRICS MD PA
MIDLAND, TX 79701
MIDLAND, TX 79701
33aNPI1730118415assigned 07/03/2006
33bProvider typePediatrics Physician
28Total paid$4.87M
24GClaims121,303
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#87 of 1,136
Median peer was paid$329K
This provider vs. median15×
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 | 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 | |
| 2024incomplete | 19,853 | $870K |
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 | 37% | 38,712 | 27,767 | $1.81M |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 13% | 8,567 | 7,721 | $633K |
| S8301 | Infection control supplies, not otherwise specified | 10% | 21,680 | 15,684 | $507K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 10% | 19,045 | 16,014 | $506K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 8.3% | 8,910 | 7,891 | $403K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.0% | 2,524 | 2,497 | $193K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.7% | 2,427 | 2,329 | $180K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.5% | 2,122 | 2,110 | $171K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.3% | 2,241 | 1,909 | $161K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 3,855 | 3,416 | $122K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 1,084 | 1,062 | $91K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,846 | 3,132 | $30K |
13 more codes
| 99381 | <1% | 347 | $25K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,469 | $18K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 103 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 671 | $7K |
| 87634 | <1% | 66 | $4K | |
| 87807 | <1% | 302 | $3K | |
| 81002 | <1% | 663 | $2K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 118 | $1K |
| 96160 | <1% | 344 | $572.76 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 555 | $357.70 |
| 99072 | 0% | 18 | $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) | 0% | 1,477 | $0.00 |
| 99401 | 0% | 157 | $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, PREM (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Little Elm Frisco Children's Clinic | Frisco, TX | $622K |
| Prem Prakash Gupta M.D P.C | Ferndale, NY | $181K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.